368 results match your criteria interviews occasion

Gymnasts' experiences and perception of a cruciate ligament injury.

J Sports Med Phys Fitness 2021 Jun 1. Epub 2021 Jun 1.

Department of Molecular Medicine and Surgery, Stockholm Sports Trauma Research Center, Karolinska Institutet, Stockholm, Sweden.

Background: Gymnastics is a high injury risk sport including difficult technique. A cruciate ligament injury is common, though there are no evidence-based guidelines for return to gymnastics. The gymnasts' experiences may add specificity to a guideline. Read More

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Planned Relocation and Health: A Case Study from Fiji.

Int J Environ Res Public Health 2021 04 20;18(8). Epub 2021 Apr 20.

Pacific Centre for Environment and Sustainable Development (PACE-SD), Marine Campus, University of the South Pacific, Suva, Fiji.

In Fiji, low-lying coastal villages are beginning to retreat and relocate in response to coastal erosion, flooding and saltwater intrusion. Planned relocation is considered a last resort as a form of adaptation to the impacts of climatic and environmental change. The health impacts of planned relocation are poorly understood. Read More

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A qualitative examination of intentions and willingness for heavy drinking among young adult high-intensity drinkers.

Psychol Addict Behav 2021 Mar 18. Epub 2021 Mar 18.

Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health.

Objective: Heavy episodic drinking (HED) and high-intensity drinking (HID) are common in young adulthood but pose unique risks. Quantitative studies have used the Theory of Planned Behavior (TPB) and the Prototype-Willingness Model (PWM) to understand decision-making processes underlying alcohol misuse. However, our understanding of intentions (plans) and willingness (openness) for HED/HID is in its nascent stages. Read More

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Escalation and Withdrawal of Treatment for Patients on Extracorporeal Membrane Oxygenation: A Qualitative Study.

Ann Surg 2021 Mar 4. Epub 2021 Mar 4.

Department of Anesthesia, Carver College of Medicine, University of Iowa, Iowa City, IA Department of Anesthesiology & Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA Penn Center for Perioperative Outcomes Research and Transformation, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA University of Pennsylvania Law School, Philadelphia, PA.

Objective: The aim of this study was to describe decisions about the escalation and withdrawal of treatment for patients on extracorporeal membrane oxygenation (ECMO).

Summary Background Data: Interventions premised on facilitating patient autonomy have proven problematic in guiding treatment decisions in intensive care units (ICUs). Calls have thus been made to better understand how decisions are made in critical care. Read More

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The impact of the COVID-19 pandemic on medical assistance in dying in Canada and the relationship of public health laws to private understandings of the legal order.

J Law Biosci 2020 Jan-Jun;7(1):lsaa087. Epub 2020 Dec 11.

Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada.

Drawing on interviews we conducted with 15 medical assistance in dying (MAiD) providers from across Canada, we examine how physicians and nurse practitioners reconcile respect for the new, changing rules brought upon by the coronavirus disease 2019 (COVID-19) pandemic, along with their existing legal obligations and ethical commitments as health care professionals and MAiD providers. Our respondents reported situations where they did not follow or did not insist on others following the applicable public health rules. We identify a variety of techniques that they deployed either to minimize, rationalize, justify or excuse deviations from the relevant public health rules. Read More

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December 2020

'Starting Out in Haziness': Parental Experiences Surrounding the Diagnosis of their Child's Non-Malignant Life-Limiting Condition in Ireland.

J Pediatr Nurs 2021 Jul-Aug;59:25-31. Epub 2021 Jan 7.

School of Nursing, Faculty of Health Social Care and Education, Kingston University and St George's University London, United Kingdom.

Purpose: To explore parental experiences surrounding the diagnosis of their child's non-malignant life-limiting condition.

Design And Methods: A qualitative descriptive study design using single-occasion one-to-one semi-structured interviews collected data from twenty-three parents of children diagnosed with non-malignant life-limiting conditions.

Findings: 'Starting out in haziness' was the central concept when parents' recounted the time they learnt of their child's diagnosis. Read More

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[Interrupting the chains of transmission of COVID-19 in Italy: survey among the Prevention Departments].

Epidemiol Prev 2020 Sep-Dec;44(5-6 Suppl 2):33-41

Centro nazionale per la prevenzione delle malattie e la promozione della salute, Istituto superiore di sanità, Roma.

Background: the ability to implement effective preventive and control measures is rooted in public health surveillance to promptly identify and isolate contagious patients.

Objectives: to describe some organizational aspects and resources involved in the control of COVID-19 pandemic.

Design: observational cross sectional study. Read More

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January 2021

You Didn't Drink During Pregnancy, Did You?

Alcohol Clin Exp Res 2021 03 2;45(3):543-547. Epub 2021 Feb 2.

Department of Psychiatry and Behavioral Neurosciences, School of Medicine, Wayne State University, Detroit, MI, USA.

Background: Accurate characterization of prenatal alcohol exposure (PAE) is challenging due to inconsistent use of screening questionnaires in routine prenatal care and substantial underreporting due to stigma associated with alcohol use in pregnancy. The aim of this study was to identify self-report tools that are efficient in accurately characterizing PAE.

Methods: Participants meeting eligibility criteria for mild-to-moderate PAE were recruited into the University of New Mexico Ethanol, Neurodevelopment, Infant and Child Health cohort (N = 121) and followed prospectively. Read More

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A mixed methods pilot randomised controlled trial to develop and evaluate the feasibility of a Mediterranean diet and lifestyle education intervention 'THINK-MED' among people with cognitive impairment.

Pilot Feasibility Stud 2021 Jan 4;7(1). Epub 2021 Jan 4.

Centre for Public Health, Queens University Belfast, Belfast, BT12 6BJ, UK.

Background: Accumulating evidence supports the role of a Mediterranean diet (MD) in cognition, with a greater adherence to a MD associated with reduced dementia risk. It is important to understand how best to achieve behaviour change towards a MD, particularly in non-Mediterranean and high-risk populations. The aim of this study was to evaluate the feasibility of a MD and lifestyle education intervention (THINK-MED) among older adults with cognitive impairment. Read More

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January 2021

Patient involvement in quality improvement - a 'tug of war' or a dialogue in a learning process to improve healthcare?

BMC Health Serv Res 2020 Dec 2;20(1):1115. Epub 2020 Dec 2.

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, S-501 90, Borås, Sweden.

Background: Co-production and co-design approaches to quality improvement (QI) efforts are gaining momentum in healthcare. Yet, these approaches can be challenging, not least when it comes to patient involvement. The aim of this study was to examine what might influence QI efforts in which patients are involved, as experienced by the patients and the healthcare professionals involved. Read More

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December 2020

Characteristics associated with denial of problem drinking among two generations of individuals with alcohol use disorders.

Drug Alcohol Depend 2020 12 10;217:108274. Epub 2020 Sep 10.

Background: Denial of an overarching alcohol problem despite endorsement of specific alcohol-related difficulties may be central to development and continuation of alcohol use disorders (AUDs). However, there is limited information about which characteristics of drinkers and which drinking problems relate most closely to that denial.

Methods: Using data from two generations of the San Diego Prospective Study (SDPS), we compared AUD subjects who considered themselves non-problematic drinkers (Group 1) with those with AUDs who acknowledged a general alcohol problem (Group 2). Read More

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December 2020

Development of a Stakeholder Driven Serious Illness Communication Program for Advance Care Planning in Children, Adolescents, and Young Adults with Serious Illness.

J Pediatr 2021 02 16;229:247-258.e8. Epub 2020 Sep 16.

Department of Pediatrics, Boston Children's Hospital, Boston, MA; Department of Psychosocial Oncology and Palliative Care, Dana Farber Cancer Institute, Boston, MA.

Objectives: To develop a generalizable advance care planning (ACP) intervention for children, adolescents, and young adults with serious illness using a multistage, stakeholder-driven approach.

Study Design: We first convened an expert panel of multidisciplinary health care providers (HCPs), researchers, and parents to delineate key ACP intervention elements. We then adapted an existing adult guide for use in pediatrics and conducted focus groups and interviews with HCPs, parents, and seriously ill adolescents and young adults to contextualize perspectives on ACP communication and our Pediatric Serious Illness Communication Program (PediSICP). Read More

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February 2021

Adaptation and validation of the Rheumatoid Arthritis Quality of Life (RAQoL) questionnaire for use in Bulgaria.

Rheumatol Int 2020 Dec 19;40(12):2077-2083. Epub 2020 Aug 19.

Medical University of Sofia, Sofia, Bulgaria.

Rheumatoid arthritis (RA) is a chronic disease with an enormous impact on patients' quality of life. The Rheumatoid Arthritis Quality of Life (RAQoL) questionnaire is a disease-specific measure of QoL for individuals with rheumatoid arthritis. Our aim was to adapt and validate the RAQoL for use in Bulgaria. Read More

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December 2020

Phenomenological study of medical interns reflecting on their experiences, of open disclosure communication after medication error: linking rationalisation to the conscious competency matrix.

BMJ Open 2020 05 30;10(5):e035647. Epub 2020 May 30.

Office of Education, University of Sydney Sydney Medical School, Sydney, New South Wales, Australia.

Introduction And Objectives: Errors are common within healthcare, especially those involving the prescribing of medications. Open disclosure is a policy stating doctors should apologise for such errors, discussing them with the harmed parties. Many junior doctors take part in open disclosure without any formal training or experience, which can lead to failure of the apology, and increased patient/family frustration. Read More

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Change in the Relationship Between Drinking Alcohol and Risk of Violence Among Adolescents and Young Adults: A Nationally Representative Longitudinal Study.

Alcohol Alcohol 2020 Jun;55(4):439-447

Division of Psychological Medicine and Clinical Neurosciences, MRC Centre for Neuropsychiatric Genetics and Genomics, Cardiff University, Heath Park, Cardiff CF14 4XN, UK.

Aims: To quantify the relationship between alcohol and violence with increasing age.

Methods: Data were from The National Longitudinal Study of Adolescent to Adult Health (ADD Health) of 20,386 people representative of the US population. Mean age at the first wave of interviews was 16. Read More

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Barriers and facilitators to contraceptive use among Somali immigrant women in Oslo: A qualitative study.

PLoS One 2020 10;15(3):e0229916. Epub 2020 Mar 10.

Department of Health Service Research, Norwegian Institute of Public Health, Oslo, Norway.

Background: The European Action Plan for Sexual and Reproductive Health emphasizes the importance of improving access to contraceptive services for disadvantaged groups. However, a prior study showed that the prevalence of abortion is two times higher among refugees compared to non-immigrants in Norway. Similarly, a recent study reported that 50% of Somali women in Oslo had unintended childbirth on one occasion or more. Read More

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Walking on Eggshells: Parents' First Year After Their Adolescent Completes Their Cancer Treatment [Formula: see text].

J Pediatr Oncol Nurs 2020 Jul/Aug;37(4):233-243. Epub 2020 Mar 6.

University of Washington, Seattle, WA, USA.

Despite an awareness that parents experience distress and heightened uncertainty at the end of their adolescent's treatment for cancer, little is known about the specific challenges and concerns parents hold for their adolescent survivors or how they manage these challenges. This study described challenges parents experience in the first year after their adolescent's cancer treatment and what parents did to manage those challenges. Single occasion semistructured interviews were conducted with parents and were transcribed verbatim. Read More

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Evaluating a genetic counseling narrative group session for people who have tested positive for the Huntington's disease expansion: An interpretative phenomenological analysis.

J Genet Couns 2020 12 19;29(6):1015-1025. Epub 2020 Feb 19.

Division of Evolution and Genomic Sciences, School of Biological Science, University of Manchester, Manchester, UK.

Huntington's disease (HD) is an inherited neurodegenerative disorder characterized by motor problems, cognitive impairment, and mood disturbances. Given the emotional elements of both HD itself and the testing process for it, psychological interventions may be helpful for those families impacted by HD. A stand-alone genetic counseling narrative group has been offered by one regional genetics clinic in the north of England to support people's coping following predictive genetic testing for HD. Read More

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December 2020

Describing Independent Eating Occasions among Low-Income Adolescents.

Int J Environ Res Public Health 2020 02 5;17(3). Epub 2020 Feb 5.

Department of Quantitative Health Sciences, University of Hawaii-Manoa, Honolulu, HI 96813, USA.

The purpose of this formative, cross-sectional study was to describe independent eating occasions (iEOs) among a convenience sample of low-income early adolescents (10-13 years, n = 46) in 10 U.S. states, including environmental context, foods selected and reasons for selection, and parental rules about foods consumed. Read More

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February 2020

Progressive 24-Hour Recall: Usability Study of Short Retention Intervals in Web-Based Dietary Assessment Surveys.

J Med Internet Res 2020 02 3;22(2):e13266. Epub 2020 Feb 3.

Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, United Kingdom.

Background: Under-reporting because of the limitations of human memory is one of the key challenges in dietary assessment surveys that use the multiple-pass 24-hour recall. Research indicates that shortening a retention interval (ie, the time between the eating event and recall) reduces the burden on memory and may increase the accuracy of the assessment.

Objective: This study aimed to explore the accuracy and acceptability of Web-based dietary assessment surveys based on a progressive recall, where a respondent is asked to record multiple recalls throughout a 24-hour period using the multiple-pass protocol and portion size estimation methods of the 24-hour recall. Read More

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February 2020

"You're at their mercy": Older peoples' experiences of moving from home to a care home: A grounded theory study.

Int J Older People Nurs 2020 Jun 30;15(2):e12305. Epub 2020 Jan 30.

School of Nursing and Institute of Nursing and Health Research, Ulster University, Londonderry, UK.

Background: Internationally, it is recognised that the transition to a care home environment can be an emotional and stressful occasion for older people and their families. There is a paucity of research that takes into consideration the initial phase of the relocation process, incorporating individuals' experiences of the move.

Aim: To explore individuals' experiences of moving into a care home. Read More

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A Qualitative Study of Parents' Experiences in the Pediatric Intensive Care Unit: Riding a Roller Coaster.

J Pediatr Nurs 2020 Mar - Apr;51:8-14. Epub 2019 Dec 10.

Department of Child, Family, and Population Health Nursing, University of Washington, Seattle, United States of America; Seattle Children's Hospital, United States of America.

Purpose: Post-traumatic stress disorder rates in parents following PICU admission ranged between 12.2% and 42%. Despite the numbers affected and the magnitude of parents' distress, little is known about parents' experience in the PICU that could be a source of their stress. Read More

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February 2021

[Thoughts on Hungarian Forensic Psychiatric Expertise. Interview with professor László Tringer on his 80th birthday].

Brigitta Baran

Psychiatr Hung 2019 ;34(4):443-450

Semmelweis Egyetem, Pszichiatriai es Pszichoterapias Klinika, Budapest, Hungary, E-mail:

Professor László Tringer, on the occasion of his 80th birthday, will revive his almost half a century experience in the field of Hungarian forensic psychiatry (since 1970) as an expert witness, as well as the memorable events of his work in this field. The activities of Medical Research Council Justice Committee (MRC JC), the inflation of psychiatric diagnoses and the question of expert objectivity are also discussed. Read More

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December 2019

A longitudinal examination of the association between intelligence and rearrest using a latent trait-state-occasion modeling approach in a sample of previously adjudicated youth.

Dev Psychol 2019 Dec 14;55(12):2678-2691. Epub 2019 Oct 14.

College of Criminology and Criminal Justice, Florida State University.

Recidivism remains a serious issue in the modern criminal justice system, with over 80% of those previously incarcerated being rearrested within 9 years of release (Alper, Durose, & Markman, 2018). Although previous studies have identified risk factors that increase the probability of rearrest, much remains unknown regarding the full constellation of risk factors. One potential risk factor that has received limited attention is intelligence, as individuals with lower IQ scores have been found to be more likely to come into initial contact with the criminal justice system. Read More

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December 2019

Can simple perioperative measures improve quality of recovery following ambulatory laparoscopic surgery in females? An open prospective randomised cohort study, comparing nutritional preoperative drink and chewing gum during recovery to standard care.

Ann Med Surg (Lond) 2019 Aug 8;44:20-25. Epub 2019 Jun 8.

Department for Anaesthesia & Intensive Care, Institution for Clinical Sciences, Karolinska Institutet at Danderyd University Hospital, Stockholm, Sweden.

One major goal in modern perioperative anaesthesia care is to facilitate a rapid, yet safe recovery process, with focus on improving time to regained consciousness and subsequent resuming of activities of daily living. Laparoscopic cholecystectomy and gynaecological laparoscopy are a "high volume" procedure commonly performed in young females expecting rapid resumption of health.The aim of this study was to assess whether it was possible to improve patients' self-assessed quality of recovery in female patient undergoing laparoscopic cholecystectomy by simple perioperative measures in the form of a preoperative 200 ml nutritional drink and chewing gum during early recovery. Read More

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Organ-specific dose coefficients derived from Monte Carlo simulations for historical (1930s to 1960s) fluoroscopic and radiographic examinations of tuberculosis patients.

J Radiol Prot 2019 Sep 3;39(3):950-965. Epub 2019 Jul 3.

Radiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, Bethesda MD 20892-9778, United States of America.

This work provides dose coefficients necessary to reconstruct doses used in epidemiological studies of tuberculosis patients treated from the 1930s through the 1960s, who were exposed to diagnostic imaging while undergoing treatment. We made use of averaged imaging parameters from measurement data, physician interviews, and available literature of the Canadian Fluoroscopy Cohort Study and, on occasion, from a similar study of tuberculosis patients from Massachusetts, United States, treated between 1925 and 1954. We used computational phantoms of the human anatomy and Monte Carlo radiation transport methods to compute dose coefficients that relate dose in air, at a point 20 cm away from the source, to absorbed dose in 58 organs. Read More

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September 2019

Pet ownership and its influence on mental health in older adults.

Aging Ment Health 2020 10 27;24(10):1605-1612. Epub 2019 Jun 27.

School of Occupational Therapy, Social Work and Speech Pathology, Curtin University of Technology, Perth, Australia.

With aging, older adults are at risk of a decline in mental health as they experience significant life stressors that are specific to later life. It is thus important to explore the potential of suitable approaches that promote healthy aging, to address the mental health needs of older adults. Pet ownership has been found to be associated with positive mental health outcomes; however, there is limited research on the lived experience and meaning derived from pet ownership. Read More

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October 2020

Is breast feeding associated with offspring IQ at age 5? Findings from prospective cohort: Lifestyle During Pregnancy Study.

BMJ Open 2019 05 30;9(5):e023134. Epub 2019 May 30.

Centre for Fetal Programming, Department of Epidemiology Research, Statens Serum Institut, Copenhagen, Denmark.

Objectives: Breast feeding is associated with health benefits for both mother and child, but many studies focusing on neurodevelopment have lacked information on important confounders and few randomised trials exist. Our objective was to examine the influence of breast feeding on child IQ at 5 years of age while taking maternal IQ and other relevant factors into account.

Design: Prospective observational study. Read More

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Mixed-methods feasibility study of blood pressure self-screening for hypertension detection.

BMJ Open 2019 05 29;9(5):e027986. Epub 2019 May 29.

Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Objective: To assess the feasibility of using a blood pressure (BP) self-measurement kiosk-a solid-cuff sphygmomanometer combined with technology to integrate the BP readings into patient electronic medical records- to improve hypertension detection.

Design: A concurrent mixed-methods feasibility study incorporating observational and qualitative interview components.

Setting: Two English general practitioner (GP) surgeries. Read More

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Why do parents present to the Paediatric Emergency Department with conditions suitable for management in less acute settings? A qualitative study.

Eur J Emerg Med 2020 Feb;27(1):40-45

ScHaRR (School of Health and Related Research), The University of Sheffield, Sheffield, UK.

Objective: To determine the factors influencing attendance at a Paediatric Emergency Department with conditions suitable for management in less acute settings.

Methods: Semi-structured interviews exploring parental decision-making processes surrounding care-seeking behaviours in urgent situations were undertaken with parents of children allocated to the two lowest triage categories at a type-1 urban Paediatric Emergency Department over two 2-week periods.

Results: All parents expressed a desire to access care from the most appropriate service for their child in unscheduled situations. Read More

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February 2020