Journal articles on the topic 'Medical referral Psychological aspects'
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Delarue, V. V., G. V. Kondratyev, O. I. Shutova, and T. I. Guba. "ETHICAL AND PSYCHOLOGICAL COLLISIONS ON REFERRAL OF VIII TYPE INSTITUTIONS LEAVERS TO NURSING HOMES FOR CHRONIC MENTAL PATIENTS." Bioethics 26, no. 12 (November 2, 2020): 50–52. http://dx.doi.org/10.19163/2070-1586-2020-2(26)-50-52.
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Former research showed that up to 20–25 % of those who leave schools of type VIII (schools for children with cognitive development disorders) are referred to nursery homes for chronic mental patients not due to medical problems but because of social ones. According to the authors’ opinion, such social practice has more positive than negative aspects. However, this issue requires extensive discussions. Organizing special post-diploma training courses of 16–24 hours on ethical-psychological aspects of referral various categories of patients (not only leavers of type VIII institutions) to nursery homes for chronic mental patients also seems to be reasonable.
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Jun, Kyung Ae, and Ki Bum Sim. "Medical Humanities Curriculum in Jeju National University School of Medicine/College of Medicine - focused on the Pateint-Doctor-Society." Journal of Medicine and Life Science 7, no. 1 (June 1, 2010): 70–76. http://dx.doi.org/10.22730/jmls.2010.7.1.70.
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Medical humanities is defined as the study area to deal with the fundamental value of health care and cultural aspects in the internal medical referral service and standpoint to overlook medical referral servicefrom the entire society and it is also be considered as an attempt to explain all expects related to human disease and health based on the psychological，social，and cultural aspects. Jeju National University School/College of Medicine (JMUSCM) has opened the 'Patient-Doctor-Society(PDS) course' as a medical humanities curriculum since when integrated curriculum introduced at 2005. Medical school faculty equipped with much knowledge on humanities and social science have participated in developing practical courses. Medical Humanities Curriculum have been developed to meet educational and social requirements and the conditions of JMUSCM. For the development of advanced course of medical humanities curriculum in JMUSM，not only careers counseling and leadership improvement must be included in the course. and also an concentrated training courses for communication and various teaching methods must be developed. However，Support for Medical humanities and Jeju National University School of Medicine's community interest and active participation of students would be more required above any other things in order to achieve a marked effects from development of advanced course.
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Singh, Shipra, Vishal Sawani, Mahesh Deokate, Saminder Panchal, Alka A. Subramanyam, Henal R. Shah, and Ravindra M. Kamath. "Specific learning disability: a 5 year study from India." International Journal of Contemporary Pediatrics 4, no. 3 (April 25, 2017): 863. http://dx.doi.org/10.18203/2349-3291.ijcp20171687.
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Background: Specific learning disability (SLD) is an important cause of academic underachievement among children, which often goes unrecognized, due to lack of awareness and resources in the community. Not much identifiable data is available such children, more so in Indian context. The objectives of the study were to study the demographic profile, risk factors, co-morbidities and referral patterns in children with specific learning disability.Methods: The study has a descriptive design. Children diagnosed with SLD over a 5 years’ period were included, total being 2015. The data was collected using a semi-structured proforma, (based on the aspects covered during child’s comprehensive assessment at the time of visit), which included socio-demographic aspects, perinatal and childhood details, scholastic and referral details, and comorbid psychiatric disorders.Results: Majority of the children were from English medium schools, in 8-12 years’ age group, with a considerable delay in seeking medical help, were referred mostly by the teachers for academic issues. Most of them had all the three disabilities-dyslexia, dysgraphia and dyscalculia. 38.56% of children had ADHD. Psychological maternal stress, developmental issues and various co-morbidities were accompanying in many cases, of which speech delay and fine motor issues were more in children having comorbid ADHD.Conclusions: Awareness, early identification and referral to appropriate services is crucial to deal with the challenge of learning disability. Health professionals should look for early signs in routine visits of children and co-morbidities, particularly ADHD, should be adequately taken care of. Role of media and education system is crucial for its destigmatization in community.
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Saad, Toni C., Bruce Philip Blackshaw, and Daniel Rodger. "Hormone replacement therapy: informed consent without assessment?" Journal of Medical Ethics 45, no. 12 (June 22, 2019): 824–25. http://dx.doi.org/10.1136/medethics-2019-105611.
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Florence Ashley has argued that requiring patients with gender dysphoria to undergo an assessment and referral from a mental health professional before undergoing hormone replacement therapy (HRT) is unethical and may represent an unconscious hostility towards transgender people. We respond, first, by showing that Ashley has conflated the self-reporting of symptoms with self-diagnosis, and that this is not consistent with the standard model of informed consent to medical treatment. Second, we note that the model of informed consent involved in cosmetic surgery resembles the model Ashley defends, and that psychological assessment and referral is recognised as an important aspect of such a model. Third, we suggest that the increased prevalence of psychiatric morbidity in the transgender population arguably supports the requirement of assessment and referral from a mental health professional prior to undergoing HRT.
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Pratt, Rebekah, Carina Hibberd, Isobel M. Cameron, and Margaret Maxwell. "The Patient Centered Assessment Method (PCAM): Integrating the Social Dimensions of Health into Primary Care." Journal of Comorbidity 5, no. 1 (January 2015): 110–19. http://dx.doi.org/10.15256/joc.2015.5.35.
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Background Social dimensions of health are known to contribute to what is often termed “patient complexity,” which is particularly common among patients with multimorbidity. Health-care professionals require tools to help them identify and manage these aspects of patient needs. Objectives To examine: (i) the Patient Centered Assessment Method (PCAM), a tool for assessing patient complexity in ways that are sensitive to the biopsychosocial dimensions of health, in primary care settings in Scotland; (ii) the impact of the PCAM on referral patterns and its perceived value; and (iii) the PCAM's perceived applicability for use in a complex patient population. Design Two studies are described: (i) a mixed-methods prospective cohort study of the implementation of the PCAM in primary care clinics; and (ii) a qualitative exploratory study that evaluated the value of the PCAM in a complex patient population. Results Use of the PCAM did not impact patient satisfaction or perception of practitioners’ empathy, but it did increase both the number of onward referrals per referred patient (9–12%) and the proportion of referrals to non-medical services addressing psychological, social, and lifestyle needs. Nurses valued the PCAM, particularly its ability to help them address psychological and social domains of patients’ lives, and found it to be highly relevant for use in populations with known high complexity. Conclusions The PCAM represents a feasible approach for assessing patient needs with consideration to the social dimensions of health, and allows practitioners to refer patients to a broader range of services to address patient complexity.
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Rusanova, Dina V., M. V. Kuleshova, E. V. Katamanova, N. V. Kartapoltseva, V. A. Pankov, O. L. Lakhman, P. V. Kazakova, and N. G. Kuptsova. "Vibration disease: hygienic and medical aspects." Hygiene and sanitation 95, no. 12 (October 28, 2019): 1180–83. http://dx.doi.org/10.18821/0016-9900-2016-95-12-1180-1183.
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The hygienic assessment of working conditions of employees exposed to local vibration established that working conditions for employees ofvibration dangerous occupations at the aircraft plant according to the degree from a health standpoint and hazard are referred to the fourth (dangerous) class of the degree of danger that stipulates stable high levels of the morbidity rate. The leading factor is a local vibration that results in the consistently high levels of occupational morbidity rate. There was shown the efficiency of the use of the pulsed magnetic stimulation in the treatment ofpatients with vibration disease associated with the exposure to local vibration. For the evaluation of the effectiveness of treatment in patients the condition of the central nervous system was determined with the use of computer electroencephalography with the registration of visual and auditory evoked potentials and somatosensory evoked potentials; there was studied the state of the peripheral nerves in arms and legs relying upom electromyographic data; there was performed psychological study. After the performance of pulse magnetic stimulation in patients diagnosed to have the vibration diseases there were observed the improvement in the interaction of cortical-subcortical structures and associative areas of the frontal and temporal lobes of the brain. After treatment there was noted the shortening of the time of the conduction of the afferent wave of the excitation at the level of the cervical spinal cord, subcortical structures and the central conduction time. There was restored previously reduced the speed of the conduction of the impulse via the distal parts of the tibial and median nerve, through the ulnar nerve in the area of the elbow joint. There was noted the rise in the average temperature on the hands; the decline of thresholds of vibration and pain sensitivity; the improvement of indices characterizing of the state of mnestic- attentional and psycho-emotional scope of activity.
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Piotti, Patrizia, Mariangela Albertini, Elisa Lavesi, Annalisa Ferri, and Federica Pirrone. "Physiotherapy Improves Dogs’ Quality of Life Measured with the Milan Pet Quality of Life Scale: Is Pain Involved?" Veterinary Sciences 9, no. 7 (July 2, 2022): 335. http://dx.doi.org/10.3390/vetsci9070335.
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Quality of life is defined as an individual’s satisfaction with its physical and psychological health, its physical and social environment, and its ability to interact with the environment. Understanding companion dogs’ QOL can help veterinarians and owners know when treatment options have successfully alleviated symptoms of disease in such fields as veterinary physiotherapy. For this study, 20 adult dogs were selected from patients of a physiotherapy referral center with orthopedic, neurological, and/or degenerative conditions. The severity of the medical problem was ranked, and the symptoms, the treatment plan, and demographic data were recorded at the time of the physical examination. In addition, the owner of the dog was asked to fill out a questionnaire on the quality of life of the pet (the Milan Pet Quality of Life scale) at the time of the first consultation as well as the last follow-up after the treatment. The MPQL measures four domains of QOL: physical (signs of medical conditions), psychological (emotional and behavioral well-being), social (quality and extent of social interactions), and environmental (freedom and safety in one’s environment). The results of the study indicated a significant improvement in the psychological QOL domain following physiotherapeutic treatment. The social QOL domain declined with the severity of lameness, while the physical QOL, as reported by the owner, declined with the overall criticality of the medical condition, as ranked by the physiotherapist. The results of the study support the recent evidence of a relationship between pain and canine psychological well-being and highlight the importance of investigating psychological and emotional aspects of dogs’ QOL when treating orthopedic and neurological cases with physiotherapy.
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Avramchuk, Oleksandr. "Social anxiety disorder: relevance and perspectives." Psychosomatic Medicine and General Practice 3, no. 3 (September 10, 2018): e0303103. http://dx.doi.org/10.26766/pmgp.v3i3.103.
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Background Epidemiological studies indicate that social anxiety disorder as one of the most common mental health disorders. However, many patients do not seek or receive help, despite the prevalence of social anxiety disorder, the large amount of information, the possibilities of psychotherapy and medical treatment Aim Generalization of actual knowledge and research on the aetiology and pathogenetic mechanisms of social phobias and coverage of the actual issues of low referral of people suffering from social phobia Methods For review, the following databases, such as ScienceDirect, ResearchGate, PubMed and Google Scholar, were used. The search was performed using the keywords: social anxiety disorder, sociophobia, social anxiety, cognitive-behavioral model, neurobiology, mental health Results The general information about social anxiety disorder, its prevalence and its consequences were covered. The main etiological mechanisms, modern views on the neurobiological and psychological basis of the disorder are considered. In addition, the peculiarities of the clinical picture and its influence on the social functioning of the individual, including the referral of help, were analyzed. The aspects that are useful to consider during the development of recommendations for specialists in general medical practice and centers of public mental health were suggested Conclusions A social anxiety disorder should be considered as a complex mental health disorder. Recognition of signs of social anxiety disorder in their component often leads to a false interpretation of clinical signs as manifestations of depression or other neurotic disorders among primary care professionals. Informing general practitioners and specialists of public mental health centers about the traits of the clinical picture and the social functioning of patients with this disorder can help to overcome the stigma and improve the referral of qualified assistance
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Giusti, Francesca, Federica Cioppi, Caterina Fossi, Francesca Marini, Laura Masi, Francesco Tonelli, and Maria Luisa Brandi. "Health-related quality of life (HRQoL): An update in multiple endocrine neoplasia type 1." International Journal of Bone Fragility 1, no. 2 (July 20, 2021): 87–91. http://dx.doi.org/10.57582/ijbf.210102.087.
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Purpose: Multiple endocrine neoplasia type 1 (MEN1) is a rare autosomal dominant cancer syndrome characterized by the development of multiple neuroendocrine tumors. The condition requires lifelong surveillance and multiple medical and surgical therapies throughout the patient’s life. For all these reasons, a diagnosis of MEN1 can be a psychological shock for the patient, as well as his/her relatives. Over the past two decades, clinicians have started to consider the emotional, psychological, relational and social aspects of MEN1 patients’ lives, as these may be important considerations in the clinical and therapeutic management of these patients. Methods: This paper reviews and critically analyzes perceptions of MEN1-related quality of life (QoL) in patients diagnosed with the syndrome and in relatives, highlighting the unique features of MEN1 syndrome compared with a single tumor diagnosis. Results: Interestingly, studies in MEN1 patients have shown that a relatively high percentage of them, despite having a complex multi-tumor syndrome, were moderately optimistic (50%), self-reporting a normal QoL. This positive response correlated with the fact that these patients were cared for at dedicated referral centers, where personalized care and constant follow-up provide them with reassurance that they are receiving high quality of management of their disorder. Conclusions: The possibility of having access to a clinical referral center for this complex rare disease, together with the support of a dedicated patient association, emerged as the ideal model for the management of post-diagnosis shock, and appeared to contribute to the preservation of good health-related quality of life in MEN1 patients.
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Avramchuk, Oleksandr. "Social phobia: relevance and perspectives." Psychosomatic Medicine and General Practice 4, no. 1 (April 12, 2019): e0401151. http://dx.doi.org/10.26766/pmgp.v4i1.151.
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Background Epidemiological studies indicate that social anxiety disorder is one of the most common mental health disorders. However, despite the prevalence of social anxiety disorder, a large amount of information, the possibilities of psychotherapy and medical treatment, many patients for various reasons do not receive or do not seek help. Aim Generalization of actual knowledge and research on the aetiology and pathogenetic mechanisms of social phobias and coverage of the actual issues of low referral of people suffering from social phobia Methods For review, the following databases, such as ScienceDirect, ResearchGate, PubMed and Google Scholar, were used. The search was performed using the keywords: social anxiety disorder, sociophobia, social anxiety, cognitive-behavioral model, neurobiology, mental health. Results The general information about social anxiety disorder, its prevalence and its consequences were covered. The main etiological mechanisms, modern views on the neurobiological and psychological basis of the disorder are considered. In addition, the peculiarities of the clinical picture and its influence on the social functioning of the individual, including the referral of help, were analyzed. The aspects that are useful to consider during the development of recommendations for specialists in general medical practice and centers of public mental health were suggested. Conclusion A social anxiety disorder should be considered as a complex mental health disorder. Recognition of signs of social anxiety disorder in their component often leads to a false interpretation of clinical signs as manifestations of depression or other neurotic disorders among primary care professionals. Informing general practitioners and specialists of public mental health centers about the traits of the clinical picture and the social functioning of patients with this disorder can help to overcome the stigma and improve the referral of qualified assistance.
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Hariharan, Mohan, and Saumya Mohan. "Concept of Death and Euthanasia: Do Sociocultural, Psychological and Religious Orientation Matter Besides Medico-Legal Decision?" Indian Journal of Health Studies 03, no. 01 (2021): 08–18. http://dx.doi.org/10.56490/ijhs.2021.3101.
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Euthanasia, which earlier referred to ‘Good Dying’ evolved to connote ‘Assisted dying’. This has medical, legal and psychosocial implications. Netherlands is the country which legalised the process followed by few other countries. Cross-cultural acceptance and implementation of euthanasia is something that looks extremely difficult because it involves a number of cultural factors. It is closely associated with the connotation each culture gives to the concept of ‘death’. There are psychological, social, religious, political, medical and legal aspects associated with euthanasia or assisted death. The sociocultural variations across three continents, viz, Asia, Europe and Africa are projected. The ancient Indian concept of euthanasia and the contemporary social and legal reactions to euthanasia are discussed in this article.
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O'Brien, Casey L. "Flying beyond Gray's Anatomy: A psychologist's experience in palliative care and psycho-oncology." Palliative and Supportive Care 13, no. 6 (January 23, 2014): 1803–8. http://dx.doi.org/10.1017/s1478951513000606.
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AbstractA clinical fellowship provides opportunities for health professionals to learn specialist skills from experienced mentors in “real-world” environments. In 2010–2011, I had the opportunity to complete a palliative care and psycho-oncology clinical fellowship in a public hospital. I found ways to integrate academic training into my practice and become a more independent psychologist. In this essay, I aim to share my experience with others and highlight key learnings and challenges I encountered. In providing psychosocial care, I learned to adapt my psychological practice to a general hospital setting, learning about the medical concerns, and life stories of my patients. I faced challenges navigating referral processes and had opportunities to strengthen my psychotherapy training. In the fellowship, I engaged in educational activities from the more familiar psychological skills to observing surgical teams at work. I also developed confidence facilitating groups and an interest in group psychological support for young adult offspring of people with cancer. I was able to engage participants with haematological cancer in qualitative research about their experiences of corticosteroid treatment. In this process, I came to understand the complexity of chemotherapy regimens. Overseeing my development were multiple supervisors, offering unique insights that I could take in and integrate with my personal practice and worldview. Throughout this process I became increasingly tuned into my own process, the impact of the work, and developed self-care routines to help disconnect from my day. I also reflected on my experiences of loss and grief and developed a deeper understanding of myself as a person. I use the metaphor of a parachuting journey to illustrate various aspects of my learning.
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Tarabrin, Roman E., Anastasia S. Zolotukhina, Anastasia V. Afanasyeva, and Patimat M. Kikhasurova. "Case study of bioethics: a case of improper treatment of bladder exstrophy." Bioethics 15, no. 2 (November 22, 2022): 18–26. http://dx.doi.org/10.19163/2070-1586-2022-15-2-18-26.
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Background: The principles of bioethics proposed by Beechamp and Childress are difficult to apply to the specific ethical dilemmas that arise in clinical practice. The scientific literature has suggested other ways of analyzing them.
Methods: We use the Moscop's case study method to analyze a case of inappropriate treatment of bladder exstrophy, a rare congenital condition associated with a high chance of medical error during treatment.
Results: The analysis of the present case of a medical mistake considers ethical aspects such as the doctor-patient relationship, the reaction of physician-colleagues and the patient to the medical mistake, and the disclosure of the medical mistake. As a result of the bioethical analysis of the case, the following recommendations have been formed: 1) Despite the objective difficulties of treatment in a low-profile regional center and bureaucratic mechanisms of referral of the patient to another institution, the doctor should respect the autonomy of the patient and his relatives, for which full information about possible risks and treatment alternatives should be provided; 2) Disclosure of the true causes of medical error and apology can help to build trusting relationships with the patient and reduce subsequent conflicts. Short-term psychological discomfort of disclosure will be compensated by long-term positive results of interaction with patients; 3) Criticism of previous treatment should take into account possible difficulties of diagnostics at regional level and lack of experience in treatment of rare pathologies. Achieving an advantage over one's colleagues through pointing out their medical error without knowing the real reasons for the prior treatment is ethically unjustified.
Conclusion: An important function of disclosing medical errors is to warn colleagues against such errors. Most authors are of the opinion that it is the professional duty of a doctor who witnesses an adverse event to assist in the disclosure of an error and help in minimizing its consequences, however, in a medical environment with strong corporate ties and cultivating a spirit of solidarity, this principle has not become widespread in practice.
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Zelinskaya, Dina I., R. N. Terletskaya, and S. A. Rozhkovskaya. "Medico-social aspects of health of children in large families." Russian Pediatric Journal 19, no. 6 (April 30, 2019): 361–66. http://dx.doi.org/10.18821/1560-9561-2016-19-6-361-366.
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The prevalence rate of large families in Russia has distinct regional character. So, a number of the subjects referred to the North Caucasus Federal Okrug are characterized by traditionally high level of a possession of many children. Such families distinguish from other categories of families on all socio-economic indices of the life quality and differ in both the maximum risk and degree ofpoverty. The share of the families having three and more children among needy households with children for the last decade has increased. Questions in the sphere of legislative and practical providing the rights and interests of members of large families which are regarded as insufficiently effective are discussed. Small number of studies devoted to the state of health, the organization of medical care and medico-social escort of children from large families was noted. There were sufficiently studied psychological and pedagogical aspects of this problem. Children of various age groups from large families were established to retard on all quantitative and qualitative indices of the physical development, differ in lower level of health and bigger prevalence of disability. There was substantiated the need for the elaboration of system of medico-social escort of the children who are brought up in large families as a real opportunity in modern conditions to influence on the shaping of health and its level for this category of the children’s population of Russia.
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Haisan, Angel-Alex, Vlad Teodor Grosu, and Petronela Lacramioara Haisan. "Pandemic Consequences upon College Freshmen’s Lives in the Context of Online Education." Educatia 21, no. 22 (May 6, 2022): 23–30. http://dx.doi.org/10.24193/ed21.2022.22.03.
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Covid-19 pandemic raised many difficulties in all life’s domains across the globe. The need to adapt was omnipresent and accelerated the emergence of novelty or innovative approaches. Online education for the students enrolled into the 2020/2021 university year was a bigger challenge than for any others. This generation has finished high school in a traditional face to face system and instead of having to deal only with the ordinary challenges of transitioning to face to face college, they’ve been forced to add to it the novelty and uncertainty of the online education during pandemic. The aim of the present research was to identify how pandemic influenced aspects of our college freshman’s life and if they differentiated between positive and negative. Data processing was done with the help of IBM SPSS Text Analytics for Surveys. Following our demarche, we can conclude that our respondents faced numerous negative aspects in this period of their lives due to the pandemic, but the worst of them referred to social, psychological and educational aspects. The positive side of this period from the perspective of our respondents was time, which was used to consolidate connections with family, friends and self. The presence of a pronounced negatively triangle between the general state, social interaction and psychological risks and existence of eight positive categories with a low density of answers, in contrast to nine negative ones with a high density, makes us believe that the effects of this pandemic upon our respondents were rather negative than positive.
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Tripathi, R. "Women substance use in india: An important but often overlooked aspect." European Psychiatry 64, S1 (April 2021): S818—S819. http://dx.doi.org/10.1192/j.eurpsy.2021.2163.
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IntroductionSubstance abuse has traditionally been considered as a disease of men. Women were believed to have some kind of immunity in terms of “social inoculation”. However, due to change in societal norms and beliefs, substance use is currently increasing among women also.ObjectivesTo focus on female substance use in IndiaMethodsIn India, traditional use of various substances by women during religious festivals is not unknown. Chewing tobacco is a common practice among many women across the country. Cultural use of alcohol has been known in some tribal populations but gradually the use is increasing. There is major difference in pattern of male and female substance use including initiation, progression, recovery and relapse. Women experience greater medical, physiological and psychological impairment and experience loss of control sooner than males. Teatment needs of female substance users is different and requires a gender specific comprehensive strategy which will require medical services, mental health services, services for family and child and employment opportunities.ResultsCurrently, there is no Indian policy for women substance use. However, Government of India has started a convergence program which includes National AIDS Control program (NACP), National rural health mission (NRHM) and reproductive or sexually transmitted infection (RTI/STI) to combat some aspects.Conclusions India is in great need of a policy or at least a standard operative protocol for management of female substance use disorder which may include screening for substance use disorder for all females accessing health sector, counselling, referral to addiction services, formation of a treating team and after –care.DisclosureNo significant relationships.
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Schlenz, Alyssa M., Jeffrey Schatz, and Carla W. Roberts. "Caregiver Psychological Functioning in Relation to Pain and Health Care Utilization in Pediatric Sickle Cell Disease." Blood 124, no. 21 (December 6, 2014): 4844. http://dx.doi.org/10.1182/blood.v124.21.4844.4844.
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Abstract Introduction Biopsychosocial models of illness suggest that a combination of disease-related and psychosocial factors influence outcomes for patients. In pediatric sickle cell disease (SCD), caregivers play a significant role in helping children to manage pain, including during home-based management of episodes as well as during the decision-making process for seeking health care services for severe episodes. Few previous studies have examined the extent to which caregiver psychological functioning is related to health outcomes for pediatric patients with SCD. The purpose of the present study was to determine how two specific aspects of psychological functioning (caregiver coping style and mood) impact pain outcomes for this population. Methods Caregivers (N = 70) and their children with SCD (N = 76) were recruited at routine hematological visits to participate in a study of pain in pediatric SCD. Caregivers completed ratings of coping style (active versus passive coping) using the Coping Strategies Questionnaire, Revised. Caregivers also completed ratings of positive and negative mood using the Positive and Negative Affect Scale, Revised. Information on recent pain history was collected using the Structured Pain Interview for SCD. Both caregivers and children completed the interviews and their ratings were averaged to produce final pain ratings. Information was collected on pain frequency (total over the past 12 months) and pain intensity and duration (average over the past 12 months). Medical record review was used to collect information on health care utilization for pain over the past 24 months, including total number of emergency room visits, hospitalizations, and outpatient contacts for pain. A structured coding method was used to examine medical records and a second rater independently verified the information. The medical record was also used to confirm the child’s SCD subtype. Multiple hierarchical regressions were used to determine the effects of caregiver coping style and mood on pain and health care utilization. All models controlled for child age, gender, and disease subtype (high versus low risk). Results Multiple hierarchical regression analysis suggested that caregiver psychological functioning was associated with pain duration and health care utilization. Specifically, caregiver negative mood contributed a significant amount of variance to the model for pain duration (F (1, 65) = 8.01, p = .006, R2 = .11). In addition, caregiver active and passive coping contributed a significant amount of variance to the model for health care utilization (F (2, 64) = 3.91, p = .025, R2 = .10) and passive coping was a significant individual predictor of utilization (p = .041). Caregiver psychological variables were not significantly related to pain frequency or intensity. Conclusion Caregivers of children with SCD play an important role in helping children to manage pain. The present study suggests that improving caregiver psychological functioning may help to improve pain outcomes for children with SCD. In particular, negative mood and passive coping were most related to poorer pain outcomes in terms of duration and health care utilization. Negative mood tends to be associated with poorer psychological functioning, including higher ratings of anxiety and depression, whereas passive coping tends to reflect negative beliefs about pain and less reliance on active approaches to pain management. Clinicians working with caregivers may benefit from focusing on the aspects of pain that are more controllable for families, such as preventative approaches to pain episodes or adherence with existing home-based protocols. Referrals for additional psychosocial supports may also be beneficial for caregivers presenting with poorer psychological functioning. Limitations of the present study include the cross-sectional design and the use of retrospective pain ratings. Understanding the temporal precedence of pain and caregiver psychological functioning would be beneficial in future studies. Disclosures No relevant conflicts of interest to declare.
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Sichkoriz, Orest. "MEDICAL AND SOCIAL CHARACTERISTICS OF PHYSICIANS ATTENDING POSTGRADUATE TRAINING COURSES (SOCIAL SURVEY)." EUREKA: Health Sciences 3 (May 31, 2018): 60–66. http://dx.doi.org/10.21303/2504-5679.2018.00651.
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The paper studies professional, social and psychological aspects concerned with a practical activity of physicians referred to attend postgraduate training courses at Danylo Halytsky Lviv National Medical University. Aim. To develop the recommendations on the improvement in the system of postgraduate medical education under the conditions of general reform in the health care system. The research was done by the survey method in the form of standardized (formalized) interview that was applied as the main approach to the process of collecting social and psychological information.The survey included 823 physicians referred to attend postgraduate training courses at Danylo Halytsky Lviv National Medical University. The working experience of postgraduate course attendants was the following: up to 5 years – 25.39±1.52 %, 5–10 years – 21.39±1.43 %, 11–15 years – 11.79±1.12 %, 16–20 years – 9.96±1.04 %, 21–30 years – 16.89±1.31 %, more than 30 years – 14.58±1.23 %. The majority of questioned medical workers (74.24±1.52 %) feel calm and happy at their working place. However, the received data indicates that 23.09±1.47 % of the responders feel disturbance and 1.94±0.48 % experience fear at work. The analysis of the research results allowed differentiating five sharp problems which are very topical and significant at the medical institution where the physicians have been performing their practice. They can be ranged in the following way: the job compensation (42.93±2.09 %), absence of modern medical equipment (26.65±1.87 %), organization of the working process (22.90±1.78 %), reorganization (7.69±1.13 %), extra documentation (7.33±1.10 %). The carried out survey permitted to determine the psychological atmosphere at medical institutions there the course attendants have been practicing. The conflicts are not a characteristic feature of medical institutions, since almost half of the responders indicated the absence of conflicts with higher managers (52.86±1.74 %), direct managers (43.01±1.73 %), subordinate personnel (43.38±1.73 %). This index is somewhat lower concerning the colleagues and patients. It amounts for 36.33±1.68 % and 33.17±1.64 % respectively. The physicians practicing in medicine and prevention as well as dentistry branches are most disturbed by the lack of financial sources. More than a half of responders (73.86±2.70 %) indicated it by their answers. Other responses included the absence of perspectives – 68.18±2.87 %, extreme, stressful living conditions – 25.38±2.68 %, personal present health status – 20.08±2.47 %, personal lack of confidence – 9.47±1.80 % (the number of responses was not restricted). The carried out work has showed the necessity of introducing the specialized course “State medical policy”. It should be aimed at delivering the information on the status, perspectives, reforming changes and the expected outcomes resulting from these factors in the branch of medicine. In order to decrease the negative influence of the professional burnout, it is recommended to plan the specialized training classes that are directed on the prevention of the listed above phenomena.
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Muzammil, Khursheed, Nazim Nasir, Atiq Hassan, Preeti Padda, Zeba Siddiqui, Syed Esam Mahmood, Khwaja Zafar, and Hashim Abbas. "Epidemiological Aspects of Cleft Lip and Cleft Palate." Journal of Evolution of Medical and Dental Sciences 10, no. 36 (September 6, 2021): 3178–83. http://dx.doi.org/10.14260/jemds/2021/645.
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BACKGROUND A new-born baby having a cleft lip alone or a cleft lip with cleft palate is definitely painful to the parents. Such cases must be referred to a multi-disciplinary medical team having expertise in craniofacial defects. The role of a family doctor is significant in these cases as he / she is the one who can minimize the sufferings of the parents and their family members by ensuring antenatal diagnosis and extending support for the whole family post-diagnosis, during initial days of breastfeeding as well as bonding issues and also throughout an extended period of months and years of surgical interventions and speech therapies. These cleft lip and palate deformities are the most typical facial defects in children at birth. This leads to not only the altered appearance, defective speech, improper hearing, retarded growth of the baby but also deranged psychosocial well-being and disrupted social integration of the parents and family members. This article presents an overall epidemiological aspect of the said anomalies in the immense interest & benefit of all the concerned professionals. Patients with cleft lip or palate have significant problems in communication, and face difficulties with deglutition. The understanding of the anatomy and associated pathophysiology play a vital role in the management of these patients. The surgical correction remains the mainstay of treatment to date. This article describes common problems related to kids having cleft lip and palate anomalies and provides the latest surgical options available in such congenital cleft care. The genetic basis of the disease and recent advances in the developmental defects of this congenital abnormality is also discussed. In addition to physical corrections, psychological effects on the family need to be addressed at priority. The treating physician must consider the mental health of the parents. The current concepts of treatment will continue to evolve because of continuous developments in the fields of foetal surgery, genetic and tissue engineering. KEY WORDS Cleft, Lip, Palate, Aperture, Folic Acid, Congenital, Abnormality, Orofacial, Correction, Surgery
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Cook, Nigel, Kyle Landskroner, Susann Walda, Olivia Weiss, and Vikrant Pallapotu. "VP161 Identification Of Needs Of Pigmented Villonodular Synovitis Patients Using Online Bulletin Board." International Journal of Technology Assessment in Health Care 33, S1 (2017): 222–23. http://dx.doi.org/10.1017/s0266462317003981.
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INTRODUCTION:Pigmented villonodular synovitis (PVNS) is a very rare, benign proliferative tumor affecting the inner lining of synovial joints and tendon sheets. Information on treatment needs of PVNS patients to inform drug development is currently scarce, hence we conducted qualitative research with patients using an online bulletin board (OBB) methodology to generate insights on objective and emotional aspects related to the medical journey and living with this disease.METHODS:OBB is an asynchronous, online qualitative market research tool that allows participants to comprehensively answer pre-defined questions in a comprehensive manner. Patients were recruited via physician referral and underwent screening questions to ensure eligibility for the study and willingness to participate. The discussion was moderated, structured, and allowed open answers and in response to other participants posts. Analysis was conducted using a combination of different qualitative analytical tools.RESULTS:The patient OBB ran for 4 days with eleven participants (n = 3 Canada, n = 4 United Kingdom, n = 4 United States of America) aged 28–57 years, suffering from PVNS for 2–27 years. The key patient insights were: (i) pain is the primary factor, constituting a significant emotional and psychological burden; (ii) surgery (arthroscopy) does not get rid of PVNS, relapse rate was high in these patients; and (iii) PVNS has a big financial impact on patients, their families, and the healthcare system, due in particular to time off work/lost wages (patient & caretaker), for healthcare system it is repeat costs for surgeries/hospital stays plus other medical expenses. We also identified orthopedic specialists/surgeons are the physicians who predominantly manage PVNS at this point, as surgery is the only option.CONCLUSIONS:This study shows the suitability of the OBB for uncovering qualitative patient insights to inform decision making and strategy in early pharmaceutical drug development. OBB lends itself very well to uncovering patient insights which might not be revealed in focus group or telephone interviews, particularly in a rare disease like this. PVNS patients are in need of a medical drug treatment which can reduce pain, relapses and provide an alternative to surgery, the current standard of care.
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Donahue, Martin. "Athletic Trainers' Perceptions of the Importance, Preparation and Time Spent in the Athletic Training Content Areas." Athletic Training Education Journal 4, no. 3 (July 1, 2009): 88–97. http://dx.doi.org/10.4085/1947-380x-4.3.88.
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Context: Graduates of professional programs accredited by the Commission on Accreditation of Athletic Training Education are expected to be competent and proficient in the athletic training content areas. Objective: The unique skills and knowledge that an athletic trainer (AT) must possess may have more importance in one clinical setting than in another. The purpose of this study was to determine how ATs in the six largest employment categories perceive the athletic training content areas. Design: Descriptive, exploratory. Setting: Survey instrument mailed to ATs practicing in the clinical settings identified by the National Athletic Trainers' Association (NATA) as employing the most ATs. Patients or other Participants: Participants were ATs assigned to groups based on their current clinical setting. Intervention(s): Participants were asked to rate the athletic training content areas regarding: importance for successful practice, time on task, importance for patient care, educational preparation, and educational emphasis. Main Outcome Measures: ANOVA was repeated for the seven groups, each of the 12 content areas and for each of the five research questions, producing 60 analyses. Post hoc analysis was used to determine group differences (p< 0.01). Results: ATs largely agree on the ratings of the content areas in relation to preparation, patient care, and educational emphasis. Significant differences were related to time, and importance for success. Conclusions: Findings indicate ATs do not feel well prepared in six (Pharmacology, General Medical Conditions and Disabilities, Nutritional Aspects of Injury and Illness, Psychological Intervention and Referral, Health Care Administration, and Professional Development and Responsibilities) of the twelve content areas.
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Sansone, Randy A., Kenneth Elliott, and Michael W. Wiederman. "Self-Harm Behaviors Among Female Perpetrators of Intimate Partner Violence." Partner Abuse 7, no. 1 (2016): 44–54. http://dx.doi.org/10.1891/1946-6560.7.1.44.
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Various psychological aspects of women perpetrators of intimate partner violence have been previously studied, yet to our knowledge, few studies to date have examined the prevalence of various self-harm behaviors among such women. In this study of 23 women court-referred to treatment for the perpetration of intimate partner violence, we encountered relatively high rates of high-lethal self-harm behavior (e.g., 48% had previously attempted suicide), low-risk self-harm behaviors (61% reported self-cutting), medically self-harming behaviors (30% endorsed making medical situations worse), and alcohol abuse (60%). In addition, based on a conservative cutoff score, nearly one-half of the participants in this sample scored in the clinical range for borderline personality symptomatology. Findings suggest that women perpetrators of intimate partner violence may harbor histories of intentional self-harm behavior, which suggests treatment implications.
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Moynihan, Clare, Andy R. Norman, Yolanda Barbachano, Louise Burchell, Robert Huddart, David P. Dearnaley, and Alan Horwich. "Prospective Study of Factors Predicting Adherence to Medical Advice in Men With Testicular Cancer." Journal of Clinical Oncology 27, no. 13 (May 1, 2009): 2144–50. http://dx.doi.org/10.1200/jco.2008.16.1901.
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Purpose To identify predictive factors of adherence to medical advice, specifically the likelihood of attendance to a recommended follow-up regimen in patients with newly diagnosed testicular cancer. Patients and Methods This was a prospective study measuring initially not only aspects of the doctor–patient interview, but also a range of demographic, psychological, social, and medical factors, and then recording attendance behavior on follow-up. All 209 new patients with testicular cancer referred between June 1992 and May 1995 were approached, and 184 men consented and completed questionnaires. The nonadherence end point (nonattender) was two failures to attend an outpatient appointment at least 1 month apart, despite a written reminder. Results Thirty-two participants (17%) were classified as nonattenders. No significant differences were found between attenders and nonattenders in the majority of psychosocial and medical variables that might have predicted nonadherence to medical advice. There was a highly significant association between nonattendance and a patient's perception of an unsatisfactory affective relationship with his clinician (P = .005; hazard ratio, 3.1; 95% CI, 1.4 to 6.6). Conclusion Patients who perceived an unsatisfactory affective relationship with their clinician that included an inability to trust the clinician and a perception that they were not being treated as “a person” were subsequently more likely to disregard medical advice regarding follow-up. Attention to the ways young men may wish to communicate with their clinicians is important, bearing in mind that they may not necessarily adhere to stereotypical images of masculine self-dependence.
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Potter, Melissa, David Aaron, Rachel Mumford, and Lucy Ward. "An evaluation of clinical psychology input into burns multidisciplinary follow-up clinics." Scars, Burns & Healing 9 (January 2023): 205951312211410. http://dx.doi.org/10.1177/20595131221141083.
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Introduction Research highlights the complex psychological needs that patients and their families can face following a burn injury, regardless of the objective severity of the injury and often beyond the timeframe of physical healing. Identification of psychological needs at different stages post-burn recovery is therefore a key role of clinical psychologists working in burn care services. Method This paper presents audit data collected across a two-year period in routine paediatric and adult multidisciplinary team follow-up clinics in a UK burns service. 808 clinical contacts (331 adults, 477 paediatrics) were recorded. Data gathered related to the identification of patient and/or family psychological need and the level of psychology input within clinic. Results For 43% of adult patients and 46% of paediatric patients seen in clinic, some degree of psychological need for the patient and/or family was identified during the consultation. A large majority of concerns related directly to the burn injury. This is consistent with previous research into the psychological impact of burns. Even for patients with no identified psychological needs, psychology presence enabled the opportunity for brief screening, preventative advice or signposting to take place during clinic. Discussion A substantial number of individuals and families presented with some level of psychological concern in relation to a burn injury when attending burns multidisciplinary team follow-up clinics. Conclusion A substantial number of patients and families presented with psychological needs in relation to a burn injury when attending burns MDT follow-up clinics. The presence of Clinical Psychologists at burns MDT follow-up clinics is beneficial for the identification of burns and non-burns related psychological concerns and is a valuable use of psychological resources within a burns service. Lay Summary The Regional Burns Centre holds regular outpatient scar clinics to monitor recovery and healing. As well as the medical professionals, the clinics are joined by Clinical Psychologists who can assess, refer, and support individuals struggling with their burn or scarring on a mental level. Over 15 months, data was collected about patients attending the clinics and the involvement of the psychologists. 43% of adult patients and 46% of paediatric patients were identified as having some psychological need, either related to their burn or to other aspects of their life. This demonstrates the benefits of having psychology presence within scar clinics, as nearly half of the patients seen in clinic received an assessment and further support (such as signposting and referrals to psychological support). Burns staff also felt that psychology presence enhanced conversations and increased collaboration with decision making around treatment.
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Eduardo Rossetti, Érico Kruchinski de Azevedo, Bruna Eliza Zanini, Vanessa Carriço Lemes, João Armando Brancher, Maria Fernanda Torres, and Andréa Paula Fregoneze. "Oral rehabilitation in a patient with bipolar affective disorder: clinical case report." RSBO 12, no. 3 (September 30, 2016): 330–3. http://dx.doi.org/10.21726/rsbo.v12i3.772.
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This study, through a literature review, aimed to present the key aspects found in Bipolar Affective Disorder (BAD), as well as present a case report of a patient who received dental care in the Special Patient Course at the Pontifical Catholic University of Paraná (PUCPR). Case report: Female patient, 30 years of age, leukoderma, diagnosed by medical and psychological exams as suffering from BAD and slight mental retardation. The most evident characteristics inherent to the primary illness included swings in mood and affection as well as bipolar or manic depressions. The special school where she studied and worked referred her to receive dental care in the special patient course of PUCPR. Her main complaint was the lack of upper front teeth and the esthetic. The treatment plan included adequacy of oral environment through basic periodontal therapy and production of removable partial dentures. Conclusion: People with BAD requires extra care with regard to behavioral management.
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Nikolaev, E. "Attitudes Toward Euthanasia: Contradictory Views and Ideas of Alzheimer Patients’ Relatives." European Psychiatry 41, S1 (April 2017): S661. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1116.
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IntroductionAlzheimer's disease (AD) is one of the pressing social problems as the negative effects of the disease often manifest on patients’ relatives. Relatives of AD patients experience physical and psychological burden during the care.ObjectivesTo clarify what kind of views on euthanasia are more common among relatives of patients with AD.MethodsThe study involved 23 AD patients’ relatives (mean age 60, SD = 2). There were 5 men (22%) and 18 women (78%). All participants were directly involved in caring for their relatives with AD. A 19-item structured questionnaire (E. Nikolaev, 2016) was used for measuring medical, legal, ethical, socio-cultural, spiritual and personal aspects of attitudes to euthanasia.ResultsThe respondents were less likely to see euthanasia as medical issue. They also referred it to kind of ethical and legal problems. Legal aspects were determined by greater consent to its legalization and by awareness of imperfections of legal basis for its immediate implementation. Ethical issues according to which euthanasia practice was related to the development of humanity complemented this vision. These settings were in conflict with socio-cultural perceptions of euthanasia. Respondents were convinced in possibility of various forms of abuse during euthanasia. Supporting the ideas of euthanasia in general, many respondents on a personal level were not ready to apply them to their relatives with AD in practice.ConclusionsAttitudes to euthanasia in AD patients’ relatives was contradictory. It was determined by divergent ideas about euthanasia in field of legal, social, cultural, spiritual and personal issues of this interdisciplinary phenomenon.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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Li, Lingru, Haiqiang Yao, Ji Wang, Yingshuai Li, and Qi Wang. "The Role of Chinese Medicine in Health Maintenance and Disease Prevention: Application of Constitution Theory." American Journal of Chinese Medicine 47, no. 03 (January 2019): 495–506. http://dx.doi.org/10.1142/s0192415x19500253.
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Traditional Chinese medicine (TCM) has guided health maintenance and disease treatment for thousands of years and has been widely used in many countries around the world. TCM regards each individual as unique so all corresponding therapeutic and preventive approaches in TCM are personalized. Personalized medicine, also referred to as precision medicine, is an emerging medical paradigm that points toward a new direction for future medical development. TCM constitution studies the holistic body condition, which is affected by both inborn and acquired factors. Body constitution lays the foundation for disease diagnosis, prevention and treatment. Different constitution types predispose individuals to different disease susceptibilities. Examining an individual’s unique body constitution can promote effective health management and benefit the application of personalized medicine significantly. This review will introduce and discuss the application of the TCM constitution for health maintenance and disease prevention. In last decade, a number of modern techniques have been employed in the constitution research to evaluate the health status of individuals. The TCM constitution reflects the current status and future trends of human health in four aspects, i.e., individual differences, life processes, psychological condition and adaptability to natural and social environments. This TCM constitution theory has already been applied in the Chinese public health management at different levels with promising outcome. The constitution theory and practice provide a new approach for health maintenance and disease prevention.
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Wihono, Frendy, and Yacobda Sigumonrong. "Surgical Management (Microsurgery) of Traumatic Penile Amputation: A Case Report." Open Access Macedonian Journal of Medical Sciences 7, no. 8 (April 29, 2019): 1350–52. http://dx.doi.org/10.3889/oamjms.2019.115.
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BACKGROUND: Traumatic penile amputation is an uncommon surgical emergency with various etiologies, carrying major functional and psychological consequences concerning the patient’s overall quality of life. Regardless of the aetiology, penile amputation represents a surgical emergency that must be addressed quickly and efficiently to maximise functional outcomes.
CASE PRESENTATION: We herein describe a case of psychiatric disorder that resulted in a complete self-amputation of the patient’s penis. The author presents a case of a 20-year-old single Indonesian male with no significant past medical or psychiatric history, who was presented to our Regional Referral Hospital with traumatic penile self-amputation. Immediately, the patients were taken to the operating room, and careful examination under anaesthesia revealed fully and transversally transected urethra as well as corporal bodies at the level of penis base. Viable artery and vein were then searched using a microscope after suturing through the tunica albuginea of the corporal bodies on the ventral aspect and snapped them for future tying. After microvascular re-anastomosis of the left dorsal artery and only one dorsal vein done. We attached the urethra and placed a 16 Fr silicon catheter. The result was an excellent tension-free, widely spatulated urethra anastomosis, which was then reattached to the corporal bodies. The penis had significant oedema and swelling in the distal penile shaft; however, pain sensation was gradually returning.
CONCLUSION: The authors noted that microsurgical reimplantation is the treatment of choice for penile amputation, with a minimum one of the penile vascular was successfully anastomosis.
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Kanherkar, Riya R., Susan E. Stair, Naina Bhatia-Dey, Paul J. Mills, Deepak Chopra, and Antonei B. Csoka. "Epigenetic Mechanisms of Integrative Medicine." Evidence-Based Complementary and Alternative Medicine 2017 (2017): 1–19. http://dx.doi.org/10.1155/2017/4365429.
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Since time immemorial humans have utilized natural products and therapies for their healing properties. Even now, in the age of genomics and on the cusp of regenerative medicine, the use of complementary and alternative medicine (CAM) approaches represents a popular branch of health care. Furthermore, there is a trend towards a unified medical philosophy referred to as Integrative Medicine (IM) that represents the convergence of CAM and conventional medicine. The IM model not only considers the holistic perspective of the physiological components of the individual, but also includes psychological and mind-body aspects. Justification for and validation of such a whole-systems approach is in part dependent upon identification of the functional pathways governing healing, and new data is revealing relationships between therapies and biochemical effects that have long defied explanation. We review this data and propose a unifying theme: IM’s ability to affect healing is due at least in part to epigenetic mechanisms. This hypothesis is based on a mounting body of evidence that demonstrates a correlation between the physical and mental effects of IM and modulation of gene expression and epigenetic state. Emphasis on mapping, deciphering, and optimizing these effects will facilitate therapeutic delivery and create further benefits.
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Akbarbegloo, Masoomeh, Leila Valizadeh, Vahid Zamanzadeh, and Faranak Jabarzadeh. "The Relationship between Self-Efficacy and Psychosocial Care in Adolescents with Epilepsy." Epilepsy Research and Treatment 2015 (December 31, 2015): 1–7. http://dx.doi.org/10.1155/2015/756849.
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Introduction. Studies about epilepsy are more associated with physiological aspects and drug therapy and far too little attention has been paid to psychological and social care, especially in teens. Hence, the present study aimed to assess relationship between self-efficacy and psychosocial care in adolescents with epilepsy. Methods. A cross-sectional association study was conducted on 74 consecutive adolescents aged 10 to 18 years with general attacks of epilepsy referred to Pediatric Neurology Clinics affiliated with the Tabriz University of Medical Sciences in 2013. Data were collected by interview using multisegment tools including demographic characteristics, self-efficacy scaling in children with epilepsy, and reporting tools for children psychosocial care. Results. Our study showed a significant association of self-efficacy with “information received’’ (P<0.02) and also with “need for information or support’’ (P<0.01) as well as “concerns and fears’’ (P<0.01). The comments of doctor or nurse were directly associated with higher self-efficacy and patients’ information needs were inversely associated with higher self-efficacy. Conclusion. For adolescents with epilepsy, providing educational materials such as pamphlets and booklets, designing especial websites, and setting especial meetings with and without parents separately are recommended. Scheduling psychosocial supports and collecting more information about this disorder for adolescents will be helpful.
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Ābiķe-Kondrāte, Agija. "PSRS Literatūras fonda Latvijas republikāniskās nodaļas poliklīnika: ieskats atmiņu mantojumā un funkcijās." Letonica, no. 35 (2017): 53–67. http://dx.doi.org/10.35539/ltnc.2017.0035.a.a.k.53.67.
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Respecting the ideological aspects of the totalitarian regime and interpreting the most significant functions of the institution, the article provides an insight in one of the institutions under the supervision of the Latvian Republican branch of the USSR Foundation for Literature—the Polyclinic of Latvian Republican Branch of the USSR Foundation for Literature—locally the most important medical institution for the representatives of creative professions and related persons. This polyclinic was one of the most prestigious medical institutions in the entire Union of Soviet Socialist Republics and was commonly referred to as the Polyclinic of Writers or the Polyclinic of Lit-Foundation. In the framework of the functions of this institution, the article sheds light on various memories of the previous employees and patients looking into their memoirs, memory literature and interviews. The article briefly examines the importance of the two leading or key persons—the Director of the LSSR Foundation for Literature Elvīra Zaķe (1909–1992) and the Head of the Polyclinic, Head Doctor Vitāls Oga (1924–1984), as well as their role in the domestic lives of the creative individuals and cultural history of the Soviet period. The most essential five functions, which characterise the activities and existence of the Polyclinic are the following: 1) basic—service or treatment function; 2) the psychological support function; 3) (LSSR) the ideological-prestige function; 4) the function of sustaining Latvian cultural environment; 5) the function of a cultural sign (entails the processes of the respective period and the history of literary circles).
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Giovanardi, Guido, Alexandro Fortunato, Marta Mirabella, Anna Maria Speranza, and Vittorio Lingiardi. "Gender Diverse Children and Adolescents in Italy: A Qualitative Study on Specialized Centers’ Model of Care and Network." International Journal of Environmental Research and Public Health 17, no. 24 (December 19, 2020): 9536. http://dx.doi.org/10.3390/ijerph17249536.
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In recent years, Italy, similar to many other countries, has witnessed an increase in children and adolescents presenting gender incongruence. This trend has led to the development and implementation of specialized centers providing care and support for these youths and their families. The present study aimed at investigating the functioning of agencies specialized in working with transgender and gender non-conforming youths in the Italian territory. Professionals in these agencies were interviewed about their perspectives on their agency’s functioning, networks with other services, and work with trans* youths and their families. A semi-structured interview was developed and administered to professionals in specialized centers and associations dedicated to trans * youths, and deductive thematic analysis was applied to the transcripts. Eight professionals were interviewed: six working in specialized centers and two working in associations. The qualitative analyses of transcripts revealed four main themes, pertaining to service referrals, assessment protocols and intervention models, psychological support for youths and families, and agency shortcomings. The study explored the functioning of Italian agencies specialized in caring for transgender and gender non-conforming youths, from the perspective of professionals working in these agencies. While several positive aspects of the work emerged, the study highlighted a lack of uniformity across the Italian territory and the need for better networks between agencies and other medical professionals.
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Baram, Shira, Samantha A. Myers, Samantha Yee, and Clifford L. Librach. "Fertility preservation for transgender adolescents and young adults: a systematic review." Human Reproduction Update 25, no. 6 (October 21, 2019): 694–716. http://dx.doi.org/10.1093/humupd/dmz026.
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Abstract BACKGROUND Many transgender individuals choose to undergo gender-affirming hormone treatment (GAHT) and/or sex reassignment surgery (SRS) to alleviate the distress that is associated with gender dysphoria. Although these treatment options often succeed in alleviating such symptoms, they can also negatively impact future reproductive potential. OBJECTIVE AND RATIONALE The purpose of this systematic review was to synthesize the available psychosocial and medical literature on fertility preservation (FP) for transgender adolescents and young adults (TAYAs), to identify gaps in the current research and provide suggestions for future research directions. SEARCH METHODS A systematic review of English peer-reviewed papers published from 2001 onwards, using the preferred reporting items for systematic reviews and meta-analyses protocols (PRISMA-P) guidelines, was conducted. Four journal databases (Ovid MEDLINE, PubMed Medline, Ovid Embase and Ovid PsychINFO) were used to identify all relevant studies exploring psychosocial or medical aspects of FP in TAYAs. The search strategy used a combination of subject headings and generic terms related to the study topic and population. Bibliographies of the selected articles were also hand searched and cross-checked to ensure comprehensive coverage. All selected papers were independently reviewed by the co-authors. Characteristics of the studies, objectives and key findings were extracted, and a systematic review was conducted. OUTCOMES Included in the study were 19 psychosocial-based research papers and 21 medical-based research papers that explore fertility-related aspects specific for this population. Key psychosocial themes included the desire to have children for TAYAs; FP discussions, counselling and referrals provided by healthcare providers (HCPs); FP utilization; the attitudes, knowledge and beliefs of TAYAs, HCPs and the parents/guardians of TAYAs; and barriers to accessing FP. Key medical themes included fertility-related effects of GAHT, FP options and outcomes. From a synthesis of the literature, we conclude that there are many barriers preventing TAYAs from pursuing FP, including a lack of awareness of FP options, high costs, invasiveness of the available procedures and the potential psychological impact of the FP process. The available medical data on the reproductive effects of GAHT are diverse, and while detrimental effects are anticipated, the extent to which these effects are reversible is unknown. WIDER IMPLICATIONS FP counselling should begin as early as possible as a standard of care before GAHT to allow time for informed decisions. The current lack of high-quality medical data specific to FP counselling practice for this population means there is a reliance on expert opinion and extrapolation from studies in the cisgender population. Future research should include large-scale cohort studies (preferably multi-centered), longitudinal studies of TAYAs across the FP process, qualitative studies of the parents/guardians of TAYAs and studies evaluating the effectiveness of different strategies to improve the attitudes, knowledge and beliefs of HCPs.
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Rameshwari, Kankre, Sajjanshethy M. R, and Kanolli G. N. "A COMPARISON OF BRIHATTRAYEE AND YOGIC DARSHANA." International Ayurvedic Medical Journal 09, no. 3 (March 16, 2021): 615–19. http://dx.doi.org/10.46607/iamj1609032021.
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Yoga Darshana and Ayurveda being contemporary sciences have influenced and complemented each other. The concepts of Yoga Darshana are selectively incorporated in Ayurveda to suit its objectives viz., ‘Swasthya Rakshana’ and ‘Roga Prashamana.’ Most of the concepts of yoga are accepted as such, some are modified for the medical science. Application of the concepts of yoga in conjunction with Ayurveda enhances the therapeutic application of both the contemporary systems of healing. Ayurveda provides the appropriate lifestyle recommendations for Yoga practice, as well as the background to unfold the full healing potential of all aspects of Yoga. It is important to integrate Yoga and Ayurveda in order to bring out a complete holistic healing system. Integrating Yoga with Ayurveda adds a spiritual and psychological dimension to Ayurvedic treatment modalities, without which Ayurveda tends to become a mere physical model devoid of spiritual and Vedic healing powers. Ayurveda focuses on individual’ constitution or body type which is referred to as Prakriti. It is defined as expression of a person in context to morpholo-gy, physiology, behavior and relation to ecology. The application of Tattvas of Yoga Darshana in Ayur-veda finds similarity in some contexts and dissimilarity in others, which are elaborated in the article and along with This Yoga Asanas according to the specific constitution of an individual is cited in this article.
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Dörken, Herbert, and Nicholas A. Cummings. "Impact of medical referral on outpatient psychological services." Professional Psychology: Research and Practice 17, no. 5 (October 1986): 431–36. http://dx.doi.org/10.1037/0735-7028.17.5.431.
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Palomo Monge, M., G. M. David, D. D. Arántzazu, A. L. Maria Fernanda, T. G. Maria Fernanda, M. M. Gemma, and D. C. Sandra. "Schizophrenia and sexual desinhibition." European Psychiatry 33, S1 (March 2016): S582. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2162.
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IntroductionSexual disinhibition is uncommon in patients with schizophrenia and are included within the behavioral disorders along with others such as agitation, aggression, sleep disorders and circadian rhythm, due to multiple reasons: isolation, rejection, difficulty in personal relationships.ObjectivesWe report the case of a male patient aged 58 with multiple previous admissions for behavioral alteration symptoms, including exhibitionism. He is referred as irritable, uninhibited and sleeping disorders. There is a risk of flight as he is difficult to be held so it is feared that he can be run over by a car. He shows a marked self-referentiality.MethodologyThe patient is admitted. He properly gets used to the rules of the Ward. Pharmacological adjustment is performed. During his admittance he shows no behavior disorders neither episodes of self or hetero aggression and poor impulse. He properly makes comments of what happened during his stay. He responds well to treatment prescribed. Sleep pattern is restored.ResultsSchizophrenia (undifferentiated) 295.90 (F.20.3); intellectual disability mild 317 (F70); neurocognitive disorder (possible).ConclusionsThis is unusual case because it is normal that the sexual function of such patients is adversely affected, not finding numerous cases of disinhibition in our medical consultation. This is due to the different aspects that are affected, biological (drugs), psychological and social levels. We have different therapeutic alternatives to address this problem. However, they may hinder sociability and patient rehabilitation.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Mankih, Rassoul Abdulzahra, and Ala`A Hassan Mirza Hussain. "The Role of Motivational Interviewing in Improving Health State of Patients Undergoing Hemodialysis." Pakistan Journal of Medical and Health Sciences 16, no. 6 (June 30, 2022): 642–44. http://dx.doi.org/10.53350/pjmhs22166642.
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Background: Hemodialysis patients frequently experience social, psychological, and physical issues. Motivational interviewing is one of the most crucial methods for patients’ health promotion .Patients undergoing hemodialysis need to more attention and care by educating about diseased condition and motivating them to adhere to treatment to reduce their suffering Aims of the study: To determine the role of motivational interviewing in improving the health status of patients undergoing hemodialysis. Methodology: A Single blind, randomized, clinical trial was conducted on patients on hemodialysis who were referred to Hemodialysis Unit of Al-Sadder Hospital, Missan, Iraq. for the period (first of February to 15th Maye, 2022). The participants were selected through purposive sampling method and were placed in two groups, each group contained (30) patients, one of these groups was intervened by motivational interviewing program and represented as an experimental group, while the other group acted as control group. The experimental group received five sessions of motivational interviewing. The General Health Questionnaire (GHQ) was completed by the participants before and after the intervention. Results: Results presented that there was a significant effect of the motivational interviewing on patients with hemodialysis of the experimental group at P = .000, while no significant difference (P = .083) appeared on control group who did not receive the motivational interviewing. motivational interviewing improved all aspects of general health status, based on general health questionnaire as a comparing between the pre and posttest time for the experimental group of all domains at P value less than .05. Conclusion: The program of motivational interviewing has a positive effect of on the treatment adherence in hemodialysis patients using both objective and subjective parameters as well as plays a significant role in the entire aspects covered by HPL-II including; physical activity, nutrition, spiritual growth, personal relationships, stress management, health responsibility Keywords: Motivational interviewing, health state, hemodialysis. ESRD, CKD
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Jarząbek-Bielecka, Grażyna, Katarzyna Warchoł-Biedermann, and Witold Kędzia. "Idiopathic hirsutism – medical and psychological aspects." Journal of Medical Science 83, no. 4 (December 31, 2014): 294–98. http://dx.doi.org/10.20883/medical.e82.
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Introduction. Hirsutism is a condition which results in excess of male pattern hair growth - the androgen dependent hair in females. Excessive hair growth usually starts around puberty. The aim of this study was to show the significance of hormonal diagnosis in female adolescent hirsute patients.Material and methods. The material consisted of medical documentation of 128 female adolescent patients aged 13–22 years who came for a consultation because of excessive male pattern hair growth (second degree of hirsutism according to the Ferriman-Gallwey scale) which they considered unacceptable. The history was indicative of considerable discomfort, decreased mood in subjects and low self-esteem (especially regarding patient’s femininity).Results. Results of the analysis were confronted with the results of a group of an equal number of participants.Conclusions. Hormonal tests in female patients with hirsutism were proven to constitute a major diagnostic element allowing for correct diagnosis of the cause of hirsutism, planning further tests and treatment methods.Considering its causes and effects, hirsutism in adolescent patients is a serious concern for developmental gynecology. This disorder is a endocrinological or gynecological problem, which influences patient's well-being.
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PAICA, Corina-Ioana, Diana-Antonia IORDACHESCU, Elena-Otilia VLADISLAV, Corina GICA, Radu BOTEZATU, Anca Maria PANAITESCU, Anca Marina CIOBANU, Gheorghe PELTECU, and Nicolae GICA. "Medical and psychological aspects of breastfeeding." Romanian Journal of Medical Practice 16, no. 4 (December 31, 2021): 438–41. http://dx.doi.org/10.37897/rjmp.2021.4.6.
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Promoting and supporting breastfeeding is a global priority and an important intervention for the survival of children. The World Health Organization and the American Academy of Pediatrics recommend exclusive breastfeeding in the first six months of life. This article propose a review of the most important medical and psychological aspects regarding psychological counseling and breastfeeding. We highlighted the results of studies that reflect the importance of breastfeeding and its effects on the baby and mother. This paper is a review based on information from the literature. The analysis was limited to articles and guides in English published between January 1, 2007 - June 1, 2021 on PubMed, ScienceDirect and Google Scholar using the following keywords: breastfeeding, mother-child relationship, psychological counseling, breastfeeding counseling, breastfeeding factors, exclusive breastfeeding. In this review we discuss the medical and psychological characteristics of breastfeeding, factors that determine exclusive breastfeeding and its effects, prenatal breastfeeding counseling and the role of psychological counseling in initiating and maintaining breastfeeding. Psychological counseling and care practices influence the achievement and duration of breastfeeding.
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Karimova, Aigul, Marat Nukinovich Sarkulov, Meiramgul Esengulova, and A. V. Gavrina. "PSYCHOLOGICAL ASPECTS OF MEDICAL HEALTH CARE." BULLETIN 5, no. 375 (October 15, 2018): 85–92. http://dx.doi.org/10.32014/2018.2518-1467.11.
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Davies, Gwenllian, and Simon Noble. "Palliative medicine: medical and psychological aspects." Surgery (Oxford) 33, no. 3 (March 2015): 136–39. http://dx.doi.org/10.1016/j.mpsur.2014.12.007.
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Presswood, Edward, and Simon Noble. "Palliative medicine: medical and psychological aspects." Surgery (Oxford) 36, no. 3 (March 2018): 117–21. http://dx.doi.org/10.1016/j.mpsur.2017.12.009.
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Koutantji, M., S. Pearce, and E. Harrold. "Psychological aspects of vasculitis." Rheumatology 39, no. 11 (November 2000): 1173–79. http://dx.doi.org/10.1093/rheumatology/39.11.1173.
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Evicenna Naftuchah Riani, Dewi Ambarwati, and Dzikria Afifah Primala Wijaya. "Implementasi Layanan PDP di Layanan Kesehatan Primer Kabupaten Banyumas." NERSMID : Jurnal Keperawatan dan Kebidanan 5, no. 1 (May 31, 2022): 123–33. http://dx.doi.org/10.55173/nersmid.v5i1.124.
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HIV / AIDS is increasing year by year the incidence of transmission and death. In Indonesia, it is a health problem that must be handled intensively. The high mortality rate of people living with HIV/AIDS is due to non-optimal management of patients. Various factors influence the increase in morbidity and mortality of HIV/AIDS. Care, support and treatment (PDP) services are integrated and continuous services to provide support to PLWHA in managerial, medical, psychological and social aspects to reduce problems encountered during care and treatment. The cumulative number of PLWHA found in Banyumas Regency in 2006 - August 2021 was 3,958 cases, who met the requirements for ARV therapy as many as 2,447 cases and 2,521 cases who had access to ARV. Of the 2,521 people living with HIV who accessed ARVs, only 773 cases were currently on ARVs, 453 cases died, 6 cases stopped ARVs, 1178 lost follow-up (LFU) cases and 423 cases were referred out. This study is a qualitative research that aims to explore the implementation of PDP services in primary services in Banyumas Regency. The method of data collection was carried out by in-depth interviews. There were 7 informants in this study, namely 4 counselors as primary informants and secondary informants, 2 coordinator midwives and 1 PLWHA. Data analysis in this qualitative research uses thematic content analysis. The results showed that the implementation of PDP services in primary services in Banyumas district was quite good, indicated by the availability of adequate supporting infrastructure. Health workers who work in PDP services have a counselor training certificate. Constraints that are not yet able to assist clients.
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Cullinan, V., A. Veale, and A. Vitale. "Irish General Practitioner referrals to psychological therapies." Irish Journal of Psychological Medicine 33, no. 2 (April 23, 2015): 73–80. http://dx.doi.org/10.1017/ipm.2015.17.
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ObjectiveGeneral Medical Practitioners play a crucial role in the detection and referral of mental health problems in primary care. This study describes the referral patterns of Irish General Practitioners (GPs) to psychological therapies and profiles the range of psychological therapies available.MethodA 21-item study-specific questionnaire exploring referral processes to psychological therapies was sent to all GPs listed by the Irish College of General Practitioners in one county in Ireland. A 19-item questionnaire exploring details of psychological therapies offered and referral pathways was sent to members of psychological therapy accrediting bodies in the same county.ResultsOf 97 GP respondents (33% response rate), their estimation of the percentage of their patients who have presenting or underlying mental health issues averaged 22%. When asked to indicate which psychological therapies they consider for referrals, psychiatric referrals was the most frequent referral option (94%), followed by Counsellors (69%), Clinical psychologist (60%) and Psychotherapists (30%). GPs indicated they had some or very little knowledge of specific psychological therapies. Of 129 psychological therapists (45% response rate), self-referral and GP referral were their main referral pathways; 80% worked in private practice; highest qualification level was Undergraduate/Higher Diploma (66%), Master Level (39%) and Doctoral Level (5%).ConclusionGPs refer patients presenting with mental health problems to psychiatrists with significantly lower percentages referring to other types of psychological therapists. Findings demonstrate that there is a need for greater education and information-sharing between GPs and providers of accredited psychological therapies to increase knowledge on specific therapies and their evidence base.
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Lukashevych, N. M., I. O. Yukhymets, S. V. Trach-Rosolovska, V. V. Balanovskyi, and O. O. Rosolovskyi. "Domestic violence: forensic medical and psychological aspects." Bukovinian Medical Herald 23, no. 2 (90) (June 30, 2019): 99–103. http://dx.doi.org/10.24061/2413-0737.xxiii.2.90.2019.46.
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Dumitru, A. E., C. Gică, D. A. Iordăchescu, A. M. Panaitescu, G. Peltecu, R. Botezatu, and N. Gică. "Gestational Surrogacy. Medical, Psychological and Legal Aspects." Romanian Journal of Legal Medicine 29, no. 3 (June 10, 2021): 323–27. http://dx.doi.org/10.4323/rjlm.2021.323.
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Sokol, A. F., and R. V. Shurupova. "Psychological mechanisms of medical errors: sociological aspects." Medical Council, no. 6 (April 13, 2018): 162–64. http://dx.doi.org/10.21518/2079-701x-2018-6-162-164.
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Palmer, Ian. "Psychological aspects of providing medical humanitarian aid." BMJ 331, no. 7509 (July 14, 2005): 152–54. http://dx.doi.org/10.1136/bmj.331.7509.152.
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Wilcock, Andrew, and Robert Twycross. "Medical and psychological aspects of palliative care." Surgery (Oxford) 24, no. 2 (February 2006): 53–55. http://dx.doi.org/10.1383/surg.2006.24.2.53.
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