Clinicians have been found to hold predominantly negative attitudes toward routine outcome assessments (ROA). This study aims to assess changes in clinicians attitudes to ROA, and in particular, the provision of feedback from such assessments following a training workshop. Ninety-six mental health workers attended a training workshop on ROA, which was supported by the use of a CD-ROM video resource. Participants completed a questionnaire before and after training that assessed their attitudes toward ROA and the provision of feedback from these assessments. Attitudes toward feedback were predominantly positive at baseline. Significantly more positive attitudes on general attitudes and specific attitudes related to the provision of feedback were found following training. Generating positive clinician attitudes is the first step toward improving the processes and effectiveness of ROA. Controlled trials with a follow up of clinicians behaviour are needed to determine whether the changes found are
Back ground: Domestic violence against women is a major public health problem and violations of womens human rights. Health professionals could play an important role in screening for the victims. From the evidence to date, it is unclear whether health professionals do play an active role in identification of the victims. Objectives: To develop a reliable and valid instrument to measure health professionals attitude to identifying female victims of domestic violence. Methods: A primary questionnaire was constructed in accordance with established guidelines using the Theory of Planned Behaviour Ajzen (1975) to develop an instrument to measure health professionals attitudes in identifying female victim of DV. An expert panel was used to establish content validity. Focus groups amongst a group of health professionals (N = 5) of the target population were performed to confirm face validity. A pilot study (N = 30 nurses and doctors) was undertaken to elicit the feasibility and reliability of the
Background: The obesity pandemic is causing premature mortality, increasing morbidity and escalating healthcare costs. It is globally acknowledged that current obesity management strategies are failing. It is also accepted that clinicians may hold an Anti-fat bias. To-date it has not been established if there is a relationship between strategy failures and clinicians attitudes. This uncharted territory was the driving impetus to undertaken a study investigating possible links and consequences. Aims: To establish healthcare clinicians attitudes towards patients with obesity and test the extent to which their attitudes influenced obesity management. Methods: Online vignettes were generated via Factorial Survey Design methods to assess obesity management by clinicians. The obesity Implicit Association Test (IAT) was used to assess subconscious Anti-fat bias. Data were collected anonymously from a multi-professional convenience sample in a virtual research site managed by Project Implicit®. ...
This is a three phase study designed to examine clinician behaviors with regard to recommending and prescribing pre-exposure prophylaxis (PrEP) as a primary Human Immunodeficiency Virus (HIV) prevention strategy, and to identify knowledge-related and attitudinal factors associated with these behaviors. Each phase consists of the following:. Phase 1: Semi-structured face-to-face or telephone interviews of ATN-affiliated clinicians. Approximately 10 clinicians will be interviewed.. Phase 2: Development of a new theory-based survey instrument and cognitive interview testing of this survey. Approximately five clinicians (of those who participated in Phase 1) will be interviewed.. Phase 3: Administration of the newly developed survey to ATN-affiliated clinicians. Approximately 60 clinicians will be interviewed. ...
This is a three phase study designed to examine clinician behaviors with regard to recommending and prescribing pre-exposure prophylaxis (PrEP) as a primary Human Immunodeficiency Virus (HIV) prevention strategy, and to identify knowledge-related and attitudinal factors associated with these behaviors. Each phase consists of the following:. Phase 1: Semi-structured face-to-face or telephone interviews of ATN-affiliated clinicians. Approximately 10 clinicians will be interviewed.. Phase 2: Development of a new theory-based survey instrument and cognitive interview testing of this survey. Approximately five clinicians (of those who participated in Phase 1) will be interviewed.. Phase 3: Administration of the newly developed survey to ATN-affiliated clinicians. Approximately 60 clinicians will be interviewed. ...
Continuity in the context of healthcare refers to the perception of the client that care has been connected and coherent over time. For over a decade professionals providing maternity and child and family health (CFH) services in Australia and internationally have emphasised the importance of continuity of care for women, families and children. However, continuity across maternity and CFH services remains elusive. Continuity is defined and implemented in different ways, resulting in fragmentation of care particularly at points of transition from one service or professional to another. This paper examines the concept of continuity across the maternity and CFH service continuum from the perspectives of midwifery, CFH nursing, general practitioner (GP) and practice nurse (PN) professional leaders. Data were collected as part of a three phase mixed methods study investigating the feasibility of implementing a national approach to CFH services in Australia (CHoRUS study). Representatives from the four
Background: In most cases, T790M EGFR-positive NSCLC patients receiving osimertinib developed non-drugable progression, as the patients with common EGFR-sensitizing mutations were treated with first-line osimertinib. In both settings, chemotherapy represents the standard treatment and local ablative treatments (LATs) are potential useful options in the case of oligo-progression. Methods: We conducted a study on post-progression (pp) outcomes of T790M EGFR-positive NSCLC patients treated with osimertinib, according to the therapeutic strategy applied: osimertinib beyond progression (± LATs), switched therapies or best supportive care only (BSC). Results: 144 consecutive patients were evaluated: 53 (36.8%) did not received post-progression treatments (BSC), while 91 (63.2%) patients received at least 1 subsequent treatment; 50 patients (54.9%) received osimertinib beyond disease progression [19 (20.9%) of them with adjunctive LATs] and 41 (45.1%) a switched therapy. Median ppPFS ...
To stimulate physical activity (PA) and guide primary care patients towards local PA facilities, Care Sport Connectors (CSC), to whom a broker role has been ascribed, were introduced in 2012 in the Netherlands. The aim of this study is to assess perceptions of primary care, welfare, and sport professionals towards the CSC role and the connection between the primary care and the PA sector. Nine focus groups were held with primary care, welfare and sport professionals within the CSC network. In these focus groups the CSC role and the connection between the sectors were discussed. Both top-down and bottom-up codes were used to analyse the focus groups. Professionals ascribed three roles to the CSC: 1) broker role, 2) referral, 3) facilitator. Professionals were enthusiastic about how the current connection was established. However, barriers relating to their own sector were currently hindering the connection: primary care professionals lack of time, money and knowledge, and the lack of suitable PA
BACKGROUND: To determine whether healthcare professionals perceive the pain of infants differently due to their understanding of that infants level of risk for neurological impairment. METHOD: Neonatal Intensive Care Units (NICUs) at two tertiary p
Students are graded on knowledge of subject area, clinical performance, professional attitude and readiness to practice. All clinicians and residents are involved in the grading process. A great part of your grade will depend youre your promptness, alertness, reliability, attitude and attendance.. If you must be absent, contact the instructor as early as possible. Let us know if you are sick. Unexcused and unexplained absenteeism will result in a lowered grade or an Incomplete! If something unexpected comes up, let us know - well work it out.. If, toward the end of your rotation, you feel there is something you have missed, let us know. We will do our best to provide you with a learning opportunity.. Enjoy your stay in the FARM Service.. ...
Results The overarching theme to emerge from the interview data was of professionals, medical and social care, wanting to present an acceptable self-image of their views on TOPFA. Professionals values on fixing, pain and normality influenced what aspects of moral acceptability they gave priority to in terms of their standpoint and, in turn, their conceptualisations of acceptable TOPFA. Thus, if a termination could be defended morally, including negotiation of several key issues (including fixing, perceptions of pain and normality), then participants conceptualised TOPFA as an acceptable pregnancy outcome. ...
to the editor: In this Tips from Other Journals, Dr. Crawford-Faucher reviewed the meta-analysis by Brugts and colleagues that concluded that statins are beneficial for primary prevention of cardiac disease.1 I agree with this conclusion, but with some reservations. The review stated that the relative risk reduction for all-cause mortality was 12 percent, which sounds very good; however, I think it is important to look at the absolute risk reduction. All-cause mortality after a mean follow-up of 4.1 years was 5.1percent in the group treated with statins and 5.7 percent in the control group. That translates into an absolute risk reduction of 0.6 percent and a number needed to treat (NNT) of 167. This means that 167 patients would need to be treated with a statin for 4.1 years to prevent one death. Additionally, based on the study data, the NNT to prevent one major coronary event is 77, and the NNT to prevent one major cerebrovascular event is 250.. The studies that were used in the ...
The AAS in Diagnostic Medical Sonography (DMS) prepares you to work as a critical member of todays health care team. We teach you important critical thinking/problem solving techniques as well as interpersonal and communication skills that allow you to interact effectively with other health care team members, patients, and families from a variety of professional, social, emotional, cultural, and intellectual backgrounds. We provide you the skills you need to work with highly complex medical imaging equipment, analyze acquired images for quality, assess patient condition and apply appropriate techniques of patient care and education, and achieve the highest degree of clinical competency. The program focuses on developing your intellectual abilities as well as the judgement you need to demonstrate a professional attitude and demeanor, display the highest moral and ethical standards, and foster the safety of yourself and your patients.. Career Information ...
I think those that make the suggestion Ramey couldnt possibly have made such an error are just plain stupid. Rameys expression suggests he was flustered, and if you are ever going to make a mistake, right at this point would be the perfect time, as he probably was even shielding his aide from the stuff. He would have been thinking a million things at once, and even Blanchard made the huge mistake of telling the press, did he not? So those like cda who suggest Ramey couldnt possibly have made such an error are just plain naïve, of course people make mistakes, if Hitler didnt make mistakes he would still be alive today and Germany would be ruling the world. How incredibly arrogant therefore to believe the because Ramey couldnt have made such a mistake the whole thing therefore is a farce. So one could then say Blanchard, Ramey, indeed Marcel, and his son, just for starters, are all idiots. One could on the other hand say that these men were all human, all had to made decisions without the ...
Some have said that the whole thing has been done to make money. But what has really motivated the slides investigation is a sense of obligation to truth and to history. What these skeptics fail utterly to understand is the great expense -both personal and monetary- that this slide investigation has cost. Who do they think paid for the expert analysis of the slides? Who do they think paid for repeated visits to places like New Mexico, Texas and Rochester? Who paid for the hotels, car rentals, meals out? On whose dime and on whose time do they think all this investigation was done? This has all been self-funded by the owner and the investigators. And every moment that has been taken investigating the slides is a moment that has been taken away from making a living or time with family. Frankly the gall that some have to suggest that this should all be unpaid effort is beyond belief. And despite attempts at gaining mainstream media interest, none was obtained. A public venue was chosen and a live ...
The main aim of this paper is to present a pilot proposal of a model of Virtual Development Management System (ViDeMaS) which will facilitate more effective management and development of virtual teams. Management and development of virtual teams is not a simple concept. It comprises a body of knowledge from a number of fields and scientific disciplines. The complexity of the koncept may not be simplified as it is absolutely essential for full understanding of its nature. In order to gain better orientation in the concept, different perspectives will be used in the description of the model, which will enable us to achieve the goal of the work and to present the main results of the work (creation of a model for Virtual Development Management System). The present paper thus describes from different perspectives the proposal of a sufficiently detailed and complex model that may be utilized both on theoretical and application level ...
Downloadable (with restrictions)! The distribution of city populations has attracted much attention, in part because it constrains models of local growth. However, there is no consensus on the distribution below the very upper tail, because available data need to rely on legal rather than economic definitions for medium and small cities. To remedy this difficulty, we construct cities from the bottom up by clustering populated areas obtained from high-resolution data. We find that Zipfs law for population holds for cities as small as 5,000 inhabitants in Great Britain and 12,000 inhabitants in the US. We also find a Zipfs law for areas. JEL: R11, R12, R23
Im tempted to say misery loves company. But considering the gravity of the matter, that seems trite. In this situation, misery has company. Lots of it. Such was made abundantly clear after my Oct. 31 column on Americas opioid crisis. In that piece, I acknowledged a litany of damning facts about the abuse of pain medi
Taema and Tila are twin sisters, born as conjoined twins. They spent their early lives in a cult that rejected any technology dating from after 1967, but escaped in their teens, when their shared heart was failing. Separated, they now live different lives. When Tila is arrested for murder-an almost unheard-of crime in this near-future San Francisco-the police convince Taema to impersonate her in order to gather information that will bring down a criminal cartel that has become dangerously powerful and influential. Not incidentally, from Taemas point of view, this also stands a chance at proving Tilas innocence-or at least getting her a pardon.. Lam adroitly balances two different perspectives. Tila, under arrest, recounts the sisters early lives with the cult. Taema narrates the contemporary story. Their different perspectives and different stories are deftly interleaved, and Lam weaves past and present together to tell a tight, tense and pacey thriller-but also to tell a story about trust ...
Phyric, Supplement, Phyric has been committed to developing, manufacturing and delivering innovative health products to different people. Tea, including Li Li calcium, long pressure set, Q10 phosphate oil pills, enhanced version of the fast sleep, fast acid fast, children calcium and magnesium zinc. Phyric adhere to the professional attitude, rigorous quality supervision of pharmaceuticals, new scientific research and technology and quality manufacturers to provide stable and reliable products.
As a Front Desk Agent, you should combine a pleasant personality with a dynamic professional attitude and possess a natural talent for customer service. You will ensure our guests feel welcomed and as though they can get anything they might want or need. ...
Background: Agents of opportunity (AO) are potentially harmful biological, chemical, radiological, and pharmaceutical substances commonly used for health care delivery and research. AOs are present in all academic medical centers (AMC), creating vulnerability in the health care sector; AO attributes and dissemination methods likely predict risk; and AMCs are inadequately secured against a purposeful AO dissemination, with limited budgets and competing priorities. We explored health care workers perceptions of AMC security and the impact of those perceptions on AO risk.. Methods: Qualitative methods (survey, interviews, and workshops) were used to collect opinions from staff working in a medical school and 4 AMC-affiliated hospitals concerning AOs and the risk to hospital infrastructure associated with their uncontrolled presence. Secondary to this goal, staff perception concerning security, or opinions about security behaviors of others, were extracted, analyzed, and grouped into ...
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Hamren: We team with other professionals both within our program and with other agencies. As Marge mentioned earlier, we will do joint visits with vision specialists as well as other therapists. It is a nice way to be able to share expertise and can be easier to coordinate schedules. I have had an ongoing schedule with a PT where the last 30 minutes of my session and the first 30 minutes of her session are overlapped. She is in the home and I join in virtually. This has worked very well. It also works well when children have a lot of challenges and there are many therapists that go into the home. You can reduce the number of people in the visit by having one attend virtually. We have also used it as an opportunity to have our own team members join us for a session to give a different perspective for a challenging situation. We have also attended meetings virtually ...
No confidence in this government, said one respondent to the AMM survey of metal company executives. We need to make our own best decisions from a business standpoint no matter what Washington does or doesn t do. This sentiment, and others similar to it, were common responses in the survey (see page 10), reflecting a continuing sense among industry leaders that the government is somehow directly responsible for the slow growth in business that surely keeps many of them awake at night. In fact, more than half of all survey respondents said they believe the business environment in 2014 will be less certain because it is an election year. But there is another viewpoint. Anyone who blames market conditions on the fact that it is an election year is an idiot, said another respondent. Company sales are based upon demand for products. So which outlook is closer to the truth? Perhaps some other results of the survey are instructive:. ,, More than 80 percent of respondents said that recent events in ...
This is a topic which provides ample scope for dialectics. One can argue for and against it.One of the best examples is Bill Gates who went on to become the richest man in the world despite dropping out of hid education. Closer home we have the example of Dhirubhai Ambani. What a person learns and what he really wants to do has no correlation many a times. A person succeeds only if he likes what he does.The argument for education will be that , in practice, it is your marks and qualifications that opens doors for you.While one can become successful without education, education brings about a richness in ones life. One is able to appreciate many facets of life due to the extended knowledge that education provides. It opens a new window and provides a different perspective towards things, ability to distinguish between ethical and unethical, moral and amoral ....etc ...
From a solutions focus, teens dont need a different perspective, [such as saying] This isnt the end of the world, you know, Bloodworth says. They need tools to help them handle what does feel like the end of the world they knew. They need tools and help to get the attention and support they need in healthy and appropriate ways.. Raimundo, the mental health professional who used to cyberbully herself as a teen, agrees.. I broke out of the cycle of digital self-harm by finally finding supports that listened to me and validated my story. People who I could speak openly and honestly to about engaging in digital self-harm, why I was doing it, and who would hold the space for me without judging me, she says. People saw me as someone trying to ask for help but not knowing all the right words to do so. They saw those messages as something that was actually happening in my head and addressed it as such.. Raimundo now works as an online Peer Supporter for Stellas Place. I really wanted to ...
Could my tendency to ruminate over the state of things-for example, what kind of father Ive been to my children, how I make my real estate business successful and avoid failure, and since I am a cancer survivor, how I keep cancer at bay-actually cause harm to my body?. Shit happens, a close friend advised me, quoting Buddha. That would be on his license plate.. She was advocating a different perspective on how I think about my experiences. For example, rather than view myself as a failure as a father, why not see that Im a father who is trying to do the right thing and Im imperfect. Rather than see me as permanently frail-a delicate flower-because of the array of health challenges Ive had, see myself as a resilient example of someone who has survived and moved through health challenge after health challenge. You are a recovery machine, my doctor has said.. The point is our perspective about our experiences can influence how we incorporate them into our identities. Rather than owning ...
Travelling as a family allows experiences to be shared. It can add interest to family time together away from the pressures of work and education. You can gain different perspectives on places when travelling in a group with children. It is often easier to get to meet local people, people can be friendlier, and when picking educational experiences for children you often learn something yourself.
Individual presentations will be given a slot in a parallel session, during which they will have time to present their ideas and address questions thereafter. Symposia are to be composed of 3 to 5 participants, who should each address a common topic from a different perspective. Workshops can have up to 3 participants and provide them with an opportunity to present some of their still developing ideas on a topic of their choice and lead session attendees through a discussion. The purpose of the workshop is to create an interactive atmosphere for thinking through important issues of educational justice. Symposia and workshop proposals can use up to 400 words per participant. The proposal type should be clearly indicated in the proposal. Authors will benotified of the committees decision to accept or decline the submission by January 20th, 2017 ...
Executive Director - The Cancer. A has with the Board of Directors to affect change for the health and advent of the different perspective and consent of CFEC. Within the Cancer. A of the options, files and negotiations employed by the Board of Directors, the system is public for the JavaScript of all tumors of the Corporation. These seem supplied by Congress and opened by the President.
ISBN 13: 978-1-874413-37-0. AIMS is thrilled to present another book from Sara, a highly skilled and thoughtful practitioner with a unique ability to assimilate complex research and turn it into usable information. Sara discusses the different perspectives on and approaches to GBS; the human-bacteria relationship; the different kinds of screening and treatment that are available for GBS; the wider issues relating to this area; the answers to some common questions women have asked and more. Dr Sara Wickham PhD, RM, MA, PGCert, BA(Hon) is a midwife, educator, writer and researcher, who has worked alongside AIMS for many years.. Length: 150 ...
The study of microbes has, of course, been a sizzling area of research for just over 250 years in the West. Even as Louis Pasteur was mounting his theories of infection, at one time, a notable contemporary, Antoine Bechamps, was developing a different perspective on the idea. Bechamps observed tiny particles in blood that he said pervaded all living systems. These microzymas, as he called them, were, he felt, the basic building blocks of life. It is from them, he claimed, that bacteria as well as the cellular components of our own bodies began ...
We are at the end of another year in which there has been more discussion of net failure than of its success. To a large extent, it s nonsense. There is no internet crisis . Some of the financial and mismanagement bubbles have deflated (there will be more) and many poorly conceived online activities are in trouble. But that has nothing to do with the basic strength and continuing growth of the internet.. On the other hand, from a different perspective, there are diseases for which an effective treatment is still to be found.. Statistics can be unreliable and confusing, but some trends are pretty clear. Worldwide hostcount data show somewhat slower growth in 2002 than in past years. Expansion never was exponential and we may be going through a more sober phase. The latest available indicator 16 percent growth in year 2002 is the lowest percentage in the net s history, but it can t be called slow by any standard. It s still much faster than the economy as a whole and of most other development ...
LEMON: I mean, April, listen, Phil Mattingly caught up with Tim Scott and heres his response. He said, Thats who he is. Its who he has been. And I didnt go in there to change who he was. I wanted to inform and educate a different perspective. I think we accomplished that. And to assume that immediately thereafter hes going to have an epiphany is just unrealistic. [22:20:02] Well, say what you want, I mean, he could have reacted wherever. But it was a classy way of saying it. Thats who he is. Its who he has been. Is that the realization a lot of republicans are having now in Washington ...
Were lucky if we like everything that we do. But many of us have to develop a willingness to like many of the activities were involved in. Is that unusual? Probably not. Nor does it matter. Acting as if we enjoy a menial task or an unusual pursuit offers us a different perspective on it. Just looking at it through more willing eyes changes not just how we see it, but how we feel about it. Often we discover that we can enjoy that which we dreaded before. ...
Special Note: Several weeks ago, I received two letters regarding gemach problems. For those of our readers who are unfamiliar with the term, gemachs are organizations found in every Torah community to help families who are in financial straits. Interestingly enough, the two letters that I received describe gemach problems from different perspectives - one speaks about the responsibilities of the donors, and the other about the responsibilities of the recipients. They each make valid points that should be addressed ...
What is to be learned? This is an immensely important lesson that this disease provides, and that is cooperation and coordination and preparation between nations. Countries that are wealthy and well prepared in some ways can be of greater assistance to those other nations at a distance, so that the home nation is protected. This provides a much different perspective of foreign aid than has been projected in years past. This provides an opportunity for cooperation as I have said, and coordination. It begins to bring about the value of individuals as intrinsically the same as anyone else; if two people have Ebola and one is worth 5 billion dollars, and one is only worth 50 cents in their physical assets and financial assets, truly they are equal because they are equally dangerous as carriers of this virus. They are equally valuable also as individuals who could carry this pathogen forward, and so their treatment must be equal. You would give the rich man the same treatment as you would the poor ...
Overall, I think this was one of the best submissions that I have critiqued in terms of overall appeal and style. This story had everything that I would look for in a thriller, sci fi, story. There were appealing characters and a mesmirizing plot (I for one wanted more to see what would happen) all told from different perspectives. I liked that the author basically asked the question: (1) how does a family continue on after a tragedy; (2) how does a twin, who always felt inferior feel once that rivalry is gone; (3) what ethical questions arise out of certain medical experiments; and finally (4) what is a person willing to risk to get a loved one back as well as what is someone willing to do to achieve greatness. I definitely wanted to read more and would purchase this as a full ...
AB exam administrated by the College Board. Topics include (I) Functions, Graphs, and Limits (II) Derivatives and (III) Integrals. Concepts are investigated from four different perspectives - analytical, graphical, numerical, and verbal, the Rule of Four. Students electing this course are expected to take the AP exam in May and, depending on the results, may be granted credit and/or appropriate placement by a participation college. ...
I dont think there was a winner. I think the bottom line is you saw two people talking from two different perspectives. The senators representing, by the way, on both parties, this is bipartisan, the senators probably representing the view of most Americans, I dont get what these -- these Wall Streeters do and why you do it. And the -- the Goldman Sachs guys looking around in puzzlement, saying why are you all mad at us? We were just doing our job bringing buyers and sellers together and keeping the market going like oil going through your engine ...
Published by Daily Yonder on April 18th, 2019 By Roberto Gallardo I would like to share a different perspective of what seems to be a growing narrative on a decaying rural America and giving up on it. Not long ago, Eduardo Porter argued this view on his December 14th 2018 piece while Paul Krugmans did the same on his March … ...
As parents we all need support, encouragement and sometimes someone to see things from a different perspective, lend expertise, or help resolve things that arent working in the family
It helps to get rid of the ambiguity. By making yourself the will of others, without ANY percievable benefit for ones self, instead of trying to make everyone else the extension of your will, one can see their environment in a different perspective. Im not saying athiests do not do this. One of my best friends, and his wife, are athiests. And they are two of the nicest people anyone could hope to meet. They accept others for who they are, and rarely judge anyone. They are good people. And we have no problems talking about anything, even our differences in beliefs. It is never an arguement or a debate, but just sharing eachothers truths with one another, to learn and grow ...
You want to live a life of significance that is humbly aligned to Gods purposes. In order to do that, you need to understand Gods call for, or will in, your life. The problem is, it doesnt seem clear, and everyone you meet has a different perspective on calling, which makes you feel confused and stuck. What you need are tools to help you discern Gods call.. ...
TY - JOUR. T1 - Making it work. T2 - Health care provider perspectives on strategies to increase colorectal cancer screening in federally qualified health centers. AU - Gwede, Clement K.. AU - Davis, Stacy N.. AU - Quinn, Gwendolyn P.. AU - Koskan, Alexis M.. AU - Ealey, Jamila. AU - Abdulla, Rania. AU - Vadaparampil, Susan T.. AU - Elliott, Gloria. AU - Lopez, Diana. AU - Shibata, David. AU - Roetzheim, Richard G.. AU - Meade, Cathy D.. N1 - Copyright: Copyright 2013 Elsevier B.V., All rights reserved.. PY - 2013/12. Y1 - 2013/12. N2 - Colorectal cancer screening (CRCS) rates are low among men and women who seek health care at federally qualified health centers (FQHCs). This study explores health care providers perspectives about their patients motivators and impediments to CRCS and receptivity to preparatory education. A mixed methods design consisting of in-depth interviews, focus groups, and a short survey is used in this study. The participants of this study are 17 health care providers ...
Osteoarthritis (OA) is diagnosed and managed primarily by general practitioners (GPs). OA guidelines recommend using clinical criteria, without x-ray, for diagnosis, and advising strengthening exercise, aerobic activity and, if appropriate, weight loss as first-line treatments. These recommendations are often not implemented by GPs. To facilitate GP uptake of guidelines, greater understanding of GP practice behaviour is required. This qualitative study identified key factors influencing implementation of these recommendations in the primary-care setting. Semi-structured interviews with eleven GPs were conducted, transcribed verbatim, coded by two independent researchers and analysed with an interpretive thematic approach using the COM-B model (Capability/Opportunity/Motivation-Behaviour) as a framework. Eleven themes were identified. Psychological capability themes: knowledge gaps, confidence to effectively manage OA, and skills to facilitate lifestyle change. Physical opportunity themes: system-related
Primary care clinicians often address multiple patient problems, with a range of possible outcomes. There is currently no patient-reported outcome measure (PROM) which covers this range of outcomes. Consequently, many researchers use PROMs that do not capture the full impact of primary care services. In order to identify what outcomes a PROM for primary care would need to include, we conducted interviews with patients and practitioners. This paper reports these patient and practitioners views on the outcomes arising from primary care consultations. Semi-structured interviews were held with 30 patients and eight clinicians across five sites in Bristol. Interviews were audio-recorded, transcribed and analysed thematically. We used a broad definition of health outcome as the impacts of healthcare on health, or a patients ability to impact health to identify outcomes through this process. 10 outcome groups were identified. These occupied 3 domains: Health Empowerment: These are the internal and external
Even before the first case of COVID-19 was identified in the United States, there were concerns regarding how to diagnose this infection among persons presenting with a compatible clinical syndrome who did not have any known sick contacts or other epidemiologic risk factors for infection. Given the successful implementation of molecular assays to detect SARS-CoV-2 RNA from a nasopharyngeal swab specimen in many other countries that were affected by the pandemic before the United States was and the excellent performance characteristics and availability of this type of assay for many other respiratory infections, from a clinicians perspective, it was unclear that there was much of a diagnostic challenge to surmount. However, after the pandemic began to spread in the United States, it immediately became clear that the availability of this diagnostic testing needed to be rapidly developed and scaled up. SARS-CoV-2 molecular testing was initially performed only at the CDC, with local state health ...
Pain in cattle can arise though disease or injury or may result from veterinary or husbandry procedures. Controlling pain is important to safeguard animal welfare. Previous studies indicated that the use of analgesics in cattle has lagged behind use in companion animals. Over the last decade, more analgesic products have become available for use in cattle and there have been increased efforts to communicate the importance and benefits of analgesia. A questionnaire (based on that used in a similar study published in 2006) was sent to UK cattle practitioners asking them to score pain severity for several conditions of cattle and asking about their attitudes towards and use of analgesic medicines. A total of 242 surveys were returned. Male clinicians and those graduating before 1990 scored pain severity significantly lower and were significantly less likely to use NSAIDs. Generally, use of NSAIDs was more common for conditions assigned higher pain scores. However, uptake of NSAID use was much lower ...
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During the opening session at the National Comprehensive Cancer Network 21st Annual Conference, healthcare providers came together to discuss palliation from the provider and the patient perspective.
There were differences in the perceptions and interpretations of BFHI across participants. Greenhalgh et al [18] stated that the meaning of an innovation to individuals was important to its adoption. Whether an individuals understanding of the innovation fits with the understandings of managers, service users, and other stakeholders will affect individual adopters. Different perceptions could potentially lead to unfulfilled expectations and disillusionment with the innovation. In this study some participants appeared to raise the status of the BFHI to that of a saviour of breastfeeding and thereby a strategy that would increase health and well being of children and adults both locally and globally. For most participants, however, the BFHI was perceived as a list of tasks to be achieved.. Participants also tended to equate the BFHI with breastfeeding promotion. Rather than the BFHI being a strategy to improve the practices of health professionals within the hospital setting, it was interpreted ...
A study of homosexual men and women was undertaken to ascertain what factors contribute toward being open with health professionals about ones sexual orientation and how this openness affects quality of care. Six hundred twenty-two men and women responded to a questionnaire distributed in the Gay Community News. Almost half (49%) had explicitly shared with their primary health professional that they were homosexual, another 11% assumed their health provider knew, and only 7% would not share this information with their health provider under any circumstances. Those who had shared this information were more satisfied with their primary health professional and, if male, were more likely to have been checked for venereal disease. Health professionals attitudes towards homosexuality were an important concern of respondents; 27% felt that a previous health professional had been prejudiced towards homosexual persons. ...
Verstappen, J. J. J., van Dronkelaar, C., Tieland, M., Kruizenga, H. M., & Weijs, P. J. M. (2019). Professionals perspective on the treatment of malnutrition in older adults during hospitalisation and post-discharge. Poster session presented at 15th International Congress of the European Geriatric Medicine Society, Kraków, Poland ...
TY - JOUR. T1 - Identifying enablers and barriers to individually tailored prescribing:. T2 - a survey of healthcare professionals in the UK AU - Reeve, Joanne. AU - Britten, Nicky. AU - Richard, Byng. AU - Fleming, Jo. AU - Heaton, Janet. AU - Krska, Janet. N1 - © The Author(s) 2018. PY - 2018/1/15. Y1 - 2018/1/15. N2 - Background: Many people now take multiple medications on a long-term basis to manage health conditions. Optimising the benefit of such polypharmacy requires tailoring of medicines use to the needs and circumstances of individuals. However, professionals report barriers to achieving this in practice. In this study, we examined health professionals perceptions of enablers and barriers to delivering individually tailored prescribing. Methods: Normalisation Process Theory (NPT) informed an on-line survey of health professionals views of enablers and barriers to implementation of Individually Tailored Prescribing (ITP) of medicines. Links to the survey were sent out through known ...
Antibiotic prescribing towards the end of life is common in all care settings but, to our knowledge, no national or international guidelines exist to support decision-making in this area. This work aimed to address some of the gaps by scoping the available evidence base and by exploring clinician attitudes and behaviours via survey. We concluded that the goals of antibiotic therapy towards end of life are often ill-defined and the potential for harm is frequently under-recognised.. In response, we have developed good practice recommendations for clinicians, identifying three important principles for consideration: (1) decisions about whether to prescribe antibiotics should be taken jointly between the clinical team and the patient; (2) the goals and limits of antibiotic therapy should be defined and agreed at the outset; (3) all antibiotic prescribing decisions should be reviewed regularly. Clinicians are encouraged to discuss antibiotic prescribing decisions with their patients when making ...
When we asked Swedish patients in qualitative interviews what AHC meant to them, both female and male patients expressed feelings of being disempowered and devalued. The core category in the female sample was a feeling of being nullified and in the male sample mentally pinioned.15 ,16 However, when staff was asked the same question (in the preintervention study), the answers were quite different. They explained theoretically what AHC could be, for example, transgression of ethical principles, but they were also occupied with explanations and justifications as to why AHC occurred, and the core category was ethical lapses. In accordance with their ambiguity and inability to handle AHC, it was treated with silence and as a taboo.17 Moreover, staffs awareness of AHC was dependent on their possibilities to act; low awareness was seen when there were few possibilities to act.18. High prevalence of AHC, creating long-lasting suffering among patients and little awareness about the problem among ...
In 2015-16, across England and Wales, 62.6 per cent of students in state-funded schools achieved A*-C grades in both GCSE English and GCSE mathematics, a key success indicator for schools. The percentage of students entering further education (FE) colleges the following year with both A*-C grades in GCSE English and GCSE mathematics was 34 per cent. In other words, FE colleges pick up large numbers of students from local schools who achieved less well than their peers; the ones who stay in sixth form and take A-levels.. It is a role FE colleges play that is largely unacknowledged by government and the media. Students typically stay at college for two years, during which time it is expected that they are transformed, on mass, into the skilled workforce the country is crying out for.. What the Government says it wants from its further education sector is that it produces the skilled workforce the country needs to compete in a global marketplace. What the Government really wants, is that FE ...
A novel decision aid to assist patients and physicians with shared decision-making (SDM) in the setting of symptomatic aortic stenosis was linked to improved patient knowledge and satisfaction in a new pilot study, but the physicians using it werent particularly enamored with the formalized tool.. Interventional cardiologists and surgeons on the structural heart team didnt believe that the quality of their clinical encounters with patients was improving and felt that patients had a poor grasp of the decision aid, say investigators. As a result, clinicians attitudes towards SDM and decision aids underwent little transformation, and implementation is unlikely, Megan Coylewright, MD, MPH (Dartmouth-Hitchcock Medical Center, Lebanon, NH), and colleagues write in their paper published January 29, 2020, in JAMA Cardiology. This is a critical finding, challenging the simplistic framing that once fully developed tools are available, sustained use of a decision aid will occur, leading to ...
Although there was medical opinion which conflicted with that of claimants treating physician, the commission was free to reject the treating physicians opinion in favor of other medical opinion where the treating physicians diagnosis is shaded by doubt and there is expert medical opinion contrary to his. The opinions of the other physicians, along with the ...
Nutritional Detoxification: A Clinicians Perspective- Webinar with Mark Hyman, MD This webinar is presented by Vitamin Portfolio. Presented by Mark Hyman,
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Posted: 12.02.2018. Comments: 0. Dear Member. The Department of Health and Social Care is asking for you to complete a national survey currently being undertaken on health and work in clinical care that will shape future provision of training and support for healthcare professionals. It is open until 11 March 2018.. As part of the work relating to the Governments command paper Improving Lives: the Future of Work, Health and Disability, Public Health England (PHE) is taking forward a programme to support healthcare professionals through knowledge and skills development to embed discussions about health and work, and where appropriate signposting and referral, into routine clinical practice.. To shape this programme, PHE is surveying all healthcare professionals regarding what support they need and want. We are keen that our profession is well represented in this important survey, so would be grateful if you could take the time to complete this short survey.. Please share your view on behalf of ...
Both doctors and patients have completely different perspectives as regards how much they should be paying for medical services. The public, the press and the politicians feel that doctors have become greedy and mercenary, and are just out to make money. A doctor has a completely different perspective ! After all, he is potentially saving a human life, and how can anyone put a value on human life. Isnt that irreplaceable, and shouldnt that make his services priceless? He cant understand why a patient grudges paying the doctor his professional fees. Isnt he providing a service which goes far beyond delivering monetary value ? The problem is that when we are healthy , we dont think about the medical services we may need . We expect to remain well, which means we take our health for granted . We save money in order to plan our holidays, but we dont budget for having to spend any money just in order to remain healthy. This is why when we fall ill, it comes as a bit of a shock , because it is ...
Contact: [email protected] Manage multi-line phone system; relay messages appropriately, greet guests, maintain meeting room. schedule. Inventory office supplies, reorder and restock as necessary. Assist with various requests and. needs of key executives. Typing, copying, scanning, faxing and binding. Process mail and packages,. schedule messengers. Run errands as requested. Handle additional projects as assigned.. Location: Ataşehir/İstanbul. Dependable, mature, positive, and professional attitude, able to maintain a high level of confidentiality.. Detail oriented, takes initiative, has a flexible attitude and is able to multi-task. Strong problem solving. skills, dedication to service, excellent communication and interpersonal skills. Preferred living location is. the Asian Side.. Hours: 09:00-18:00. Updated: 12/8/2011. ...
After years of preaching that the chemotherapy is the only viable solution for cancer treatment, John Hopkins is ready to offer a new alternative for treating cancer.. The strategy addresses the general population and works with concepts, self consciousness and responsibility, a combination meant to simplify the process of getting rid of the cancer danger.. Every human body contains cancer cells, according to Hopkins, but the cells do not appear during a screening until they have reached a huge number. When the doctors tell the patients that there are no cancer cells left in the body it just means that the tests are no longer showing them because their number is very low.. The cancer cells appear 6 to 10 times in a persons body during a lifetime and if the immune system is strong they are destroyed and do not generate tumors.. When the diagnosis of cancer is put to a patient it means that the person has severe nutritional deficiency that come to complete the genetic predisposition, the ...
This study aimed to determine the association between maternal perception of the attitudes of obstetric and pediatric care providers about infant feeding during the neonatal period and exclusive breastfeeding at 1, 3, and 6 months.
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US - Early in the year, a common marketing practice is to take a look at basis levels, writes Professor Matthew Diersen of North Dakota State.
Video created by University of Florida for the course Science of Training Young Athletes Part 2. When an athlete is underperforming, and you dont know why, suspect chronic fatigue due to overtraining as the prime contributing factor. ...
In continuation of our previous discussion, Id like to begin with the strong correlation between depression and serotonin levels. Does that mean that everyone who is depressed needed to take medication to increase serotonin? No.
The family acquiesced to avoid the shame that would have been rained down on them - by the very same priest and his judgmental, unforgiving, anti-Christian Church, and neighbours who looked from behind twitching, nicotine-stained net curtains, sucking up their own smugness with their forty Woodbines a day. ...
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The fifth Global Professionals on the Move Report released today from Hydrogen Group, a leading London-based global recruitment company, reports the number of people willing to work abroad has more than ...
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According to a YouGov survey in 17 markets worldwide, 45% of people gained weight during the lockdown, and only 15% said they lost weight. Approximately 33% of respondents said they had gained 1 to 10 pounds.. In the survey data, Mexico has the highest proportion of people gaining weight, with 56% of respondents saying that they have gained weight. Followed by Italy, 51% of respondents said they gained weight.. More than 50% of respondents want to lose weight. 64% of consumers believe that lack of exercise or physical exercise is the main reason for their weight gain, and 43% of the respondents said that eating too much is also an important factor in causing obesity.. *The YouGov data is based on the interviews of adults aged 18 and over in 17 markets with sample sizes varying between 505 and 2,251 for each market.. More information please visit: More than half the worlds population wants to lose weight: Many consumers pile on pandemic pounds. ...
This virus has taken the lives of people who have given much of themselves to our community; people I have cared for for decades.
Background: Clinical practice variation that results in poor patient outcomes remains a pressing problem for health care organizations. Some evidence suggests that a key factor may be ineffective internal and professional networks that limit knowledge exchange among health care professionals. Virtual communities have the potential to overcome professional and organizational barriers and facilitate knowledge flow. Objective: This study aimed to explore why health care professionals belong to an exemplar virtual community, ICUConnect. The specific research objectives were to (1) understand why members join a virtual community and remain a member, (2) identify what purpose the virtual community serves in their professional lives, (3) identify how a member uses the virtual community, and (4) identify how members used the knowledge or resources shared on the virtual community. Methods: A qualitative design, underpinned by pragmatism, was used to collect data from 3 asynchronous online focus groups and 4 key
Timing on the appointments?). Probably less than a week.. (Going to fly to Pensacola to see Dr. James Andrews?). Yeah, Ill be seeing Dr. Andrews. Its been awhile.. (Having been through this before, does it make you more at ease that you can make this comeback no problem?). Im not worried about coming back at all. Thats not even a question. Ill be back pitching. The thing Im going to be disappointed about is … Im no slouch to working out, but I just know what Im in for. I know that its a grueling process daily, but Ive never shied away from hard work. Ive never shied away from the opportunity to get better. Ive got a full year to work on some stuff, provided thats what needs to be happening. And you know what? Now I get to take in some Giants baseball from a different perspective. The first thing I did this morning was I downloaded the MLB app on my iPad. Ill be watching a lot of games. Im not going to disappear. If I do have to rehab, its going to be here. Ill be in the locker ...
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MEDANTE entry consultation is a discussion with a general practitioner experienced in the field of holistic medicine. Therefore, you may expect a professional perspective free from personal preferences for one of the therapies or procedures. Such an impartial professional opinion means the clinic doesn´t deem important which of the holistic therapies will help you in your healing process. More important is the fact that the whole process is set up so that it is beneficial for you and your unique nature as well as your possibilities to receive the selected treatment and resulted in healing ...
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Differeciated learning is what the current systems of education require in order to carter for all learners .Collaborative teaching offers value creation as learners work in their small groups. Everyone in the group has a responsibility to perform and the facilitator supervise to ensure all learners are inclusive in the group activities. While small group strategy is used a lot of ideas are shared, thus a big task achieved. Small group is enormously worthwhile, both for facilitator and learners. This methodology is vital in teaching and learning of composition writing skill. Communication and collaboration is instilled in the learners thus enhancement of the writing of English composition. A cognitive approach to small group teaching, building on the theories of Piaget, would propose that learning interactively in small groups is useful to learners since the procedure of debating, decisions, dealing with conflict, and integration different perspectives is a necessary part of how cognitive ...
© 2015 Kinnear et al. Background: Whilst the past decade has seen a growing emphasis placed upon ensuring dignity in the care of older people this policy objective is not being consistently achieved and there appears a gap between policy and practice. We need to understand how dignified care for older people is understood and delivered by the health and social care workforce and how organisational structures and policies can promote and facilitate, or hinder, the delivery of such care. Methods: To achieve our objective of understanding the facilitators and to the delivery of dignified care we undertook a survey with health and social care professionals across four NHS Trusts in England. Participants were asked provide free text answers identifying any facilitators/barriers to the provision of dignified care. Survey data was entered into SPSSv15 and analysed using descriptive statistics. These data provided the overall context describing staff attitudes and beliefs about dignity and the provision of