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3.
Lancet ; 395(10225): 660, 2020 02 29.
Artículo en Inglés | MEDLINE | ID: mdl-32113489
4.
Lancet ; 395(10225): 677, 2020 02 29.
Artículo en Inglés | MEDLINE | ID: mdl-32113496
5.
Br J Nurs ; 29(5): 303-307, 2020 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-32167821

RESUMEN

Humour is a centuries-old phenomenon studied by many disciplines. Social and personal identity play a role in the creation, recognition, understanding, appreciation and use of humour. This study, which used interpretative phenomenological analysis to explore preregistration nursing students' experiences of the use of humour in the UK clinical setting, highlights what affects the students' use of humour. The influence of sex, age, and culture and ethnicity on the participants' use of humour with patients and healthcare staff is evidenced and explored; the influence of sex did not strictly follow traditional expectations.


Asunto(s)
Relaciones Interprofesionales , Autoimagen , Estudiantes de Enfermería/psicología , Ingenio y Humor como Asunto , Adaptación Psicológica , Adulto , Competencia Clínica , Femenino , Humanos , Masculino , Reino Unido , Adulto Joven
6.
MMW Fortschr Med ; 162(3): 31, 2020 02.
Artículo en Alemán | MEDLINE | ID: mdl-32072536
7.
Clin Nurse Spec ; 34(2): 63-69, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32068634

RESUMEN

PURPOSE/OBJECTIVES: The hCATS (health Colleges Advancing Team Skills) to CPR (Cultivating Practices for Resilience) Camp was an interprofessional pilot program to promote resilience, introduce strategies for coping with stress, cultivate compassion, and promote work-life balance to prevent burnout among health profession students, faculty, and healthcare professionals who team to provide patient care. PROGRAM DESCRIPTION: The University of Kentucky (UK) College of Nursing received funding to partner with the UK Center for Interprofessional Health Education for immersive weekend activities utilizing KORU and Mindfulness Based Stress Reduction models, conducted by certified UK faculty experts in self-stewardship techniques such as mindfulness practices. OUTCOMES: Thirty-nine participants from 7 UK colleges and UK HealthCare participated in 4 distinct CPR Camps, completed program assessments, and created team projects. Mean scores from each cohort significantly increased in a retrospective pre/post analysis of student perception of knowledge in all of the following categories: (1) habits and practices for resilient people, (2) strategies for building resilience and preventing/coping with stress/burnout in self and others, and (3) work-life balance (with the exception of cohort 4, for work-life balance). Students indicated on open-response items specific strategies they were willing to adopt going forward. These outcomes met our objectives for developing participants' understanding of resilience practices and adopting useful stress reduction practices. Planning and implementation of team projects successfully brought different professions together to advance learning in resilience. CONCLUSION: The CPR Camp initiative is an effective model for promoting and sustaining resilience-building strategies among health profession students. Similar programming conducted and/or attended by academic and/or health system leaders, such as clinical nurse specialists, can help cultivate practices for resilience among the members of the interprofessional workforce, enabling teams to better cope with stress, prevent burnout, and ultimately improve team-based care delivery for patients and their families.


Asunto(s)
Relaciones Interprofesionales , Resiliencia Psicológica , Estudiantes del Área de la Salud/psicología , Adaptación Psicológica , Agotamiento Profesional/prevención & control , Femenino , Humanos , Masculino , Proyectos Piloto , Evaluación de Programas y Proyectos de Salud , Estrés Psicológico/psicología , Estudiantes del Área de la Salud/estadística & datos numéricos , Equilibrio entre Vida Personal y Laboral
8.
Compend Contin Educ Dent ; 41(2): 112-117, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32017588

RESUMEN

The purpose of impression-taking is to attain the accurate transfer of intraoral information for extraoral use. It is a crucial step in performing a successful dental implant restorative procedure. To accurately replicate the implant position for adaptation of an abutment that will completely engage with the implant, a pick-up impression is taken with an impression coping. Several factors can affect seating of the impression coping, including soft-tissue interference, the size of the impression coping, angulation, proximity or contact with adjacent teeth, damage to the coping, misfit caused by use of other manufacturers' parts, and differences between seating in an external- versus internal-connection implant. This article presents use of a novel verification guide that is intended to ensure complete seating of the impression coping with the implant.


Asunto(s)
Implantes Dentales , Técnica de Impresión Dental , Adaptación Psicológica , Materiales de Impresión Dental , Modelos Dentales
9.
Nephrol Nurs J ; 47(1): 67-98, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32083438

RESUMEN

Chronic kidney disease (CKD) diagnosis is often associated with stress, depression, and major lifestyle changes. The aim of this qualitative study was to explore patients' experiences of living with CKD. A non-random purposeful sampling strategy was used to recruit 10 patients with CKD undergoing hemodialysis, from a tertiary care hospital in Crete, Greece. Semi-structured, face-to-face interviews were conducted with open-ended questions aiming to assess different aspects of their life after CKD diagnosis. Four main themes were revealed portraying participants' experience, including facing a new reality, 2) confronting changes, 3) finding ways to cope, and 4) continuing life.


Asunto(s)
Adaptación Psicológica , Insuficiencia Renal Crónica/psicología , Grecia , Humanos , Investigación Cualitativa , Diálisis Renal , Insuficiencia Renal Crónica/diagnóstico , Insuficiencia Renal Crónica/terapia , Centros de Atención Terciaria
10.
West Afr J Med ; 37(1): 32-39, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32030709

RESUMEN

BACKGROUND: Priapism is a prolonged, painful penile erection common among males with Sickle Cell Disease (MWSCD) predisposing to erectile dysfunction (ED) when treatment is delayed. Unlike in women with sickle cell disease (SCD), there has been little attention to male reproductive health complications of SCD. OBJECTIVE: To investigate knowledge, experiences and coping mechanisms for priapism among MWSCD in Ibadan, Nigeria. METHODS: This descriptive cross-sectional study employed purposive sampling technique to select 95 consenting MWSCD attending haematology clinics in Ibadan for interview. A semi-structured, interviewer-administered questionnaire was used to collect information on knowledge, coping mechanisms, and experiences of priapism. Knowledge of priapism was measured and categorised as poor and good respectively. Psychosocial Experiences (PEs) were measured and categorised as mild, moderate and severe, while the Sexual Experiences (SEs) were recorded. Coping mechanisms for priapism were grouped into Medical, Psychosocial and Harmful coping mechanisms respectively. Data were analysed using descriptive statistics and Fishers' Exact test at p<0.05. RESULTS: Respondents' mean age was 23.6±8.8 years. Over half (55.8%) had good knowledge of priapism. Thirty-nine respondents (41.1%) had experienced priapism. Sexual Experiences reported include: total ED 10.3% and apathy for sexual intercourse 23.1%. Majority 30(76.9%) developed mild PEs especially fear of reoccurrence of priapism (56.4%) and sleeplessness (43.6%). The most used Medical Coping Mechanism (MCM) was cold shower (46.2%). There was no significant association between age and knowledge of priapism. CONCLUSION: Knowledge of priapism among respondents was good. Psychosocial therapy through appropriate health education, counseling and social support may help improve knowledge among people with SCD.


Asunto(s)
Adaptación Psicológica , Anemia de Células Falciformes/complicaciones , Conocimientos, Actitudes y Práctica en Salud , Priapismo/etiología , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Nigeria , Priapismo/psicología , Adulto Joven
11.
Int J Prosthodont ; 33(2): 169-175, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32069341

RESUMEN

PURPOSE: To investigate the long-term (up to 20 years) outcomes of customized post copings (PC) and to evaluate potential factors influencing the risk for complications. MATERIALS AND METHODS: Patients treated with PC-retained overdenture prostheses (OD) in a university setting were selected. Data collected included dental and periodontal parameters, periapical radiographs, and assessment of the OD design. Patient-reported satisfaction levels were evaluated using visual analog scales (VAS), and 20-year cumulative survival and success rates were calculated. RESULTS: A total of 73 patients with 81 ODs and 152 PCs were included. PC survival rate was 80.9%, and the success rate amounted to 64.5% after a mean observation period of 105.4 (± 67.9; range: 6 to 240) months. The 20-year cumulative PC rates were 91.5% for survival and 79.3% for success. Activation of matrices was more frequent with ball attachments than with cylindrical retention (odds ratio [OR] 0.43; 95% confidence interval [CI] 0.2 to 0.94; P = .034). Cylindrical retention was rated significantly better at 96% (interquartile range [IQR] 89.5% to 100%) compared to ball attachment at 88% (IQR 79% to 98.2%; P = .012). The risk for PC complications was higher for OD designs with coverage of the periodontal tissues compared to open designs (OR 0.34; 95% CI 0.15 to 0.78; P = .010). CONCLUSION: Customized PCs on natural abutment teeth for the retention of ODs are a valid treatment in partially dentate patients. Correct prosthesis design and integration into a regular dental hygiene program are mandatory factors for long-term success.


Asunto(s)
Implantes Dentales , Boca Edéntula , Adaptación Psicológica , Prótesis Dental de Soporte Implantado , Retención de Dentadura , Prótesis de Recubrimiento , Estudios de Seguimiento , Humanos
12.
Int J Prosthodont ; 33(2): 202-211, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32069345

RESUMEN

PURPOSE: To evaluate the amount of residual cement (ECL) around the margins of zirconia crown copings after careful luting and cleaning procedures and to investigate these factors in relation to two tested luting materials. MATERIALS AND METHODS: An experimental model of a maxillary arch was selected for this in vitro study. The maxillary first molar was prepared to receive an all-ceramic, single, full-crown restoration with a finish line located 1 mm below the artificial gingiva. After scanning of the prepared tooth, 20 paired zirconia coping-abutment assemblies were CAD/CAM fabricated. A slot in the model allowed for insertion and removal of the assemblies for each new test. Specimens were divided into two groups according to the cementation procedure: half (n = 10) were luted using a resin-modified glass-ionomer (RMGI) (Ketac-Cem Plus) (GI group), and the other half with a dual-curing self-adhesive resin agent (RelyX Unicem 2) (UN group). The substructures were loaded with cement, and a customized preseating device was adopted for preliminary reduction of excess. The zirconia copings were finally seated on their respective abutments located on the simulation model. A blinded investigator attempted to remove all excess cement with clinically available instruments. The amount of excess cement left in situ after cleaning procedures was weighed in grams. Dislodging forces of luted coping-abutment assemblies were obtained by using pull-off tests in a universal testing machine (crosshead speed of 0.5 mm/minute) after 24 hours of water storage. Means and standard deviations were calculated for ECL and for retention force values, and Mann-Whitney and ANOVA tests were carried out to detect significant differences (α = .05) among groups. RESULTS: Cement remnants were found in all specimens despite the cleaning procedures, with a typical distribution in interproximal areas. Mean ECL values for the GI and UN groups were 0.0079 ± 0.0060 and 0.0107 ± 0.0081, respectively. No statistically significant differences were found between tested cements (P = .3284). Removal stress values (MPa) were significantly higher (P = .0313) for the UN group (12.4 ± 6.5) than for the GI group (6.57 ± 4.69). CONCLUSION: Similar amounts of undetected cement remnants were discovered around the esthetic margins of zirconia crown copings regardless of cement type. The luting procedure using the self-adhesive resin cement provided significantly higher early retention values than the RMGI material.


Asunto(s)
Cementos Dentales , Retención de Prótesis Dentales , Adaptación Psicológica , Cementación , Coronas , Análisis del Estrés Dental , Estética Dental , Cementos de Ionómero Vitreo , Ensayo de Materiales , Cementos de Resina , Propiedades de Superficie , Circonio
13.
J Environ Manage ; 259: 109653, 2020 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-32072942

RESUMEN

Complex environmental issues are leading local governments to collaborate with non-governmental organizations (NGOs) in the urban environmental governance sphere. While previous studies have emphasized how the Chinese government engages NGOs in service contracting to meet rising service demands, they have not provided empirical evidence of the outcomes of these collaborations at a local level. Based on a mixed methods research design developed from May 2016 to February 2017 in Shanghai, the impact of Aifen, an environmental NGO, is assessed in the context of municipal solid waste management. A total of 400 questionnaires were completed. 200 questionnaires in 10 communities where Aifen developed its activities and 200 questionnaires in 10 communities where no environmental NGO activities were accomplished. The results show that a local government-NGO collaborative governance approach enhances public participation and respond to state decentralization and rising environmental issues in urban areas.


Asunto(s)
Conservación de los Recursos Naturales , Política Ambiental , Adaptación Psicológica , China , Gobierno , Humanos
14.
Medicine (Baltimore) ; 99(3): e18746, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32011456

RESUMEN

Converging evidence reveals the negative interpretation bias in anxiety. Given that anxiety is a severe psychological problem among Chinese military personnel, the present study examined whether high trait anxiety military personnel showed negative interpretation bias in real-world situations and whether their interpretations were influenced by self-relevance.The sample included 24 high trait anxiety (H-TA) and 22 low trait anxiety (L-TA) Chinese military servicemen. Participants completed 20 open-ended ambiguous scenarios by deciding how much they believed in the positive and negative ending of each sentence. The 20 scenarios were designed according to real life in military and half of them were self-relevant and the others were non-self-relevant.A 2(group) ×2(self-relevance) ANOVA of positive and negative endings revealed that compared to L-TA, H-TA believed more in negative continuations and less in positive continuations. Moderate correlations were found between samples' believes in positive and negative endings and their trait anxiety scores. Military personnel showed more positive interpretation biases in non-self-relevant scenarios than in self-relevant scenarios.These findings are the first to show interpretation bias in military situations, and interventional strategies to modify servicemen's interpretation bias could be designed according to military situations.


Asunto(s)
Trastornos de Ansiedad/psicología , Personal Militar/psicología , Adaptación Psicológica , Adolescente , Adulto , China , Humanos , Masculino , Pruebas Neuropsicológicas , Represión Psicológica
17.
Enferm. clín. (Ed. impr.) ; 30(1): 23-30, ene.-feb. 2020. tab
Artículo en Español | IBECS | ID: ibc-186280

RESUMEN

Objetivo: Nuestro objetivo es investigar la relación entre calidad de vida, síntomas psicopatológicos y formas de afrontamiento en el personal de enfermería en dos hospitales generales en Grecia. Método: Estudio transversal con 302 profesionales de enfermería de dos hospitales generales en Grecia realizado entre octubre y noviembre de 2015. La recopilación de los datos se realizó mediante tres cuestionarios: el cuestionario calidad de vida, versión breve (BREF) de la Organización Mundial de la Salud; el cuestionario de autoevaluación de Falk para la detección de posibles comorbilidades psiquiátricas, y la escala de formas de afrontamiento de situaciones estresantes. Resultados: De una muestra de 302 enfermeras, cuanto peor era la salud mental y física del personal de enfermería, más se deterioró su calidad de vida en todos los aspectos (físico, psicológico, social y ambiental) (p < 0,001; p = 0,047; p = 0,001). Además, mientras las puntuaciones en las estrategias de afrontamiento «enfoque positivo-reevaluación positiva», «enfoque positivo-solución de problemas» y «enfoque positivo (en general)» van aumentando, la puntuación en la escala general es cada vez menor; en concreto, la salud general de los empleados va mejorando. Conclusión: Las estrategias de afrontamiento, como el enfoque positivo, mejoraron la salud general de los profesionales de enfermería. Por el contrario, su salud mental se deterioró cuando adoptaron las estrategias ilusiones/ensueño y/o escape/evitación. Finalmente, como la salud general va empeorando, su calidad de vida se ve afectada en todas las dimensiones, mientras que la mala salud mental de las enfermeras se asoció con una menor calidad de vida con respecto a las dimensiones física y psicológica


Objective: Our aim was to investigate the relationship of quality of life, psychopathological symptoms and ways of coping of nursing staff in two General Hospitals in Greece. Method: This was a cross-sectional study of 302 nurses in two General Hospitals in Greece between October and November of 2015. Data collection was performed using three questionnaires: the World Health Organisation Quality Of Life BREF; the Falk Self-Reporting Questionnaire for the detection of possible psychiatric comorbidity, and the Ways of Coping Scale for Stressful Situations. Results: From a sample of 302 nurses, the poorer the mental and physical health of the nursing staff, the more their quality of life was impaired in all dimensions (physical, psychological, social and environmental) (P < .001, P = .047, P = .001). Also, while the scores in coping strategies "positive approach-positive reappraisal", "positive approach-problem solving" and "positive approach (overall)" rose, the score in the General Scale dropped; in other words, the employees' general health improved. Conclusion: Coping strategies such as positive approach, improved the nurses' general health. In contrast, their mental health deteriorated when they adopted the wishful thinking/daydream and/or the escape/avoidance strategies. Finally, as their general health worsened, their quality of life was impaired in all dimensions, whereas poor mental health of nurses was associated with lower quality of life in the physical and psychological dimensions


Asunto(s)
Humanos , Psicopatología , Calidad de Vida , Adaptación Psicológica , Personal de Enfermería/estadística & datos numéricos , Estrés Psicológico , Grecia , Estudios Transversales , Encuestas y Cuestionarios , Salud Mental
18.
BMC Public Health ; 20(1): 38, 2020 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-31924196

RESUMEN

BACKGROUND: Families resettling to the U.S. from conflict-affected countries in the Middle East and North Africa (MENA) face countless challenges. These families must cope with experiences of armed conflict and forced migration while also assimilating to a new society. According to the 'immigrant paradox,' time spent in a new country can compound the effects of migration and assimilation challenges and lead to deteriorated mental health. This study aims to assess the psychosocial wellbeing of MENA-born or first-generation adolescents attending school in the Detroit metropolitan area (DMA) to understand how schools, families, and communities play a role in supporting these adolescents' wellbeing. METHODS: The quantitative component of this mixed methods study will involve a self-administered survey with a sample of students whose responses will be linked to academic records and behavioral assessments. The survey will utilize validated instruments to measure depressive and anxiety symptoms (Hopkins Symptom Checklist-37A), hope (Children's Hope Scale), resilience (Child and Youth Resilience Measure-12), externalizing and prosocial behavior (Hopkins Symptom Checklist-37A, Strengths and Difficulties Questionnaire), school belonging (Psychological Sense of School Membership), and peer relationships (Multidimensional Scale of Perceived Social Support). Differences in outcomes will be analyzed across two strata: students born in the MENA region and first-generation students whose parents immigrated to the US from the MENA region. The qualitative component will involve semi-structured key informant interviews with parents, school administrators, educators, and mental health providers, and focus group discussions (FGDs) with a purposive sample of adolescents born - or whose parents were born - in the MENA region. The FGDs will include a participatory ranking activity where participants will be asked to free-list and rank ideas about how schools can better support students like them. Thematic content analysis will be conducted to identify common themes. DISCUSSION: This study will contribute evidence about the wellbeing of adolescents who come from - or whose parents come from - conflict-affected countries currently living in the U.S. Findings can be used to inform program and policy development to enable schools and their community partners to serve this population more effectively.


Asunto(s)
Conflictos Armados/psicología , Emigrantes e Inmigrantes/psicología , Trastornos Mentales/epidemiología , Refugiados/psicología , Apoyo Social , Aculturación , Adaptación Psicológica , Adolescente , África del Norte/etnología , Ciudades , Estudios Transversales , Emigrantes e Inmigrantes/estadística & datos numéricos , Familia/psicología , Femenino , Humanos , Masculino , Michigan/epidemiología , Medio Oriente/etnología , Investigación Cualitativa , Refugiados/estadística & datos numéricos , Instituciones Académicas , Estudiantes/psicología , Estudiantes/estadística & datos numéricos , Encuestas y Cuestionarios
19.
Psychol Aging ; 35(1): 20-27, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31985246

RESUMEN

Having 2 or more relatives involved in the informal care of people with dementia is frequent worldwide. There are, however, few comparisons of primary and secondary caregivers and even fewer of those who are caring for the same person. Our study aimed to contrast these 2 experiences of caregiving. We compared 2 related samples of 61 primary and 61 secondary family caregivers of the same persons with dementia in a nonrandomized cross-sectional study. Caregivers' main outcome assessments were the Zarit Burden Interview (for subjective burden), the General Health Questionnaire (for psychological distress), and the Positive Aspects of Caregiving scale. We controlled for caregiver variables (e.g., demographics, caregiving arrangements, social support, sense of coherence) and the neuropsychiatric symptoms of dementia. Subjective burden was higher in primary than secondary caregivers (p = .013), but positive aspects of caregiving did not differ (p = .150). Psychological distress was high at clinically relevant levels in primary and secondary caregivers, without statistically significant differences between groups (p = .456). The findings demonstrate that notwithstanding the difficulties faced by primary caregivers, secondary caregivers may also experience clinically significant distress. Therefore, their needs for assistance and support should be addressed more systematically. These findings call for systemic family-focused interventions in dementia that address the support each person provides or might provide, as well as the psychological distress each person may feel. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Cuidadores/psicología , Apoyo Social , Adaptación Psicológica , Anciano , Envejecimiento , Estudios Transversales , Demencia/psicología , Femenino , Humanos , Masculino
20.
Artículo en Alemán | MEDLINE | ID: mdl-31920179

RESUMEN

Cognition in children with social anxiety disorder experiencing stress Abstract. Empirical data on cognitions of children with social anxiety disorder (SAD) are inconclusive. Objective: The present study examines the significance of cognition in children with SAD. Method: Thirty children suffering from SAD and 30 control children free of diagnosis (HC) aged between 9 and 15 years took part in an experiment. Their cognition was assessed before, during, and after a stress-inducing social situation. The assessment method was a self-report measurement. Coping perception was also assessed. Results: Children with SAD did not report a higher level of negative or coping cognition than those in the HC group. An interaction was apparent on the positive cognition scale: Older children (11-12 or 13-15 years) with SAD reported less positive cognition than those in the HC group, and younger children with SAD (9-10 years) reported more than those in the HC group. No group differences were found for perceived coping. Conclusions: The findings are important to the cognitive model and for the psychological treatment of SAD in children.


Asunto(s)
Cognición , Fobia Social/complicaciones , Fobia Social/psicología , Estrés Psicológico/complicaciones , Adaptación Psicológica , Adolescente , Niño , Humanos
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