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The dissolution of the dyad in psychiatry: implications for the understanding of patient-therapist sexual misconduct.

Psychiatry has undergone multiple changes in this century. Some twenty years ago, Kubie describe a move away from patients, particularly in those practitioners involved in academic psychiatry. His concern was warranted; such a trend appears to have involved much of psychiatry. There has been a markedly decreased emphasis in viewing the operative unit of psychiatric inquiry as a dyad of the physician and patient, in which the parties inescapably influence each other. Newer treatments tend to employ the physician as a more independent entity that applies necessary treatment to the patient. Conco

Practitioners' Perspectives on Quality of Life in Aphasia Rehabilitation in Denmark.

OBJECTIVE: This study reports on Danish speech and language therapists' knowledge and understanding of quality of life (QoL) in aphasia, including therapists' views on education and training in relation to preparedness for working on QoL, use of measures, and barriers to applying QoL in practice. METHODS: Fourteen Danish clinicians completed a 48-item online questionnaire regarding their views, perspectives and practices that included multiple-choice questions, rating scales, and boxes permitting free text responses. Descriptive statistics were used to characterize the numerical data, and con

The profession of medicine: an integrated approach to basic principles.

OBJECTIVE: The University of South Florida College of Medicine developed and implemented an innovative three-week course entitled, "The Profession of Medicine: An Integrated Approach to Basic Principles" to introduce new medical students to topics and skills that are important to their successful study of medicine. Demonstrating the clinical relevance of the basic sciences, the importance of lifelong learning, and ethics and professionalism in medicine were emphasized. Basic physical examination techniques, searching the medical literature and evidence-based medicine, and study and computer sk…

Therapist awareness and responsibility in working with sexual offenders.

The article aims to address the ethical implications of therapist reactions to sexual offender treatment and, in doing so, increase awareness and understanding of the interaction between the clinician and the challenges of working with sexual offenders. The effects of providing psychological services in general, and to sexual offenders specifically, are reviewed, including the impact on services provided. Practice implications are also discussed as the authors consider the negative effects (e.g., burnout) that therapists experience due to treatment quality and the ethical issues and responsibi

Practical methods to embed culture in dental education.

Background Culture is dynamic and multifaceted, influencing patients' beliefs, behaviours, and experiences of healthcare. In dentistry, a co … across domains, including clinical knowledge, clinical/technical skills, interpersonal skills, and professionalism. Educational strategies include case-based learning, reflective practice, community engagement, and the use of lived-experience resources. These approaches help students recognise how culture and social context influence disease presentation, commun …

Africa's unpaid outbreak frontline workers: The political economy of community health worker neglect.

Community health workers (CHWs) in Africa perform indispensable functions across the outbreak response cycle. These include early case detec … rge. We argue that the evidence for CHW effectiveness is settled and that the policy frameworks for professionalism are in place. The principal remaining barrier is the political economy of global health security financing. The 2023 Monrovia Call to Action and 2023 Lusaka Agenda provide an actionable roadmap. The most tractable path to binding accountability is t …

Non-technical skills in the management of endoscopic adverse events.

Adverse events are an inherent risk of performing endoscopic procedures. Although the rate of serious adverse events during routine endoscop … clude communication, teamwork, situational awareness, leadership, judgment and decision making, and professionalism. Deficiencies in ENTS could potentially lead to endoscopy-related patient safety incidents. The aim of this review is to explore the key domains of ENTS and their relevance in the management of endoscopy-related adverse events. The review will addit …

Managing Fit at Work: Disclosure, Accommodation, and Affective Labour Among Gender Minoritized Young Adults with Disabilities.

Sexually and gender minoritized (SGM) young adults with disabilities navigate workplaces shaped by cisnormative, heteronormative, and ableist ideals of employability, professionalism, productivity and fit. However, little is known about how disability, sexuality and gender intersect in their employment experiences. Drawing on semi-structured interviews with 10 SGM young adults with disabilities aged 20 to 30 years in Canada, we examined how participants navigated employment, disclosure, accommodation, and workplace inclusion. Through intersectionality‑informed reflexive thematic analysis, we d…

Опыт лечения пациентов с множественным склерозом - качественное исследование.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Имеется обширный и расширяющийся объем знаний, касающихся методов лечения, позволяющих видоизменять заболевания (ДМТ), в результате множественных склерозов (МС) в отношении их воздействия, воздействия на функционирование и потенциальных побочных эффектов. Однако лишь в нескольких исследованиях были исследованы взгляды пациентов на их опыт работы с ДМТ в повседневной жизни. AIM: Изучение и описание опыта DMT в повседневной жизни пациентов с MS. МЕТОДЫ: Качественный дизайн был применен на основе полуструктурированных опросов восьми пациентов, имеющих MS на различных типах

Совпадение в аннотации оригинала
BACKGROUND: There is an extensive and growing body of knowledge regarding disease-modifying treatment (DMT) in multiple sclerosis (MS) regar … r the patients' perspectives on e.g., treatment preferences and procedures, social support, and the professionalism and expert-knowledge of MS care team professionals. The knowledge derived from this study may also inform the development of patient-reported experience- and outcome measures regarding daily life with DMT in MS.

Concatenated CNN-Based Pneumonia Detection Using a Fuzzy-Enhanced Dataset.

Pneumonia is a form of acute respiratory infection affecting the lungs. Symptoms of viral and bacterial pneumonia are similar. Rapid diagnosis of the disease is difficult, since polymerase chain reaction-based methods, which have the greatest reliability, provide results in a few hours, while ensuring high requirements for compliance with the analysis technology and professionalism of the personnel. This study proposed a Concatenated CNN model for pneumonia detection combined with a fuzzy logic-based image improvement method. The fuzzy logic-based image enhancement process is based on a new fu…

Practices and attitudes of herbalists regarding informed consent in Uganda: a qualitative study.

BACKGROUND: Informed consent (IC) is a fundamental principle in medical ethics that upholds respect for patient autonomy. Although widely ap … sent forms unnecessary, although they recognize the potential benefits of IC in fostering trust and professionalism. Challenges hindering IC implementation included regulatory gaps, inadequate skills, and the absence of mechanisms to protect the intellectual property rights of herbal medicine. CONCLUSION: This study illuminates how educational, cultural, familia …

Dealing with inappropriate-, low-quality-, and other forms of challenging peer review, including hostile referees and inflammatory or confusing critiques: Prevention and treatment.

Within the context of journal peer review, when high-quality referee input is coupled with appropriate editorial oversight from a journal's … journal leadership will gain a broader understanding of the standards of biomedical publication and professionalism.

Canadian residents' perceptions of cross-cultural care training in graduate medical school.

BACKGROUND: The Royal College of Physicians and Surgeons of Canada specifies both respect for diversity as a requirement of professionalism and culturally sensitive provision of medical care. The purpose of the present study was to evaluate the perception of preparedness and attitudes of medical residents to deliver cross-cultural care. METHODS: The Cross Cultural Care Survey was sent via e-mail to all Faculty of Medicine residents (approx. 450) in an academic health sciences centre. Comparisons were made between psychiatry residents, family medicine residents, and other residency groups with…

HIV, drugs and the legal environment.

A large body of scientific evidence indicates that policies based solely on law enforcement without taking into account public health and hu … lth sectors. HIV prevention efforts must partner with wider initiatives that seek to improve police professionalism, accountability, and transparency and boost the rule of law. Public health and criminal justice professionals can work synergistically to shift the legal environment away from one that exacerbates HIV risks to one that promotes safe and healthy comm …

Within-athlete association between morning on-track peak heart rate and same-day pre-performance salivary cortisol change under dry-track conditions: a multi-season single-case field study in a professional formula racing driver.

INTRODUCTION: Professional Formula racing often requires multiple high-stakes on-track sessions within the same competition day, creating a need to characterize pre-performance physiological state under field constraints. Salivary cortisol is a widely used marker of hypothalamic-pituitary-adrenal axis activity, but field-ready options for its immediate assessment during competition remain limited. Wearable heart-rate monitoring during on-track driving may provide an immediately available field signal reflecting composite cardiovascular load. This multi-season single-case field study examined t

Clearance of interstitial fluid (ISF) and CSF (CLIC) group-part of Vascular Professional Interest Area (PIA), updates in 2022-2023. Cerebrovascular disease and the failure of elimination of Amyloid-β from the brain and retina with age and Alzheimer's disease: Opportunities for therapy.

This editorial summarizes advances from the Clearance of Interstitial Fluid and Cerebrospinal Fluid (CLIC) group, within the Vascular Professional Interest Area (PIA) of the Alzheimer's Association International Society to Advance Alzheimer's Research and Treatment (ISTAART). The overarching objectives of the CLIC group are to: (1) understand the age-related physiology changes that underlie impaired clearance of interstitial fluid (ISF) and cerebrospinal fluid (CSF) (CLIC); (2) understand the cellular and molecular mechanisms underlying intramural periarterial drainage (IPAD) in the brain; (3)

Double-Blind, Randomized, Placebo-Controlled Phase III Clinical Trial to Evaluate the Efficacy and Safety of treating Healthcare Professionals with the Adsorbed COVID-19 (Inactivated) Vaccine Manufactured by Sinovac - PROFISCOV: A structured summary of a study protocol for a randomised controlled trial.

OBJECTIVES: To evaluate the efficacy of two doses of the adsorbed vaccine COVID-19 (inactivated) produced by Sinovac in symptomatic individuals, with virological confirmation of COVID-19, two weeks after the completion of the two-dose vaccination regimen, aged 18 years or older who work as health professionals providing care to patients with possible or confirmed COVID-19. To describe the occurrence of adverse reactions associated with the administration of each of two doses of the adsorbed vaccine COVID-19 (inactivated) produced by Sinovac up to one week after vaccination in Adults (18-59 yea

A call to action: A consensus statement on knowledge gaps and research priorities on the management of women with early onset type 2 diabetes in the preconception, pregnancy and postnatal periods: A report from the Diabetic Medicine Symposium at the Diabetes UK Annual Professional Conference, 2025.

AIMS: Research to inform, co-develop and evaluate optimal care for women with early-onset type 2 diabetes (EOT2D) before, during and after pregnancy is lacking. Informed by patient perspectives and the results of the James Lind Alliance priority-setting partnership in diabetes in pregnancy, we aimed to develop a consensus statement to guide future research efforts to meet the needs of women with EOT2D in the preconception, pregnancy and postnatal periods. METHODS: Results from three systematic reviews covering interventional, observational and qualitative studies were presented at the Diabete

Establishing Consensus on the Breakthrough Pain Assessment Questionnaire-Self Report (BTPAQ-SR) for Typically Developing Children and Young People (8-25 yrs) with Life-Limiting and Life-Threatening Conditions: An International e-Delphi Study of Expert Healthcare Professionals.

BACKGROUND/OBJECTIVES: Breakthrough pain (BTP) is commonly experienced by children and young people with life-limiting and life-threatening conditions. While over 50 tools exist for the assessment of breakthrough pain in adults, there is currently no standardised measure designed for use in paediatrics. To address this gap, the multi-phase BEACON clinical trial aims to develop the Breakthrough Pain Assessment Questionnaire (BTPAQ) for use with children and young people with life-limiting and life-threatening conditions aged 3 months to 25 years. The goal of the current study was to refine the