163,194 research outputs found

    [Report to Chief J. E. Curry, by an unknown author #1]

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    Report to Chief J. E. Curry, by an unknown author. The report contains a list of officers who gave depositions to the United States Attorney

    [Report to Chief J. E. Curry, by an unknown author #2]

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    Report to Chief J. E. Curry, by an unknown author. The report contains a list of officers who gave depositions to the United States Attorney

    Personalizing psychological treatment along the IBD journey: From diagnosis to surgery

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    Personalized medicine is becoming a widespread effort to provide the right treatment to the right patient at the right time. However, it lacks of consideration for nonmedical factors, such as patient preferences and psychosocial factors, that should not be avoided. The present study summarizes the psychosocial difficulties experienced by patients with inflammatory bowel disease (IBD) during different phases of the disease in order to identify methods to assess psychosocial risk factors and personalize treatment strategies. To reach this goal, the quantitative literature is matched with the patients' perspective, offering a broad overview of psychosocial risk factors that IBD patients experience. Quantitative results offer strong evidences for specific psychosocial risk factors in IBD and for weak results of psychosocial interventions, but show a lack of individually tailored researches, instruments and interventions, increasing the distance between the research findings and clinical practice. At the same time, qualitative findings show important, though veiled information uncovered by the quantitative research (e.g., identity recovery, fight for control, sexual concerns), which may be used as a starting point for further explorations. The present study suggests a need to adopt individualized therapeutic approach and deliver psychological therapies while taking into account patients' experiences and preferences

    The engagement in healthy ageing promotion scale: Development and validation

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    Purpose of the study: This article reports the development and Italian validation of a new self-report instrument (The Engagement in Healthy Ageing Promotion Scale) that assesses older people engagement in healthy ageing promotion and is grounded on an ecological operational definition of this phenomenon. Methods: 14 items were developed basing on a previously conducted qualitative study exploring older adults’ experiences and meanings of engagement in health promotion. Analyses were conducted on an Italian sample of 540 adults aged 60 years and older, randomly split into an exploratory (n = 308) and a confirmatory (n = 232) group. A final scale of 8 items was validated with confirmatory factor analyses. Concurrent and criterion validity of the final items were evaluated with measures of patient activation, readiness to change lifestyle and wellbeing. Results: Both exploratory and confirmatory factor analyses confirmed the one-factor structure of the eightitems scale, with a variance explained of 44% and an eigenvalue equal to 3.5. The fit values of the final model indicated a good model fit. Internal consistency of the scale was good, with a Cronbach’s Alpha equal to 0.81. Finally, concurrent and criterion validity revealed significant relationships with the patient activation construct (r = .401; p = .000), with the readiness to change lifestyle (r = .211; p = .000), and with older people’s wellbeing (r = .205; p = .000). Implications: The developed instrument can represent a useful tool to estimate the extent to which older citizens are engaged in health promotion activities, as well as to develop and evaluate interventions aimed to improve wellbeing and preventive behaviours of older citizens

    Quality of life in active surveillance and the associations with decision-making-a literature review

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    Several studies have been conducted on the quality of life (QoL) in men with low risk prostate cancer (PCa) who choose active surveillance (AS). While recent reviews have shown a lack of consistency among the available QoL-studies, a few key points have been identified, including decision-making (DM)- related issues and their potential effect on QoL. The importance of this theme has also been recently highlighted by the international task force of the European School of Oncology. However, to our knowledge, there are no studies that have specifically marshalled scientific knowledge on the association between DM and QoL among men with low-risk PCa undergoing AS. We performed a literature review to fill this gap, taking a systematic approach to retrieving and selecting articles that included both DM and QoL measures. Among the 272 articles retrieved, we selected nine observational, quantitative articles with both DM and QoL measures. The most considered DM aspects within these studies were decisional conflict and preference for the patient's role in the DM process, as well as health-related QoL aspects. The studies included 42 assessments of the relationship between an empirical measure of DM and an empirical measure of QoL. Among these assessments, 23 (55%) were both positive and significant. They mostly concerned the relationship between patient-related (decisional self-efficacy, decisional control and knowledge) and external (presence of social support, collaborative role within the DM process, and influence of different physicians) DM aspects, as well as the QoL after choice. The findings of these studies revealed key challenges to research and clinical practice related to DM and QoL in AS. These include adopting a person-centred perspective where clinicians, caregivers and their interactions are also included in evaluations and where the psychosocial existential experience of individuals within the DM and AS journey is considered. Much more attention needs to be paid to the DM process after diagnosis, as well as to all the other moments where patients may have to or want to review their decision. Healthcare professionals play a key role in enabling men to make informed decisions and to take care of their health and well-being during AS. There is still work that needs to be done in training healthcare professionals from different disciplines to work together in a model of shared DM and AS tailored to the needs of low-risk PCa patients and their family members

    Technologies for participatory wellbeing: A consumer health analysis of the ongoing scientific debate

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    The participatory health revolution is shaping consumers’ health behaviors that are increasingly influence by people’s desire to play an active role in promoting a positive life functioning. Technologies are addressing the emerging needs of the participatory health, as they favor a proactive users’ attitude. This chapter describes the results of a software-assisted quali-quantitative study aimed at exploring the scientific debate about technological interventions for wellbeing in the era of participatory health. Based on the study’s results, technologies for wellbeing in the participatory health era may be clustered depending on the “context of delivery,” on their degree of personalization,” and on their inner “conceptualization of positive interventions”. According to a consumer health engagement perspective, those technologies are not mutually exclusive but can coexist based on the specific wellness needs and health engagement expectations of their users

    Murder on the mountain: author talk with Peter J. Wosh

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    Author talk by Peter J. Wosh on May 5th, 2022, on his book, "Murder on the Mountain: crime, passion, and punishment in gilded age New Jersey.

    Mr. Melvin J. Collier, RWWL AUC, June 2011

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    This video is a conversation with Mr. Melvin J. Collier. Mr. Collier talks about his book, "From Mississippi to Africa: A Journey of Discovery". Daniel Le, AUC Woodruff Library, is the interviewer
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