Undesirable Experiences Research Articles

Analysis of aborted bariatric surgeries and potential opportunities.

Aborted bariatric surgeries are an undesirable experience for patients as they are subjected to potential physical harm and emotional distress. A thorough investigation of aborted bariatric surgeries has not been previously reported. This information may allow the discovery of opportunities to mitigate the risk of aborting some bariatric operations. Data from the Michigan Bariatric Surgery Collaborative, a statewide bariatric surgery registry, were used to identify all aborted primary bariatric operations from June 2006 through January 2023. The reasons for aborting surgery were divided into seven categories. Stepwise logistic regression was performed to identify independent predictors of aborted procedures for potentially modifiable factors. A total of 115,004 patients underwent bariatric surgery with 555 (0.48%) procedures aborted. Of those having an aborted operation the mean age was 52years and mean BMI was 49.8 with females accounting for 72%. Sleeve gastrectomy had the lowest aborted rate (0.38%) as compared to gastric bypass, adjustable gastric banding, and biliopancreatic diversion (p < 0.0001). The most common aborted surgery reason categories included adhesions and hernias, tumors and anatomic anomalies, and inadequate visualization due to either hepatomegaly or abdominal wall thickness. The most significant (p < 0.0001) independent predictors of aborted surgeries due to hepatomegaly or abdominal wall thickness were BMI ≥ 60 (OR 10.7), BMI 50 to 59 (OR 3.1) and diabetes mellitus (OR 2.7). Preoperative weight loss was a protective factor for aborting surgery due to hepatomegaly or abdominal wall thickness (OR 0.9; p < 0.0001). Aborted surgeries are uncommon and occur in approximately 1 in 200 primary bariatric operations with the lowest rate identified in sleeve gastrectomy. Nearly 20% of operations are aborted due to hepatomegaly or abdominal wall thickness and targeting patients with elevated BMIs and diabetes mellitus for preoperative weight loss might reduce the risk of these types of aborted procedures.

Therapeutic Effects of Capsaicin on Pain Management

Pain is an undesirable sensory experience that occurs from the noisome stimulus, it becomes a warning sign of an upcoming disease or existing disease thereby signaling immediate attention. There exists a variety of pharmacological and non-pharmacological methods to alleviate pain, with their own effects and impacts on health. The natural herb capsicum, used in most families as a spice is also found to have the therapeutic effects of for treating cardiovascular disorders, respiratory issues, gastrointestinal problems, urological disorders, cancer, diabetic peripheral neuropathy, obesity and pain reduction, especially in osteoarthritis and rheumatoid arthritis. It acts as a counter-irritant for various conditions like rheumatism, lumbago and neuralgia. It reduces pain by aiding in the depletion of substance-P and increases the activation of intracellular calcium by activating the calcium channel. The stimulation of transient receptor potential vanilloid 1 (TRPV1) causes effects like analgaesia, anti-infectious, anti-carcinogenic and antioxidant. It is permissible to use capsaicin in low concentrations such as in creams, lotions, gel patches and nasal sprays. High-concentration capsaicin is available in the form of oral formulations, intradermal, subcutaneous and intravenous. Capsaicin is mostly available in topical form, in many concentrations such as 0.025%, 0.0355%, 0.075% and 0.10%. It has been permitted to use capsaicin to the maximum concentration of 8%. Capsaicin is safe to use even in pregnancy, lactation, children and adolescents but is contraindicated for children less than 2 years old as well as for people with bleeding disorders..

Learning from Mistakes—Dental Students’ Learning Experiences from Adverse Clinical Events

Clinical training in the teaching practice is essential for developing patient-specific skills, yet the transition from preclinical to clinical training presents significant challenges for students. This study aimed to comprehend the challenges and issues faced by students at the onset of clinical training. It retrospectively investigated adverse events presented at the advanced dentistry course by third-year pre-doctoral students from classes 202A, 202B, and 202C during their initial ten months of clinical practice at the teaching institution. In this study, adverse events were defined as any undesirable experiences or incidents associated with a clinical treatment and administrative procedures. A total of 279 adverse events presented were categorized into eight disciplines: Treatment planning (TP), Operative (OP), Periodontics (PER), Endodontics (EN), Oral Surgery (OS), Fixed Prosthodontics (FP), Removable Prosthodontics (RP), and Patient Management (PM). The distribution of events was as follows: TP (11.5%), OP (17.7%), PER (13.1%), EN (6.9%), OS (6.2%), FP (24.2%), RP (5.0%), and PM (15.4%), with FP, OP and PM experiencing the highest rates of adverse events. The distribution pattern within the disciplines was consistent, and no statistical difference was observed. Across these disciplines, a lack of clinical skill competency was identified as a primary cause of adverse events. Other contributing issues included miscommunication, insufficient explanations to patients, a lack of administrative support, case complexity, and a deficit in diagnostic examinations and skills. The frequency of causes varied across the three classes, but no significant differences was noted in OP, FP and OS, in which over 80% of causes were related to clinical skill competency. Adverse events in clinical settings are frequent. Knowing these beforehand can aid students’ performance. Students should prepare thoroughly before clinical practice and understand common causes of errors. Educators should recognize the challenges inexperienced students encounter. Awareness of typical mistakes can enhance success in demanding clinical scenarios.

First-year accounting students' experiences adjusting chalenges to university life

The object of research: to explores the adjustment experiences to university life of first year accounting students.&#x0D; Investigated problems: Adaptation challenges, to the university environment which creates significant stress, affect retention, academic performance, and social demands of first year students – all academic and social integrations are major challenges for first year students.&#x0D; The main scientific results: The findings for the study revealed that first-year accounting students report encouraging and undesirable academic and social adjustment experiences respectively. Encouraging academic adjustment experiences related to the availability of support from departmental personnel from the faculty. Undesirable academic experiences included lack of time management, and workload and independence issues.&#x0D; The area of practical use of the research results: Encouraging social adjustment included, among others, the introduction of mentors to first years, as well as a wellness center; on the other hand, undesirable social adjustment highlighted independence and disintegration. The study further suggests that universities, through their student support services and faculties, should have in place support strategies, as well as a programme, which promote the interaction of first year students within their institutions throughout their first year of study.&#x0D; Innovative technological product: According to the findings, the study recommends coordinated methods to ensure that the first year's accountings receive full support in order to help them successfully adapt to and fit into the new environment. The introduction of electronic platforms that allow first-year stakeholders to organize students and interact with their lecturers and other support structures like mentors and supplemental instructors (SI) a few weeks before the official class sessions is promoted. Additionally, it might be recommended for the wellness center to host workshops for freshmen on time management, managing the workload at the institution, and how independence can occasionally work against a student's academic wellbeing.&#x0D; Scope of the innovative technological product: Students in their first year of accounting at one of South Africa's technical universities served as the study's respondents.

More to life than promotion: Self‐initiated and self‐resigned career plateaus

AbstractBeing on a career plateau is widely regarded as an undesirable career experience characterised by a lack of individual proactivity, ability, or opportunity for promotion. In this paper, we present an alternative view arguing that some employees may choose to plateau their careers and deliberately forego opportunities for hierarchical progression. Drawing on in‐depth interviews with 75 law enforcement officers in the US and Australia, we explore why they declined a promotion opportunity or elected not to apply for promotion. Drawing on social cognitive career theory, we develop a provisional taxonomy characterised by individual proactivity: self‐initiated and self‐resigned career plateaus. Specifically, we report how the decision to remain on either of these career plateaus is informed by either the low valence accorded to a promoted position or, paradoxically, the reduced self‐efficacy in navigating what is viewed as a flawed promotion system.

The effects of neuromuscular electrical stimulation on hospitalised adults: systematic review and meta-analysis of randomised controlled trials.

Neuromuscular electrical stimulation (NMES) is a treatment to prevent or reverse acquired disability in hospitalised adults. We conducted a systematic review and meta-analysis of its effectiveness. We searched MEDLINE, EMBASE, Cumulative Index to Nursing & Allied Health (CINAHL) and the Cochrane library. Inclusion criteria: randomised controlled trials of hospitalised adult patients comparing NMES to control or usual care. The primary outcome was muscle strength. Secondary outcomes were muscle size, function, hospital length of stay, molecular and cellular biomarkers, and adverse effects. We assessed risk of bias using the Cochrane risk-of-bias tool. We used Review Manager (RevMan) software for data extraction, critical appraisal and synthesis. We assessed certainty using the Grading of Recommendations Assessment, Development and Evaluation tool. A total of 42 papers were included involving 1,452 participants. Most studies had unclear or high risk of bias. NMES had a small effect on muscle strength (moderate certainty) (standardised mean difference (SMD) = 0.33; P < 0.00001), a moderate effect on muscle size (moderate certainty) (SMD = 0.66; P < 0.005), a small effect on walking performance (moderate certainty) (SMD = 0.48; P < 0.0001) and a small effect on functional mobility (low certainty) (SMD = 0.31; P < 0.05). There was a small and non-significant effect on health-related quality of life (very low certainty) (SMD = 0.35; P > 0.05). In total, 9% of participants reported undesirable experiences. The effects of NMES on length of hospital stay, and molecular and cellular biomarkers were unclear. NMES is a promising intervention component that might help to reduce or prevent hospital-acquired disability.

Male Adolescents with Mild Intellectual Disabilities: Normative Sexual Development and Factors Associated with Sexual Risks

This study aimed to (1) describe male mildly intellectually disabled (MID) adolescents’ general romantic and sexual development, education experience with topics on sexuality and relationships, and frequency of undesirable sexual behaviors and experiences; and (2) explore how sexuality related attitudes, self-esteem, sexual knowledge, and resilience to peer pressure link to MID male adolescents’ sexual and dating violence (SDV) perpetration, SDV victimization and sexual risk behavior. We used baseline data from a randomized controlled trial on a program for psychosexual health promotion and prevention of undesirable sexual experiences for MID male adolescents (N = 120, Mage = 15.03 years), assessed with self-report questionnaires. We examined cross-sectional associations with correlations and (logistic) regression analyses between sexuality-related attitudes, global self-esteem, sexual knowledge, and resilience to peer pressure with SDV perpetration, SDV victimization and behavioral intentions following sexual rejection. Results indicated that male MID adolescents were romantically and sexually active, and reported unsafe sex, 47.7% experienced SDV perpetration and 33.9% victimization. Positive attitudes towards dating violence were associated with having experienced both SDV perpetration and victimization, and more adherence to heterosexual double standards was related to more negative and fewer positive behavioral intentions upon sexual rejection. Participants who experienced SDV victimization had more sexual knowledge. Self-esteem and resilience to peer pressure were unrelated to SDV. Concluding, male MID adolescents are similarly sexually active to the general population but may need more guidance in the form of timely, tailored prevention and education. We provide concrete suggestions such as focusing on changing attitudes and practicing skills.

Use of Cognitive Enhancers among students of Nigerian Tertiary Institutions

Introduction: Nonmedical use of pharmaceutical cognitive enhancers PCE in Universities has been documented in several studies. However, there is paucity of research on this subject among Nigerian University students. This survey hopes to investigate the awareness, use and effect of PCE among undergraduate medical students of a Nigerian University.&#x0D; Materials and method: The study utilized self-administered questionnaire on the awareness and usage of PCE with respondents composed of 327 medical students at Delta State University, Nigeria.&#x0D; Results: The respondents have a male to female ratio of 1:0.85 with 99.1% being single. Those living on campus, off campus, family home and dual accommodation, accounted for 65.4%, 30.6%, 2.8% and 0.3% of the participants. In total, 81.7% of the participants are aware of PCE usage for academic purpose. Overall, 40.1% of the respondents reported using one or more of the PCE during the period considered. Caffeinated drinks and beverages, energy drinks, cigarette, marijuana, and Ginseng were used by 82.5%, 50.4%, 3.1%, 1.5% and 1.5% of the users respectively. The motivation for using both caffeinate beverages and energy drinks are for increased study time, concentration and alertness. The more frequent periods of use are during examination period and personal study time. Most of these PCE are self-purchased and choice of usage are mainly influenced by friends. Both set of users reported insomnia, headache, palpitation, dizziness and fatigue as undesirable experience. Among the respondents, 45% are interested in using PCE if there are no undesirable effects; 30% rejected such, while the rest are indifferent.&#x0D; Conclusion: Our survey showed significant association between the age, male gender and academic level and the usage of PCE. Our respondents used mainly caffeinated beverages and energy drink. Their choice of PCE is strongly influenced by peer pressure and the motivations are mainly to boost studying time, concentration and alertness.

Patient Perceptions of Prenatal Cannabis Use and Implications for Clinicians.

To understand pregnant patients' reasons for prenatal cannabis use and perceptions of safety, desired and undesirable health care experiences, and desired information about prenatal cannabis use and secondarily to understand racial differences in these perceptions and preferences. We conducted a qualitative study including 18 semi-structured, race-concordant virtual focus groups with pregnant individuals who self-reported cannabis use at prenatal care entry in a large integrated health care system in Northern California from November 2021 to December 2021. The focus groups included semi-structured questions that were recorded, transcribed, and coded by the research team. Thematic analysis was used to analyze the data. Overall, 53 participants were included; 30 self-identified, as White and 23 self-identified as Black. Participants averaged 30.3 years of age (SD 5.2 years) and were on average at 20.9 weeks of gestation at study enrollment; 69.8% reported daily cannabis use, 24.5% reported weekly cannabis use, and 5.7% reported monthly or less cannabis use at entrance to prenatal care. Although some participants quit cannabis use in early pregnancy because of concerns about potential health risks, many perceived a lack of scientific evidence or believed that prenatal cannabis use was safe. Many preferred cannabis to over-the-counter or prescription medications for treating mood, morning sickness, pain, and sleep. Participants valued open interactions with obstetricians that acknowledged their motivations for use, and they desired information about potential risks through conversations and educational materials. White and Black participants' perspectives were generally similar, but a few Black participants uniquely described concerns about racial bias related to their prenatal cannabis use. Pregnant patients used cannabis to manage mood and medical symptoms, and many believed that prenatal cannabis use was safer than the use of prescription medications. Obstetrician-initiated, patient-centered conversations around prenatal cannabis use, advice to discontinue cannabis use during pregnancy, and exploration of willingness to switch to medically recommended interventions for pregnancy-related symptoms may benefit patients.

Social Impact of Multicultural Education on Indigenous Secondary Learners of Caraga Region

This study aimed to investigate the social impact of multicultural education on Higaonon, Mamanwa, and Manobo secondary school learners of the Caraga Region. This study utilized a mixed method of research, particularly convergent parallel design, with a researcher-made questionnaire and a semi-structured interview. Three hundred twelve (12) participants consisting of one hundred (100) Higaonon, one hundred sixty (160) Manobo, and fifty-two (52) Mamanwa students answered the survey questionnaires. Findings revealed that Multicultural Education has a high impact on the attitudes, beliefs, and practices of indigenous learners. By engaging in multicultural education, learners learn to accept their own culture, which helps to enhance self-knowledge and self-development. Through multicultural education, indigenous learners have learned to appreciate and respect others despite cultural differences. Moreover, findings showed multicultural education had improved the communication skills of indigenous learners; these learners were able to meet and make new friends with non-indigenous learners. However, indigenous learners experienced bullying, which made them feel unwelcome and unrespected. IP learners claimed that poverty, dealing with IP learners, and bullying are the difficulties they have encountered in school. IP learners have learned how to use cellular phones and adapt to the latest music, fashion, and social media trends. Results have shown that multicultural education promotes and has instilled the importance of education among indigenous learners. Higaonon and Manobo learners, however, asserted that IP-related cultural activities were limited only to Music, Arts, Physical Education, and Health (MAPEH) lessons, whereas Mamanwa learners claimed that no culture-related activities were conducted in school. Based on such findings, a proposed plan of action was made to solve the issues involving the impact and the undesirable experiences of the Caraga Region IP learners while enrolled in a multicultural education setting.&#x0D;

Trajectories of self-reported pain-related health outcomes and longitudinal effects on medication use in rheumatoid arthritis: a prospective cohort analysis using the Australian Rheumatology Association Database (ARAD)

ObjectiveTo determine distinct trajectories of self-reported pain-related health status in rheumatoid arthritis (RA), their relationship with sociodemographic factors and medication use.Methods988 Australian Rheumatology Association Database participants with RA (71% female,...

Experiences of healthcare personnel with death in the neonatal intensive care unit: a systematic review of qualitative studies

ObjectiveTo synthesise evidence from qualitative studies on the experiences of healthcare personnel (HCP) in the neonatal intensive care unit (NICU) caring for dying neonates.MethodsWe conducted a systematic search, in accordance...

A STUDY ON CHALLENGES OF NURSING STUDENTS IN THE CLINICAL LEARNING ENVIRONMENT OF SELECTED COLLEGE OF NURSING, LUDHIANA, PUNJAB.

inical skills are essential and important component in nursing career. Clinical learning environment is a combination of physical, psychological, emotional and spiritual factors which affect the student nurses' clinical skills and growth. Aim:To explore the challenges of the nursing students in the clinical learning environment. Methodology:Aqualitative approach with phenomenological research design was used to assess the challenges of nursing students in the clinical learning environment. Data was collected from a sample of 12 students of B.Sc.(N) 4th year of DMCH College of Nursing, Malakpur, Ludhiana. Sample was collected according to principle of redundancy using non- probability convenience sampling technique. Semi-structured interview guide and audio recorder were used to collect data. The challenges faced by nursing students were assessed by in-depth interview. Analysis was done using thematic analysis and descriptive statistics. Results: The study revealed that majority (50 %) of the nursing students were of age 21 years with mean age ± SD of (20.83±0.718), (83.4%) were female, (58.4%) were Sikh, (66.6%) belonged to nuclear family,(83.4%) actual clinical attendance was up to 96-100%, (66.6%) obtained 70-79% marks in their academic performance, (50%) preferred nursing as 1st professional preference, for (41.6%) of the students, the source of motivation for choosing nursing profession was self and parents and (75%) of their family members didn't belong to nursing profession. The data was grouped under 09 main themes i.e.: barriers in clinical learning environment, ineffective planning of clinical experience, ineffective communication, inadequate readiness, psychological response, traditionalism in clinical practice, lack of professional approach, welfare defect and insufcient exposure and these themes were grouped into various subthemes. Conclusion: The results obtained in this study showed that there were undesirable experiences of nursing students in the clinical learning environment. While considering the role of clinical practice in the development of personal and professional skills of nursing students, the results of this study could be helpful in quality improvement in the clinical learning environment. The study aimed to explore the challenges of the nursing students in the clinical learning environment. A qualitative approach with phenomenological research design was used in the study. Data was collected from a sample of 12 students of B.Sc.(N) 4th year of DMCH College of Nursing, Malakpur, Ludhiana. Sample was collected according to principle of redundancy using non- probability convenience sampling technique. Semi-structured interview guide and audio recorder were used to collect data. The challenges faced by nursing students were assessed by in-depth interview. Analysis was done using thematic analysis and descriptive statistics. Results were grouped under 09 main themes i.e.: barriers in clinical learning environment, ineffective planning of clinical experience, ineffective communication, inadequate readiness, psychological response, traditionalism in clinical practice, lack of professional approach, welfare defect and insufcient exposure and these themes were grouped into various subthemes

Prevalence and factors associated with disrespect and abuse among women who delivered in a University Teaching Hospital in Nigeria

To determine the prevalence and factors associated with disrespect and abuse during childbirth among women who delivered in a University Teaching Hospital using a validated tool. This was a cross-sectional study conducted at the Department of Obstetrics and Gynecology, University of Benin Teaching Hospital. Participants included women who presented for the 6-week postnatal visit. The primary outcome was the experience of disrespect and abuse by the women in any of the thematic domains in the tool, namely friendly care, abuse-free care, timely care, discrimination-free care, abandonment, and non-consented care. In all, 200 participants were enrolled in the study. The prevalence of disrespect and abuse among the study population was 36.5%. Verbal abuse and untimely care were the commonest (15.5%). Nurses were mostly the perpetrators of disrespect and abuse. Maternal age, parity, and marital status among others were not significantly predictive of disrespect and abuse by respondents. Disrespect and abuse from health workers during childbirth is a prevalent problem among women who delivered in the hospital. This undesirable experience of childbirth needs to be addressed by stakeholders in maternal health.

The relationship between clinical perfectionism and nonsuicidal self-injury: The roles of experiential avoidance, self-esteem, and locus of control.

Perfectionism is linked to nonsuicidal self-injury (NSSI). Individuals with elevated perfectionism tend to avoid undesirable emotions and experience lower self-esteem, which are associated with NSSI. However, it is unclear if these mechanisms explain the link between clinical perfectionism and NSSI, and if locus of control is involved. We aimed to explore whether experiential avoidance and self-esteem would mediate the relationship between clinical perfectionism and NSSI, and if locus of control would moderate links between clinical perfectionism and both experiential avoidance and self-esteem. As part of a larger study, 514 Australian university students (Mage = 21.15 years, SD = 2.40; 73.5% female) completed an online survey of NSSI, clinical perfectionism, experiential avoidance, self-esteem, and locus of control. Clinical perfectionism was associated with NSSI history, but not with recent NSSI or past year NSSI frequency. Lower self-esteem, but not experiential avoidance, mediated links between clinical perfectionism and NSSI history, recent NSSI, and NSSI frequency. More external locus of control was associated with NSSI, experiential avoidance, and lower self-esteem, but locus of control did not moderate pathways between clinical perfectionism and experiential avoidance or self-esteem. University students reporting elevated clinical perfectionism may have a tendency to experience lower self-esteem which is associated with NSSI history, recency, and severity.

Psychological Inflexibility in Depression with Psychotic Features: A Case Report

IntroductionMajor depressive disorder (MDD) is a mood disorder that can last for weeks or even months, in which there is a depressed mood accompanied by anxiety, in addition to negative changes in cognitive functions, psychomotor movement and vegetative functions. Depression with psychotic features is a psychiatric syndrome that progresses with delusions as well as severe symptoms such as psychomotor retardation or agitation, depressive ruminations, deterioration in cognitive functions, and confusion. Compared to the subtypes without psychotic features, the symptoms are more severe, the age of onset is earlier, and the duration of the disease is longer. Feelings of guilt, worthlessness and suicidal thoughts and attempts at suicide are more common. The risk of exacerbation is greater. Diagnosis of bipolar disorder and schizophrenia is more common in first-degree relatives of these patients.ObjectivesAn 18-year-old female patient with somatic delusions and psychotic persistence that started after a sexual trauma and persisted for 1 month was consulted after organic exclusions were made. It is understood from the anamnesis that the patient had a manic episode about 6 months ago and that his mother was followed up with a diagnosis of bipolar disorder. The patient’s current clinical picture was evaluated as depression with psychotic features, and after hospitalization, the treatment was adjusted as fluoxetine 20 mg/g, olanzapine 5 mg/g, and lithium 900 mg/g. Self as context, cognitive defusion and acceptance interventions were applied to the patient.MethodsWhen the Cognitive Fusion Questionnaire(CFQ), Self-as-Context Scale(SACS), Acceptance and Action Questionnaire(AAQ-II) completed by the patient during hospitalization and in remission periods were compared, it was observed that there was a significant regression in the patient’s psychological inflexibility during the period of remission. Written informed consent was obtained from the patient whose clinical picture was presented in order to contribute to the scientific literature.ResultsDepression with psychotic features is another clinical picture in which psychological inflexibility increases, and it has been observed that interviews to increase psychological flexibility during the treatment process contribute positively to the treatment process. For this reason, the contribution to the healing process can be better clarified in further studies on interventions to increase psychological flexibility applied in addition to pharmacological treatments.Image:ConclusionsPsychological inflexibility is an effort to control a person’s emotion, thought, behavior or experience in a dysfunctional way in the face of an undesired experience. It has been seen in studies conducted in recent years that; There is a significant positive correlation between high psychological inflexibility and somatization, depression, anxiety and other psychological disorders.Disclosure of InterestNone Declared

A qualitative study on stress, coping strategies and feasibility of music intervention among women with cancer receiving chemotherapy during COVID-19 pandemic in Vietnam

Breast and gynaecological cancer (BGC) patients receiving chemotherapy may experience high levels of stress during the COVID-19 pandemic. Music interventions may be effective in lowering their stress levels. This study explored stressors, coping strategies, and the feasibility of music interventions among BGC patients in Vietnam. An exploratory qualitative study with individual face-to-face semi-structured interviews was conducted. A convenience sample of BGC patients receiving chemotherapy was recruited from the oncology centre of a public hospital in Vietnam. Twenty patients were interviewed with open-ended questions developed based on the transactional model of stress and coping to explore stress-causing factors and coping strategies and based on guidelines for music therapy practice to explore their music preferences and perceptions. Field notes and interview transcripts were analysed following the qualitative content analysis approach. Two stressor themes were identified: undesirable experiences during treatment and patients’ inability to fulfil their own roles and responsibilities. Our findings revealed a new coping strategy—self-realisation of responsibilities towards the family—that is not listed in the transactional model of stress and coping. Future psychological interventions for stress management among BGC patients should focus on raising the patients’ awareness of their values and responsibilities towards their families. Three categories of preferred music genres for stress reduction were identified: religious, softly melodic, and revolutionary music. The patients were aware of the positive effects of music and had different musical preferences. This study also explored the acceptance of music interventions and facilitators and barriers to implementing them among BGC patients in Vietnam. The findings suggest that before implementing music interventions, the musical preferences, religions, and beliefs of each individual should be considered to achieve desirable results. Music interventions for BGC patients receiving chemotherapy in Vietnam are feasible. Further intervention studies are needed to evaluate their effectiveness.

The Social Construction of Dementia: Implications for Healthcare Experiences of Caregivers and People Living with Dementia.

Globally, systems have invested in a variety of dementia care programs in response to the aging population and those who have been diagnosed with dementia. This study is a qualitative secondary analysis of interview data from a larger study investigating stakeholder perceptions of programs that support caregivers and people living with an Alzheimer's Disease or Alzheimer's Disease-related dementia (AD/ADRD) in five North American jurisdictions. This study analyzed interviews with individuals living with an AD/ADRD and caregivers of individuals living with an AD/ADRD (n = 11). Thematic analysis was conducted to understand how the perception of dementia may have shaped their engagement and experience with healthcare systems. Our analysis resulted in three main themes of care users' experience: (i) undesirable experience owing to the overarching negative shared understanding and stereotyping of dementia; (ii) dismissal throughout disease progression when seeking health and social care support; and (iii) dehumanization during care interactions. The findings carry critical social and clinical implications, for example, in informing person-centered approaches to care, and communication tools clinicians can use to enhance provider, patient, and caregiver well-being.

What respiratory physicians should know about parasomnias.

To understand the common features of NREM and REM parasomnias.To differentiate between the causes of motor behaviours during sleep.To discuss the treatment approach for NREM and REM parasomnias.

How and why adults use cannabis during physical activity

BackgroundWith increased legalization of cannabis, users are combining cannabis with exercise. The purpose of this study is to understand how and why people use cannabis when participating in physical activity.MethodsA convenience sample of cannabis users participated in an anonymous online survey created by the authors regarding exercise habits while under the influence of cannabis, perceived benefits, unanticipated experiences related to cannabis and exercise, and demographics.ResultsOne hundred thirty-one respondents (18–55 years) were eligible and began the survey. Nearly 60 physical activities under the influence of cannabis were reported. The most frequently reported modes of exercise included hiking (60%), yoga (58%), and aerobic machines (50%). The primary reasons for using cannabis before exercise were “helping to focus/concentrate” (66%), “helping enjoy the exercise experience” (65%), and “enhancing mind-body-spirit connection” (65%). Thirty-three participants reported “yes” or “maybe” regarding having an experience they “didn’t anticipate or desire while exercising under the influence of cannabis.”DiscussionParticipants’ reasons for exercising with cannabis span the physiological, psychological, neuromotor, and even spiritual domains. However, some reported an undesired experience when pairing cannabis with exercise. While this was an online survey with a small sample size, our results agree with and contribute to the growing research investigating cannabis use and physical activity participation.ConclusionWe found considerable heterogeneity in types of physical activity participation under the influence of cannabis, as well as perceived benefits of use. This study provides directions to further explore the risks and benefits of combining cannabis with physical activity.