Towards an Agency-based Model of Intersexuality, Variations of Sex Characteristics, and DSD Health

ConclusionsAgency-based approaches to the health of intersex people and those with differences of sex development (DSD) focus on bodily autonomy and the cessation of normalising medical interventions until an under-age person can exercise fully informed choice regarding treatment. These approaches can be useful in incorporating the social model's critique of the pathologisation of bodily diversities, whilst supporting the provision of effective healthcare where needed.
Source: The European Journal of Public Health - Category: General Medicine Source Type: research

Related Links:

Conclusions/Implications for Practice In this study, the individualized educational program was shown to be effective in helping alleviate symptoms in patients with chronic low back pain, decrease daily living disability, and improve average back muscle strength. It was further demonstrated that following up with expert medical staffs can motivate patients to incorporate the recommendations of the program into their daily routine, leading to higher patient satisfaction.
Source: Journal of Nursing Research - Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research
Compared with racism and sexism, classism in pain assessment and management practices (PAMPs) has been less investigated, and its mediating mechanisms are still unknown. Drawing on a social psychological model of dehumanization, this research aimed to test (1) the effect of patient socioeconomic status (SES; a proxy of social class) on PAMPs and (2) whether patient dehumanization and perceived life hardship mediated these effects. Two online experimental studies were conducted, in which patient SES was manipulated (low vs high) within-subjects. One-hundred sixty-two female medical students (study 1) and 105 female nurses (...
Source: Pain - Category: Anesthesiology Tags: Research Paper Source Type: research
Last week I described some of the reasons for using a case formulation approach when working through initial assessment information, and today I’m going to describe one approach for organising a formulation. This is the “4 P” formulation, and it’s one that’s often used in mental health (Bolton, 2014). In the 4 P model, there are four questions to ask yourself: Preconditions – Why is this person vulnerable to this problem?Precipitating factors – Why now? This can mean “why is this person having symptoms now?” or “why is this person presenting to this person ...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Assessment Chronic pain Clinical reasoning Pain conditions Professional topics Research Science in practice biopsychosocial case formulation Occupational therapy pain management Therapeutic approaches Source Type: blogs
CONCLUSIONS: CSI-Ar showed an internal consistency, test-retest reliability, and validity that are comparable to similar studies. The results support the use of CSI-Ar in assessing chronic pain in Arabic-speaking population.Implications for rehabilitationCentral sensitization (CS) mechanisms are thought to contribute to chronic pain.Identifying the presence of CS would personalize management.The Central Sensitization Inventory (CSI) is a valid and reliable tool to aid in identifying symptoms associated with CS.The Arabic version of the CSI is valid and reliable to use in Arabic speaking patients suffering from chronic pain...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Source Type: research
This comprehensive clinical guideline addresses pain issues that arise in care of patients commonly seen in post-acute and long-term care settings, including very old and frail individuals with multiple chronic medical and psychiatric conditions, short-stay patients needing posthospitalization care, and younger adults with chronic diseases and disabilities. Its sections proceed along the steps of the clinical process, and hence include pain definition, recognition, and assessment; diagnosis and cause-effect analysis; identification of care objectives; selection of interventions from the wide range or potential options, inc...
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Tags: Special Article Source Type: research
This study compared the effects of cognitive behavioural therapy and core stabilization exercise on pain-related disability, psychological status and sleep disturbance in patients with NSCLBP.
Source: Physiotherapy - Category: Physiotherapy Authors: Tags: P179 Source Type: research
Purpose: Fibromyalgia (FM) is a complex long-term condition affecting up to 5.4% of the UK population. It is associated with chronic widespread pain, fatigue, stiffness, sleep problems, memory and concentration difficulties, and irritable bowel syndrome. FM can cause high levels of disability, with individuals making frequent use of healthcare resources, and experiencing loss of workdays. Current guidelines for the treatment of FM all recommend non-pharmacological interventions, of which cognitive behaviour therapy (CBT), aerobic exercise, warm water therapy, relaxation and patient education are the best evidenced.
Source: Physiotherapy - Category: Physiotherapy Authors: Tags: O056 Source Type: research
Pain Physician. 2021 Dec;24(8):E1205-E1218.ABSTRACTBACKGROUND: Chronic pain is a leading cause of disability. Radiofrequency denervation (RFD) is effective when performed according to guidelines for patients with correctly diagnosed zygapophyseal joint pain (ZJP). However, the cost-effectiveness of this method has not been fully explored.OBJECTIVE: The aim of this study was to analyze whether RFD is cost-effective for ZJP from a societal perspective.STUDY DESIGN: Cost effectiveness study based on an observational study.SETTING: An interventional pain management clinic in central Sweden.METHODS: Patients - This cost-effecti...
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
Cochrane Database Syst Rev. 2021 Nov 16;11:CD013647. doi: 10.1002/14651858.CD013647.pub2.ABSTRACTBACKGROUND: Multiple sclerosis (MS) is a chronic immune-mediated disease of the central nervous system, with an unpredictable course. Current MS therapies such as disease-modifying therapies focus on treating exacerbations, preventing new exacerbations and avoiding the progression of disability. Siponimod (BAF312) is an oral treatment, a selective sphingosine-1-phosphate (S1P) receptor modulator, for the treatment of adults with relapsing forms of MS including active, secondary progressive MS with relapses.OBJECTIVES: To assess...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Source Type: research
CONCLUSION: cNLBP participants had altered muscle activation strategy to maintain postural stability in response to perturbation. This study further discovered that pain-related disabilities of cNLBP participants were likely related to the APAs capacity, whereas the pain intensity may relate to the CPAs capacity. Pain and disability may therefore be related to the control process of the posture-related muscles.PMID:34765050 | PMC:PMC8577937 | DOI:10.1155/2021/9054152
Source: Pain Research and Management - Category: Anesthesiology Authors: Source Type: research
More News: Child Development | Children | Chronic Pain | Disability | General Medicine | Grants | International Medicine & Public Health | Italy Health | Men | Pain | Pain Management | Sports Medicine | Switzerland Health