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"title": "Actors, patients and agency: a recent history", "creators": [ { "creatorType": "author", "firstName": "David", "lastName": "Armstrong" } ], "abstractNote": "This article examines the history of patients' behaviour since the middle of the 20(th) century. It describes a number of strategies that have served to encourage patients to exercise increasingly autonomous behaviour. The effect has been to instil a sense of agency in previously passive patients.", "publicationTitle": "Sociology of Health & Illness", "publisher": "", "place": "", "date": "Feb 2014", "volume": "36", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "163-174", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Sociol Health Illn", "DOI": "10.1111/1467-9566.12100", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1467-9566", "archive": "", "archiveLocation": "", "shortTitle": "Actors, patients and agency", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 24372176", "tags": [ { "tag": "History, 19th Century", "type": 1 }, { "tag": "History, 20th Century", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Patient Compliance", "type": 1 }, { "tag": "Patients", "type": 1 }, { "tag": "Personal Autonomy", "type": 1 }, { "tag": "Sick Role", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2015-05-27T11:18:26Z", "dateModified": "2015-05-27T11:18:26Z" } }, { "key": "43G77W7V", "version": 171, "library": { "type": "group", "id": 264015, "name": "Organisations analyse", "links": { "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/264015/items/43G77W7V", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse/items/43G77W7V", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/264015/items/I7XN8U6Q", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1833129, "username": "Mariemy", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/mariemy", "type": "text/html" } } } }, "data": { "key": "43G77W7V", "version": 171, "parentItem": "I7XN8U6Q", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-05-27T11:15:19Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/22450380", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-05-27T11:15:19Z", "dateModified": "2015-05-27T11:15:19Z" } }, { "key": "I7XN8U6Q", "version": 171, "library": { "type": "group", "id": 264015, "name": "Organisations analyse", "links": { "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/264015/items/I7XN8U6Q", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse/items/I7XN8U6Q", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1833129, "username": "Mariemy", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/mariemy", "type": "text/html" } } }, "creatorSummary": "Hood and Flores", "parsedDate": "2012-09-15", "numChildren": 1 }, "data": { "key": "I7XN8U6Q", "version": 171, "itemType": "journalArticle", "title": "A personal view on systems medicine and the emergence of proactive P4 medicine: predictive, preventive, personalized and participatory", "creators": [ { "creatorType": "author", "firstName": "Leroy", "lastName": "Hood" }, { "creatorType": "author", "firstName": "Mauricio", "lastName": "Flores" } ], "abstractNote": "Systems biology and the digital revolution are together transforming healthcare to a proactive P4 medicine that is predictive, preventive, personalized and participatory. Systems biology - holistic, global and integrative in approach - has given rise to systems medicine, a systems approach to health and disease. Systems medicine promises to (1) provide deep insights into disease mechanisms, (2) make blood a diagnostic window for viewing health and disease for the individual, (3) stratify complex diseases into their distinct subtypes for a impedance match against proper drugs, (4) provide new approaches to drug target discovery and (5) generate metrics for assessing wellness. P4 medicine, the clinical face of systems medicine, has two major objectives: to quantify wellness and to demystify disease. Patients and consumers will be a major driver in the realization of P4 medicine through their participation in medically oriented social networks directed at improving their own healthcare. P4 medicine has striking implications for society - including the ability to turn around the ever-escalating costs of healthcare. The challenge in bringing P4 medicine to patients and consumers is twofold: first, inventing the strategies and technologies that will enable P4 medicine and second, dealing with the impact of P4 medicine on society - including key ethical, social, legal, regulatory, and economic issues. Managing the societal problems will pose the most significant challenges. Strategic partnerships of a variety of types will be necessary to bring P4 medicine to patients.", "publicationTitle": "New Biotechnology", "publisher": "", "place": "", "date": "Sep 15, 2012", "volume": "29", "issue": "6", "section": "", "partNumber": "", "partTitle": "", "pages": "613-624", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "N Biotechnol", "DOI": "10.1016/j.nbt.2012.03.004", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1876-4347", "archive": "", "archiveLocation": "", "shortTitle": "A personal view on systems medicine and the emergence of proactive P4 medicine", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 22450380", "tags": [ { "tag": "Delivery of Health Care", "type": 1 }, { "tag": "Health Information Systems", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Individualized Medicine", "type": 1 }, { "tag": "Preventive Medicine", "type": 1 }, { "tag": "Social Medicine", "type": 1 }, { "tag": "Systems Biology", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2015-05-27T11:15:19Z", "dateModified": "2015-05-27T11:15:19Z" } }, { "key": "8TP3MN9S", "version": 170, "library": { "type": "group", "id": 264015, "name": "Organisations analyse", "links": { "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/264015/items/8TP3MN9S", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse/items/8TP3MN9S", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1833129, "username": "Mariemy", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/mariemy", "type": "text/html" } } }, "creatorSummary": "Smith et al.", "parsedDate": "1976-08", "numChildren": 1 }, "data": { "key": "8TP3MN9S", "version": 170, "itemType": "journalArticle", "title": "Physostigmine reversal of sedation in parturients", "creators": [ { "creatorType": "author", "firstName": "D. B.", "lastName": "Smith" }, { "creatorType": "author", "firstName": "R. B.", "lastName": "Clark" }, { "creatorType": "author", "firstName": "S. R.", "lastName": "Stephens" }, { "creatorType": "author", "firstName": "R. L.", "lastName": "Sherman" }, { "creatorType": "author", "firstName": "M. L.", "lastName": "Hyde" } ], "abstractNote": "Parturients in whom meperidine HCl, propiomazine HCl, and scopolamine were used for analgesia and amnesia in labor and delivery were studied to determine the efficacy and safety of physostigmine reversal after delivery. Of a total of 120 patients, 108 received physostigmine salicylate at the completion of episiotomy closure, awakening in an average of 7.5 minutes compared with 137.8 in 12 controls. Physostigmine appears to be a safe, rapidly effective agent for reversing the prolonged somnolence of this sedation regimen.", "publicationTitle": "Anesthesia and Analgesia", "publisher": "", "place": "", "date": "1976 Jul-Aug", "volume": "55", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "478-480", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Anesth. Analg.", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "0003-2999", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 7975", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Anesthesia, Obstetrical", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Hypnotics and Sedatives", "type": 1 }, { "tag": "Labor, Obstetric", "type": 1 }, { "tag": "Meperidine", "type": 1 }, { "tag": "Phenothiazines", "type": 1 }, { "tag": "Physostigmine", "type": 1 }, { "tag": "Pregnancy", "type": 1 }, { "tag": "Scopolamine Hydrobromide", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2015-05-26T10:17:48Z", "dateModified": "2015-05-26T10:17:48Z" } }, { "key": "3MF9GQ2D", "version": 170, "library": { "type": "group", "id": 264015, "name": "Organisations analyse", "links": { "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/264015/items/3MF9GQ2D", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse/items/3MF9GQ2D", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/264015/items/8TP3MN9S", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1833129, "username": "Mariemy", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/mariemy", "type": "text/html" } } } }, "data": { "key": "3MF9GQ2D", "version": 170, "parentItem": "8TP3MN9S", "itemType": "attachment", "linkMode": "linked_url", "title": "PubMed entry", "accessDate": "2015-05-26T10:17:48Z", "url": "http://www.ncbi.nlm.nih.gov/pubmed/7975", "note": "", "contentType": "text/html", "charset": "", "tags": [], "relations": {}, "dateAdded": "2015-05-26T10:17:48Z", "dateModified": "2015-05-26T10:17:48Z" } }, { "key": "IRQCWXRA", "version": 170, "library": { "type": "group", "id": 264015, "name": "Organisations analyse", "links": { "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/264015/items/IRQCWXRA", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse/items/IRQCWXRA", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1833129, "username": "Mariemy", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/mariemy", "type": "text/html" } } }, "creatorSummary": "Stolkarts et al.", "parsedDate": "1975-12", "numChildren": 1 }, "data": { "key": "IRQCWXRA", "version": 170, "itemType": "journalArticle", "title": "[Changes in cerebrospinal fluid lactate and pyruvate levels during brain surgery under fluotane anesthesia]", "creators": [ { "creatorType": "author", "firstName": "I. Z.", "lastName": "Stolkarts" }, { "creatorType": "author", "firstName": "N. F.", "lastName": "Khamara" }, { "creatorType": "author", "firstName": "R. A.", "lastName": "Kupriianenko" } ], "abstractNote": "The lactate and pyruvate content in the arterial blood and CSF of 24 patients operated on the brain under fluothane anesthesia with artificial ventilation of the lungs was measured. Towards the end of the operation and anesthesia a sizably elevated lactate level and accumulation of its excess in the blood were noted, these shifts having been more marked with hypocapnic ventilation of the lungs. An increased concentration of lactate and pyruvate in the cerebrospinal fluid was not attended by accumulation of lactate excess.", "publicationTitle": "Voprosy Neĭrokhirurgii", "publisher": "", "place": "", "date": "1975 Nov-Dec", "volume": "", "issue": "6", "section": "", "partNumber": "", "partTitle": "", "pages": "44-48", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Vopr Neirokhir", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "rus", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 1904", "tags": [ { "tag": "Acid-Base Equilibrium", "type": 1 }, { "tag": "Adult", "type": 1 }, { "tag": "Anesthesia, General", "type": 1 }, { "tag": "Brain Diseases", "type": 1 }, { "tag": "Carbon Dioxide", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Halothane", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Hydrogen-Ion Concentration", "type": 1 }, { "tag": "Lactates", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Pyruvates", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2015-05-26T10:17:46Z", "dateModified": "2015-05-26T10:17:46Z" } }, { "key": "882RSSAE", "version": 170, "library": { "type": "group", "id": 264015, "name": "Organisations analyse", "links": { "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/264015/items/882RSSAE", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse/items/882RSSAE", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/264015/items/IRQCWXRA", "type": "application/json" } }, "meta": { "createdByUser": { "id": 1833129, "username": "Mariemy", "name": "", "links": { "alternate": { "href": 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"type": "text/html" } }, "meta": { "createdByUser": { "id": 1833129, "username": "Mariemy", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/mariemy", "type": "text/html" } } }, "creatorSummary": "Nutbeam", "parsedDate": "2000-09-01", "numChildren": 2 }, "data": { "key": "EK9237S9", "version": 167, "itemType": "journalArticle", "title": "Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century", "creators": [ { "creatorType": "author", "firstName": "Don", "lastName": "Nutbeam" } ], "abstractNote": "Health literacy is a relatively new concept in health promotion. It is a composite term to describe a range of outcomes to health education and communication activities. From this perspective, health education is directed towards improving health literacy. This paper identifies the failings of past educational programs to address social and economic determinants of health, and traces the subsequent reduction in the role of health education in contemporary health promotion. These perceived failings may have led to significant underestimation of the potential role of health education in addressing the social determinants of health. A ‘health outcome model’ is presented. This model highlights health literacy as a key outcome from health education. Examination of the concept of health literacy identifies distinctions between functional health literacy, interactive health literacy and critical health literacy. Through this analysis, improving health literacy meant more than transmitting information, and developing skills to be able to read pamphlets and successfully make appointments. By improving people's access to health information and their capacity to use it effectively, it is argued that improved health literacy is critical to empowerment. The implications for the content and method of contemporary health education and communication are then considered. Emphasis is given to more personal forms of communication, and community-based educational outreach, as well as the political content of health education, focussed on better equipping people to overcome structural barriers to health.", "publicationTitle": "Health Promotion International", "publisher": "", "place": "", "date": "09/01/2000", "volume": "15", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "259-267", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Health Promot. Int.", "DOI": "10.1093/heapro/15.3.259", "citationKey": "", "url": "http://heapro.oxfordjournals.org/content/15/3/259", "accessDate": "2015-05-20T08:54:14Z", "PMID": "", "PMCID": "", "ISSN": "0957-4824, 1460-2245", "archive": "", "archiveLocation": "", "shortTitle": "Health literacy as a public health goal", "language": "en", "libraryCatalog": "heapro.oxfordjournals.org", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "empowerment", "type": 1 }, { "tag": "health education", "type": 1 }, { "tag": "health literacy", "type": 1 }, { "tag": "health outcomes", "type": 1 } ], "collections": [ "WKXFUFEW" ], "relations": {}, "dateAdded": "2015-05-20T08:54:14Z", "dateModified": "2015-05-20T08:54:14Z" } }, { "key": "QJG9WS7V", "version": 166, "library": { "type": "group", "id": 264015, "name": "Organisations analyse", "links": { "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/264015/items/QJG9WS7V", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/organisations_analyse/items/QJG9WS7V", "type": "text/html" } }, "meta": { "createdByUser": { "id": 1833129, "username": "Mariemy", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/mariemy", "type": "text/html" } } }, "creatorSummary": "Anderson and Funnell", "parsedDate": "2010-06", "numChildren": 1 }, "data": { "key": "QJG9WS7V", "version": 166, "itemType": "journalArticle", "title": "Patient empowerment: myths and misconceptions", "creators": [ { "creatorType": "author", "firstName": "Robert M.", "lastName": "Anderson" }, { "creatorType": "author", "firstName": "Martha M.", "lastName": "Funnell" } ], "abstractNote": "OBJECTIVE: The purpose of this article is to clarify the concept of empowerment and to correct common misconceptions about its use in diabetes care and education.\nMETHODS: The patient empowerment approach is well suited to helping patients make self-selected changes related to weight, nutrition, and physical activity. Although the concept of patient empowerment has become an integral part of diabetes education, an accurate understanding and authentic application of empowerment has not occurred as readily. The empowerment approach is clarified and common misconceptions have been corrected.\nRESULTS: Embracing empowerment means making a paradigm shift that is often difficult because the traditional approach to care is embedded in the training and socialization of most health care professionals (HCPs).\nCONCLUSION: Unlike the traditional approach, empowerment is not something one does to patients. Rather, empowerment begins when HCPs acknowledge that patient are in control of their daily diabetes care. Empowerment occurs when the HCPs goal is to increase the capacity of patients to think critically and make autonomous, informed decisions. Empowerment also occurs when patients are actually making autonomous, informed decisions about their diabetes self-management.\nPRACTICE IMPLICATIONS: Clarity about all aspects of the empowerment approach is essential if it is to be used effectively.", "publicationTitle": "Patient Education and Counseling", "publisher": "", "place": "", "date": "Jun 2010", "volume": "79", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "277-282", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Patient Educ Couns", "DOI": "10.1016/j.pec.2009.07.025", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1873-5134", "archive": "", "archiveLocation": "", "shortTitle": "Patient empowerment", "language": "eng", "libraryCatalog": "PubMed", "callNumber": "", "rights": "", "extra": "PMID: 19682830\nPMCID: PMC2879465", "tags": [ { "tag": "Body Weight", "type": 1 }, { "tag": "Communication", "type": 1 }, { "tag": "Diabetes Mellitus, Type 2", "type": 1 }, { "tag": "Disease Management", "type": 1 }, { "tag": "Health Knowledge, Attitudes, Practice", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Motor Activity", "type": 1 }, { "tag": "Nutritional Status", "type": 1 }, { "tag": "Patient Education as Topic", "type": 1 }, { "tag": "Physician-Patient Relations", "type": 1 }, { "tag": "Power (Psychology)", "type": 1 }, { "tag": "Quality of Life", "type": 1 }, { "tag": "Self Care", "type": 1 } ], "collections": [ "WKXFUFEW" ], "relations": {}, "dateAdded": "2015-05-20T08:41:04Z", "dateModified": "2015-05-20T08:41:04Z" } } ]