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https://www.readbyqxmd.com/read/29774562/simple-low-cost-group-counselling-programme-vs-treatment-as-usual-for-patients-with-newly-notified-occupational-hand-eczema-exploratory-analyses-of-effects-on-knowledge-behaviour-and-personal-resources-of-the-randomized-prevex-clinical-trial
#1
Maja H Fisker, Tove Agner, Jennifer A Sørensen, Søren G Vejlstrup, Jane Lindschou, Christian Gluud, Per Winkel, Jens P Bonde, Niels E Ebbehøj
BACKGROUND: Sickness absence in hand eczema patients has been associated with stress rather than disease severity, indicating that personal aspects regarding hand eczema should be investigated further. OBJECTIVES: To examine whether patient education vs treatment as usual can influence behaviour and knowledge regarding skin protection and care, as well as personal resources, in patients with occupational hand eczema. METHODS: PREVEX is an individually randomized clinical trial investigating the 1-year effects of a simple, low-cost group-counselling programme vs treatment as usual for patients with notified occupational hand eczema...
May 17, 2018: Contact Dermatitis
https://www.readbyqxmd.com/read/29682342/a-proposed-middle-range-theory-of-nursing-in-hypertension-care
#2
REVIEW
Eva Drevenhorn
Nursing in hypertension care comprises counselling about lifestyle changes, blood pressure measurement, and being a translator for the physician. For the patient, changing lifestyle means performing self-care. As not much in the form of research and guidelines for nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, in order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are presented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network) and the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, and supporting the patient)...
2018: International Journal of Hypertension
https://www.readbyqxmd.com/read/29606143/evaluation-of-mindfulness-based-cognitive-therapy-for-life-and-a-cognitive-behavioural-therapy-stress-management-workshop-to-improve-healthcare-staff-stress-study-protocol-for-two-randomised-controlled-trials
#3
Clara Strauss, Jenny Gu, Nikki Pitman, Cavita Chapman, Willem Kuyken, Adrian Whittington
BACKGROUND: Healthcare workers experience higher levels of work-related stress and higher rates of sickness absence than workers in other sectors. Psychological approaches have potential in providing healthcare workers with the knowledge and skills to recognise stress and to manage stress effectively. The strongest evidence for effectiveness in reducing stress in the workplace is for stress-management courses based on cognitive behavioural therapy (CBT) principles and mindfulness-based interventions (MBIs)...
April 2, 2018: Trials
https://www.readbyqxmd.com/read/29587423/iodine-and-pregnancy-a-qualitative-study-focusing-on-dietary-guidance-and-information
#4
Maria Bouga, Michael E J Lean, Emilie Combet
Iodine is essential for thyroid hormones synthesis and normal neurodevelopment; however, ~60% of pregnant women do not meet the WHO (World Health Organization) recommended intake. Using a qualitative design, we explored the perceptions, awareness, and experiences of pregnancy nutrition, focusing on iodine. Women in the perinatal period ( n = 48) were interviewed and filled in a food frequency questionnaire for iodine. Almost all participants achieved the recommended 150 μg/day intake for non-pregnant adults (99%), but only 81% met the increased demands of pregnancy (250 μg/day)...
March 26, 2018: Nutrients
https://www.readbyqxmd.com/read/29579241/systematic-review-what-works-to-address-obesity-in-nurses
#5
M Kelly, J Wills
Background: There is evidence that the prevalence of overweight and obesity among nurses is increasing. As well as the impact on health, the costs associated with obesity include workplace injury, lost productivity and sickness absence. Finding ways to address obesity in nurses may be a challenge because of the barriers they face in leading a healthy lifestyle. Aims: To identify the available evidence for interventions to address obesity in nurses. Methods: Databases searched included CINAHL, SCOPUS (which encompasses the Cochrane Database of Systematic Reviews), PsycINFO, MEDLINE and British Nursing Index...
March 22, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/29568856/approach-to-the-forgetful-patient
#6
Peng Soon Yoon, Chun How Ooi, Choon How How
Singapore has an ageing population with a projected 53,000 people aged ≥ 60 years living with dementia by 2020. Primary care doctors have the opportunity to initiate early work-up for reversible causes of cognitive dysfunction, allowing identification of comorbidities and discussion of medical therapy options. Early diagnosis confers the sick role on the patient, which allays frustration and explains events and behaviour that may have strained relationships with family and friends. The patient can be encouraged to plan for future health and personal care options with a Lasting Power of Attorney and/or Advance Care Planning...
March 2018: Singapore Medical Journal
https://www.readbyqxmd.com/read/29556413/effect-of-oral-ketoprofen-treatment-in-acute-respiratory-disease-outbreaks-in-finishing-pigs
#7
Outi Hälli, Minna Haimi-Hakala, Tapio Laurila, Claudio Oliviero, Elina Viitasaari, Toomas Orro, Olli Peltoniemi, Mika Scheinin, Saija Sirén, Anna Valros, Mari Heinonen
Background: Infection with respiratory pathogens can influence production as well as animal welfare. There is an economical and ethical need to treat pigs that suffer from respiratory diseases. Our aim was the evaluation of the possible effects of oral NSAID medication given in feed in acute outbreaks of respiratory disease in finishing pigs. The short- and long-term impact of NSAID dosing on clinical signs, daily weight gain, blood parameters and behaviour of growing pigs in herds with acute respiratory infections were evaluated...
2018: Porcine Health Management
https://www.readbyqxmd.com/read/29549885/epigenetic-impacts-of-stress-priming-of-the-neuroinflammatory-response-to-sarin-surrogate-in-mice-a-model-of-gulf-war-illness
#8
David G Ashbrook, Benjamin Hing, Lindsay T Michalovicz, Kimberly A Kelly, Julie V Miller, Wilfred C de Vega, Diane B Miller, Gordon Broderick, James P O'Callaghan, Patrick O McGowan
BACKGROUND: Gulf War illness (GWI) is an archetypal, medically unexplained, chronic condition characterised by persistent sickness behaviour and neuroimmune and neuroinflammatory components. An estimated 25-32% of the over 900,000 veterans of the 1991 Gulf War fulfil the requirements of a GWI diagnosis. It has been hypothesised that the high physical and psychological stress of combat may have increased vulnerability to irreversible acetylcholinesterase (AChE) inhibitors leading to a priming of the neuroimmune system...
March 17, 2018: Journal of Neuroinflammation
https://www.readbyqxmd.com/read/29528095/ethical-reflections-on-the-principle-of-patient-autonomy
#9
Marianne Bracconi, Christian Hervé, Philippe Pirnay
In a world open to the movement of people, medical ethics is today associated with the area of loyal behavior of the practitioner and oriented in the patient's interest and accountability of each. The universal vision of respect for the dignity of the sick person progresses. Yet, many behaviours are sometimes illegitimate, but not in principle legally reprehensible. One of the main principles marking the observance of patient consent is based on the autonomy given to the patient to decide for himself what appears to be adapted to his or her care...
March 5, 2018: Eastern Mediterranean Health Journal, la Revue de Santé de la Méditerranée Orientale
https://www.readbyqxmd.com/read/29527754/the-coping-with-unusual-experiences-for-children-study-cues-a-pilot-randomized-controlled-evaluation-of-the-acceptability-and-potential-clinical-utility-of-a-cognitive-behavioural-intervention-package-for-young-people-aged-8-14-years-with-unusual-experiences
#10
Suzanne Jolley, Elizabeth Kuipers, Catherine Stewart, Sophie Browning, Karen Bracegirdle, Nedah Basit, Kimberley Gin, Colette Hirsch, Richard Corrigall, Partha Banerjea, Grainne Turley, Daniel Stahl, Kristin R Laurens
OBJECTIVES: Health care guidelines recommend psychological interventions for childhood unusual experiences that are associated with distress or adverse functional impact (UEDs), based on adult, rather than child-specific, evidence. We report the first randomized controlled evaluation of the acceptability and potential clinical utility of cognitive behavioural therapy for childhood UEDs (CBT-UED). DESIGN: Pilot randomized controlled trial. METHODS: Participants aged 8-14 years were recruited from referrals to community services for children with emotional/behavioural problems and screened for self-reported UEDs...
March 12, 2018: British Journal of Clinical Psychology
https://www.readbyqxmd.com/read/29490965/danish-observational-study-of-eldercare-work-and-musculoskeletal-disorders-doses-a-prospective-study-at-20-nursing-homes-in-denmark
#11
Kristina Karstad, Anette F B Jørgensen, Birgit A Greiner, Alex Burdorf, Karen Søgaard, Reiner Rugulies, Andreas Holtermann
PURPOSE: Musculoskeletal disorders (MSDs), sickness absence and premature retirement are highly prevalent among eldercare workers. We conducted a prospective observational workplace study with the main purpose to investigate longitudinal associations between physical and psychosocial working conditions and occurrence of MSD and its consequences (pain-related interference with daily work activities and sickness absence) among Danish eldercare workers. PARTICIPANTS: At 20 Danish nursing homes, a total of 941 eldercare workers employed in day and evening shifts were invited to the study...
February 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29485317/physicians-experiences-with-sickness-absence-certification-in-finland
#12
Katariina Hinkka, Mikko Niemelä, Ilona Autti-Rämö, Heikki Palomäki
AIMS: The aim of this study was to explore Finnish physicians' perceptions of sickness absence (SA) certification. METHODS: A questionnaire was sent to 50% of the physicians in Finland who provide care to working-age patients in a clinical practice setting. Of the 8867 physicians, 3089 responded. Physicians handling SA certification patients at least a few times per month were included ( n = 2472). RESULTS: At least a few times per month, 61% of all physicians perceived SA issues as problematic, 60% had experienced a lack of time in dealing with SA matters, 36% had disagreed with a patient on SA certification, and 36% had met a patient who wanted a SA certificate for reasons other than a disease or injury...
February 1, 2018: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/29479213/temperament-and-fracture-in-preschool-aged-children
#13
Kandace Ryckman, Sarah A Richmond, Laura N Anderson, Catherine S Birken, Patricia C Parkin, Colin Macarthur, Jonathon L Maguire, Andrew W Howard
Objectives: Approximately one-half of all children will sustain a fracture before adulthood. Understanding the factors that place a child at increased risk of fracture is necessary to inform effective injury prevention strategies. The purpose of this study was to examine the association between temperament and fracture risk in preschool-aged children. Methods: Children aged 3 to 6 years who were diagnosed with a fracture were recruited from the Hospital for Sick Children Fracture Clinic...
July 2017: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29471468/working-conditions-and-stress-in-the-english-education-system
#14
J M Ravalier, J Walsh
Background: The UK education sector has among the highest level of stress sickness absence of all occupations. However, investigations of psychosocial working conditions which contribute to stress, including behaviour of students and parents, has not been conducted. Aims: To investigate the psychosocial working conditions and prevalence of negative parental and student behaviour in a large sample of school teachers and college lecturers based in England. In addition, to assess the influence of working conditions, student behaviour and parental behaviour on perceived stress...
March 27, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/29468342/unobserved-heterogeneity-in-work-absence
#15
María José Suárez, Cristina Muñiz
Labour absenteeism may be detrimental to firms and society because of the economic costs, organizational problems and production cuts that it involves. Although involuntary absenteeism due to accident or illness that prevents workers from performing their work is unavoidable, avoidable voluntary absenteeism may also emerge due to asymmetric information given that neither employers nor doctors have perfect information about workers' health status. Assuming that there is heterogeneity in individual's behaviour and thus some workers are more likely to take sick leave than others due to differences in observable and unobservable characteristics, we specify a Finite Mixture Model to analyse sick leave days per year using a sample of employees from the 2014 European Health Survey in Spain...
February 21, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29447613/-who-ll-do-all-these-if-i-m-not-around-bonding-social-capital-and-health-and-well-being-of-inpatients
#16
Padmore Adusei Amoah, Adwoa Owusuaa Koduah, Razak Mohammed Gyasi
PURPOSE: Although social capital influences health-related decisions and behavioural patterns in many developing countries, minimal attention has been paid to the nuances of its effect on healthcare. This paper examines how bonding social capital affects healthcare delivery for inpatients in Ghana. METHODS: Semi-structured in-depth interviews were used and thematic analysis method employed to analyse the data. Interviews were conducted with health professionals and relatives and close friends of inpatients in three public health facilities in Ashanti region...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29424447/behavioural-intervention-to-reduce-resistance-in-those-attending-adult-day-care-centres-procendias-study-protocol-for-a-randomized-clinical-trial
#17
Emiliano Rodriguez-Sánchez, Olaya Tamayo-Morales, Jesús González-Sanchez, Sara Mora-Simón, Andrés Losada-Baltar, Jaime Unzueta-Arce, María C Patino-Alonso, Elena De Dios-Rodríguez, Manuel A Gómez-Marcos, Luis García-Ortiz
AIM: This study evaluates the effectiveness of a behavioural intervention programme aimed at reducing the reluctance of dependent people to attend Adult Day Care Centres. We hope that reducing resistance will have a positive influence on the mental health of caregivers. BACKGROUND: Care centres offer important relief and rest services for family caregivers. Some caregivers report being affected by behavioural and psychological symptoms of dementia when they prepare dependents for the Care Centres, especially when these have dementia...
February 9, 2018: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/29386079/parental-perspectives-on-hand-foot-and-mouth-disease-among-children-in-hong-kong-a-longitudinal-study
#18
Q Liao, W W T Lam, B J Cowling, R Fielding
Hand, foot, and mouth disease (HFMD), usually a self-limiting illness for young children, could cause a significant burden for parents because it can take up to 1-2 weeks for a sick child to recover. We conducted a two-wave longitudinal study over one summer peak season (May-July 2014) of HFMD to examine parents' HFMD-related risk perceptions and protective responses. In total, 618 parents with at least one child aged ⩽12 years, recruited using randomly-dialled household telephone calls completed the baseline survey interview, 452 of whom subsequently completed the follow-up survey...
February 2018: Epidemiology and Infection
https://www.readbyqxmd.com/read/29380722/sickness-absence-a-systematic-review-and-meta-analysis-of-psychological-treatments-for-individuals-on-sick-leave-due-to-common-mental-disorders
#19
Sigrid Salomonsson, Erik Hedman-Lagerlöf, Lars-Göran Öst
Sick leave due to common mental disorders (CMDs) increase rapidly and present a major societal challenge. The overall effect of psychological interventions to reduce sick leave and symptoms has not been sufficiently investigated and there is a need for a systematic review and meta-analysis of the field. The aim of the present meta-analysis was to calculate the effect size of psychological interventions for CMDs on sick leave and psychiatric symptoms based on all published randomized controlled trials. Methodological quality, the risk of bias and publication bias were also assessed...
January 30, 2018: Psychological Medicine
https://www.readbyqxmd.com/read/29380363/invasion-history-alters-the-behavioural-consequences-of-immune-system-activation-in-cane-toads
#20
Gregory P Brown, Damian Holden, Richard Shine, Ben L Phillips
Acute activation of the immune system often initiates a suite of behavioural changes. These "sickness behaviours"-involving lethargy and decreased activity-may be particularly costly on invasion fronts, where evolutionary pressures on dispersal favour individuals that move large distances. We used a combination of field and laboratory studies to compare sickness behaviours of cane toads from populations differing in invasion history. To do this we stimulated immune system activation by injecting lipopolysaccharide (LPS) to mimic bacterial infection...
May 2018: Journal of Animal Ecology
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