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https://www.readbyqxmd.com/read/28342901/the-sympathetic-neuro-adipose-connection-and-the-control-of-body-weight
#1
REVIEW
Inês Mahú, Ana I Domingos
In recent decades, obesity has become a global public health crisis irrespective of age or gender [21]. But according to historic records, concerns over appropriate maintenance of body size have been long established. For more than to 2 millennia, the main therapeutic approach to curb excess weight has been to recommend dietary restrictions and regular exercise (Haslam, 2016). Nevertheless, more contemporary studies indicate that the employment of such approaches in the treatment of severely obese patients causes metabolic adaptions which impair their long-term success in weight management [8]...
March 22, 2017: Experimental Cell Research
https://www.readbyqxmd.com/read/28342086/motivational-and-volitional-correlates-of-physical-activity-in-participants-reporting-no-past-and-current-hypertension-findings-from-a-cross-sectional-observation-study
#2
Julian Wienert, Tim Kuhlmann, Sebastian Fink, Rainer Hambrecht, Sonia Lippke
PURPOSE: The study investigated differences in motivational and volitional correlates of physical activity in persons who reported currently having hypertension, had hypertension in the past, or had no hypertension by using the health action process approach as a theoretical background. METHOD: Self-reported data from 512 participants (71.9% women; M age = 46.83 years; SD age = 13.77; M BMI = 24.89; SD BMI = 4.71) were analyzed using multivariate analysis of variance (MANOVA), analysis of variance (ANOVA), and post hoc comparisons of groups to determine differences in motivational and volitional correlates for physical activity between groups followed by analysis of covariance (ANCOVA)...
March 24, 2017: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28334458/strategies-for-healthcare-professionals-to-facilitate-patient-illness-understanding
#3
Håkan Nunstedt, Gudrun Rudolfsson, Pia Alsén, Sandra Pennbrant
AIMS AND OBJECTIVES: To describe how healthcare professionals facilitate patient illness understanding. BACKGROUND: Healthcare professionals and patients differ in their illness understanding. If the information provided by healthcare professionals is not adapted to the patient's daily life it may be unusable for the patient. Previous research has found that healthcare professionals should individualise the information to enable the patient to apply the knowledge to the personal situation and to develop illness understanding...
March 23, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28327198/improving-the-adaptability-of-who-evidence-informed-guidelines-for-nutrition-actions-results-of-a-mixed-methods-evaluation
#4
Maria Cecilia Dedios, Alexo Esperato, Luz Maria De-Regil, Juan Pablo Peña-Rosas, Susan L Norris
BACKGROUND: Over the past decade, the World Health Organization (WHO) has implemented a standardized, evidence-informed guideline development process to assure technically sound and policy-relevant guidelines. This study is an independent evaluation of the adaptability of the guidelines produced by the Evidence and Programme Guidance unit, at the Department of Nutrition for Health and Development (NHD). The study systematizes the lessons learned by the NHD group at WHO. METHODS: We used a mixed methods approach to determine the adaptability of the nutrition guidelines...
March 21, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28320374/using-a-multimethod-approach-to-develop-implementation-strategies-for-a-cervical-self-sampling-program-in-kenya
#5
Irene Podolak, Caroline Kisia, Gloria Omosa-Manyonyi, Jarold Cosby
BACKGROUND: Numerous health policy makers/researchers are concerned about the limitations of research being applied to support informed decision/policy making and the implementation of practical solutions. The aim of the Chaguo Letu project (which means our choice in Swahili) was to determine how local decision makers could apply a multimethod approach to make strategic decisions to effectively implement a Cervical Self-Sampling Program in Kenya. METHODS: A multimethod approach, involving participatory action research, scenario based planning, and phenomenology, was applied in conjunction with two tools to identify relevant factors (negative or positive) that could impact Cervical Self-Sampling Program implementation...
March 21, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28318522/prognostic-stratification-and-healthcare-approach-in-patients-with-multiple-pathologies
#6
M Bernabeu-Wittel, B Barón-Franco, D Nieto-Martín, L Moreno-Gaviño, N Ramírez-Duque, M Ollero-Baturone
Polypathological patients constitute a prevalent, fairly homogeneous population, which is characterised by high clinical complexity, substantial vulnerability and significant resource consumption, in addition to high mortality and the need for comprehensive, coordinated care. It is particularly important to establish a reliable prognosis in these patients. It is also extremely useful for professionals involved in the decision-making process for patients and their families in vital planning and their preferences, for strategic health planning in management fields, and for clinical research, by facilitating their incorporation into clinical trials and other intervention studies...
March 16, 2017: Revista Clínica Española
https://www.readbyqxmd.com/read/28301003/minor-and-major-health-a-nietzschean-reading
#7
Emília Carvalho Leitão Biato, Luciano Bedin da Costa, Silas Borges Monteiro
This paper aims to discuss the concept of health, understood as multiple and plural. We use Friedrich Nietzsche's philosophical thought as an analytical tool, allowing us to reach a typology involving minor and major health. While the first is normative and sustained by an ideal of healing, the second is an expanding strength, a condition constantly achieved. If minor health follows a preset life moralization script, major health relates to the expanded living being, which affirms its creative nature and transcends established rules...
March 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28290933/leveraging-the-partnership-for-patients-initiative-to-improve-patient-safety-and-quality-within-the-military-health-system
#8
Heidi B King, Kimberly Kesling, Carmen Birk, Theodore Walker, Heather Taylor, Michael Datena, Brittany Burgess, Lyndsay Bower
INTRODUCTION: Partnership for Patients (PfP) was a national initiative sponsored by the Department of Health and Human Services, Centers for Medicare and Medicaid Services, to reduce preventable hospital acquired conditions (HACs) by 40% and readmissions (within 30 days) by 20%, by the end of 2013 (as compared to the baseline of CY2010). Along with partners across the nation, the Assistant Secretary of Defense for Health Affairs, Dr. Jonathan Woodson, pledged to support PfP in June 2011...
March 2017: Military Medicine
https://www.readbyqxmd.com/read/28289471/evaluation-of-national-food-and-nutrition-policy-in-albania
#9
Ehadu Mersini, Jolanda Hyska, Genc Burazeri
INTRODUCTION: The paper aims to describe the progress that has been made in the implementation of the Albanian food and nutrition policy since 2003, so as to consider its impacts to date, and to identify strategic priorities/critical areas and priorities for Albania's future policy on improving the national food and nutrition situation. METHODS: In 2011-2012, an expert group applied an intersectoral participatory approach to evaluate the implementation of Food and Nutrition Action Plan 2003-08 in Albania...
June 1, 2017: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/28288435/comparing-a-telephone-and-a-group-delivered-diabetes-prevention-program-characteristics-of-engaged-and-non-engaged-postpartum-mothers-with-a-history-of-gestational-diabetes
#10
Siew Lim, James A Dunbar, Vincent L Versace, Edward Janus, Carol Wildey, Timothy Skinner, Sharleen O'Reilly
AIMS: To explore the acceptability of a telephone- or a group-delivered diabetes prevention program for women with previous gestational diabetes and to compare the characteristics associated with program engagement. METHODS: Postpartum women participated in a lifestyle modification program delivered by telephone (n=33) or group format (n=284). Semi-structured interviews on barriers and enablers to program engagement (defined as completing≥80% sessions) were conducted before (Group) and after (Group and Telephone) interventions...
February 27, 2017: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/28276577/former-patients-experiences-of-recovery-from-self-harm-as-an-individual-prolonged-learning-process-a-phenomenological-hermeneutical-study
#11
Randi Tofthagen, Anne Grethe Talseth, Lisbeth Maria Fagerstøm
AIM: To explore, describe and understand former patients' experiences of recovery from self-harm. BACKGROUND: Previous research shows that a person's development towards a more secure self-image, mastery of their emotions, an understanding of what triggers self-harm and mastery of new ways to cope with problems are central to recovery. Recovery from self-harm is still a relatively new field of research. DESIGN: A phenomenological hermeneutical approach...
March 9, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28274267/controlling-corporate-influence-in-health-policy-making-an-assessment-of-the-implementation-of-article-5-3-of-the-world-health-organization-framework-convention-on-tobacco-control
#12
Gary Jonas Fooks, Julia Smith, Kelley Lee, Chris Holden
BACKGROUND: The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) stands to significantly reduce tobacco-related mortality by accelerating the introduction of evidence-based tobacco control measures. However, the extent to which States Parties have implemented the Convention varies considerably. Article 5.3 of the FCTC, is intended to insulate policy-making from the tobacco industry's political influence, and aims to address barriers to strong implementation of the Convention associated with tobacco industry political activity...
March 8, 2017: Globalization and Health
https://www.readbyqxmd.com/read/28274214/the-impact-of-integrated-prevention-and-treatment-on-child-malnutrition-and-health-the-promis-project-a-randomized-control-trial-in-burkina-faso-and-mali
#13
Lieven Huybregts, Elodie Becquey, Amanda Zongrone, Agnes Le Port, Regina Khassanova, Lazare Coulibaly, Jef L Leroy, Rahul Rawat, Marie T Ruel
BACKGROUND: Evidence suggests that both preventive and curative nutrition interventions are needed to tackle child acute malnutrition (AM) in developing countries. In addition to reducing the incidence of AM, providing preventive interventions may also help increase attendance (and coverage) of AM screening, a major constraint in the community-based management of child acute malnutrition (CMAM) model. There is a paucity of evidence-based strategies to deliver integrated preventive and curative interventions effectively and affordably at scale...
March 9, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28273407/use-of-the-parihs-framework-for-retrospective-and-prospective-implementation-evaluations
#14
Jennifer N Hill, Marylou Guihan, Timothy P Hogan, Bridget M Smith, Sherri L LaVela, Frances M Weaver, Henry D Anaya, Charlesnika T Evans
BACKGROUND: The Promoting Action on Research Implementation in Health Services (PARIHS) framework has been used by implementation researchers to assess factors impacting implementation and to use that information to identify optimal interventions and implementation strategies. In this paper, two studies are presented demonstrating the utility of PARIHS as a tool for retrospective and prospective evaluation of implementation in the health care setting. STUDY DESIGN: Descriptive case study...
March 8, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28269799/an-analysis-of-health-promotion-materials-for-dutch-truck-drivers-off-target-and-too-complex
#15
Anniek Boeijinga, Hans Hoeken, José Sanders
BACKGROUND: Despite various health promotion initiatives, unfavorable figures regarding Dutch truck drivers' eating behaviors, exercise behaviors, and absenteeism have not improved. OBJECTIVE: The aim was to obtain a better understanding of the low level of effectiveness of current health interventions for Dutch truck drivers by examining to what extent these are tailored to the target group's particular mindset (focus of content) and health literacy skills (presentation of content)...
February 27, 2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://www.readbyqxmd.com/read/28223446/management-of-nonalcoholic-fatty-liver-disease-in-patients-with-type-2-diabetes-a-call-to-action
#16
REVIEW
Fernando Bril, Kenneth Cusi
Traditionally a disease of hepatologists, nonalcoholic fatty liver disease (NAFLD) has recently become a major concern for a broad spectrum of health care providers. Endocrinologists and those caring for patients with type 2 diabetes mellitus (T2DM) are at center stage, as T2DM appears to worsen the course of NAFLD and the liver disease makes diabetes management more challenging. However, the nature of this relationship remains incompletely understood. Although the increasing prevalence of NAFLD is frequently attributed to the epidemic of obesity and is often oversimplified as the "hepatic manifestation of the metabolic syndrome," it is a much more complex disease process that may also be observed in nonobese individuals and in patients without clinical manifestations of the metabolic syndrome...
March 2017: Diabetes Care
https://www.readbyqxmd.com/read/28216416/in-silico-analysis-sheds-light-on-the-structural-basis-underlying-the-ribotoxicity-of-trichothecenes-a-tool-for-supporting-the-hazard-identification-process
#17
Luca Dellafiora, Gianni Galaverna, Chiara Dall'Asta
Deoxynivalenol is a food borne mycotoxin belonging to the trichothecenes family that may cause severe injuries in human and animals. The inhibition of protein synthesis via the interaction with the ribosome has been identified as a crucial mechanism underlying toxic action. However, it is not still fully understood how and to what extent compounds belonging to trichothecenes family affect human and animal health. In turn, this scenario causes delay in managing the related health risk. Aimed at supporting the hazard identification process, the in silico analysis may be a straightforward tool to investigate the structure-activity relationship of trichothecenes, finding out molecules of possible concern to carry forth in the risk assessment process...
March 15, 2017: Toxicology Letters
https://www.readbyqxmd.com/read/28209558/readiness-for-delivering-digital-health-at-scale-lessons-from-a-longitudinal-qualitative-evaluation-of-a-national-digital-health-innovation-program-in-the-united-kingdom
#18
Marilyn R Lennon, Matt-Mouley Bouamrane, Alison M Devlin, Siobhan O'Connor, Catherine O'Donnell, Ula Chetty, Ruth Agbakoba, Annemieke Bikker, Eleanor Grieve, Tracy Finch, Nicholas Watson, Sally Wyke, Frances S Mair
BACKGROUND: Digital health has the potential to support care delivery for chronic illness. Despite positive evidence from localized implementations, new technologies have proven slow to become accepted, integrated, and routinized at scale. OBJECTIVE: The aim of our study was to examine barriers and facilitators to implementation of digital health at scale through the evaluation of a £37m national digital health program: ‟Delivering Assisted Living Lifestyles at Scale" (dallas) from 2012-2015...
February 16, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28208786/policy-research-and-residents-perspectives-on-built-environments-implicated-in-heart-disease-a-concept-mapping-approach
#19
Ivana Stankov, Natasha J Howard, Mark Daniel, Margaret Cargo
An underrepresentation of stakeholder perspectives within urban health research arguably limits our understanding of what is a multi-dimensional and complex relationship between the built environment and health. By engaging a wide range of stakeholders using a participatory concept mapping approach, this study aimed to achieve a more holistic and nuanced understanding of the built environments shaping disease risk, specifically cardiometabolic risk (CMR). Moreover, this study aimed to ascertain the importance and changeability of identified environments through government action...
February 9, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28203262/participatory-epidemiology-the-contribution-of-participatory-research-to-epidemiology
#20
REVIEW
Mario Bach, Susanne Jordan, Susanne Hartung, Claudia Santos-Hövener, Michael T Wright
BACKGROUND: Epidemiology has contributed in many ways to identifying various risk factors for disease and to promoting population health. However, there is a continuing debate about the ability of epidemiology not only to describe, but also to provide results which can be better translated into public health practice. It has been proposed that participatory research approaches be applied to epidemiology as a way to bridge this gap between description and action. A systematic account of what constitutes participatory epidemiology practice has, however, been lacking...
2017: Emerging Themes in Epidemiology
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