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Health Interventions

J Zheng, X M Jiang, X X Huang
Objective: To understand the depression of nurses in the maternity and child care hospital and in order to provide references for improving the physical and mental health of nurses. Methods: A total of 679 nurses from 14 departments of a provincial maternity and child health care hospital in June 2017 were selected as the subjects to investigate the depression of nurses by questionnaire. Results: The total rate of depression was 40% in this group and the average standard of SDS was (49.45+12.02) , which was higher than the norm in our country and the difference was statistically significant ( P <0...
August 20, 2018: Chinese Journal of Industrial Hygiene and Occupational Diseases
Everett F McGuinty, Brian M Bird, John Nelson, Jazlyn L McGuinty, Andrew Cashin
TOPIC: The Brief Services psychotherapy paradigm has evolved to produce cost-effective and clinically significant outcomes in children's mental health. Though its clinical evaluation is still in its infancy, it has been utilized to a much lesser degree with autism spectrum disorders, which typically require a longer-term approach to psychotherapy treatment. PURPOSE: The current paper introduces a novel, four-session intervention that aims to decrease anxiety experienced by clients presenting with high-functioning autism...
October 14, 2018: Journal of Child and Adolescent Psychiatric Nursing
Ahmed E Arafa, Florian Anzengruber, Alshimaa M Mostafa, Alexander A Navarini
The striking rise in the Internet utilization worldwide has led to major changes in the methods of data collection and processing. Online surveying has been used to assess different health services, explore patients' perceptions and measure interventions. The discipline of dermatology is one of the fields that gained benefits from surveying patients and dermatologists online, however, some disadvantages such as the low response rate and participation bias were suggested. This review summarizes the applications of online surveying in dermatology and discusses the methods of enhancing response to online surveys...
October 13, 2018: Journal of the European Academy of Dermatology and Venereology: JEADV
Sascha Köpke, Alessandra Solari, Anne Rahn, Fary Khan, Christoph Heesen, Andrea Giordano
BACKGROUND: People with multiple sclerosis (MS) are confronted with a number of important uncertainties concerning many aspects of the disease. These include diagnosis, prognosis, disease course, disease-modifying therapies, symptomatic therapies, and non-pharmacological interventions, among others. While people with MS demand adequate information to be able to actively participate in medical decision making and to self manage their disease, it has been shown that patients' disease-related knowledge is poor, therefore guidelines recommend clear and concise high-quality information at all stages of the disease...
October 14, 2018: Cochrane Database of Systematic Reviews
Mor Peleg, Wojtek Michalowski, Szymon Wilk, Enea Parimbelli, Silvia Bonaccio, Dympna O'Sullivan, Martin Michalowski, Silvana Quaglini, Marc Carrier
Poor patient compliance to therapy results in a worsening condition that often increases healthcare costs. In the MobiGuide project, we developed an evidence-based clinical decision-support system that delivered personalized reminders and recommendations to patients, helping to achieve higher therapy compliance. Yet compliance could still be improved and therefore building on the MobiGuide project experience, we designed a new component called the Motivational Patient Assistant (MPA) that is integrated within the MobiGuide architecture to further improve compliance...
October 13, 2018: Journal of Medical Systems
Aamir Raoof Memon, Tahir Masood, Waqar Ahmed Awan, Ahmed Waqas
OBJECTIVE: To determine the efficacy of an incentive-based approach combined with a smartphone application in promoting physical activity and weight-loss among female medical students, and to explore among them psychological effects pertaining to self-esteem, guilt, body-shaming, and perception of physical beauty. METHODS: The pilot, randomised controlled trial was conducted at the Peoples University of Medical and Health Sciences for Women, Nawabshah, Pakistan, from March to May 2017, and comprised female students who were randomly allocated to either the incentivized or the non-incentivized group...
October 2018: JPMA. the Journal of the Pakistan Medical Association
Sadaf Irshad Khan, Rustam Alam Shah, Sanam Yasir, Muhammed Shozab Ahmed
Excessive pushing and valsalva during labour is associated with subcutaneous emphysema and pneumomediastinum during labour and post partum. Although rare but is a potentially serious complication that must be identified and managed appropriately to avoid its rare consequence called malignant pneumomediastinum, requiring surgical intervention. A 30 year old, primigravida, presented to a tertiary care hospital with complaints of shortness of breath of 4 days duration after a normal vaginal delivery. CT chest showed bilateral consolidation and pneumomediastinum...
July 2018: JPMA. the Journal of the Pakistan Medical Association
Archana A Malhari, D Bhattacharyya, K Arya, T Chatterjee, M Pal
BACKGROUND: Operation of infantry combat vehicle (ICV) influences the cardiorespiratory responses as well as the risk of vibration exposure on the crew members which adversely affect their performance and health. AIM: To assess the effect of stress factors, that is, ICV's compartmental temperature, relative humidity (RH) and vehicular vibration on the physiological parameters (heart rate (HR), respiratory frequency (RF), estimated core body temperature (ECT)) of the crew members during the ICV operation...
October 12, 2018: Journal of the Royal Army Medical Corps
Jennifer L Kaczmarek, Xiaoji Liu, Craig S Charron, Janet A Novotny, Elizabeth H Jeffery, Harold E Seifried, Sharon A Ross, Michael J Miller, Kelly S Swanson, Hannah D Holscher
The human gastrointestinal microbiota is increasingly linked to health outcomes; however, our understanding of how specific foods alter the microbiota is limited. Cruciferous vegetables such as broccoli are a good source of dietary fiber and phytonutrients, including glucosinolates, which can be metabolized by gastrointestinal microbes. This study aimed to determine the impact of broccoli consumption on the gastrointestinal microbiota of healthy adults. A controlled feeding, randomized, crossover study consisting of two 18-day treatment periods separated by a 24-day washout was conducted in healthy adults (n=18)...
September 21, 2018: Journal of Nutritional Biochemistry
Tonya M Palermo, William T Zempsky, Carlton D Dampier, Chitra Lalloo, Amos S Hundert, Lexa K Murphy, Nitya Bakshi, Jennifer N Stinson
Many adolescents with sickle cell disease (SCD) experience recurrent and chronic pain, which has a negative impact on their health-related quality of life (HRQL). Cognitive-behavioral therapy (CBT) interventions can lead to improvement in pain and HRQL, yet due to barriers to care, most youth with SCD will not receive these interventions. To address this need for innovative programs targeting youth with SCD pain, we developed iCanCope, a tailored smartphone and web-based program that delivers a pain self-management intervention to youth with SCD...
October 11, 2018: Contemporary Clinical Trials
Kelly A Aschbrenner, John A Naslund, Amy A Gorin, Kim T Mueser, Emily A Scherer, Mark Viron, Allison Kinney, Stephen J Bartels
BACKGROUND: Individuals with serious mental illness (SMI) such as schizophrenia and bipolar disorder face a higher risk of early death due to cardiovascular disease and other preventable chronic illnesses. Young adulthood is a critical window of development for lifestyle interventions to improve the long-term health and quality of life in this population. Fit Forward is an NIH-funded randomized clinical trial examining the effectiveness of a group lifestyle intervention (PeerFIT) enhanced with mobile health technology compared to one-on-one mobile lifestyle coaching with Basic Education in fitness and nutrition supported by a wearable Activity Tracking device (BEAT) in achieving clinically significant weight loss and improved cardiorespiratory fitness in young adults with SMI...
October 11, 2018: Contemporary Clinical Trials
Gérard Chalès
The definition of asymptomatic hyperuricemia remains unclear, as no consensus exists about the serum urate cutoff or the relevance of ultrasound findings. Comorbidities associated with hyperuricemia have increased in frequency over the past two decades. Hyperuricemia (and/or gout) may be a cause or a consequence of a comorbidity. Whereas epidemiological studies suggest that hyperuricemia may be linked to cardiovascular, metabolic, and renal comorbidities, Mendelian randomization studies have not provided proof that these links are causal...
October 11, 2018: Joint, Bone, Spine: Revue du Rhumatisme
Rinaldo Bellomo, Matthew Chan, Christopher Guy, Helena Proimos, Federica Franceschi, Marco Crisman, Aniket Nadkarni, Paolo Ancona, Kevin Pan, Francesca Di Muzio, Barbara Presello, James Bailey, Marcus Young, Graeme K Hart
AIM: Common blood tests can help identify patients at risk of death, unplanned intensive care unit (ICU) admission, or rapid response team (RRT) call. We aimed to test whether early ICU-team review triggered by such laboratory tests (lab alert) is feasible, safe, and can alter physiological variables, clinical management, and clinical outcomes. METHODS: In prospective pilot randomized controlled trial in surgical wards of a tertiary hospital, we studied patients admitted for > 24 hours...
October 11, 2018: Resuscitation
Adam G Gavarkovs, Wendy Blunt, Robert J Petrella
Training program implementers through online methods represents a way of facilitating the widespread implementation of community-based interventions that is more financially and logistically feasible than traditional in-person training methods. However, there are few evidence-informed protocols or models that can guide the development of online training content in a way that is consistent with instructional best practices. This paper presents an evidence-informed protocol for developing a training website, or online training platform, to support the implementation of community-based interventions at scale, which was informed by a critical analysis of the instructional design literature and our experiences developing an online training platform for the HealtheStepsTM Lifestyle Prescription Program...
October 6, 2018: Evaluation and Program Planning
Lara Silvia Oliveira Conegundes, Juliana Y Valente, Camila Bertini Martins, Solange Andreoni, Zila M Sanchez
OBJECTIVE: To analyze the sociodemographic, school, and family factors associated with the patterns of binge drinking and frequent or heavy drinking among adolescents. METHODS: This was a cross-sectional study, nested in a randomized controlled trial, of 6285 seventh and eighth grade adolescent students from Brazilian public schools. The associations between binge drinking (consumption of five or more doses of alcohol on a single occasion) in the last 12 months and frequent or heavy drinking (alcohol consumption on six or more days) in the last month and the several factors were analyzed through weighted logistic regression...
October 11, 2018: Jornal de Pediatria
Cristina Cadenas-Sanchez, Timm Intemann, Idoia Labayen, Ana B Peinado, Josep Vidal-Conti, Joaquin Sanchis-Moysi, Diego Moliner-Urdiales, Manuel A Rodriguez Perez, Jorge Cañete Garcia-Prieto, Jorge Del Rosario Fernández-Santos, Borja Martinez-Tellez, Germán Vicente-Rodríguez, Marie Löf, Jonatan R Ruiz, Francisco B Ortega
OBJECTIVES: Reference values are necessary for classifying children, for health screening, and for early prevention as many non-communicable diseases aggravate during growth and development. While physical fitness reference standards are available in children aged 6 and older, such information is lacking in preschool children. Therefore, the purposes of this study were (1) to provide sex-and age-specific physical fitness reference standards for Spanish preschool children; and (2) to study sex differences across this age period and to characterise fitness performance throughout the preschool period...
September 20, 2018: Journal of Science and Medicine in Sport
J Perriot, M Underner, G Peiffer
Tuberculosis and tobacco smoking are two major public health problems causing significant mortality worldwide. Tobacco smoke increases the risk of Mycobacterium tuberculosis infection, severe pulmonary or extrapulmonary TB, and death of TB. In emerging countries, quitting smoking is one way to control the TB epidemic. Compared with non-smokers, smokers with tuberculosis are less observant of anti-tuberculosis treatment. Smoking abstinence improves the course of their illness, the treatment compliance and facilitates the final cure justifying smoking cessation interventions...
October 10, 2018: Revue de Pneumologie Clinique
Edward M Castillo, Theodore C Chan, Vaishal M Tolia, Nicholas A Trumm, Robert A Powell, Jesse J Brennan, Allyson A Kreshak
BACKGROUND: While the overall incidence of hepatitis A has declined markedly since the introduction of a vaccine, sporadic cases and outbreaks of the disease continue to occur. OBJECTIVE: Our aim was to evaluate the effectiveness of an electronic health record (EHR) provider alert as part of an outbreak-control vaccination program implemented in the emergency department (ED). METHODS: We conducted a retrospective study assessing the impact of a Best Practice Alert (BPA) built into an EHR to prompt providers when a patient was homeless to consider hepatitis A vaccination in the ED...
October 10, 2018: Journal of Emergency Medicine
Jane L Phillips, Nicole Heneka, Louise Hickman, Lawrence Lam
BACKGROUND: Pain is highly prevalent in all health care settings, and frequently poorly managed. Effective pain management is predicated on a continuous cycle of screening, assessing, intervening and evaluating. Identifying gaps in nurses' self-perceived pain assessment competencies is an essential first step in the design of tailored interventions to embed effective pain assessment into routine clinical practice, and improve patient reported pain outcomes. Yet, few validated instruments focus on the competencies required for undertaking a comprehensive pain assessment, with most focusing on clinician's pain management competencies...
October 10, 2018: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
Bijou R Hunt, Maureen R Benjamins, Sabena Khan, Jana L Hirschtick
OBJECTIVE: Examine associations between food insecurity and multiple demographic, socioeconomic, acculturation, social risk factor, and food access variables. DESIGN: Data are from Sinai Community Health Survey 2.0, a cross-sectional, population-based probability survey of adults. SETTING: Ten selected community areas in Chicago. PARTICIPANTS: Adults aged 18 years and over who completed the Household Food Security Scale (HFSS) portion of the survey were included in the analysis (n = 1,041)...
October 10, 2018: Journal of Nutrition Education and Behavior
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