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Health Interventions

Qinran Sun, Fangming Liu, Min Gao, Wenqing Wu, Weiju Liu, Cong Yin, Zhongshu Zhu, Lijin Zhang, Xiufang Ding, Yanping Guo, Hui Gong, Xuguo Sun, Daoping Zhang
Cervical spondylosis (CS), which is resulted from degeneration of cervical intervertebral disc, is a common disease seriously threatening human health and quality of life. However, there is still no effective clinic strategies for the treatment of this disease. The acupoint stimulation with needle-scalpel is a widely used approach to treat orthopedic diseases. In the present study, we evaluated the therapeutic effects of acupoint stimulation around neck with needle-scalpel on delaying the degeneration of cervical intervertebral discs and hopefully provided an approach for the precaution and early intervention of CS...
December 12, 2018: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
Guangming Li, Guiyun Hou, Dong Yang, Hu Jian, Weijun Wang
Associations between anxiety, depression and adolescent Internet addiction have been well documented in the literature; however, few published studies have examined these relationships considering the developmental trajectory courses of adolescent Internet addiction as well as the individual differences over time. Using a sample of 1545 Chinese adolescents and 3 waves of data over six months, we examined the longitudinal associations between anxiety and depression and Internet addiction, considering sex and obesity...
December 7, 2018: Addictive Behaviors
Sidra Goldman-Mellor, Kevin Kwan, Jonathan Boyajian, Paul Gruenewald, Paul Brown, Deborah Wiebe, Magdalena Cerdá
OBJECTIVE: This study investigated patient- and area-level characteristics associated with adolescent emergency department (ED) patients' risk of subsequent ED visits for self-harm. METHOD: Retrospective analysis of adolescent patients presenting to a California ED in 2010 (n = 480,706) was conducted using statewide, all-payer, individually linkable administrative data. We examined associations between multiple predictors of interest (patient sociodemographic factors, prior ED utilization, and residential mobility; and area-level characteristics) and odds of a self-harm ED visit in 2010...
December 8, 2018: General Hospital Psychiatry
Lu Gram, Jolene Skordis-Worrall, Naomi Saville, Dharma S Manandhar, Neha Sharma, Joanna Morrison
Cash transfer programmes form an integral part of nutrition, health, and social protection policies worldwide, but the mechanisms through which they achieve their health and nutritional impacts are incompletely understood. We present results from a process evaluation of a combined participatory women's groups and cash transfer programme to improve low birth weight in rural Nepal. We explored the ways in which context, implementation, and mechanism of the intervention affected beneficiary women's agency over cash transfers...
December 6, 2018: Social Science & Medicine
Shaylyn S Stark, Loki Natarajan, Diana Chingos, Jennifer Ehren, Jessica R Gorman, Michael Krychman, Brian Kwan, Jun J Mao, Emily Myers, Tom Walpole, John P Pierce, H Irene Su
BACKGROUND: Young breast cancer survivors (YBCS) have unmet needs for managing hot flashes, fertility-related concerns, sexual health and contraception. PURPOSE: Describe the design and participant characteristics of a randomized controlled trial testing the efficacy of the survivorship care plan on reproductive health (SCP-R) intervention on improving hot flashes, fertility-related concerns, sexual health, and contraception in YBCS. METHODS: SCP-R is a web-based intervention with text message support encompassing evidence- based practices on four reproductive health issues...
December 12, 2018: Contemporary Clinical Trials
G Ducarme, A C Pizzoferrato, R de Tayrac, C Schantz, T Thubert, C Le Ray, D Riethmuller, E Verspyck, B Gachon, F Pierre, F Artzner, B Jacquetin, X Fritel
INTRODUCTION: The objective of these clinical practice guidelines was to analyse all of the interventions during pregnancy and childbirth that might prevent obstetric anal sphincter injuries (OASIS) and postnatal pelvic floor symptoms. MATERIAL AND METHODS: These guidelines were developed in accordance with the methods prescribed by the French Health Authority (HAS). RESULTS: A prenatal clinical examination of the perineum is recommended for women with a history of Crohn's disease, OASIS, genital mutilation, or perianal lesions (professional consensus)...
December 12, 2018: Journal of Gynecology Obstetrics and Human Reproduction
Galen Joseph, Robin Lee, Rena J Pasick, Claudia Guerra, Dean Schillinger, Sara Rubin
Effective communication, where all parties share a common understanding, is necessary to realize the promise of Genomic Medicine. It is especially salient given the imperative to increase the participation of diverse populations in genomics research and to expand the reach of clinical genomics. We have previously shown that cancer genetic counseling is suboptimal for patients with limited health literacy. To address this finding, we implemented a pilot study to improve verbal communication between genetic counselors and their patients of limited health literacy that consisted of: i) curriculum development and delivery of a Genetic Counselors (GC) communication workshop; ii) two-month post-workshop interviews with GC participants (n = 9); iii) observations/audio recordings of counseling sessions involving 24 patients and two GC workshop participants; iv) post-counseling interviews with patients (n = 9)...
December 12, 2018: European Journal of Medical Genetics
Wayne G Brisbane, Sarah K Holt, Brian R Winters, John L Gore, Thomas J Walsh, Jonathan L Wright, George R Schade
OBJECTIVE: To evaluate the effects of non-muscle invasive bladder cancer (NMIBC) on health-related quality of life (HRQOL) and urinary function within patients diagnosed with NMIBC as compared to the general population. METHODS: Using the Surveillance, Epidemiology, and End Results-Medicare Health Outcome Survey (SEER-MHOS) database (1998-2013), 325 patients diagnosed with NMIBC with baseline and post-diagnosis MHOS surveys were propensity-matched 1:5 to non-cancer controls (NCC)...
December 12, 2018: Urology
Gudrun Aspelund, Elaa M Mahdi, David H Rothstein, Derek S Wakeman
Choledochal cysts (CDCs) and biliary atresia (BA) are rare pediatric hepatobiliary anomalies that require surgical intervention due to increased risk of malignancy and liver failure, respectively. The underlying disease and operative procedures place patients at risk for long-term complications, which may continue to affect them into adulthood. Lack of a transitional care model in the health care system potentiates the challenges they will face following aging out of their pediatric providers' care. We sought to elucidate the long-term complications and challenges patients with CDCs and BA face, review the current literature regarding transitioning care, and propose guidelines aiding adult providers in continued care and surveillance of these patients...
December 15, 2018: Journal of Gastroenterology and Hepatology
Joseph Tibaldi, Martin Hadley-Brown, Andreas Liebl, Steffen Haldrup, Viktor Sandberg, Michael Lyng Wolden, Helena W Rodbard
AIMS: To compare the real-world effectiveness of insulin degludec (degludec) and glargine 300 units/mL (glargine U300) in insulin-naïve adult patients with type 2 diabetes in routine US clinical practice. MATERIALS AND METHODS: CONFIRM is a non-interventional comparative effectiveness study following US patients across the continuum of care, through electronic medical records from multiple health systems and integrated delivery networks. Propensity-score matching controlled for confounding...
December 15, 2018: Diabetes, Obesity & Metabolism
S C Danhauer, G A Brenes, B J Levine, L Young, H A Tindle, E L Addington, R B Wallace, M J Naughton, L Garcia, M Safford, M M Kim, E S LeBlanc, B M Snively, L G Snetselaar, S Shumaker
AIMS: To examine (1) the prevalence of depressive symptoms in women with Type 2 diabetes, (2) the associations between depressive symptoms and the following dependent variables: sleep disturbance; physical activity; physical health-related; and global quality of life, and (3) the potential moderating effects of antidepressants and optimism on the relationship between depressive symptoms and dependent variables. METHODS: Participants in the Women's Health Initiative who had Type 2 diabetes and data on depressive symptoms (N=8895) were included in the analyses...
December 15, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Deborah A Ellis, April Carcone, Richard Slatcher, Sylvie Naar-King, Anthony Hains, Amy Graham, Erica Sibinga
BACKGROUND AND OBJECTIVE: The negative effects of stress on persons with type 1 diabetes (T1D) are well-established, but effective interventions to reduce stress among emerging adults with T1D are limited. The study objective was to conduct a pilot randomized controlled trial (RCT) to obtain preliminary data on the efficacy of mindfulness-based stress reduction (MBSR) to reduce stress and improve diabetes health outcomes in a population of high-risk, urban emerging adults with poorly controlled diabetes METHODS: 48 participants aged 16-20 years of age with T1D (mean duration= 8 years) were randomly assigned to one of three conditions: MSBR, cognitive-behavioral stress management (CBSM), or a diabetes support group...
December 15, 2018: Pediatric Diabetes
Lauren A Hamrick, Gina P Owens
OBJECTIVE: The present study investigated the associations between self-compassion, self-blame, disengagement coping, and posttraumatic stress disorder (PTSD) and depression symptom severity among females who had experienced sexual assault. We also examined whether the relationships between self-compassion and both PTSD and depression severity were mediated by self-blame and coping. METHOD: A volunteer sample of female adults (N = 207) completed surveys online or on paper...
December 15, 2018: Journal of Clinical Psychology
Renato Rocha Martins, Lunara Teles Silva, Flavio Marques Lopes
Background Drug-related problems are mostly preventable or predictable circumstances that may impact on health outcomes. Clinical pharmacy activities such as medication therapy management can identify and solve these problems, with potential to improve medication safety and effectiveness. Objective To evaluate ability of medication therapy management service to detect drug-related problems and prevent adverse drug events. This study also aimed to assess the risk factors for drugrelated problem occurrence. Setting Medical intensive care unit of a public tertiary hospital in Brazil...
December 15, 2018: International Journal of Clinical Pharmacy
Zhehui Luo, Liang Wang, Alla Sikorskii, Gwen Wyatt
PURPOSE: This project's purpose was to determine the effects of a home-based reflexology intervention on symptom-related use of health services and work-related productivity during the 11-week study. METHODS: A total of 256 patients were randomized to four weekly reflexology sessions (each lasting 30 min, delivered by lay caregivers who received two training sessions by a professional reflexologist) or attention control. The Conventional Health Service and Productivity Costs Form was used to collect information on health service utilization and out-of-pocket expenditure of symptom management...
December 14, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Florence K L Tangka, Sujha Subramanian, Sonja Hoover, Christen Lara, Casey Eastman, Becky Glaze, Mary Ellen Conn, Amy DeGroff, Faye L Wong, Lisa C Richardson
Use of recommended screening tests can reduce new colorectal cancers (CRC) and deaths, but screening uptake is suboptimal in the United States (U.S.). The Centers for Disease Control and Prevention (CDC) funded a second round of the Colorectal Cancer Control Program (CRCCP) in 2015 to increase screening rates among individuals aged 50-75 years. The 30 state, university, and tribal awardees supported by the CRCCP implement a range of multicomponent interventions targeting health systems that have low CRC screening uptake, including low-income and minority populations...
December 14, 2018: Cancer Causes & Control: CCC
Cécile Aenishaenslin, Patricia Brunet, Francis Lévesque, Géraldine G Gouin, Audrey Simon, Johanne Saint-Charles, Patrick Leighton, Suzanne Bastian, André Ravel
Dogs have been an integral part of the Inuit social and cultural environment for generations, but their presence also generates public health risks such as bites and exposure to zoonotic diseases such as rabies. In Nunavik, Canada, some prevention and control interventions targeting dogs have been implemented but have not demonstrated their effectiveness in a long-term sustainable perspective. This study was conducted in one Inuit community of Nunavik and used mixed methods to get a better understanding of factors that affect human and dog health, dog-related risks for humans and perceptions of dogs in Inuit communities using an interdisciplinary perspective in line with the Ecohealth approach...
December 14, 2018: EcoHealth
Lindsay S Mayberry, John D Piette, Aaron A Lee, James E Aikens
Adults with type 2 diabetes mellitus (T2DM) often receive self-management support from adult children, siblings or close friends residing outside of their home. However, the role of out-of-home support in patients' self-management and well-being is unclear. Patients (N = 313) with HbA1c > 7.5% were recruited from community primary care clinics for a mobile health intervention trial and identified an out-of-home informal support person, herein called a CarePartner; 38% also had an in-home supporter...
December 14, 2018: Journal of Behavioral Medicine
Beth Fordham, Thavapriya Sugavanam, Sally Hopewell, Karla Hemming, Jeremy Howick, Shona Kirtley, Roshan das Nair, Julia Hamer-Hunt, Sarah E Lamb
INTRODUCTION: Cognitive-behavioural therapy (CBT) is a psychological therapy that has been used to improve patient well-being across multiple mental and physical health problems. Its effectiveness has been examined in thousands of randomised control trials that have been synthesised into hundreds of systematic reviews. The aim of this overview is to map, synthesise and assess the reliability of evidence generated from these systematic reviews of the effectiveness of CBT across all health conditions, patient groups and settings...
December 14, 2018: BMJ Open
Irene A Garcia-Yu, Luis Garcia-Ortiz, Manuel A Gómez-Marcos, Rosario Alonso-Dominguez, Jesus Gonzalez-Sanchez, Sara Mora-Simon, Susana González-Manzano, Emiliano Rodriguez-Sanchez, Jose A Maderuelo-Fernandez, Jose I Recio-Rodriguez
INTRODUCTION: The intake of polyphenols has certain health benefits. This study will aim to assess the effect of adding a daily amount of chocolate high in cocoa content and polyphenols to the normal diet on blood pressure, vascular function, cognitive performance, quality of life and body composition in postmenopausal women. METHODS AND ANALYSIS: Here we plan a randomised clinical trial with two parallel groups involving a total of 140 women between 50 and 64 years in the postmenopausal period, defined by amenorrhoea of ​​at least 12 consecutive months...
December 14, 2018: BMJ Open
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