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https://www.readbyqxmd.com/read/29460009/the-global-spine-care-initiative-applying-evidence-based-guidelines-on-the-non-invasive-management-of-back-and-neck-pain-to-low-and-middle-income-communities
#1
REVIEW
Roger Chou, Pierre Côté, Kristi Randhawa, Paola Torres, Hainan Yu, Margareta Nordin, Eric L Hurwitz, Scott Haldeman, Christine Cedraschi
PURPOSE: The purpose of this review was to develop recommendations for the management of spinal disorders in low-income communities, with a focus on non-invasive pharmacological and non-pharmacological therapies for non-specific low back and neck pain. METHODS: We synthesized two evidence-based clinical practice guidelines for the management of low back and neck pain. Our recommendations considered benefits, harms, quality of evidence, and costs, with attention to feasibility in medically underserved areas and low- and middle-income countries...
February 19, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29454316/the-theoretical-and-empirical-basis-of-a-biopsychosocial-bps-risk-screener-for-detection-of-older-people-s-health-related-needs-planning-of-community-programs-and-targeted-care-interventions
#2
Zoe J-L Hildon, Chuen Seng Tan, Farah Shiraz, Wai Chong Ng, Xiaodong Deng, Gerald Choon Huat Koh, Kelvin Bryan Tan, Ian Philp, Dick Wiggins, Su Aw, Treena Wu, Hubertus J M Vrijhoef
BACKGROUND: This study introduces the conceptual basis and operational measure, of BioPyschoSocial (BPS) health and related risk to better understand how well older people are managing and to screen for risk status. The BPS Risk Screener is constructed to detect vulnerability at older ages, and seeks to measure dynamic processes that place equal emphasis on Psycho-emotional and Socio-interpersonal risks, as Bio-functional ones. We validate the proposed measure and describe its application to programming...
February 17, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29454168/genetic-and-environmental-influences-on-pubertal-hormones-in-human-hair-across-development
#3
Andrew D Grotzinger, Daniel A Briley, Laura E Engelhardt, Frank D Mann, Megan W Patterson, Jennifer L Tackett, Elliot M Tucker-Drob, K Paige Harden
Puberty is a complex biopsychosocial process that can affect an array of psychiatric and medical disorders emerging in adolescence. Although the pubertal process is driven by neuroendocrine changes, few quantitative genetic studies have directly measured puberty-relevant hormones. Hair samples can now be assayed for accumulation of hormones over several months. In contrast to more conventional salivary measures, hair measures are not confounded by diurnal variation or hormonal reactivity. In an ethnically and socioeconomically diverse sample of 1286 child and adolescent twins and multiples from 672 unique families, we estimated genetic and environmental influences on hair concentrations of testosterone, DHEA, and progesterone across the period of 8-18 years of age...
February 12, 2018: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/29452066/biopsychosocial-factors-antecedent-and-consequential-to-women-s-health-issues
#4
Eleanor Krasen Covan
No abstract text is available yet for this article.
March 2018: Health Care for Women International
https://www.readbyqxmd.com/read/29449890/benefits-harms-and-evidence-reflections-from-uk-primary-healthcare
#5
Margaret McCartney
In this paper I examine the relationship between benefits, harms and evidence-based medicine in the context of British primary healthcare. First, I will examine: 'What is a benefit and what is a harm?' Second, what should we know about where the balance of risk and benefit appear to lie? Third, what should we do with this knowledge, particularly in the context of the biopsychosocial gaze of primary care? I conclude that even perfect knowledge about benefits and harms requires to be translated in the context of the individual patient: it also requires to be interpreted according to what that persons' wishes are...
January 2018: London Journal of Primary Care
https://www.readbyqxmd.com/read/29449064/pain-related-psychological-issues-in-hand-therapy
#6
Tokiko Hamasaki, René Pelletier, Daniel Bourbonnais, Patrick Harris, Manon Choinière
STUDY DESIGN: Literature review. INTRODUCTION: Pain is a subjective experience that results from the modulation of nociception conveyed to the brain via the nervous system. Perception of pain takes place when potential or actual noxious stimuli are appraised as threats of injury. This appraisal is influenced by one's cognitions and emotions based on her/his pain-related experiences, which are processed in the forebrain and limbic areas of the brain. Unarguably, patients' psychological factors such as cognitions (eg, pain catastrophizing), emotions (eg, depression), and pain-related behaviors (eg, avoidance) can influence perceived pain intensity, disability, and treatment outcomes...
February 12, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29439834/-treatment-of-type-2-diabetes-mellitus-in-elderly-patients
#7
R Gómez-Huelgas, F Gómez Peralta, L Rodríguez Mañas, F Formiga, M Puig Domingo, J J Mediavilla Bravo, C Miranda, J Ena
The prevalence of type 2 diabetes mellitus (DM2) increases markedly with age. Antidiabetic treatment and the objectives of glycaemic control in elderly patients with DM2 should be individualised according to their biopsychosocial characteristics. In elderly patients for whom the benefits of intensive antidiabetic treatment are limited, the basic objectives should be to improve the quality of life, preserve functionality and avoid adverse effects, especially hypoglycaemia. Treatment of DM2 in the elderly was the subject of a consensus document published in 2012 and endorsed by several Spanish scientific societies...
February 10, 2018: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/29439684/prediction-of-post-acute-care-demand-in-medical-and-neurological-inpatients-diagnostic-assessment-of-the-post-acute-discharge-score-a-prospective-cohort-study
#8
Antoinette Conca, Angela Gabele, Barbara Reutlinger, Philipp Schuetz, Alexander Kutz, Sebastian Haubitz, Lukas Faessler, Marcus Batschwaroff, Ursula Schild, Zeljka Caldara, Katharina Regez, Susanne Schirlo, Gabi Vossler, Timo Kahles, Krassen Nedeltchev, Anja Keller, Andreas Huber, Sabina De Geest, Ulrich Buergi, Petra Tobias, Martine Louis Simonet, Beat Mueller, Petra Schäfer-Keller
BACKGROUND: Early identification of patients requiring transfer to post-acute care (PAC) facilities shortens hospital stays. With a focus on interprofessional assessment of biopsychosocial risk, this study's aim was to assess medical and neurological patients' post-acute care discharge (PACD) scores on days 1 and 3 after hospital admission regarding diagnostic accuracy and effectiveness as an early screening tool. The transfer to PAC facilities served as the outcome ("gold standard")...
February 13, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29433763/linking-commonly-used-hand-therapy-outcome-measures-to-individual-areas-of-the-international-classification-of-functioning-a-systematic-review
#9
Nancy Naughton, Lori Algar
STUDY DESIGN: Systematic review. INTRODUCTION: Identifying outcome measures that correspond to the International Classification of Functioning (ICF) provides insight into selecting appropriate outcome tools in hand therapy practice. PURPOSE OF THE STUDY: The objective of this study is to systematically review patient-reported outcome measures commonly used in hand therapy to determine the extent to which the content represents the biopsychosocial view of the ICF...
February 9, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29432283/nurse-educator-attitudes-toward-people-with-disabilities
#10
Lori Lyon, Rick Houser
AIM: As educators strongly influence the attitudes of their students, the purpose of this study was to determine nurse educator attitudes toward people with disabilities. BACKGROUND: Inadequate education of health professionals is a known barrier to care for people with disability. Continuing calls for improved education of health professionals compel an assessment of nurse educator attitudes. METHOD: This was a cross-sectional, correlational web-based survey of nurse educators (n = 126)...
February 10, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29427892/how-health-behaviors-link-romantic-relationship-dysfunction-and-physical-health-across-20-years-for-middle-aged-and-older-adults
#11
Patricia N E Roberson, Rebecca L Shorter, Sarah Woods, Jacob Priest
RATIONALE: There has been substantial research linking marital quality to physical health outcomes; however, the mechanisms linking marital quality and physical health have been studied less extensively, especially with longitudinal data. Of the hypothesized mechanisms, only psychological distress (anxiety/depression) and physiological mechanisms (inflammation) have been tested and confirmed. Health behaviors such as diet, exercise, smoking, drinking, and sleeping have not previously been examined as mechanisms linking marital quality and physical health...
February 3, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29425671/cardiovascular-stress-response-adaptation-conceptual-basis-empirical-findings-and-implications-for-disease-processes
#12
REVIEW
Brian M Hughes, Wei Lü, Siobhán Howard
Cardiovascular reactivity to stress is an established marker of lifetime disease risk, with both elevated and blunted reactions empirically identified as being predictive of ill-health. However, in the relevant studies, traditional laboratory protocols do not account for patterns of response adaptation across time, patterns that may be particularly important in the prediction of future health outcomes. We outline the evidence suggesting that habituation to repeated or prolonged stress represents an informative and health-relevant aspect of the cardiovascular stress response...
February 6, 2018: International Journal of Psychophysiology
https://www.readbyqxmd.com/read/29416373/as-if-one-pain-problem-was-not-enough-prevalence-and-patterns-of-coexisting-chronic-pain-conditions-and-their-impact-on-treatment-outcomes
#13
M Gabrielle Pagé, Maude Fortier, Mark A Ware, Manon Choinière
Introduction: The presence of multiple coexisting chronic pain (CP) conditions (eg, low-back pain and migraines) within patients has received little attention in literature. The goals of this observational longitudinal study were to determine the prevalence of coexisting CP conditions, identify the most frequent ones and patterns of coexistence, investigate the relationships among patients' biopsychosocial characteristics and number of CP conditions, and determine the impact of coexisting CP conditions on treatment response...
2018: Journal of Pain Research
https://www.readbyqxmd.com/read/29410750/women-s-sleep-disorders-integrative-care
#14
Cristina Frange, Carolina Vicente Banzoli, Ana Elisa Colombo, Marcele Siegler, Glaury Coelho, Andréia Gomes Bezerra, Marcelo Csermak, Maria Fernanda Naufel, Cristiana Cesar-Netto, Monica Levy Andersen, Manoel João Batista Castelo Girão, Sergio Tufik, Helena Hachul
The integrative care model is rooted in a biopsychosocial approach. Integrative is a term which refers to increasing the harmony and coherence of your whole being, and integrative care is therefore focused on the person, not on either the disease or a therapy. It is provided collaboratively by a health team comprising physicians, psychologists, physiotherapists, acupuncturists, and meditation, nutrition, and floral therapy. Previous studies have demonstrated that interventions based on the integrative care model improved womens lifestyle and quality of life...
October 2017: Sleep Science
https://www.readbyqxmd.com/read/29408484/evaluating-psychosocial-contributions-to-chronic-pain-outcomes
#15
REVIEW
S M Meints, R R Edwards
The biopsychosocial model of pain dominates the scientific community's understanding of chronic pain. Indeed, the biopsychosocial approach describes pain and disability as a multidimensional, dynamic integration among physiological, psychological, and social factors that reciprocally influence one another. In this article, we review two categories of studies that evaluate the contributions of psychosocial factors to the experience of chronic pain. First, we consider general psychosocial variables including distress, trauma, and interpersonal factors...
January 30, 2018: Progress in Neuro-psychopharmacology & Biological Psychiatry
https://www.readbyqxmd.com/read/29403431/acquired-sleep-related-hypermotor-epilepsy-with-disrupted-white-matter-tracts-assessed-by-multishell-diffusion-magnetic-resonance-imaging
#16
Zahari N Tchopev, Ping-Hong Yeh, Greg W Morgan, Eric Meyer, Johanna M Wolf, John M Ollinger, Gerard P Riedy, Lisa C Young
Sleep-related hypermotor epilepsy (SHE) (previously frontal lobe epilepsy) is a rare seizure disorder commonly misdiagnosed or unrecognized, causing negative patient sequelae. While usually reported in familial studies, it is more commonly acquired. Diagnosis is a challenge due to its low incidence in comparison with the more common sleep disorders or psychogenic etiologies in the differential diagnosis. Diagnosis is scaled on degree of certainty based on described or clinically documented semiology, with video EEG as a helpful, but not necessary, adjunct...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29403123/perceptions-of-accredited-social-health-activists-on-depression-a-qualitative-study-from-karnataka-india
#17
Aruna Rose Mary Kapanee, K S Meena, Prasanthi Nattala, Narayana Manjunatha, Paulomi M Sudhir
Background: Depression is a significant public health concern in India, associated with a large treatment gap. Assessing perceptions of Accredited Social Health Activists (ASHAs) on depression can be invaluable as they are selected to work at the interface between their own communities and the health-care delivery system. Aims and Objectives: This study aimed at utilizing a qualitative approach to examine the ASHAs' understanding of depression, their mental health-care practices specific to depression, and their capacity-building needs with regard to identification and helping persons with depression...
January 2018: Indian Journal of Psychological Medicine
https://www.readbyqxmd.com/read/29394126/biopsychosocial-distress-in-young-adult-oncology-patients-examining-sex-differences-in-sources-of-high-distress-and-requests-for-assistance
#18
Elaine Wheat Dawson, Karen Clark, Richard Obenchain, Matthew J Loscalzo, Jeanelle Folbrecht
PURPOSE: This study examines biopsychosocial problem-related distress and requests for assistance with male and female young adult patients by applying a large-scale analysis among individuals diagnosed with a variety of cancers. METHODS: A retrospective study was conducted involving 630 patients of ages 18-39 treated for cancer at City of Hope between 2009 and 2014. Patients were asked to complete a biopsychosocial problem-related distress touch-screen instrument before treatment as part of their routine clinical care...
February 2, 2018: Journal of Adolescent and Young Adult Oncology
https://www.readbyqxmd.com/read/29392237/development-of-a-risk-stratification-and-prevention-index-for-stratified-care-in-chronic-low-back-pain-focus-yellow-flags-mispex-network
#19
Pia-Maria Wippert, Anne-Katrin Puschmann, David Drießlein, Adamantios Arampatzis, Winfried Banzer, Heidrun Beck, Marcus Schiltenwolf, Hendrik Schmidt, Christian Schneider, Frank Mayer
Introduction: Chronic low back pain (LBP) is a major cause of disability; early diagnosis and stratification of care remain challenges. Objectives: This article describes the development of a screening tool for the 1-year prognosis of patients with high chronic LBP risk (risk stratification index) and for treatment allocation according to treatment-modifiable yellow flag indicators (risk prevention indices, RPI-S). Methods: Screening tools were derived from a multicentre longitudinal study (n = 1071, age >18, intermittent LBP)...
November 2017: Pain Reports (Baltimore, Md.)
https://www.readbyqxmd.com/read/29391827/development-and-implementation-of-an-inpatient-multidisciplinary-pain-management-program-for-patients-with-intractable-chronic-musculoskeletal-pain-in-japan-preliminary-report
#20
Naoto Takahashi, Satoshi Kasahara, Shoji Yabuki
Introduction: Multidisciplinary pain management is a useful method to treat chronic musculoskeletal pain. Few facilities in Japan administer a multidisciplinary pain management program, especially an inpatient program. Therefore, we implemented a multidisciplinary pain management program in our hospital based on biopsychosocial factors guided by the recommendations of the International Association for the Study of Pain. The purpose of this study is to describe our inpatient pain management program for Japanese patients, which uses the biopsychosocial method of pain self-management...
2018: Journal of Pain Research
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