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Holistic integrative prevention

Eike Quilling, Kevin Dadaczynski, Merle Müller
BACKGROUND: Childhood and adolescent overweight can still be seen as a global public health problem. Based on our socioeconomic understanding, overweight is the result of a complex interplay of a diverse array of factors acting on different levels. Hence, in addition to individual level determinants overweight prevention should also address environmental related factors as part of a holistic and integrated setting approach. OBJECTIVE: This paper aims to discuss the setting approach with regard to overweight prevention in childhood and adolescence...
September 30, 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
P Lyu
Expansion of HIV testing and ART treatment are core strategies for achieving the ambitious global goal of ending the HIV epidemic by the end of 2030, and achieving the "90-90-90" target by 2020. In China, great progress in HIV control and prevention has been made; however, there is room to enhance the effectiveness of HIV-related strategies. In addition, some implemented strategies have not achieved their expected output. To confront the challenge of sexual transmission of HIV, which is the main route of transmission in China, more targeted HIV prevention strategies that lead to their expected outcomes are essential...
October 6, 2016: Zhonghua Yu Fang Yi Xue za Zhi [Chinese Journal of Preventive Medicine]
Hannah Mafo Degge, Mark Hayter, Mary Laurenson
AIM AND OBJECTIVES: To review literature on the experiences of women with obstetric fistula, their lived experiences after treatment; and to provide evidence for future research. BACKGROUND: Obstetric fistula is an injury most commonly resulting from a prolonged labour. Long eradicated in developed countries, obstetric fistula remains a public health issue in sub-Saharan Africa and Asia. This is a highly stigmatised health condition, and an understanding of the women's experience is required to inform holistic approaches for care and prevention...
September 29, 2016: Journal of Clinical Nursing
Gary J Browne, Stefan Dimou
BACKGROUND: Awareness of concussive head injury continues to grow, aided by greater understanding of the neurobiological underpinnings of concussions and its short-term and long-term consequences. Younger players who are in the midst of their neurodevelopmental trajectory continue to be placed at risk; therefore, more must be done to educate clinicians, parents, coaches and players alike in this area. Our understanding of concussive injury is evolving and more integrated models of care are being developed so as to provide patients with the holistic model of care needed in the post-concussive context...
July 2016: Australian Family Physician
Debbie Scott, Bob Lonne, Daryl Higgins
Contemporary approaches to child protection are dominated by individualized forensically focused interventions that provide limited scope for more holistic preventative responses to children at risk and the provision of support to struggling families and communities. However, in many jurisdictions, it is frequently shown, often through public inquiries and program reviews, that investigatory and removal approaches are failing in critically important ways, particularly regarding reducing the inequities that underpin neglect and abuse...
October 2016: Trauma, Violence & Abuse
David Musyoki, Sarafina Gichohi, Johnson Ritho, Zipporah Ali, Asaph Kinyanjui, Esther Muinga
Palliative care is patient and family-centred care that optimises quality of life by anticipating, preventing, and treating suffering. Open Society Foundation public health program (2011) notes that people facing life-threatening illnesses are deeply vulnerable: often in severe physical pain, worried about death, incapacitation, or the fate of their loved ones. Legal issues can increase stress for patients and families and make coping harder, impacting on the quality of care. In the absence of a clear legal provision expressly recognising palliative care in Kenya, providers may face numerous legal and ethical dilemmas that affect the availability, accessibility, and delivery of palliative care services and commodities...
2016: Ecancermedicalscience
Autumn Lanoye, Karen E Stewart, Bruce D Rybarczyk, Stephen M Auerbach, Elizabeth Sadock, Arpita Aggarwal, Rachel Waller, Susan Wolver, Kristin Austin
OBJECTIVE: The integration of psychological and behavioral health services into safety net primary care clinics has been viewed as a step toward reducing disparities in mental health treatment and addressing behavioral factors in chronic diseases. Though it is posited that integrated behavioral health (IBH) reduces preventable medical costs, this premise has yet to be tested in a safety net primary care clinic. METHOD: Retrospective pre- and posttreatment analysis with quasi-experimental control group was constructed using propensity score matching...
August 9, 2016: Journal of Clinical Psychology
Sara J T Guilcher, Sarah Hamilton-Wright, Wayne Skinner, Julia Woodhall-Melnik, Peter Ferentzy, Aklilu Wendaferew, Stephen W Hwang, Flora I Matheson
BACKGROUND: Problem gambling and homelessness are recognized as important public health concerns that significantly impact individuals, their friends and families, communities and broader society. We aimed to explore the experiences with health and social services of men who had histories of problem gambling and housing instability in Toronto, Ontario. METHODS: We used a community-based participatory approach with a multi-service agency serving low-income individuals...
2016: BMC Health Services Research
Ashlee M Plummer, Karen G Fleming
Outer membrane proteins (OMPs) play a central role in the integrity of the outer membrane of Gram-negative bacteria. Unfolded OMPs (uOMPs) transit across the periplasm, and subsequent folding and assembly are crucial for biogenesis. Chaperones and the essential β-barrel assembly machinery (BAM) complex facilitate these processes. In vitro studies suggest that some chaperones sequester uOMPs in internal cavities during their periplasmic transit to prevent deleterious aggregation. Upon reaching the outer membrane, the BAM complex acts catalytically to accelerate uOMP folding...
October 2016: Trends in Biochemical Sciences
Peter A Davey, Mathieu Pernice, Gaurav Sablok, Anthony Larkum, Huey Tyng Lee, Agnieszka Golicz, David Edwards, Rudy Dolferus, Peter Ralph
Seagrass meadows are disappearing at alarming rates as a result of increasing coastal development and climate change. The emergence of omics and molecular profiling techniques in seagrass research is timely, providing a new opportunity to address such global issues. Whilst these applications have transformed terrestrial plant research, they have only emerged in seagrass research within the past decade; In this time frame we have observed a significant increase in the number of publications in this nascent field, and as of this year the first genome of a seagrass species has been sequenced...
September 2016: Functional & Integrative Genomics
Bob Buhlmann, Madlene Dole, Zena Kaufmann
No abstract text is available yet for this article.
September 2016: PDA Journal of Pharmaceutical Science and Technology
Sari L Reisner, Asa Radix, Madeline B Deutsch
Transgender (trans) communities worldwide, particularly those on the trans feminine spectrum, are disproportionately burdened by HIV infection and at risk for HIV acquisition/transmission. Trans individuals represent an underserved, highly stigmatized, and under-resourced population not only in HIV prevention efforts but also in delivery of general primary medical and clinical care that is gender affirming. We offer a model of gender-affirmative integrated clinical care and community research to address and intervene on disparities in HIV infection for transgender people...
August 15, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Joseph Stewart Alter, Chandrashekar Sharma
Scholars have argued that theoretical insights of critical medical anthropology should be applied to the analysis of complementary and alternative medicine in order to develop more critically engaged integrative medicine. In this essay we focus on nature cure in the context of India's contemporary epidemiological transition as an example of why engaged integrative medicine is important for public health, and how the institutionalization of nature cure treatment in India provides a critical framework for the development of programs focused on holistic treatment and prevention...
July 2016: Journal of Integrative Medicine
Lotta Heikkilä, Anu Reinikainen, Juha-Matti Katajajuuri, Kirsi Silvennoinen, Hanna Hartikainen
Avoidable food waste is produced in the food service sector, with significant ecological and economical impacts. In order to understand and explain better the complex issue of food waste a qualitative study was conducted on the reasons for its generation in restaurants and catering businesses. Research data were collected during three participatory workshops for personnel from three different catering sector companies in Finland. Based on synthesized qualitative content analysis, eight elements influencing production and reduction of food waste were identified...
October 2016: Waste Management
Rachel D Simmons, Sandeep Kumar, Salim Raid Thabet, Sanjoli Sur, Hanjoong Jo
Atherosclerosis is a multifactorial disease that preferentially occurs in arterial regions exposed to d-flow can be used to indicate disturbed flow or disturbed blood flow. The mechanisms by which d-flow induces atherosclerosis involve changes in the transcriptome, methylome, proteome, and metabolome of multiple vascular cells, especially endothelial cells. Initially, we begin with the pathogenesis of atherosclerosis and the changes that occur at multiple levels owing to d-flow, especially in the endothelium...
September 2016: Wiley Interdisciplinary Reviews. Systems Biology and Medicine
Lianne Jeffs, Marianne Saragosa, Jane Merkley, Maria Maione
This paper highlights the relationship between the Fundamentals of Care Framework, patient safety and quality improvement by describing a more holistic view of patient engagement across the healthcare system. By creating reliable and resilient healthcare organizations that enhance nurses' capacity to engage in relational care and vigilance, healthcare agencies can effectively achieve safety and quality aims. Integral to this is the nurse-patient relationship, whereby nurses know patient preferences for care and recognize when patients are deteriorating to prevent harm within the context of care environments...
2016: Nursing Leadership
Machiko R Tomita, Kathryn Buckner, Sumandeep Saharan, Kimberley Persons, Sheng Hui Liao
This case report describes a unique long-term functional recovery process to promote successful community reintegration for a woman with Guillain-Barré syndrome (GBS), a rare autoimmune disease. Her main symptoms were very limited mobility and depressive symptoms due to the unknown cause of and cure for the illness. Holistic occupational strategies helped the client stabilize her emotional state, create a safe home environment, improve a communication method, increase physical activity, and promote social participation...
July 2016: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
F Huettig, F M Said, K Sippli, C Preiser, M A Rieger
Objective: Against the background of well-described associations between oral and general health, the cooperation between general practitioners (GPs) and dentists is crucial. Besides treatment, this includes prevention. Administrative referral between these two professions is not provided by statute. Thus, the study addresses the question: How do dentists and GPs integrate the associations between oral and systemic health in daily routine? Methods: A total of 28 semi-structured interviews were conducted with GPs and dentists from 3 structurally different regions in the Federal State of Baden-Wurttemberg...
June 9, 2016: Das Gesundheitswesen
David Musoke, George Karani, Rawlance Ndejjo, Peter Okui, Miph Boses Musoke
BACKGROUND: The integrated approach to malaria prevention which advocates use of several methods in a holistic manner is being explored to complement existing strategies. A pilot project that promoted integrated malaria prevention established 40 demonstration households using the approach. As part of impact evaluation of the project 2 years after implementation, the experiences of these households using integrated malaria prevention were assessed. METHODS: A qualitative cross-sectional survey was carried out in Wakiso district, Uganda which involved 40 in-depth interviews among households implementing integrated malaria prevention...
2016: Malaria Journal
A Ross Brown, Graham Whale, Mathew Jackson, Stuart Marshall, Mick Hamer, Andreas Solga, Patrick Kabouw, Malyka Galay-Burgos, Richard Woods, Stephanie Nadzialek, Lorraine Maltby
This critical review examines the definition and implementation of environmental protection goals for chemicals in current European Union (EU) legislation, guidelines and international agreements to which EU countries are party. The European chemical industry is highly regulated and prospective environmental risk assessments (ERAs) are tailored for different classes of chemical, according to their specific hazards, use patterns and environmental exposure profiles. However, environmental protection goals are often highly generic, requiring the prevention of 'unacceptable' or 'adverse' impacts on 'biodiversity' and 'ecosystems' or the 'environment as a whole'...
May 31, 2016: Integrated Environmental Assessment and Management
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