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Intergrative health

Roch Fabien Niama, Nadia Claricelle Loukabou Bongolo, Edith Sophie Bayonne Kombo, Ruth Yengo, Pembe Issamou Mayengue, Etoka-Beka Mandingha Kosso, Igor Louzolo, Lucette Macosso, Ghislain Dzeret, Angélie Serge Patrick Dzabatou Babeaux, Marie-Francke Puruehnce, Henri Joseph Parra
Introduction: HIV and syphilis during pregnancy remain a public health concern especially in developing countries. Pregnant women attending antenatal clinics sites for the first time between September and December 2011 and who accepted to participate in the study were enrolled. The objective was to estimate the syphilis and HIV infection rate in this population. Methods: A study was conducted in 44 selected ANCs from 12 departments (5 urban and 7 rural). Pregnant women who accepted to participate in the study, attending selected sentinel ANCs sites for the first time between September and December 2011 were enrolled...
2017: Pan African Medical Journal
Datong Deng, Li Sun, Tongjia Xia, Min Xu, Youmin Wang, Qiu Zhang
A case of a 42-year-old female with hyperthyroidism was subsequently diagnosed to have systemic lupus erythematosus with distal RTA. The clinical examination on admission showed swelling of the knee joints and the urinalysis showed pH 6.5, pro 3+. Her blood routine results were as follows: white blood cells 1.85×109/L, platelets 100×109/L, erythrocyte 3.06×1012/L. The serum potassium was 3.11 mmol/L, 24 hour urinary electrolyte: K 68.87 mmol/24 H, antinuclear antibodies (ANA) 1:1 000, speckled pattern...
July 2016: Neuro Endocrinology Letters
Klas Gustafsson, Staffan Marklund, Gunnar Aronsson, Anders Wikman, Birgitta Floderus
PURPOSE: The study examines various combinations of levels of social isolation in private life and peripheral work position as predictors of disability pension (DP). A second aim was to test the potential interaction effects (above additivity) of social isolation and peripheral work position on the future risk of DP, and to provide results for men and women by age. METHOD: The study was based on a sample of 45567 women and men from the Swedish population who had been interviewed between 1992 and 2007...
2015: PloS One
Andrew YunKai Li, Ching Yee Tan, Chuan Gee Choo, Noel Stanley Wey Tut Tay, Muhammad Rahizan Zainuldin
SESSION TITLE: Physiology/PFTs/Rehabilitation PostersSESSION TYPE: Original Investigation PosterPRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PMPURPOSE: The aims of our audit are to determine the participation and adherence rate with our Pulmonary Rehabilitation service, to determine any factor associated with non- participation and non- adherence and to determine any modifiable factor for our service improvement.METHODS: We conducted a retrospective audit analysis on our COPD patients who have been referred to our Pulmonary Rehabilitation service between October 2012 and October 2013...
October 1, 2014: Chest
María Esperanza Rodríguez-van Lier, Luis Manuel Hernández Simón, Rosa Estela López Gómez, Ignacio Peón Escalante
BACKGROUND: There are various models of health care, such as the epidemiological, psychosocial, sociological, economic, systemic of Neuman, cognitive medicine or ecological, ayurvedic, supraparadigmatic among others. All of them are seeking to combine one or more elements to integrate a model of health care. The article presents a systemic approach to health care with complementary medicines such as rehabilitative acupuncture, homeopathy and chiropractic through the application of a method of holistic care and integrated approach...
2014: African Journal of Traditional, Complementary, and Alternative Medicines: AJTCAM
Jin Qian, David Fulton
Nitric oxide (NO) is a short-lived gaseous signaling molecule. In blood vessels, it is synthesized in a dynamic fashion by endothelial nitric oxide synthase (eNOS) and influences vascular function via two distinct mechanisms, the activation of soluble guanylyl cyclase (sGC)/cyclic guanosine monophosphate (cGMP)-dependent signaling and the S-nitrosylation of proteins with reactive thiols (S-nitrosylation). The regulation of eNOS activity and NO bioavailability is critical to maintain blood vessel function. The activity of eNOS and ability to generate NO is regulated at the transcriptional, posttranscriptional, and posttranslational levels...
2013: Frontiers in Physiology
A P Fertziger
It is argued that contemporary health science, being part of a general cultural trend toward the materialism of scientific rationality, has reduced human health to a system of machine-like events. This philosophical trend has had the indirect effect of excluding the human spirit from playing any significant role in our understanding of man's health and well-being. The recent effort of biomedical science to extend this materialist philosophy into the area of human death and dying is examined in the context of this ideological trend...
September 1985: Journal of Religion and Health
Vinah Anderson, Wendy Chaboyer, Brigid Gillespie
OBJECTIVE: to provide a critical evaluation of published research on the relationship between obesity and surgical site infection (SSI) in obese women undergoing caesarean section. METHOD: an integrative literature review was conducted using five databases (CINAHL, PUBMED, Cochrane, and EBSCO host) for 2002-2012. Inclusion criteria were: (1) wound infection as an outcome measure for obstetric/maternal complications; (2) obesity assessed as an independent risk factor for wound infection in women undergoing caesarean section; (3) research undertaken in the past 10 years; and (4) full text articles available in English with abstract...
December 2013: Midwifery
David C Cone, E Brooke Lerner, Roger A Band, Chris Renjilian, Bentley J Bobrow, C Crawford Mechem, Alix J E Carter, Douglas F Kupas, Daniel W Spaite
This article summarizes the discussions of the emergency medical services (EMS) breakout session at the June 2010 Academic Emergency Medicine consensus conference "Beyond Regionalization: Integrated Networks of Emergency Care." The group focused on prehospital issues such as the identification of patients by EMS personnel, protocol-driven destination selection, bypassing closer nondesignated centers to transport patients directly to more distant designated specialty centers, and the modes of transport to be used as they relate to the regionalization of emergency care...
December 2010: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Randy Pilgrim, Joshua A Hilton, Emily Carrier, Jesse M Pines, Greg Hufstetler, Suzette Thorby, T J Milling, Beth Cesta, Renee Y Hsia
In 2006, the Institute of Medicine (IOM) advanced the concept of "coordinated, regionalized, and accountable emergency care systems" to address significant problems with the delivery of emergency medical care in the United States. Achieving this vision requires the thoughtful implementation of well-aligned, system-level structures and processes that enhance access to emergency care and improve patient outcomes at a sustainable cost. Currently, the delivery of emergency medical care is supported by numerous administrative systems, including economic; reimbursement; legal and regulatory structures; licensure, credentialing, and accreditation processes; medicolegal systems; and quality reporting mechanisms...
December 2010: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Prasanthi Govindarajan, Gregory Luke Larkin, Karin V Rhodes, Gina Piazza, Terri L Byczkowski, Meredith Edwards, Jill M Baren
Patient-centered care is defined by the Institute of Medicine (IOM) as care that is responsive to individual patient needs and values and that guides the treatment decisions. This article is a result of a breakout session of the 2010 Academic Emergency Medicine (AEM) consensus conference and describes the process of developing consensus-based recommendations for providing patient-centered emergency care. The objectives of the working group were to identify and describe the critical gaps in the provision of patient-centered care, develop a consensus-based research agenda, and create a list of future research priorities...
December 2010: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Kevin M Baumlin, Nicholas Genes, Adam Landman, Jason S Shapiro, Todd Taylor, Bruce Janiak
The participants of the Electronic Collaboration working group of the 2010 Academic Emergency Medicine consensus conference developed recommendations and research questions for improving regional quality of care through the use of electronic collaboration. A writing group devised a working draft prior to the meeting and presented this to the breakout session at the consensus conference for input and approval. The recommendations include: 1) patient health information should be available electronically across the entire health care delivery system from the 9-1-1 call to the emergency department (ED) visit through hospitalization and outpatient care, 2) relevant patient health information should be shared electronically across the entire health care delivery system, 3) Web-based collaborative technologies should be employed to facilitate patient transfer and timely access to specialists, 4) personal health record adoption should be considered as a way to improve patient health, and 5) any comprehensive reform of regionalization in emergency care must include telemedicine...
December 2010: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Keith E Kocher, David P Sklar, Abhishek Mehrotra, Vivek S Tayal, Marianne Gausche-Hill, R Myles Riner
This article reflects the proceedings of a breakout session, "Beyond ED Categorization-Matching Networks to Patient Needs," at the 2010 Academic Emergency Medicine consensus conference, "Beyond Regionalization: Integrated Networks of Emergency Care." It is based on concepts and areas of priority identified and developed by the authors and participants at the conference. The paper first describes definitions fundamental to understanding the categorization, designation, and regionalization of emergency care and then considers a conceptual framework for this process...
December 2010: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Seth W Glickman, M Kit Delgado, Jon Mark Hirshon, Judd E Hollander, Theodore J Iwashyna, Alice K Jacobs, Austin S Kilaru, Scott A Lorch, Ryan L Mutter, Sage R Myers, Pamela L Owens, Michael P Phelan, Jesse M Pines, Christopher W Seymour, N Ewen Wang, Charles C Branas
The demands on emergency services have grown relentlessly, and the Institute of Medicine (IOM) has asserted the need for "regionalized, coordinated, and accountable emergency care systems throughout the country." There are large gaps in the evidence base needed to fix the problem of how emergency care is organized and delivered, and science is urgently needed to define and measure success in the emerging network of emergency care. In 2010, Academic Emergency Medicine convened a consensus conference entitled "Beyond Regionalization: Integrated Networks of Emergency Care...
December 2010: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Adit A Ginde, Mitesh Rao, Erin L Simon, J Matthew Edwards, Angela Gardner, John Rogers, Edwin Lopez, Carlos A Camargo, Gina Piazza, Alex Rosenau, Sandra Schneider, Nicholas Jouriles
The provision of emergency care in the United States, regionalized or not, depends on an adequate workforce. Adequate must be defined both qualitatively and quantitatively. There is currently a shortage of emergency care providers, one that will exist for the foreseeable future. This article discusses what is known about the current emergency medicine (EM) and non-EM workforce, future trends, and research opportunities.
December 2010: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Alexander Kurz, Stefan Wagenpfeil, Johannes Hallauer, Helga Schneider-Schelte, Sabine Jansen
OBJECTIVE: To evaluate the efficacy of a practical, easily implemented, educational intervention in group format for informal carers of persons with dementia. METHODS: Multi-centre, randomised, controlled, single-blind trial involving 292 family caregivers of patients with moderate dementia in Alzheimer's disease. RESULTS: Participants valued program components which had a practical impact on their caring role. The intervention achieved minor effects on the participants' psychological quality of life and did not reduce carer depression...
August 2010: International Journal of Geriatric Psychiatry
McElligott Deborah
No abstract text is available yet for this article.
2007: Beginnings: the Official Newsletter of the American Holistic Nurses' Association
Tian-fang Wang
No abstract text is available yet for this article.
October 2007: Chinese Journal of Integrated Traditional and Western Medicine
Beth A Archer
No abstract text is available yet for this article.
June 15, 2007: Medical Economics
J M Mungai
The rapid spread of AIDS in Africa has brought into focus the need to integrate medical science with socio-cultural beliefs and practices. The scientific knowledge on HIV, immune systems and drugs is well established. However, the drugs which are in use in the developed countries are too expensive for the great majority of the persons with HIV/AIDS in Africa. On the other hand, Africa is rich in socio-cultural traditions which have served their respective communities well. However, because of poverty and ignorance, many of the socio-cultural systems are helping in HIV/AIDS to spread increasingly fast...
1998: African Journal of Health Sciences
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