27,675 results match your criteria evidence-based public

Teaching well-being at scale: An intervention study.

PLoS One 2021 14;16(4):e0249193. Epub 2021 Apr 14.

Department of Psychology, Yale University, New Haven, Connecticut, United States of America.

Courses that teach evidence-based interventions to enhance well-being are a public health tool that could be used to improve mental health in the population. We compared the well-being of six cohorts of adult students before and after they completed one of two massive open online courses: The Science of Well-Being (N = 581; 441; 1,228) and a control course, Introduction to Psychology (N = 677; 480; 1,480). Baseline well-being levels were equivalent across all six samples. Read More

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Ebola Outbreak amid COVID-19 in the Republic of Guinea: Priorities for Achieving Control.

Am J Trop Med Hyg 2021 Apr 14. Epub 2021 Apr 14.

10Department of General Medicine, Karadeniz Technical University, Trabzon, Turkey.

In February 2021, a new Ebola outbreak occurred amid the coronavirus disease 2019 (COVID-19) pandemic in the Republic of Guinea. Technical committees and Ebola mitigation mechanisms used during the 2014-2016 Ebola epidemics, have been redeployed by the public health organizations and African health organizations. As the burden on the local healthcare system is rising, fears of socioeconomic disruption are growing as well. Read More

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[Reasons for rejecting official recommendations and measures concerning protection against SARS-CoV-2-a qualitative study of social media posts].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2021 Apr 14. Epub 2021 Apr 14.

Lehrstuhl für Versorgungsforschung, Fakultät für Gesundheit/Department für Humanmedizin, Universität Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58448, Witten, Deutschland.

Background: In order to slow down the spread of SARS-CoV‑2 (severe acute respiratory syndrome coronavirus type 2) the federal states and the government in Germany have implemented protective measures with far-reaching consequences for the population and the economy. Amongst others, these measures include the temporary restriction of the operation of leisure facilities as well as contact and travel restrictions. These government regulations and recommendations have provoked mixed reactions, with some parts of the population not complying accordingly. Read More

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Organizational structures and processes in nurse-led, evidence-based practice projects that result in measurable outcomes: a scoping review protocol.

JBI Evid Synth 2021 Apr 12. Epub 2021 Apr 12.

Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA.

Objective: The objective of this scoping review is to describe healthcare organizational structures and processes that support implementation of nurse-led, evidence-based practice projects resulting in improvements in outcome measures.

Introduction: Many health care organizations claim to support evidence-based practice methodology; however, a gap exists between knowledge generation and its use in routine clinical practice. This scoping review protocol appraises the status of organizational factors impacting implementation of evidence-based practices and reported outcomes. Read More

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[Evidence-based public health: perspectives and specific implementation factors].

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2021 Apr 13. Epub 2021 Apr 13.

Bundeszentrale für gesundheitliche Aufklärung (BZgA), Köln, Deutschland.

An evidence-based approach is considered a central requirement in the public health system. Five general principles apply in evidence-based medicine as well as in evidence-based public health (EBPH). These comprise a systematic approach, transparency in relation to uncertainty, integration and participation, management of conflicts of interest, and a structured, reflective process. Read More

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Early stage risk communication and community engagement (RCCE) strategies and measures against the coronavirus disease 2019 (COVID-19) pandemic crisis.

Glob Health J 2021 Mar 14;5(1):44-50. Epub 2021 Feb 14.

National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention; WHO Collaborating Centre for Tropical Diseases, Shanghai 200025, China.

Coronavirus disease 2019 (COVID-19) pandemic has proven to be tenacious and shows that the global community is still poorly prepared to handling such emerging pandemics. Enhancing global solidarity in emergency preparedness and response, and the mobilization of conscience and cooperation, can serve as an excellent source of ideas and measures in a timely manner. The article provides an overview of the key components of risk communication and community engagement (RCCE) strategies at the early stages in vulnerable nations and populations, and highlight contextual recommendations for strengthening coordinated and sustainable RCCE preventive and emergency response strategies against COVID-19 pandemic. Read More

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Perceptions of e-cigarettes among smokers and non-smokers in households with children in rural China: A cross-sectional study.

Tob Induc Dis 2021 9;19:25. Epub 2021 Apr 9.

Department of Preventive Medicine, School of Public Health, Fudan University, Shanghai, China.

Introduction: The perceived health benefits and effectiveness of electronic cigarettes (e-cigarettes) in quitting smoking may affect e-cigarette usage, however, research on the use of e-cigarettes among the Chinese, especially among the rural Chinse, is scarce. This study examined factors associated with perceptions of e-cigarette related harms, benefits, and addictiveness, among smoker and non-smoker households with children in rural China, to support the design of population-based interventions targeting rural Chinese households.

Methods: In a cross-sectional study design, using a structured questionnaire, we collected data from the household members of children in two selected rural communities in China. Read More

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Healthcare providers' interpretations of product labelling information developed through a consensus stakeholder approach.

Vaccine 2021 Apr 10. Epub 2021 Apr 10.

Canadian Center for Vaccinology, IWK Health Centre, 5980 University Ave, B3K 6R8 Halifax, Nova Scotia, Canada; Department of Pediatrics, Dalhousie University IWK Health Centre, 5850 University Avenue, P. O. Box 9700, B3K 6R8 Halifax, Nova Scotia, Canada. Electronic address:

Background: The World Health Organization recommends immunization with inactivated influenza vaccine (IIV) and tetanus-diphtheria-acellular pertussis (Tdap) vaccine during pregnancy. Yet, product labelling information for IIV and Tdap sends a different message. In a previous study, we developed evidence-based statements about vaccination in pregnancy that could be included in product information. Read More

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AAAPT Diagnostic Criteria for Acute Thoracic Surgery Pain.

J Pain 2021 Apr 10. Epub 2021 Apr 10.

Professor Emeritus, Department of Anesthesia, University of Iowa, Iowa City, IA, USA.

Patients undergoing thoracic surgery experience particular challenges for acute pain management. Availability of standardized diagnostic criteria for identification of acute pain after thoracotomy and video assisted thoracic surgery (VATS) would provide a foundation for evidence-based management and facilitate future research. The Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks (ACTTION) public-private partnership with the U. Read More

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Screening for Vitamin D Deficiency in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.

JAMA 2021 04;325(14):1443-1463

RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center, Chapel Hill, North Carolina.

Importance: Low serum vitamin D levels have been associated with adverse clinical outcomes; identifying and treating deficiency may improve outcomes.

Objective: To review the evidence about screening for vitamin D deficiency in adults.

Data Sources: PubMed, EMBASE, the Cochrane Library, and trial registries through March 12, 2020; bibliographies from retrieved articles, outside experts, and surveillance of the literature through November 30, 2020. Read More

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A Patient-Oriented App (ThessHF) to Improve Self-Care Quality in Heart Failure: From Evidence-Based Design to Pilot Study.

JMIR Mhealth Uhealth 2021 Apr 13;9(4):e24271. Epub 2021 Apr 13.

Cardiovascular Prevention and Digital Cardiology Lab, Third Cardiology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Background: Heart failure (HF) remains a major public health challenge, while HF self-care is particularly challenging. Mobile health (mHealth)-based interventions taking advantage of smartphone technology have shown particular promise in increasing the quality of self-care among these patients, and in turn improving the outcomes of their disease.

Objective: The objective of this study was to co-develop with physicians, patients with HF, and their caregivers a patient-oriented mHealth app, perform usability assessment, and investigate its effect on the quality of life of patients with HF and rate of hospitalizations in a pilot study. Read More

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Impact of Big Data Analytics on People's Health: Overview of Systematic Reviews and Recommendations for Future Studies.

J Med Internet Res 2021 Apr 13;23(4):e27275. Epub 2021 Apr 13.

Division of Country Health Policies and Systems, World Health Organization, Regional Office for Europe, Copenhagen, Denmark.

Background: Although the potential of big data analytics for health care is well recognized, evidence is lacking on its effects on public health.

Objective: The aim of this study was to assess the impact of the use of big data analytics on people's health based on the health indicators and core priorities in the World Health Organization (WHO) General Programme of Work 2019/2023 and the European Programme of Work (EPW), approved and adopted by its Member States, in addition to SARS-CoV-2-related studies. Furthermore, we sought to identify the most relevant challenges and opportunities of these tools with respect to people's health. Read More

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School Nursing in a Pandemic: Striving for Excellence in Santa Fe Public Schools.

NASN Sch Nurse 2021 Apr 13:1942602X211005166. Epub 2021 Apr 13.

School Nurse, EJ Martinez Elementary School, Santa Fe, NM.

When the COVID-19 (coronavirus disease 2019) pandemic led to school closures around the nation in March 2020, the role of the school nurse changed significantly, and it has continued to evolve as districts grapple with how to safely meet students' academic needs while also protecting the health of their communities. Nurses working for Santa Fe Public Schools in New Mexico have taken their new roles seriously and have been working closely with their district leaders, the New Mexico Department of Health, School Health Advocates, and the Public Education Department to facilitate evidence-based policies and procedures. Activities have included cohorting, contact tracing, resource development, education (of staff and families), planning and implementation of safety procedures, coordination of surveillance testing, and staff screening, along with finding new, COVID safe ways to provide standard school nursing services, including immunization administration, hearing and vision screening, teaching, and promoting wellness and mental health. Read More

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Competing-Risk Nomograms for Predicting the Prognosis of Patients With Infiltrating Lobular Carcinoma of the Breast.

Clin Breast Cancer 2021 Mar 18. Epub 2021 Mar 18.

Department of Clinical Research, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong Province, China; School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, Shaanxi Province, China. Electronic address:

Background: Infiltrating lobular carcinoma (ILC) is the second most common histologic subtype of breast cancer. We assessed the rates of cause-specific death in ILC patients with the aim of establishing competing-risk nomograms for predicting their prognosis.

Patients And Methods: Data on ILC patients were extracted from the Surveillance, Epidemiology, and End Results (SEER) database. Read More

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Assessing the quality of cancer screening leaflets using the International Patient Decision Aids Standards instrument: A cross-sectional content analysis.

Patient Educ Couns 2021 Apr 2. Epub 2021 Apr 2.

Association of Medical Journalism, Japan.

Objective: To assess the quality of national cancer screening program leaflets in Japan from the informed-decision perspective.

Methods: Cross-sectional content analysis of invitation leaflets issued by centralized organizations and used nationwide in Japan was conducted. Three members independently evaluated the materials using International Patient Decision Aids Standards six-item minimum criteria for qualifying patient decision aids. Read More

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A stepped wedge cluster randomized control trial to evaluate the implementation and effectiveness of optimized initiatives in improving quality of care for ST segment elevation myocardial infarction in response to the COVID-19 outbreak.

Implement Sci 2021 04 12;16(1):38. Epub 2021 Apr 12.

Department of Global Health, School of Public Health, Peking University, 38 Xue Yuan Road, Haidian District, Beijing, 100191, China.

Background: The National Chest Pain Center Accreditation Program (CHANGE) is the first hospital-based, multifaceted, nationwide quality improvement (QI) initiative, to monitor and improve the quality of the ST segment elevation myocardial infarction (STEMI) care in China. The QI initiatives, as implementation strategies, include a bundle of evidence-based interventions adapted for implementation in China. During the pandemic of coronavirus disease 2019 (COVID-19), fear of infection with severe acute respiratory syndrome coronavirus 2, national lockdowns, and altered health care priorities have highlighted the program's importance in improving STEMI care quality. Read More

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Outbreak response operations during the US measles epidemic, 2017-19.

BMC Public Health 2021 Apr 13;21(1):620. Epub 2021 Apr 13.

Johns Hopkins Center for Health Security and Department of Environmental Health and Engineering, Johns Hopkins University Bloomberg School of Public Health, 621 East Pratt Street, Suite, Baltimore, 210, USA.

Background: To understand operational challenges involved with responding to US measles outbreaks in 2017-19 and identify applicable lessons in order to inform preparedness and response operations for future outbreaks, particularly with respect to specific operational barriers and recommendations for outbreak responses among insular communities.

Methods: From August 2019 to January 2020, we conducted 11 telephone interviews with 18 participants representing state and local health departments and community health centers that responded to US measles outbreaks in 2017-19, with a focus on outbreaks among insular communities. We conducted qualitative, thematic coding to identify and characterize key operational challenges and lessons identified by the interviewees. Read More

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Mothers and their children's health (MATCH): a study protocol for a population-based longitudinal cohort.

BMC Pregnancy Childbirth 2021 Apr 12;21(1):297. Epub 2021 Apr 12.

Department of Biostatistics and Epidemiology, School of Public Health, Babol University of Medical Sciences, Babol, Iran.

Background: The quality of prenatal care is critical for the prevention of adverse pregnancy outcomes. However, according to the World Health Organization (WHO), only 64 % of women worldwide have access to over four sessions of prenatal care throughout their pregnancy. Thus, studies that address factors affecting maternal and child health status before and after pregnancy are of immense importance. Read More

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Just a bad flu? Tackling the "infodemic" in Ireland through a comparative analysis of hospitalised cases of COVID-19 and influenza.

Public Health 2021 Mar 6;194:19-24. Epub 2021 Mar 6.

Health Intelligence, Strategic Planning and Transformation, 4th Floor, Jervis House, Jervis Street, Dublin 1, D01 W596, Ireland; Royal College of Surgeons in Ireland, Department of Epidemiology & Public Health Medicine, Beaux Lane House, Mercer Street Lower, Dublin 2, Ireland. Electronic address:

Objectives: COVID-19 infection has been compared to seasonal influenza as an argument against non-pharmacological population-based infection control measures known as "lockdowns". Our study sought to compare disease severity measures for patients in Ireland hospitalised with COVID-19 against those hospitalised with seasonal influenza.

Study Design: This is a retrospective population-based cohort study. Read More

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Need for Randomized Clinical Trials on the management of pain, inflammation and trismus in surgery of impacted third molars.

J Stomatol Oral Maxillofac Surg 2021 Apr 9. Epub 2021 Apr 9.

Oral and Maxillofacial Surgery Service, Hospital Nacional Hipólito Unanue. Lima, Peru.. Electronic address:

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Barriers and Challenges to Making Referrals for Treatment and Services for Opioid Misuse in Family Planning Settings.

J Womens Health (Larchmt) 2021 Apr 12. Epub 2021 Apr 12.

School of Nursing and Health Studies, University of Missouri Kansas City, Kansas City, Missouri, USA.

In this opioid overdose epidemic, women are an overlooked group seeing increasing rates of overdose death. Implementation challenges have prevented evidence-based interventions from effectively reaching women who misuse opioids, with gaps in access to effective treatment and services. Family planning clinics could serve as important points of contact for referral to needed treatments and services. Read More

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Overdiagnosis of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents: A Systematic Scoping Review.

JAMA Netw Open 2021 Apr 1;4(4):e215335. Epub 2021 Apr 1.

Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Importance: Reported increases in attention-deficit/hyperactivity disorder (ADHD) diagnoses are accompanied by growing debate about the underlying factors. Although overdiagnosis is often suggested, no comprehensive evaluation of evidence for or against overdiagnosis has ever been undertaken and is urgently needed to enable evidence-based, patient-centered diagnosis and treatment of ADHD in contemporary health services.

Objective: To systematically identify, appraise, and synthesize the evidence on overdiagnosis of ADHD in children and adolescents using a published 5-question framework for detecting overdiagnosis in noncancer conditions. Read More

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Generating Intervention Concepts for Reducing Adolescent Relationship Abuse Inequities Among Sexual and Gender Minority Youth: Protocol for a Web-Based, Longitudinal, Human-Centered Design Study.

JMIR Res Protoc 2021 Apr 12;10(4):e26554. Epub 2021 Apr 12.

Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.

Background: Sexual and gender minority youth (SGMY; eg, lesbian, gay, bisexual, and transgender youth) are at greater risk than their cisgender heterosexual peers for adolescent relationship abuse (ARA; physical, sexual, or psychological abuse in a romantic relationship). However, there is a dearth of efficacious interventions for reducing ARA among SGMY. To address this intervention gap, we designed a novel web-based methodology leveraging the field of human-centered design to generate multiple ARA intervention concepts with SGMY. Read More

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Opportunities for diet quality improvement: the potential role of staple grain foods.

Public Health Nutr 2021 Apr 12:1-26. Epub 2021 Apr 12.

Department of Nutrition, School of Public Health, University of São Paulo, Avenida Dr. Arnaldo, 715, Cerqueira Cesar, São Paulo, SP, Brazil,

Objective: Given the high disease burden associated with the low intake of whole grains, modelling studies that estimate the impact of dietary strategies to increase more healthful grain foods consumption are essential to inform evidence-based and culturally-specific policies. This study investigated the potential nutritional impact of replacing staple grain foods with more healthful options.

Design: Based on the 2015 Health Survey of São Paulo, a cross-sectional, population-based study, we modelled the substitution of white rice and white bread with brown rice and whole-wheat bread. Read More

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Adherence to best practice: Preventing surgical site infection following caesarean section in Australia.

Aust N Z J Obstet Gynaecol 2021 Apr 11. Epub 2021 Apr 11.

Duke-NUS Medical School, Singapore.

Background: Surgical site infection (SSI) following caesarean section is a serious but underreported problem with an estimated incidence of 5-9%. It is essential to identify adherence to established prevention strategies to reduce the incidence rate.

Aims: The aims of this study were to quantify unwarranted variation from evidence-based practice on the prevention of SSI at caesarean section in Australia; and to identify predictors of not implementing an existing infection prevention bundle: pre-incision antibiotic prophylaxis, vaginal preparation and spontaneous placenta removal. Read More

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Meta Salud Diabetes for cardiovascular disease prevention in Mexico: a cluster-randomized behavioural clinical trial.

Int J Epidemiol 2021 Apr 11. Epub 2021 Apr 11.

Department of Health Promotion Sciences, University of Arizona Mel & Enid Zuckerman College of Public Health, Tucson, AZ, USA.

Background: Healthy lifestyle interventions offered at points of care, including support groups, may improve chronic disease management, especially in low-resource populations. We assessed the effectiveness of an educational intervention in type 2 diabetes (T2D) support groups to reduce cardiovascular disease (CVD) risk.

Methods: We recruited 518 participants to a parallel, two-arm, cluster-randomized, behavioural clinical trial across 22 clinics in Sonora, Mexico, between August 2016 and October 2018. Read More

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Effectiveness of antenatal screening of asymptomatic bacteriuria in reduction of prematurity and low birth weight: Evaluating a point-of-care rapid test in a pragmatic randomized controlled study.

EClinicalMedicine 2021 Mar 2;33:100762. Epub 2021 Mar 2.

Center for Prostate Disease Research, John P. Murtha Cancer Center Research Program, Department of Surgery, Uniformed Services University of the Health Sciences and Walter Reed National Military Medical Center, Bethesda, MD, United States.

Background: Premature babies suffer higher mortality and life-long disabilities. Asymptomatic bacteriuria (ASB) is postulated to induce preterm labor. Routine antenatal screening for ASB using urine culture is not feasible in most developing countries due to long turn-around time, user-unfriendliness, and lack of resources. Read More

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Associations of hand washing frequency with the incidence of illness: a systematic review and meta-analysis.

Ann Transl Med 2021 Mar;9(5):395

Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.

Background: Hand hygiene is one of the ways to prevent the spread of diseases. Our aim was to explore the relationship between hand washing frequency and the impact on disease, and give recommendations on the number of times to wash hands.

Methods: We searched seven electronic databases from their inception to April 11, 2020, and reference lists of related reviews for all studies on hand washing frequency and disease prevention. Read More

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