86,265 results match your criteria self-management

[Pulmonary Rehabilitation in Patients with Chronic Obstructive Airway Diseases].

Pneumologie 2021 Jun 11;75(6):457-473. Epub 2021 Jun 11.

Pulmonary rehabilitation of asthma and COPD patients can improve their physical performance and quality of life, maintain participation in social and professional life and actively promote self-help. In addition, the resources for acute medical treatment can be spared. In case of COPD, rehabilitation directly after exacerbation can also improve the poor survival prognosis and reduce the risk of emergency hospital readmission. Read More

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Infrastructure-driven development and sustainable development goals: Subjective analysis of residents' perception.

J Environ Manage 2021 Jun 8;294:112931. Epub 2021 Jun 8.

Department of Administration, Department of Administration, Zhou Enlai School of Government, Nankai University, China.

Belt and Road initiatives (BRI) transportation infrastructural development project started a new bilateral relationship amongst countries and acquired an important position to contribute to tourism and sustainable development goals (SDGs) 2030. The SDG1 (Poverty alleviation) and SDG 15 (Environmental protection) are globally highly challenging goals. Therefore, the current study using an integrative conceptual model addresses the fundamental role of BRI in achieving SDG 1 and SDG 15 in the presence of tourism development (TD) as a mediating variable. Read More

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Low back pain.

Lancet 2021 Jun 8. Epub 2021 Jun 8.

Department of Anesthesiology and Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Neurology, Physical Medicine and Rehabilitation, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Psychiatry and Behavioral Sciences, Johns Hopkins Medical Institutions, Baltimore, MD, USA; Department of Physical Medicine and Rehabilitation and Anesthesiology, Walter Reed National Military Medical Center, Bethesda, MD, USA.

Low back pain covers a spectrum of different types of pain (eg, nociceptive, neuropathic and nociplastic, or non-specific) that frequently overlap. The elements comprising the lumbar spine (eg, soft tissue, vertebrae, zygapophyseal and sacroiliac joints, intervertebral discs, and neurovascular structures) are prone to different stressors, and each of these, alone or in combination, can contribute to low back pain. Due to numerous factors related to low back pain, and the low specificity of imaging and diagnostic injections, diagnostic methods for this condition continue to be a subject of controversy. Read More

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Kidney transplant recipient perspectives on telehealth during the COVID-19 pandemic.

Transpl Int 2021 Jun 11. Epub 2021 Jun 11.

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

Background: The COVID-19 pandemic has challenged the delivery of health services. Telehealth allows delivery of care without in-person contacts and minimizes the risk of vial transmission. We aimed to describe the perspectives of kidney transplant recipients on the benefits, challenges and risks of telehealth. Read More

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Beliefs and Experience of Journaling in Mothers of Adult Children With Substance Use Problems: A Pilot Study.

J Addict Nurs 2021 Jun 10. Epub 2021 Jun 10.

Yeoun Soo Kim-Godwin, RN, PhD, School of Nursing, College of Health and Human Services, University of North Carolina Wilmington.

Background: The challenges experienced by mothers supporting an adult child with substance use problems suggest intervention is needed to improve such mothers' psychosocial well-being through adaptive coping.

Aims: This study examined beliefs about journaling as well as changes in stress, cortisol levels, and mental health after a 6-week intervention by mothers whose adult children had substance use problems. In addition, the study explored coping methods used and the experience of writing among these mothers. Read More

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Monitoring beliefs and physiological measures in students at risk for COVID-19 using wearable sensors and smartphone technology: Protocol for a mobile health study.

JMIR Res Protoc 2021 Jun 4. Epub 2021 Jun 4.

Division of Pediatric Hematology Oncology, Department of Pediatrics, University of Michigan, 1500 E. Medical Center DrD4118 Medical Professional Building, Ann Arbor, US.

Background: The COVID-19 pandemic has impacted lives significantly and greatly affected an already vulnerable population, college students, in relation to mental health and public safety. Social distancing and isolation have brought about challenges to student's mental health. Mobile health apps and wearable sensors may help to monitor students at risk for COVID-19 and support their mental well-being. Read More

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COVID-19 Pandemic Increased Anxiety Among Patients with Inflammatory Bowel Disease: A Patient Survey in a Tertiary Referral Center.

Dig Dis Sci 2021 Jun 11. Epub 2021 Jun 11.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of South Carolina, Charleston, SC, USA.

Background: COVID-19 is the first global pandemic in more than 100 years, and at its onset, the effects were largely unknown. Immunocompromised patients, including IBD, were presumed to have higher risk.

Aims: We hypothesized patients with IBD would have higher-than-baseline anxiety, high perceived vulnerability and significant lifestyle impacts as a result of the pandemic. Read More

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Preferences for mHealth Technology and Text Messaging Communication in Patients With Type 2 Diabetes: Qualitative Interview Study.

J Med Internet Res 2021 Jun 11;23(6):e25958. Epub 2021 Jun 11.

Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.

Background: Individuals with diabetes need regular support to help them manage their diabetes on their own, ideally delivered via mechanisms that they already use, such as their mobile phones. One reason for the modest effectiveness of prior technology-based interventions may be that the patient perspective has been insufficiently incorporated.

Objective: This study aims to understand patients' preferences for mobile health (mHealth) technology and how that technology can be integrated into patients' routines, especially with regard to medication use. Read More

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Effects of Telemedicine and mHealth on Systolic Blood Pressure Management in Stroke Patients: Systematic Review and Meta-Analysis of Randomized Controlled Trials.

JMIR Mhealth Uhealth 2021 Jun 11;9(6):e24116. Epub 2021 Jun 11.

Department of Pharmacy, Fujian Medical University Union Hospital, Fujian Medical University, Fuzhou, China.

Background: Stroke is a common, harmful disease with high recurrence and mortality rates. Uncontrolled blood pressure is an important and changeable risk factor for stroke recurrence. Telemedicine and mobile health (mHealth) interventions may have the potential to facilitate the control of blood pressure among stroke survivors, but their effect has not been established. Read More

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Web-Based Self-management Program (SPACE for COPD) for Individuals Hospitalized With an Acute Exacerbation of Chronic Obstructive Pulmonary Disease: Nonrandomized Feasibility Trial of Acceptability.

JMIR Mhealth Uhealth 2021 Jun 11;9(6):e21728. Epub 2021 Jun 11.

Centre for Exercise and Rehabilitation Science, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.

Background: Hospital admissions due to the acute exacerbation of chronic obstructive pulmonary disease (AECOPD) are costly for individuals and health services. Pulmonary rehabilitation (PR) is known to reduce hospital readmissions when delivered after hospitalization, but the uptake and completion of PR following hospitalization remains poor (<10% of those eligible in the UK audit data). A web-based platform of the SPACE (Self-management Program of Activity Coping and Education) for COPD (chronic obstructive pulmonary disease) has previously shown promising results in patients with stable COPD but has not been tested following an AECOPD. Read More

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Appraisal of awareness on medical emergencies and its management among dentists in Bhubaneswar, India.

Rocz Panstw Zakl Hig 2021 ;72(2):193-201

Department of Public Health Dentistry, Institute of Dental Sciences, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India.

Background: Medical emergencies can be distressing for any dental professional, whether in a dental practice, hospital or other sites.

Objectives: To assess the knowledge and awareness of dental practitioners towards medical emergencies and its management in Bhubaneswar.

Material And Methods: In this cross-sectional investigation, a self-administered questionnaire which included demographic details and 19 questions regarding knowledge about medical emergencies, was disseminated to a random sample of 183 dentists working in their private dental clinic set up in Bhubaneswar. Read More

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January 2021

Cicatricial eyebrow restoration using the follicular unit extraction technique.

J Cosmet Dermatol 2021 Jun 11. Epub 2021 Jun 11.

Sultan Abdulhamid Han Education and Training Hospital Department of Plastic Reconstructive and Aesthetic Surgery.

Introduction: Cicatricial eyebrow loss that occurs after trauma or burns considerably reduces a person's self-confidence. Several methods, either surgical or nonsurgical, have been defined to reconstruct eyebrows. This study focused on eyebrow restoration using the atraumatic follicular unit extraction (FUE) technique in patients and emphasized certain details that should be considered during the treatment process. Read More

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Zhengyuan capsule for the treatment of cancer-related fatigue in lung cancer patients undergoing operation: a study protocol for a randomized controlled trial.

J Tradit Chin Med 2021 Jun;41(3):486-491

Department of Integrated Chinese and Western Medicine, Shanghai Chest Hospital Shanghai JiaoTong University, Shanghai 200030, China.

Objective: To evaluate the efficacy and safety of Zhengyuan capsule () when treating Cancer-related fatigue (CRF) in lung cancer patients undergoing surgical operation.

Methods/design: This is a single-center, double-blinded, prospective, and randomized controlled trial in the Department of Integrated Chinese and Western Medicine, Shanghai Chest Hospital Shanghai JiaoTong University, Shanghai. Eligible participants will be randomly allocated into two groups: a treatment group receiving an 8-week Zhengyuan capsule regimen therapy and a control group receiving an 8-week placebo capsule regimen therapy. Read More

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Rapid Curricular Innovations During COVID-19 Clinical Suspension: Maintaining Student Engagement with Simulation Experiences.

J Midwifery Womens Health 2021 Jun 11. Epub 2021 Jun 11.

Department of Advanced Nursing Practice, Georgetown University School of Nursing and Health Studies, Washington, District of Columbia.

Health care education programs were faced with the need to quickly adapt to a new reality during the coronavirus disease 2019 pandemic. Students were temporarily suspended from campus and clinical sites, requiring prompt changes in structure to their didactic and clinical learning. This article describes the rapid adjustments that one midwifery and women's health nurse practitioner education program created using both synchronous and asynchronous simulation experiences to promote student learning and ongoing engagement. Read More

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Patients' and healthcare professionals' views on a pre- and post-operative rehabilitation programme (SOLACE) for lung cancer: A qualitative study.

J Clin Nurs 2021 Jun 10. Epub 2021 Jun 10.

Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK.

Aims And Objectives: To explore patients' and healthcare professionals' views and experiences of a pre- and post-operative rehabilitation intervention (SOLACE), for patients undergoing surgery for early-stage lung cancer.

Background: Considerable post-operative complications can occur after surgery. A specialist lung cancer service (SOLACE) was developed to optimise health and fitness levels prior to and following lung cancer resections, as well as reducing morbidity and mortality, and improving the physical and psychological well-being of patients. Read More

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Prospective Clinical Evaluation of Intra-Articular Injection of Tin-117m (Sn) Radiosynoviorthesis Agent for Management of Naturally Occurring Elbow Osteoarthritis in Dogs: A Pilot Study.

Vet Med (Auckl) 2021 4;12:117-128. Epub 2021 Jun 4.

College of Veterinary Medicine, University of Missouri, Columbia, MO, USA.

Purpose: To evaluate the clinical effects of an intra-articular injection of Sn-colloid for management of canine grade 1 or 2 elbow osteoarthritis (OA).

Patients And Methods: This was a prospective study in 23 dogs with grade 1 or 2 elbow OA. An orthopedic examination and elbow radiographs were performed to confirm the presence of OA. Read More

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An Advanced Clinician Practitioner in Arthritis Care (ACPAC) Maintains a Positive Patient Experience While Increasing Capacity in Rheumatology Community Care.

J Multidiscip Healthc 2021 3;14:1299-1310. Epub 2021 Jun 3.

Continuing Professional Development, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

Purpose: This study describes patient care experiences of solo-rheumatologist and co-managed care models utilizing an Advanced Clinician Practitioner in Arthritis Care-trained Extended Role Practitioner (ACPAC-ERP) in three community rheumatology practices.

Materials And Methods: Patients with inflammatory arthritis (IA) were assigned to care provided by one of three (2 senior, 1 early-career) community-based rheumatologists (usual care), or an ACPAC-ERP (co-managed care) for the 6-months following diagnosis. Patient experiences were surveyed using validated measures of patient satisfaction (Patient Doctor Interaction Scale-PDIS), global ratings of confidence and satisfaction, referral patterns, disease activity (RADAI) and self-perceived disability (HAQ-Disability) as well as demographic information. Read More

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Stigma Experiences in People with Chronic Obstructive Pulmonary Disease: An Integrative Review.

Int J Chron Obstruct Pulmon Dis 2021 4;16:1647-1659. Epub 2021 Jun 4.

University of Michigan, School of Nursing, Ann Arbor, MI, 48109, USA.

Background: People with chronic obstructive pulmonary disease (COPD) are stigmatized by smoking history. Although little is known about COPD-related stigma, it can adversely affect self-management and quality of life.

Objective: To synthesize relevant scientific literature exploring stigma experiences and their impacts on people with COPD. Read More

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Evaluating machine learning methodologies for identification of cancer driver genes.

Sci Rep 2021 Jun 10;11(1):12281. Epub 2021 Jun 10.

Department of Computer Science, School of Systems and Technology, University of Management and Technology, Lahore, Pakistan.

Cancer is driven by distinctive sorts of changes and basic variations in genes. Recognizing cancer driver genes is basic for accurate oncological analysis. Numerous methodologies to distinguish and identify drivers presently exist, but efficient tools to combine and optimize them on huge datasets are few. Read More

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Empowering patient education on self-care activity among patients with colorectal cancer - a research protocol for a randomised trial.

BMC Nurs 2021 Jun 10;20(1):94. Epub 2021 Jun 10.

Department of Nursing Science, University of Turku|, Joukahaisenkatu 3-5, 20014, Turku, Finland.

Background: Chemotherapy-induced side effects may have a negative effect on nutrition intake, thus increasing the risk of malnutrition and consequently, other serious complications for patients with cancer. The prevalence of malnutrition is common among patients with colorectal cancer. Nurse-led empowering education may have a positive effect on self-care activity in this patient group. Read More

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The effect of high blood pressure-health literacy, self-management behavior, self-efficacy and social support on the health-related quality of life of Kazakh hypertension patients in a low-income rural area of China: a structural equation model.

BMC Public Health 2021 Jun 10;21(1):1114. Epub 2021 Jun 10.

Nursing Psychology Research Center of Xiangya Nursing School, Central South University, 172 Tong Zi Po Road, Changsha, 410000, Hunan, China.

Background: Health-Related Quality of Life (HRQoL) of hypertensive patients is not only affected by the disease itself but also by some subjective factors. Low health literacy is prevalent among ethnic minorities. Considering the Kazakh-Chinese people have the highest prevalence of hypertension in Xinjiang, and the High Blood Pressure-Health Literacy (HBP-HL) has not been included in the study of HRQoL. Read More

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The pregnancy-related anxiety characteristics in women with gestational diabetes mellitus: why should we care?

BMC Pregnancy Childbirth 2021 Jun 10;21(1):424. Epub 2021 Jun 10.

School of Nursing, Xinjiang Medical University, No. 567, Shangde North Road, Urumqi, 830000, Xinjiang, China.

Background: Gestational diabetes mellitus (GDM) is very commonly-seen in clinical settings, and GDM patients may have higher levels of anxiety. It's necessary to evaluate the anxiety level and potentially influencing factors in patients with GDM, to provide insights for the management of anxiety of GDM patients.

Methods: Patients with GDM treated in our hospital from May, 2018 to May, 2020 were included. Read More

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Comprehensive geriatric assessment in elderly and senile patients with cardiovascular diseases. Expert opinion of the Russian Association of Gerontologists and Geriatricians.

Kardiologiia 2021 May 31;61(5):71-78. Epub 2021 May 31.

Pirogov Russian National Research Medical University, Russian Gerintology Research and Clinical Centre, Moscow, Russia.

Senile asthenia syndrome (SAS) is a geriatric syndrome characterized by age-associated decline of the physiological reserve and function in multiple systems, which results in higher vulnerability to effects of endo- and exogenous factors and a high risk of unfavorable outcomes, loss of self-sufficiency, and death. Generally, SAS is observed in elderly patients with comorbidities. In cardiovascular diseases, SAS is associated with a poor prognosis, including a higher incidence of exacerbation and death both during acute events and in chronic disease. Read More

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Patient Characteristics Associated with Retention in an Asthma Self-Management Trial for Older Adults.

J Asthma 2021 Jun 10:1-13. Epub 2021 Jun 10.

Division of General Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY.

New self-management interventions are being developed for older adults who suffer from worse asthma morbidity than their younger counterparts, but high rates of study drop out have hampered these efforts and there is limited literature on what factors may influence retention in behavioral intervention studies with older adults. This study analyzed illness beliefs and patient characteristics that may contribute to retention in an asthma self-management trial for older adults. This is a secondary analysis of data from a randomized controlled trial of a self-management support intervention for adults 60 years and older with persistent, uncontrolled asthma. Read More

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This is the day your life must surely change : Prioritising behavioural change in musculoskeletal practice.

Physiotherapy 2021 May 21;112:158-162. Epub 2021 May 21.

School of Health Sciences, University of Brighton, Eastbourne BN20 7UR, East Sussex, United Kingdom; Western Sussex Hospitals NHS Trust, Lyndhurst Rd, Worthing, West Sussex BN11 2DH, United Kingdom.

Behavioural change is the modification or transformation of behaviour. Health behaviour has been defined as, 'any activity undertaken for the purpose of preventing or detecting disease or for improving health and wellbeing' (Bennell et al., 2019 [1]). Read More

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Stress management interventions among socioeconomically disadvantaged parents: A meta-analysis and moderation analysis.

Int J Nurs Stud 2021 Apr 24;120:103954. Epub 2021 Apr 24.

Michigan State University College of Nursing, 1355 Bogue St., C241, East Lansing, MI 48824, United States. Electronic address:

Background: Socioeconomically disadvantaged parents experience high levels of stress, anxiety, and depression. Many interventions have been tested to reduce parental stress, but no meta-analysis has been conducted to quantitatively summarize the effects and explore the moderators of intervention effects among socioeconomically disadvantaged parents.

Objective: This meta-analysis aimed to (1) quantitatively examine the intervention effects of prior stress management interventions among socioeconomically disadvantaged parents on reducing stress, depression, and anxiety; and (2) explore the potential moderators of intervention effects. Read More

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A mixed-methods study of cognitive performance in persons with multiple sclerosis: Association between neuropsychological test performance and interviews about daily cognitive functioning.

Mult Scler Relat Disord 2021 Mar 19;52:102911. Epub 2021 Mar 19.

School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, Kingston, Ontario, Canada. Electronic address:

Background: Cognitive difficulties are commonly reported in persons with multiple sclerosis (MS), however, self-reports of cognition often do not correspond well to objective neuropsychological test performance. The use of qualitative interviews can allow for persons with MS to describe in more detail how their cognitive function is impacted in daily life while also taking into consideration personal and environmental influences. No study to our knowledge has examined the association between objective neuropsychological test performance and qualitative interview reports of daily cognitive function. Read More

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Next-Generation Implementation of Chimeric Antigen Receptor T-Cell Therapy Using Digital Health.

JCO Clin Cancer Inform 2021 Jun;5:668-678

Department of Radiation Oncology, Jefferson University, Philadelphia, PA.

Chimeric antigen receptor T-cell (CAR-T) therapy is a paradigm-shifting immunotherapy modality in oncology; however, unique toxicities such as cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome limit its ability to be implemented more widely in the outpatient setting or at smaller-volume centers. Three operational challenges with CAR-T therapy include the following: (1) the logistics of toxicity monitoring, ie, with frequent vital sign checks and neurologic assessments; (2) the specialized knowledge required for toxicity management, particularly with regard to CRS and immune effector cell-associated neurotoxicity syndrome; and (3) the need for high-quality symptomatic and supportive care during this intensive period. In this review, we explore potential niches for digital innovations that can improve the implementation of CAR-T therapy in each of these domains. Read More

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Behavioral activation, affect, and self-efficacy in the context of alcohol treatment for women with elevated depressive symptoms.

Exp Clin Psychopharmacol 2021 Jun 10. Epub 2021 Jun 10.

Butler Hospital, Behavioral Medicine and Addictions Research.

Women with Alcohol use disorder (AUD) are more likely than men to have co-occurring depression, drink to cope with negative affect (NA), and cite negative affect as a contributor to relapse. Among AUD treatment seekers, low behavioral activation, NA, and reduced self-efficacy in abstaining from alcohol (e.g. Read More

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Susceptibility of the Self-Report Psychopathy Scale (SRP 4) to response distortion and the utility of including validity indices to detect deception.

Psychol Assess 2021 Jun 10. Epub 2021 Jun 10.

Department of Psychology.

Self-report psychopathy scales are increasingly used in research and practice despite criticisms that they may be susceptible to response distortion and bias. We assessed the utility of including the Virtuous Responding (VR) and Deviant Responding (DR) validity scales from the Psychopathic Personality Inventory-Revised (PPI-R) for identifying underreporting and overreporting, respectively, on both the full and short-form versions of the Self-Report Psychopathy scale (SRP 4 and SRP-SF) in a pre/post experimental design. Using a sample of 384 male community members and a clinical comparison group of 99 males from a forensic outpatient program, we demonstrated that SRP scores were more susceptible to overreporting than underreporting, and that overreporting significantly and negatively affected convergent validity. Read More

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