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141. Population Approaches to Improve Diet, Physical Activity, and Smoking Habits

Population Approaches to Improve Diet, Physical Activity, and Smoking Habits Population Approaches to Improve Diet, Physical Activity, and Smoking Habits | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you (...) simultaneously. The Stanford Five-City Project tested a 5-year community-based program that incorporated behavior change theory (social learning theory, a communication-behavior change model), community organization principles, and social marketing methods. After 3 to 5 years of intervention, compared with controls, the intervention communities saw improvements in several cardiovascular risk factors, including lower blood cholesterol, blood pressure, resting heart rate, weight gain, and smoking prevalence

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2012 American Heart Association

142. 2012 KDIGO Clinical Practice Guideline for the Evaluation and Management of CKD

demonstrating a positive reagent strip test for albuminuria/proteinuria or quantitative albuminuria/proteinuria test 57 Figure 17. GFR and albuminuria grid to reflect the risk of progression 63 Figure 18. Distributionoftheprobabilityofnonlinearitywiththreeexampletrajectoriesdemonstratingdifferentprobabilities of nonlinearity 69 Figure 19. Summary estimates for risks of all-cause mortality and cardiovascular mortality associated with levels of serum phosphorus, PTH, and calcium 86 Figure 20. Prevalence (...) International Supplements (2013) 3,5–14 summary of recommendation statements3.3:CKD METABOLIC BONE DISEASE INCLUDING LABORATORY ABNORMALITIES 3.3.1: We recommend measuring serum levels of calcium, phosphate, PTH, and alkaline phosphatase activity at least once in adults with GFRo45ml/min/1.73 m 2 (GFR categories G3b-G5) in order to determine baseline values and inform prediction equations if used. (1C) 3.3.2: We suggest not to perform bone mineral density testing routinely in those with eGFRo45ml/min/1.73 m

2012 National Kidney Foundation

143. Promoting Safety: Alternative Approaches to the Use of Restraints

: Example: Alternative Approaches List 104-107 Appendix K: Example: Caregivers Perceptions of Restraint Use Questionnaire (PRUQ) 108-112 Appendix L: Example: ABC (Antecedent-Behavior-Consequence) Charting Template 113 Appendix M: Example: Behaviour Monitoring Log 114-115 Appendix N: Example: Alternative to Restraints Decision Tree 116 Appendix O: Example: Mutual Action Plan Behaviour Profile 117-118 Appendix P: Example: Safety Plan Interventions 119-120 Appendix Q: Example: Siderail and Alternative

2012 Registered Nurses' Association of Ontario

144. Self-guided cCBT for depression: the #MindTech2016 debate

and so the application of their results in the real-world can be troublesome. REEACT trial finds no benefit and low uptake of cCBT in adults The led by Simon Gilbody from York University and published in the BMJ just over a year ago, was the first large scale primary care study in this field, which makes it a really good test of self-guided cCBT. They reported very low uptake and no benefits of cCBT over usual care. BUT, IPD meta-analysis shows small but significant effect However, an individual (...) has shown that if online programmes are disseminated worldwide, although the treatment effects on an individual may be small, the overall impact on a population can be huge. I can certainly see a place for computerised CBT being rolled out in low and middle income countries where there is little or no mental health system for people with depression. The biggest meta-analysis to date shows that cCBT has a small but significant effect on adult depression. Doing it for the kids? It’s also worth

2016 The Mental Elf

145. Proactive nurse care for recurrent or chronic depression

. This RCT tested whether structured, nurse-led proactive care of patients with chronic depression in primary care improved outcomes. Methods The trial was designed to compare usual primary care (appointments with a GP) with proactive care appointments with a nurse , scheduled every three months over a two year period for people with chronic and/or recurrent depression. The term ‘proactive care’ was used to describe the treatment arm nurse appointments as these took place even if the service user felt (...) during the two year study, whilst the Work and Social Adjustment Scale (WSAS, incorrectly named the Work and Social Activity Scale in the text), a questionnaire of DSM-IV criteria and the EuroQol measure of quality of life were taken at the beginning and end of the trial. The nurses received three days of additional training, which on the one hand seems pragmatically reasonable if such a model is to be rolled out more widely, but on the other seems somewhat brief if teaching on motivation

2016 The Mental Elf

146. Virtual reality as a treatment for persecutory delusions

, participants completed some baseline questionnaires to measure symptoms of psychosis (Positive and Negative Syndrome Scale – positive scale; Psychotic Symptoms Rating Scale), anxiety (Beck Anxiety Inventory), depression (Beck Depression Inventory), and the use of safety behaviours (Safety Behaviours Questionnaire – Persecutory Beliefs). Participants rated the conviction of their persecutory delusion from 0% (do not believe at all) to 100% (absolutely certain). They completed a 5 minute behavioural test (...) that involved entering a social environment that they wanted to be less fearful in (e.g. walking to the local shop). Then participants went to the virtual reality lab and were randomised using an online randomisation generator to either undergo virtual reality cognitive therapy (‘Threat belief testing group’) or virtual reality alone (‘Exposure group’). Both groups experienced the virtual reality environments, but the difference between the groups is that the threat belief testing group were encouraged

2016 The Mental Elf

147. Planning guide for the health sector response to HIV

, Mayada Y oussef Fox. The compilation of the guide was directed and coordinated by Mazuwa Banda. Secretarial support was provided by Elizabeth Mottier-d’Souza acknowledgements2 ABC Activity-Based Costing Model ART Antiretroviral Therapy ARVs Antiretroviral drugs ASAP AIDS Strategy and Action Plans CCM Country Coordinating Mechanisms HTC HIV Testing and Counselling IDU Injecting drug use IHP+ The International Health Partnership and Related Initiatives M&E Monitoring and Evaluation MDG Millennium (...) Development Goals MoH Ministries of Health MTEF Medium-Term Expenditure Framework MTR Mid-term Reviews NHPS National Health Policies, Strategies and Plans PEPFAR President’s Emergency Fund for AIDS Relief PITC Provider-Initiated Testing and Counselling PMTCT Prevention of mother to child transmission RNM Resource Needs Model SWAps Sector-Wide Approaches TA Technical Assistance abbreviations 3 about the Planning guide This guide sets out basic principles, processes and steps relating to strategic

2011 World Health Organisation HIV Guidelines

148. What is the effect of family presence on the efficacy of pediatric trauma resuscitation?

of various resuscitation components including log-roll, first radiograph, IV access, central line, chest tube and intubation. Elapsed time for completion of log-roll. No significant difference between yes-family-presence and no-family-presence groups. This was an observational study with no active randomizable intervention. As such, it was vulnerable to confounders between the two groups. No significant demographic differences were noted between the two groups with respect to gender, race, trauma score (...) was yes-family-presence. The control was no-family-presence. The primary outcome measure was time from arrival in trauma room to departure for CT scan. The secondary outcome measure included time to completion of all laboratory tests, emergency procedures, portable radiographs and the secondary survey. Time from arrival in the trauma room to departure for CT scan between the yes-family-presence and no-family-presence groups. There was no significant difference. This study was not fully randomized

2011 BestBETS

149. CPG on sleep disorders in childhood and adolescence in primary care

-wake log/diary 188 Appendix 6. Measurement instruments (scales) of paediatric sleep problems. 189 Appendix 7. Schematic for using questionnaires to assess sleep in Primary Care Health Centers 196 Appendix 8. Preventive and sleep hygiene strategies, according to age, for acquiring or maintaining a good sleep pattern 197 Appendix 9. Education for parents about paediatric sleep 205 Appendix 10. Outcome measurements used to assess the ef? cacy/ effectiveness of therapeutic interventions for sleep (...) in an interview with parents/caretakers/children/adolescents? 6. What tests or tools can we use for an overall assessment of child and adolescent sleep in Primary Care Health Centers? 7. What are the complementary tests to keep in mind? 8. What are the differential diagnoses to keep in mind? 9. Are there preventive strategies for sleep disorders? DEFINITION, DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS 10. What is insomnia due to inadequate sleep hygiene? 11. What is behavioral insomnia? 12. What

2011 GuiaSalud

150. Safety and Efficacy Study of M2951 in Participants With Rheumatoid Arthritis

*square root (sqrt) (TJC28) plus (+) 0.28*sqrt (SJC28)+ 0.014* participant's global assessment of disease activity + 0.36*natural log(hsCRP+1) +0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity. Proportion of Participants With Disease Activity Score- High Sensitivity C-Reactive Protein (DAS28-hsCRP) Value Less Than (<) 3.2 [ Time Frame: Day 84 ] DAS28-hsCRP consisted of composite score of following variables: TJC28, SJC28, hsCRP (mg/mL), and participant's global (...) assessment of disease activity. DAS28-hsCRP was calculated using following formula: DAS28-hsCRP =0.56* sqrt(TJC28) + 0.28*sqrt(SJC28)+ 0.014* participant's global assessment of disease activity + 0.36*natural log(hsCRP+1) +0.96. Scores ranged 1.0-9.4, where lower scores indicated less disease activity. Proportion of participants with DAS28-hsCRP value <3.2 were reported. Proportion of Participants With Disease Activity Score- High Sensitivity C-Reactive Protein (DAS28-hsCRP) Value Less Than (<) 2.6

2016 Clinical Trials

151. CBT-I for Veterans With TBI

in Veterans with insomnia and a history of mTBI. CBT-I is recommended by the American Academy of Sleep Medicine for treatment of chronic insomnia and has also been adopted by the VA within an Evidence Based Practice roll-out program. Despite the acceptance of CBT-I as a first line treatment for sleep disturbance, there are no published RCTs evaluating CBT-I in mTBI patient populations. Therefore, this proposed investigation will address this gap in the literature by assessing the efficacy of CBT-I (...) , calculated as time spent sleeping divided by time spent in bed. This data is acquired from daily sleep logs filled out by patient. Secondary Outcome Measures : Change in depressive symptomatology [ Time Frame: 3-weeks, 6-weeks, 10-weeks ] Change in depressive symptoms will be assessed using the Patient Health Questionnaire-9 (PHQ-9) a self-report measure of depression Change in PTSD Stressor Specific Checklist 5 [ Time Frame: 3-weeks, 6-weeks, 10-weeks ] Change in PTSD symptoms will be assessed using

2016 Clinical Trials

152. Graded Motor Imagery for Women at Risk for Developing Type I CRPS Following Closed Treatment of Distal Radius Fractures

radial abduction, intrinsic minus active stretches, flat fist and composite, finger extension, Elbow flexion and extension, Shoulder scapular rolls, and glenohumeral circumduction. Edema will be addressed through strict elevation when at rest and every 10 minutes on the hour. When resting in a seated or supine position, clients will be instructed to use pillows to accomplish elevation and to keep elbows in an extended position. Instructions for elevation will be provided immediately following (...) sessions) where the focus will be on home program competency/advancement. Session 1 will occur within 1 week of cast treatment, session 2 in week 2, session 3 in week 4, and session 4 in week 5. Home program (3x daily, 15 minutes) to include 10 repetitions of active thumb opposition, active thumb radial abduction, intrinsic minus active stretches, flat fist and composite, finger extension, Elbow flexion and extension, Shoulder scapular rolls, and glenohumeral circumduction. Edema will be addressed

2016 Clinical Trials

153. A Study of Intravenous EEDVsMit in Children With Recurrent / Refractory Solid or CNS Tumours Expressing EGFR

) in this patient group. A standard dose escalation with a rolling 6 design will be used. Part A will commence dosing at one log scale below the maximum dose tested in the recent adult recurrent glioma trial (with the first 4 doses administered at 1/10 of the starting dose) and escalate to a maximum of 8x109 EEDVSMit evaluating the safety and tolerability, of EEDVSMit. The first 4 doses administered will be reduced by a further log reduction. Part B - Dose expansion: The dose expansion phase (Part B) will begin (...) by CTCAE v4.0 [ Time Frame: Up to 35 days after the completion of study treatment ] To define and describe the toxicities of EEDVSMit administered on these schedules in children with recurrent/refractory solid or CNS tumours Incidence of all adverse events as assessed by CTCAE v4.0, clinically significant changes in vital signs, ECGs and clinical laboratory tests [ Time Frame: Up to 35 days after the completion of study treatment ] Assess the safety and tolerability of EEDVSMit in children

2016 Clinical Trials

154. My Story: When the Signs of Sepsis are Missed

to be inserted to remove pressure and bile from my stomach. By day 5, my abdomen was so distended that I looked like I was in my third trimester. I was weak and in pain. The doses of morphine did nothing. Finally, a test was ordered. The radiologist recommend further study as something was not right, but my doctor declined. The nurses were helpless. That evening my vitals told the story. My heart rate fluctuated between 150-160 bpm, my blood pressure rapidly dropped. Nurses called the doctor when my BP hit (...) . I have been out of hospital 3 weeks . I have a ovarian abscess that I thought I had a water infection. 3 days rolling in pain at the house til I thought I was going to dye couldn’t breath properly. I was hot on arriving at my local a and e I was 39.6°c and had a heart rate at 180 I was triple my white blood cells I felt so bad when I heard them say the word sepsis… I seen things in hospital that werent there. People shouting at me but they weren’t and was snowing outside( it wasn’t

2016 CDC Safe Healthcare blog

155. Microsoft Sql Server

where CustomerID % 9 = 1 Delete DELETE FROM [dbTableName] where aField='test' Delete All Table Rows DELETE FROM [dbTableName] TRUNCATE TABLE [dbTableName] Truncate is faster, but cannot be rolled back Maintenance Queries SQL Server Version SELECT @@VERSION IV. Technique: Joins Inner Join Default, can be abbreviated as Join Represented by (A n B), or A intersect B All rows in which the field criteria match will be shown Criteria must be present in each table Examples (inner join is often written (...) Configuration Assign windows server accounts as created above (one for each service) Set Database Engine and SqlAgent both to Automatic startup Windows Authentication or Mixed Mode Many applications require mixed mode For mixed mode, enter a secure password for SA account Add Active Directory accounts you plan to use to SQL Server administrator list Data Directories Set database directory, log directory, temp DB directory, Backup directory Even using only a C-Drive, consider changing to shorter names

2018 FP Notebook

156. Tissue Interface Pressures in Athlete Medical Extraction

the appropriate time cut off for such immobilisation. Experimental Protocol and Methods A prospective cross-over study. Players from Nottingham Rugby Football Club and the University of Nottingham (staff and students) will be invited to participate for the study (summer 2016). Participants will be randomly (block randomisation) assigned to start on either the scoop or long board. Participants will be log rolled onto each board and fully immobilised for forty five minutes. The wash out period will be a minimum (...) the two tests. A special mat that measures the pressure of the body against the board will be used to determine the pressure forces at certain points of the body touching the board (in mmHg). The participants will also be asked every five minutes during the experiment to rate the comfort of the device. Pressure measures from each participant on each board will be collated and assessed along with each participant's reported pain scores and comfort rating. The measurements from the tissue pressures

2016 Clinical Trials

157. TARGeted Intraoperative radioTherapy (TARGIT) Registry Database

(EBRT) and mastectomies (where IORT could have been given instead) and then multiplying this by the total patients eligible nationally for IORT, to calculate the total expected budget impact on the NHS if IORT in these subgroups was rolled out nationally. Study Design Go to Layout table for study information Study Type : Observational [Patient Registry] Estimated Enrollment : 2000 participants Observational Model: Cohort Time Perspective: Prospective Target Follow-Up Duration: 10 Years Official (...) have a positive pregnancy test prior to surgery) Under 18 years of age Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02947425 Contacts Layout table for location contacts Contact: Nick J Roberts Contact: Norman Williams, PhD Locations Layout table

2016 Clinical Trials

158. Patient Modesty: Volume 88

to the interrogations regarding same gender care for males who dare to speak up and declare their rights as a human! When a female worker even “just” rolls her eyes when a male asks for same gender care is a form of abuse and here’s where lawyers are our friends! If as a male (or female) I state I want only same gender care for intimate care, exams, surgeries, etc. then I should not be interrogated or made to explain my choices. My body, my mind, my choice. This choice should be entered in my medical records (...) to the topic of Volume 88. Cont. due to word length -- EO At , Anonymous said... There is no saving the present mak’emsick industry. Let’s see – we already know that drug studies are fraudulent and that physicians seem to be entirely ignorant of this fact. But, writing scripts is about all most of them can do. Super hyped “screening” tests do more harm than good. EBM (Evidence Based Medicine) is essentially a scam as it also relies on fraudulent studies. We’ve seen that the mak’emsick industry is founded

2018 Bioethics Discussion Blog

159. Patient Dignity (Formerly: Patient Modesty): Volume 92

women are concerned. Today, when a man with modesty concerns goes for a male specific intimate exam, test, or procedure, he is faced with the real possibility of being intimately exposed and handled by a gauntlet of women he neither knows, nor wants to be exposed in front of. To a modest man, this kind of exposure being forced upon him can have devastating results. Effects that some gentlemen never recover from. Men don't go around making fun of women for wanting a female nurse or aid

2018 Bioethics Discussion Blog

160. Patient Modesty: Volume 89

; basically what the average physician in the area would have done. If the physician documented a reason for denial (including it is my right to), attempted to educate the patient (gave him ACS pamphlet on recommended screening), periodically revisited the topic (and noted refusal again), and did not ignore the patient's request for alternative testing (FOBT vs colonoscopy), then the physician did everything possible and has a defensible position. That does NOT mean the physician will be dismissed from (...) the patient's former occupation and possible asbestos exposure. ..Maurice. At , Anonymous said... Maurice Pleural effusion can also be attributable to CHF, renal disease or a fall. I shudder to think people coming to a diagnosis with occupation first in mind. That the diagnosis could be arrived at after some investigation clinically or after a series of diagnostic tests. I might mention that prior to Hipaa laws in 1995 much of patient information from medical offices was placed in dumpsters. With names

2018 Bioethics Discussion Blog

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