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161. Guided graded exercise self-help plus specialist medical care versus specialist medical care alone for chronic fatigue syndrome (GETSET): a pragmatic randomised controlled trial. (Full text)

Guided graded exercise self-help plus specialist medical care versus specialist medical care alone for chronic fatigue syndrome (GETSET): a pragmatic randomised controlled trial. Graded exercise therapy is an effective and safe treatment for chronic fatigue syndrome, but it is therapist intensive and availability is limited. We aimed to test the efficacy and safety of graded exercise delivered as guided self-help.In this pragmatic randomised controlled trial, we recruited adult patients (18 (...) years and older) who met the UK National Institute for Health and Care Excellence criteria for chronic fatigue syndrome from two secondary-care clinics in the UK. Patients were randomly assigned to receive specialist medical care (SMC) alone (control group) or SMC with additional guided graded exercise self-help (GES). Block randomisation (randomly varying block sizes) was done at the level of the individual with a computer-generated sequence and was stratified by centre, depression score

2017 Lancet Controlled trial quality: predicted high PubMed abstract

162. Physical therapy

disability and pain. Objective: To determine whether yoga is noninferior to PT for cLBP. Design: 12-week, single-blind, 3-group randomized 2017 2. A Randomized Controlled Trial of Screening, Risk Modification and Physical Therapy to Prevent Falls among the Elderly Recently Discharged from the Emergency Department to the Community: the Steps to Avoid Falls in the Elderly Study. 28202383 2017 02 16 2017 04 11 1532-821X 2017 Feb 12 Archives of physical medicine and rehabilitation Arch Phys Med Rehabil (...) and Hooked on Evidence databases were searched from 1994 to 2006 for full-text peer-reviewed studies published in English. Search terms were reported 2008 4. Early physical therapy /occupational therapy specific interventions for traumatic spinal cord injury (SCI) Occupational Therapy and Physical Therapy / Spinal Cord Injury / Early Physical Therapy / BESt ### Copyright © 2014 Cincinnati Children's Hospital Medical Center; all rights reserved. Page 1 of 8 Occupational Therapy and Physical Therapy

2018 Trip Latest and Greatest

163. Physical Therapy Informed by Acceptance and Commitment Therapy (PACT) Versus Usual Care Physical Therapy for Adults With Chronic Low Back Pain: A Randomized Controlled Trial. (Full text)

Physical Therapy Informed by Acceptance and Commitment Therapy (PACT) Versus Usual Care Physical Therapy for Adults With Chronic Low Back Pain: A Randomized Controlled Trial. Chronic low back pain (CLBP) is a major cause of global disability and improving management is essential. Acceptance and commitment therapy (ACT) is a promising treatment for chronic pain but has not been modified for physical therapy. This randomized controlled trial (RCT) compared physical therapy informed by ACT (PACT (...) ) against standard care physical therapy for patients with CLBP. Patients with CLBP (duration ≥12 weeks, mean 3 years) were recruited from physical therapy clinics in 4 UK public hospitals. The Roland-Morris Disability Questionnaire (RMDQ) at 3 months' post-randomization was the primary outcome. Two hundred forty-eight participants (59% female, mean age = 48) were recruited and 219 (88.3%) completed measures at 3 and/or 12 months' follow-up. At 3 months, PACT participants reported better outcomes

2019 The journal of pain : official journal of the American Pain Society Controlled trial quality: predicted high PubMed abstract

164. Pharmaceuticals Requiring Companion Diagnostics

Pharmaceuticals Requiring Companion Diagnostics Pharmaceuticals Requiring Companion Diagnostics | CADTH.ca CADTH Document Viewer Pharmaceuticals Requiring Companion Diagnostics Table of Contents Search this document Pharmaceuticals Requiring Companion Diagnostics June 2016 Background and Context The purpose of this Environmental Scan is to provide an overview of the current and projected use of companion diagnostic tests required for the prescription of targeted drug therapies, as well (...) treatment, depending on the intervention and medical condition). Different definitions have been proposed for personalized medicine, including, but not limited to, the following: In the US, the Personalized Medicine Coalition defines personalized medicine as the “tailoring of medical treatment to the individual characteristics of each patient. It does not mean that drugs (or medical devices) are developed to be unique to a patient but rather the ability to classify individuals into subpopulations

2016 Canadian Agency for Drugs and Technologies in Health - Environmental Scanning

165. Non-drug therapies in Alzheimer's disease

directly relevant to patients. The benefit assessment only considered randomized controlled trials (RCTs). When drugs for dementia therapy are administered for the first time, the Drug Commission of the German Medical Profession recommends a check-up after 12 weeks in order to assess treatment success [1]. EMEA recommends a minimum study duration of 6 months for the evaluation of the short-term effects of antidementia drugs [2,3]. In order to meet both recommendations, a minimum observation period (...) , Alzheimer’s disease, dementia, benefit assessment, systematic review References 1. Arzneimittelkommission der deutschen Ärzteschaft. Demenz: Therapieempfehlungen. [Commission of the German Medical Profession. Dementia. Therapy recommendations]. Köln: AkdÄ; 2004. 2. The European Agency for the Evaluation of Medicinal Products. Note for guidance in medicinal products in the treatment of Alzheimer’s disease [Online]. 12.04.1997 [Accessed on 04.08.2008]. URL: http://www.emea.europa.eu/pdfs/human/ewp

2009 Institute for Quality and Efficiency in Healthcare (IQWiG)

166. Shared Medical Appointments for Chronic Medical Conditions: A Systematic Review

offer ready access to high-quality primary care—an approach that is embedded in the fundamental design of Veterans Affairs (V A) health care and which is consistent with the Institute of Medicine’s definition of high-quality care. This definition emphasizes safe, effective, patient-centered, timely, efficient, and equitable health care. Group medical visits are a method to deliver health care that offers the promise of improving these aspects for patients with chronic conditions. Group visits (...) searched MEDLINE ® (via PubMed ® ), Embase ® , CINAHL ® , PsycINFO ® , and Web of Science for peer-reviewed publications comparing shared medical appointments or group visits with usual care from January 1996 through April 2012. Our search strategy used the National Library of Medicine’s medical subject headings (MeSH) keyword nomenclature and text words for group visits, and validated search terms for both randomized controlled trials and relevant observational studies. We limited the search

2012 Veterans Affairs Evidence-based Synthesis Program Reports

167. Lifestyle Medicine-Focused Shared Medical Appointments to Improve Risk Factors for Chronic Diseases and Quality of Life in Breast Cancer Survivors. (Abstract)

of a clinical program from January 2016 to July 2017.It includes seven 2-h group medical visits held every other week at an outpatient wellness facility.Eligible participants are breast cancer survivors who have completed treatment, including those who remain on hormonal therapy.Patients receive education and experience in nutrition, culinary medicine, physical activity, and stress relief practices.Participants' weight, body mass index (BMI), body fat mass, lean body mass, and percent body fat were measured (...) Lifestyle Medicine-Focused Shared Medical Appointments to Improve Risk Factors for Chronic Diseases and Quality of Life in Breast Cancer Survivors. Poor lifestyle choices play a significant role in the development and progression of preventable chronic diseases, including cancer. In this study, we evaluate the effectiveness of a comprehensive lifestyle medicine intervention on chronic disease risk factors and quality of life in breast cancer survivors.This is a retrospective review

2018 Journal of Alternative and Complementary Medicine

168. Promotion Project of Health Management Model for Chinese Medical Preventive Medicine

Promotion Project of Health Management Model for Chinese Medical Preventive Medicine Promotion Project of Health Management Model for Chinese Medical Preventive Medicine - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before (...) adding more. Promotion Project of Health Management Model for Chinese Medical Preventive Medicine The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03640182 Recruitment Status : Active, not recruiting First Posted : August 21, 2018 Last Update Posted : August 24, 2018 Sponsor: China Medical University

2018 Clinical Trials

169. Development of Health Management Model for Chinese Medical Preventive Medicine

Development of Health Management Model for Chinese Medical Preventive Medicine Development of Health Management Model for Chinese Medical Preventive Medicine - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Development of Health Management Model for Chinese Medical Preventive Medicine The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03640169 Recruitment Status : Completed First Posted : August 21, 2018 Last Update Posted : August 24, 2018 Sponsor: China Medical University Hospital Collaborators: China Medical

2018 Clinical Trials

170. Assessing medical student documentation using simulated charts in emergency medicine (Full text)

Assessing medical student documentation using simulated charts in emergency medicine The 1995 Health Care Financing Administration (HCFA) guidelines stated that providers may only use the review of systems and past medical, family, social history in student documentation for billing purposes; therefore, many providers viewed the student documentation as an extraneous step and chose not to allow medical students to document patient visits. This workflow negatively affected medical student (...) education in documentation skills. Although the negative impact on students' documentation skills is obvious, areas of deficits are unknown. Understanding the area of deficits will benefit future curriculums to prepare prospective resident physicians for proper documentation. We aimed to assess areas of deficits in documentation of fourth-year medical students according to HCFA billing guidelines.We conducted a prospective study of fourth-year medical students' simulated chart documentations at a United

2018 BMC medical education PubMed abstract

171. Can complementary medicine enhance doctor-patient communication skills? Insights from an international medical student project. (Abstract)

medical students, nine mentors and two public representatives from Israel and Germany participated in this 18-month international group project. The goal was to explore CM methods that could enrich doctor-patient communication in several aspects. The group eventually chose to focus on four CM modalities, which included Chinese medicine; Mind-Body medicine; Touch therapies; Mindfulness and Herbal medicine. One workshop took place in Haifa and two workshops in Berlin, with continued inter-group work (...) , anamnesis regarding herbal use, and a physical exam based on concepts from touch therapies. Students summarized and condensed their observations into five educational modules, which are available online: http://www.b-zion.org.il/pages_e/6683.aspx.The cultural exchange and explorative process in this international medical student collaboration led to insights regarding the potential contribution of CM to patient-doctor communication. The outcomes of this international collaboration, specifically

2018 Complementary Therapies In Medicine

172. Use of traditional eye medicine and self-medication in rural India: A population-based study. (Full text)

Use of traditional eye medicine and self-medication in rural India: A population-based study. To determine the type and nature of traditional eye medicine (TEM), their sources and use and practices related to self-medication for ophthalmic diseases in a rural Indian population.A population-based, cross-sectional study was conducted in 25 randomly selected clusters of Rural Gurgaon, Haryana, India as part of CORE (Cornea Opacity Rural Epidemiological) study. In addition to comprehensive (...) ophthalmic examination, health-seeking behavior and use of self-medication and TEM was assessed in the adult population using a semi-structured questionnaire. Physical verification of available ophthalmic medications in the enumerated households was conducted by the study team. Descriptive statistics were computed along with multivariable logistic regression analysis to determine associated factors for use of self-medication and TEM.Of the 2160 participants interviewed, 396 (18.2%) reported using

2017 PLoS ONE PubMed abstract

173. Development and validation of an instrument for measuring the burden of medicine on functioning and well-being: the Medication-Related Burden Quality of Life (MRB-QoL) tool. (Full text)

Development and validation of an instrument for measuring the burden of medicine on functioning and well-being: the Medication-Related Burden Quality of Life (MRB-QoL) tool. Medication-related burden (MRB) is a negative experience with medicine, which may impact on psychological, social, physical and financial well-being of an individual. This study describes the development and initial validation of an instrument specifically designed to measure MRB on functioning and well-being-the Medication (...) -Related Burden Quality of Life (MRB-QoL) tool.An initial pool of 76-items for MRB-QoL was generated. The link to MRB-QoL survey was sent to a sample of consumers living with at least one chronic medical condition and taking ≥3 prescription medicines on a regular basis. Exploratory factor analysis (EFA) was used to determine the underlining factor structure. Internal consistency (Cronbach's α) and construct validity were examined. The latter was examined through correlation with Medication Regimen

2018 BMJ open PubMed abstract

174. Educating Medical Students in Counselling Older Adults about Exercise: The Impact of a Physical Activity Module. (Abstract)

physical activity module including a one-hour exercise tutorial combined with a 30-minute practical counselling session on senior medical students' perceptions of the importance of exercise and their perceived competence in advising older people about exercise.Pre-post survey.University campus.161 senior medical students taking part in the Queen Elizabeth Hospital Geriatric Medicine course in 2015 (control group) and 2016 (intervention group).The modified Exercise and Physical Activity Competence (...) Educating Medical Students in Counselling Older Adults about Exercise: The Impact of a Physical Activity Module. Exercise courses during medical school contribute to medical students' confidence in promoting physical activity to their patients. However, there is still a lack of uniform physical activity education across medical school curricula to equip medical students with the necessary skills and knowledge to counsel their patients about exercise.To determine the effects of a 1.5-hour

2018 The Journal of frailty & aging

175. Ondansetron does not prevent physical dependence in patients taking opioid medications chronically for pain control. (Full text)

Ondansetron does not prevent physical dependence in patients taking opioid medications chronically for pain control. In this study, we investigated the co-administration of ondansetron with morphine, and whether it could prevent the development of physical dependence in patients taking opioids for the treatment of chronic pain.A total of 48 chronic back pain patients (N = 48) participated in this double-blinded, placebo-controlled, randomized study. Patients were titrated onto sustained-release (...) in all participants (ΔOOWS = 4.3 ± 2.4, p < 0.0001; ΔSOWS = 14.1 ± 11.7, p < 0.0001), however no significant differences in withdrawal scores were detected between treatment groups.We hypothesized that ondansetron would prevent the development of physical dependence in human subjects when co-administered with opioids, but found no difference in naloxone-precipitated opioid withdrawal scores between ondansetron and placebo treatment groups. These results suggest that further studies are needed

2018 Drug and alcohol dependence Controlled trial quality: uncertain PubMed abstract

176. The effectiveness of an incentivized physical activity programme (Active Student) among female medical students in Pakistan: A Randomized Controlled Trial. (Abstract)

The effectiveness of an incentivized physical activity programme (Active Student) among female medical students in Pakistan: A Randomized Controlled Trial. To determine the efficacy of an incentive-based approach combined with a smartphone application in promoting physical activity and weight-loss among female medical students, and to explore among them psychological effects pertaining to self-esteem, guilt, body-shaming, and perception of physical beauty.The pilot, randomised controlled trial (...) was conducted at the Peoples University of Medical and Health Sciences for Women, Nawabshah, Pakistan, from March to May 2017, and comprised female students who were randomly allocated to either the incentivized or the non-incentivized group. The incentivized group was given a weekly financial incentive based on the required level of physical activity, measured each week for five weeks using Moves application. All subjects completed several questionnaires covering secondary outcomes at the end of the trial

2018 JPMA. The Journal of the Pakistan Medical Association Controlled trial quality: uncertain

177. Effectiveness of a combined exercise training and home-based walking programme on physical activity compared with standard medical care in moderate COPD: a randomised controlled trial. (Abstract)

Effectiveness of a combined exercise training and home-based walking programme on physical activity compared with standard medical care in moderate COPD: a randomised controlled trial. To estimate the effectiveness of a 10-week combined exercise training and home-based walking programme on daily physical activity (PA) compared with standard medical care in patients with moderate chronic obstructive pulmonary disease (COPD).Randomised controlled trial.Primary care physiotherapy.Consecutive (...) patients with stable COPD at Gold Stage II with a score of two or more on the Medical Research Council Dyspnoea Scale.Ten-week combined exercise training and home-based walking programme compared with standard medical care.At baseline and after 10 weeks, daily PA was evaluated by accelerometry using three levels of intensity and expressed as metabolic equivalent of task. In addition, daily activities (Physical Activity Scale for the Elderly), functional exercise capacity (6-minute Walk Test), health

2018 Physiotherapy Controlled trial quality: predicted high

178. Higher Fit-fOR-The-Aged (FORTA) Scores Comprising Medication Errors are Associated with Impaired Cognitive and Physical Function Tests in the VALFORTA Trial. (Abstract)

Higher Fit-fOR-The-Aged (FORTA) Scores Comprising Medication Errors are Associated with Impaired Cognitive and Physical Function Tests in the VALFORTA Trial. The Fit fOR The Aged (FORTA) list, a drug classification combining positive and negative labelling of drugs, has been clinically (VALFORTA-trial) validated to improve medication quality and clinical endpoints.The objective of this study was to determine the association of medication quality with functional abilities tested in cognitive (...) and physical function tests.Data from the prospective, randomized controlled VALFORTA trial on 409 geriatric (mean age 81.53 years) in-hospital patients were tested for associations between the FORTA score (sum of over- and under-treatment errors) on admission and cognitive and physical function tests. Univariate and multivariate linear correlations corrected for age, sex, number of medications, number of chronic conditions, and body mass index as well as comparisons between high and low FORTA-score (cut

2018 Drugs & Aging Controlled trial quality: uncertain

179. Links between blood pressure and medication intake, well-being, stress, physical activity and symptoms reported via a mobile phone-based self-management support system: a cohort study in primary care. (Full text)

Links between blood pressure and medication intake, well-being, stress, physical activity and symptoms reported via a mobile phone-based self-management support system: a cohort study in primary care. To explore relationships between patients' self-monitoring of blood pressure (BP) and their concurrent self-reports of medication intake, well-being, stress, physical activity and symptoms.This study is a secondary analysis of a prospective study exploring the 8-week effectiveness of a mobile (...) SBP and DBP. The single strongest association was found between medication intake and SBP, where failure to take medications was associated with an estimated 7.44 mm Hg higher SBP. To a lesser degree, medication intake was also associated with DBP, where DBP was 4.70 mm Hg higher in cases where medications were not taken. Well-being and stress were consistently associated with SBP and DBP, whereas physical activity was associated with only SBP. None of the symptoms-dizziness, headache

2018 BMJ open PubMed abstract

180. A preliminary study of the effects of medical exercise Wuqinxi on indicators of skin temperature, muscle coordination, and physical quality. (Full text)

A preliminary study of the effects of medical exercise Wuqinxi on indicators of skin temperature, muscle coordination, and physical quality. Wuqinxi is a traditional medicinal exercise that is widely practiced in China now. Because of its obvious medical rehabilitation, Wuqinxi has been used in the physical education for more than 1.2 million people in at least 24 Chinese Medicine university campuses in China for many years. This investigation aimed to evaluate whether Wuqinxi has the positive (...) effect on physical improvements for female college students.Infrared scanners were used for real-time monitoring of body calorie dynamics; the electromyography (EMG) was used to detect the iEMG on biceps, brachioradialis, quadriceps, and gastrocnemius; beside, the physical health elements, heart rate and cardiopulmonary function were also taken within the scope of our investigation and records.Wuqinxi exercise can improve the body function through making the abdominal muscles, back muscles and limbs

2018 Medicine PubMed abstract

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