Clinics in Integrated Care最新文献_第7页

Treatment of childhood obesity: a multidisciplinary approach 儿童肥胖的治疗:多学科方法

Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100026

Julie Lanigan, Natasha Sauven

{"title":"Treatment of childhood obesity: a multidisciplinary approach","authors":"Julie Lanigan, Natasha Sauven","doi":"10.1016/j.intcar.2020.100026","DOIUrl":"https://doi.org/10.1016/j.intcar.2020.100026","url":null,"abstract":"<div><p><span><span>Childhood obesity is a serious global </span>health problem<span> associated with increased risk of disease in the short- and long-term. Excess weight gain begins early, during the preschool years, and many children remain overweight throughout childhood and adult life. Once established, obesity is difficult to reverse and costly to manage. In the UK, direct treatment costs the NHS £4.2 billion a year and without fast action, this could rise to £10 billion by 2050. Treatment options in childhood are limited. Lifestyle intervention is the first line treatment recommended by the National Institute for Care excellence (NICE) in the UK. In younger children (<6 years) this is the only management option. In older children, pharmacological intervention is possible under specialist medical supervision. Evidence for the safety and success of </span></span>bariatric surgery in children is limited. However, there is enough evidence to consider making the treatment available for a small number of highly selected children, with severe and complex obesity. Prevention is the best strategy. Lifestyle interventions are feasible and effective in both the prevention and treatment of childhood obesity. These require evaluation in rigorous trials and if successful should be integrated into healthcare and widely available.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"3 ","pages":"Article 100026"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91609071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

COVID-19 disease: Acute respiratory distress syndrome and prone position COVID-19疾病:急性呼吸窘迫综合征和俯卧位

Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100024

Rosie Reece-Anthony, Grace Lao, Chris Carter, Joy Notter

引用次数: 2

Management of chronic pain 慢性疼痛的处理

Clinics in Integrated Care Pub Date : 2020-11-01 DOI: 10.1016/j.intcar.2020.100025

Jody V. Phillips, Paul A. Cameron

引用次数: 0

COVID-19 disease: Acute respiratory distress syndrome and prone position COVID-19疾病:急性呼吸窘迫综合征和俯卧位

Clinics in Integrated Care Pub Date : 2020-10-16 DOI: 10.1016/j.intcar.2020.100024

R. Reece-Anthony, Grace Lao, C. Carter, J. Notter

引用次数: 2

COVID-19 disease: Resuscitation COVID-19疾病:复苏

Clinics in Integrated Care Pub Date : 2020-10-16 DOI: 10.1016/j.intcar.2020.100023

Daniel Paschoud, C. Carter, J. Notter

引用次数: 1

Mental health in older adults: an introduction for integrated care professionals 老年人的心理健康:综合护理专业人员介绍

Clinics in Integrated Care Pub Date : 2020-09-01 DOI: 10.1016/j.intcar.2020.100015

Daniel L. Segal, Katie L. Granier, Marissa A. Pifer, Lisa E. Stone

{"title":"Mental health in older adults: an introduction for integrated care professionals","authors":"Daniel L. Segal, Katie L. Granier, Marissa A. Pifer, Lisa E. Stone","doi":"10.1016/j.intcar.2020.100015","DOIUrl":"10.1016/j.intcar.2020.100015","url":null,"abstract":"<div><p>The number of older adults in the United States and much of the world is rapidly increasing as individuals continue to live longer, healthier lives, and is expected to continue growing over the next several decades. As a result, healthcare settings are constantly adapting to meet the specialized needs of this aging population. One major adaptation in the delivery of healthcare services is a shift toward integrated healthcare settings wherein older adults can seek services for a variety of physical and mental health needs within a single system. This article addresses several pertinent issues unique to working with older adults within integrated care settings to prepare practitioners for effectively serving older adult patients. We begin with an overview of key demographics of aging in the United States and of professional geropsychology. This is followed by a discussion of key issues relevant to serving older adults in integrated care settings, such as the roles of behavioral health professionals, common comorbidities among older adults, intervention effectiveness, and standards for professional competency. We conclude with a discussion of evidence-based psychological and cognitive assessment of older adults, highlighting measures that may be considered for use in integrated care settings.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"2 ","pages":"Article 100015"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"106586491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Management of chronic heart failure 慢性心力衰竭的管理

Clinics in Integrated Care Pub Date : 2020-09-01 DOI: 10.1016/j.intcar.2020.100016

Joanna Osmanska, Roy S. Gardner

引用次数: 0

Medical professionalism 医学专业

Clinics in Integrated Care Pub Date : 2020-09-01 DOI: 10.1016/j.intcar.2020.100014

Rosemarie Anthony-Pillai, Sanjiv Ahluwalia

引用次数: 0

COVID-19 disease: perspectives in low- and middle-income countries COVID-19疾病:低收入和中等收入国家的观点

Clinics in Integrated Care Pub Date : 2020-07-01 DOI: 10.1016/j.intcar.2020.100005

Chris Carter, Nguyen Thi Lan Anh, Joy Notter

引用次数: 18

Medication management in older adults 老年人的药物管理

Clinics in Integrated Care Pub Date : 2020-07-01 DOI: 10.1016/j.intcar.2020.100002

Arduino A. Mangoni, Elzbieta A. Jarmuzewska

{"title":"Medication management in older adults","authors":"Arduino A. Mangoni, Elzbieta A. Jarmuzewska","doi":"10.1016/j.intcar.2020.100002","DOIUrl":"10.1016/j.intcar.2020.100002","url":null,"abstract":"<div><p>Older adults, the largest medication consumer group worldwide, are virtually excluded from participating in clinical trials<span><span> that investigate the efficacy and safety of drugs<span><span><span>. The consequent lack of robust evidence regarding the effects of medicines in the older population is concerning in view of the ever-increasing medication exposure and the high risk of adverse drug reactions (ADRs) in this group. Furthermore, a number of age-related alterations in </span>pharmacokinetics and the inter-individual variability in homeostatic capacity suggest caution when </span>translating<span> the evidence from trials conducted in younger and healthier participants into the routine management of older patients. Several decision tools have been developed to prevent inappropriate prescribing and polypharmacy in older adults; however, additional research is warranted to justify their widespread clinical use. The role of traditional disease-centered end points, based on objective markers of response, might also need revisiting and complementation with measures of self-rated health, particularly in older patients who may also be frail or have a poor </span></span></span>quality of life. This article provides an overview of medication management in older adults, particularly in relation with trends in prescribing, polypharmacy and inappropriate medication use, and the development of decision tools that might facilitate an individualized therapeutic plan in this group.</span></p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"1 ","pages":"Article 100002"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.intcar.2020.100002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78782234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0