Health education and care最新文献

{"title":"Unexpected challenges to preventing falls in older adults: a mixed methods study of an emergency department-based falls prevention referral pilot project","authors":"Suzanne F.M. van Wijck, C. Rizzo, Netsanet Tsegai, T. Raybould, Shan W Liu","doi":"10.15761/hec.1000158","DOIUrl":"https://doi.org/10.15761/hec.1000158","url":null,"abstract":"Objective: We sought to determine the rate and challenges to follow-up with a fall prevention program after an Emergency Department (ED) based referral. Methods: We conducted a mixed-methods study of a pilot ED falls referral program. Older ( ≥ 65) patients who presented to the ED with fall-related injury were enrolled. We held semi-structured interviews in the ED and referred fall patients to an outpatient fall prevention program. We assessed quantitative outcomes, including 6-month mortality and recurrence of falls, and conducted follow-up phone interviews. Results: One hundred geriatric patients patients were enrolled and 22 were referred. None (0%) participated in the program. After 6 months, the mortality rate was 8.5% and 28% of the patients had recurrent falls. Qualitative data revealed that challenges to fall prevention were 1) practical considerations, 2) competing health issues, and 3) perceptions of fall risk. Conclusion: None of our patients followed up in an outpatient falls program. Our patients had a high rate of recurrent falls. Follow-up interviews revealed that ED referral alone is not enough to overcome challenges to participation in a fall prevention clinic. Actively addressing barriers to fall clinic follow-up is necessary to improve outpatient fall clinic show rates.","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67467689","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}

{"title":"Resolution-fatigue syndrome: the contribution of health policy and systems research to the SDGs","authors":"V. Tangcharoensathien, L. Gilson, A. Ghaffar","doi":"10.15761/hec.1000160","DOIUrl":"https://doi.org/10.15761/hec.1000160","url":null,"abstract":"","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67467741","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}

{"title":"Evaluating how sports medicine fellows perceived their training during a longitudinal sports medicine track","authors":"Christopher Fox, Joshua T Goldman","doi":"10.15761/hec.1000161","DOIUrl":"https://doi.org/10.15761/hec.1000161","url":null,"abstract":"Introduction: While residency-based Sports Medicine Tracks (SMT) are becoming increasingly popular, their ability to augment resident’s preparation for fellowship remains unclear. This study 1) investigates the components of existing residency-based SMTs and 2) compares both subjective and objective measures of current SMTs. Methods: Current Sports Medicine fellows completed an online survey. The survey assessed demographics, subject participation in a SMT, and measures of the subject’s pre-fellowship experiences and preparedness for a Primary Care Sports Medicine fellowship. Results: There were 45 completed surveys with 10 fellows having participated in a SMT. More SMT subjects reported formal MSK ultrasound and procedural training than non-SMT subjects. All SMT subjects reported sideline and PPE coverage. SMT subjects had higher confidence levels in 1) their ability to perform an MSK exam, 2) their ability to diagnose MSK injuries, and 3) their ability to provide MSK injury patient education. Conclusions: SMTs are designed to improve residents’ musculoskeletal training, knowledge, and confidence prior to fellowship. Fellows who were involved in residency-based SMTs had significantly higher confidence levels in their ability to examine and diagnose MSK injuries. They also had significantly more ultrasound and procedural experiences. This study demonstrates the benefit of these tracks in preparing residents for fellowship. *Correspondence to: Christopher Fox, Primary Care Sports Medicine physician at the University of Missouri-Kansas City School of Medicine and Truman Medical Centers in Kansas City, Missouri, USA, E-mail: chrisfox.m@gmail.com Received: August 23, 2019; Accepted: September 05, 2019; Published: September 09, 2019 Introduction Musculoskeletal complaints remain one of the most common chief complaints in primary care. According to Vernec and colleagues, 15% of family physician visits are related to musculoskeletal injuries [1]. Despite the significant demand for musculoskeletal care in the primary care setting, it continues to be one of the commonly reported deficiencies in medical education [2]. Additionally, studies have demonstrated improved musculoskeletal knowledge and confidence with the introduction of Sports Medicine rotations during a Family Medicine Residency. Watts and colleagues showed that implementing a formalized sports medicine curriculum/rotation into a PGY-1 Family Medicine schedule provided significant improvement in basic musculoskeletal knowledge [3]. Waterbrook, et al. showed that Emergency Medicine residents were more satisfied with their musculoskeletal training after implementing a Sports Medicine rotation (including both time in Sports Medicine clinics and training room experience) during the PGY-1 year [4]. Primary Care Sports Medicine remains a popular and competitive fellowship among Family Medicine, Internal Medicine, Pediatric, and Emergency Medicine residents. The NRMP reported 24% of 374 applicants wen","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67468234","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}

{"title":"self-care-behaviors-of-food-insecure-persons-with-diabetes","authors":"Treashure Wade, Olivia G Fahey, Maren Vanmieghem, E. Vivian","doi":"10.15761/hec.1000154","DOIUrl":"https://doi.org/10.15761/hec.1000154","url":null,"abstract":"Objective: Food insecurity has been associated with poor glycemic control in patients with diabetes. This study evaluates the self-care behaviors of patients with diabetes who experience food insecurity. Results: The Diabetes Self-Management Questionnaire (DSMQ) was administered to 132 food insecure persons with diabetes at randomly selected community centers, local churches, and food pantries in the Madison, Wisconsin area between May 2016 and August 2017. Sixty-one percent of the participants were female and 52% identified as African American or Black. The mean sum DSMQ score of participants was 6.47 ± 2.37 out of ten possible points and the mean subscores for glucose management, dietary control, and physical activity were 6.95 ± 2.05, 5.54 ± 2.18, and 6.35 ± 2.37 respectively. While 92% of respondents reported having medical coverage, 42% reported cost related medication under-usage. These results suggest that diabetes management education that identifies challenges and barriers to proper self-care and takes into account the challenges that food insecure individuals face every day is greatly needed.","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67467898","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}

{"title":"Hybrid simulation for teaching clinical breast examination (CBE) for physicians in training","authors":"R. Sharara-Chami, U. Musharrafieh, A. Nassar, Z. Lakissian, J. Nassif","doi":"10.15761/hec.1000146","DOIUrl":"https://doi.org/10.15761/hec.1000146","url":null,"abstract":"","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67467399","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}

{"title":"Long QT: The art of measurement","authors":"Ali Naderi Mahabadi, Dinesh Sharma, E. Kaufman","doi":"10.15761/hec.1000156","DOIUrl":"https://doi.org/10.15761/hec.1000156","url":null,"abstract":"The QT interval represents the time it takes for the ventricles to depolarize and repolarize. Accurate measurement is essential for many clinical decision-making situations, which can significantly affect patient outcomes. Prolonged QRS duration in cases such as paced rhythm, LVH and conduction abnormalities pose significant challenges in accurately measuring the QT interval. This review will focus on how to accurately measure the QT interval and how to avoid common pitfalls. *Correspondence to: Ali Naderi, Department of Cardiology, Case Western Reserve, MetroHealth Medical Center in Cleveland, Ohio, USA, E-mail: naderi.m@gmail.com Received: June 08, 2019; Accepted: June 19, 2019; Published: June 24, 2019 Introduction and background QT interval measurement is one of the most important aspects of any electrocardiogram (ECG) evaluation. It has significant clinical importance, as there is a correlation between the QT interval length and the risk of developing ventricular tachyarrhythmias. The importance of the QT interval did not come to light for several decades after the invention of the ECG by Willem Einthoven in the early 20th century. Louise Wolff, an American cardiologist who described the WPW syndrome with Parkinson and White, was probably the first person to measure the QT interval [1]. However, the clinical importance of the QT interval was not fully understood until further work by Jervell and Lange-Nielsen in the late 1950s, and Romano, Gemme, Pongiglione, and Ward in the 1960s [2,3]. Several types of long QT syndrome have since been described, and the awareness and knowledge of the relationship between QT prolongation and torsades de pointes has since grown. In 2007, the FDA formed an Internal Review Team (IRT) with the responsibility to oversee the clinical assessment of QT prolongation for all drugs that the agency reviewed. Assessment of QT prolongation has rapidly become an essential part of the development of new drugs [4]. It is now common practice to measure and monitor the QT interval with the use of many drugs, especially the antiarrhythmic agents. Despite the advent of many computer-assisted algorithms and software programs, the accurate measurement of QT interval remains a challenge for many clinicians. A survey of 334 practitioners, the majority of whom specialize in cardiology (81%), showed that 61% were able to identify what represented the QT interval on an ECG and only 36% were able to measure the QT interval [5].","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67467593","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}

{"title":"Translation and validation of revised illness perception questionnaire (IPQ-R): The Malay version in Malaysia","authors":"Sherene Tan Su Ann, Shamila Balasubramaniam, Tye Sok Cin, B. Tangiisuran","doi":"10.15761/HEC.1000147","DOIUrl":"https://doi.org/10.15761/HEC.1000147","url":null,"abstract":"","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67467651","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}

{"title":"The recovered female ex-offenders","authors":"Hui-Ching Wu, Huang Ming-Chi","doi":"10.15761/hec.1000166","DOIUrl":"https://doi.org/10.15761/hec.1000166","url":null,"abstract":"Recovery for ex-offenders is currently one of the major issues in the criminal justice, health care and social services providers, especially for the drug use offenders, promoting a successful recovery is an ongoing concern in efforts to reduce recidivism [1]. Especially for the female, they are the fastest-growing population in the criminal justice system, and jails reach more people than any other component of the correctional system. In addition to stopping drug use, the goal of recovery is to return people to productive functioning in the family, workplace, and community as well as to maintain a normal lifestyle and social contacts. Many of ex-offenders struggled with the dynamic process of the ultimate goal of community recovery that is a long-term journey [2] and would have experienced several challenges.","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67468591","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}

{"title":"Health policies about illegal drugs use within Colombian’s penitentiary system","authors":"Lorena Ramírez Cardona","doi":"10.15761/hec.1000149","DOIUrl":"https://doi.org/10.15761/hec.1000149","url":null,"abstract":"","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67467723","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}

{"title":"Feasibility of 12 weeks of combined aerobic and resistance training in Indigenous Australian adults: a Phase I, single-group, pre-post intervention study","authors":"Tuguy Esgin","doi":"10.15761/HEC.1000150","DOIUrl":"https://doi.org/10.15761/HEC.1000150","url":null,"abstract":"Objectives: To investigate the feasibility and potential of an exercise program based on current recommendations for health to decrease cardiometabolic risk factors in Indigenous Australian adults in a metropolitan setting. Design: Phase I, single-group, pre-post intervention study. Methods: Sixteen previously inactive adults (55% female; mean age 32 y) undertook supervised exercise involving aerobic and progressive resistance training for 3 days per week for 12 weeks. Results: Eleven participants (69%) completed the exercise intervention with high exercise adherence rates (92% of sessions completed). Compared with baseline, there was a significant improvement with training in sub-maximal aerobic capacity (MD 5 ml/kg/min, 95% CI 3 to 7), pulse wave velocity (MD -2 m/s; 95% CI: -2.3 to -0.7), percentage body fat (MD -2%; CI: -3.4 to 0.2), bench press (MD 17 kg, 95% CI: 10 to 25), leg press (MD 67 kg, CI: 36 to 110), waist circumference (MD -3 cm, 95% CI: -4.0 to -1.0) and hip circumference (MD -2 cm, 95% CI: -4.4 to -1.1). Conclusions: A supervised fitness centre based aerobic and resistance training program has the potential to reduce cardiovascular disease risk factors in Indigenous adults and can be delivered in a metropolitan gym environment. *Correspondence to: Tuguy Esgin, Discipline of Exercise, Health and Performance, University of Sydney, Lidcombe, NSW, Australia School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia, E-mail: tuguy1@gmail.com","PeriodicalId":93179,"journal":{"name":"Health education and care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67467771","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}