Search results for " Control"

showing 10 items of 7691 documents

Safety and efficacy of an intra-oral electrostimulator for the relief of dry mouth in patients with chronic graft versus host disease: case Series

2013

Objectives: Patients with chronic graft-versus-host disease (cGVHD) often suffer from dry mouth and oral mucosal lesions. The primary objective of this study was to investigate the safety of an intra-oral electrostimulator (GenNarino) in symptomatic cGVHD patients. The secondary objective was to study the impact on the salivary gland involvement of cGVHD patients. Study Design: This paper presents a case series. The study included patients treated for 4 weeks, randomly assigned to the active device and then crossed-over to a sham-device or vice versa. The patients and clinicians were blind to the treatment delivered. Data regarding oral mucosal and salivary gland involvement were collected.…

AdultMalemedicine.medical_specialtyGraft vs Host DiseaseElectric Stimulation TherapyOdontologíaDiseaseXerostomiaSalivary Glandslaw.inventionDouble-Blind MethodRandomized controlled triallawInternal medicinehemic and lymphatic diseasesmedicineHumansIn patientGeneral DentistryAgedOral Medicine and PathologySalivary glandbusiness.industryResearchMucosal lesionsEquipment DesignMiddle Agedmedicine.diseaseDry mouth:CIENCIAS MÉDICAS [UNESCO]Ciencias de la saludSurgeryTreatment Outcomemedicine.anatomical_structureGraft-versus-host diseaseOtorhinolaryngologyIntra oralUNESCO::CIENCIAS MÉDICASFemaleSurgerymedicine.symptombusiness
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Violence Against Women from Different Relationship Contexts and Health Care Utilization in Spain

2011

Abstract Background Studies reported an excess of health services utilization among women with violence by an intimate partner (IPV). However, little is known about health utilization by women victims of other forms of interpersonal violence than IPV. This study aimed to determine the effect of violence from different relationship contexts on health care utilization. Methods A cross-sectional study following a multistage cluster sampling scheme was conducted. Women aged 18 to 70 years were randomly selected according to their scheduled health care visit. The number of women invited to participate was 16,419 and 73% accepted. After exclusion, the final sample consisted of 10,815 women. The o…

AdultMalemedicine.medical_specialtyHealth (social science)AdolescentPoison controlContext (language use)ViolenceSuicide preventionOccupational safety and healthYoung AdultInterpersonal relationshipMaternity and MidwiferyHealth careInjury preventionHumansMedicineInterpersonal RelationsPsychiatryAgedbusiness.industryBattered WomenPublic Health Environmental and Occupational HealthObstetrics and GynecologySocial environmentHealth ServicesMiddle AgedCross-Sectional StudiesSexual PartnersSpainFamily medicineWomen's HealthFemalebusinessDelivery of Health CareWomen's Health Issues
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A Web-Based Telemanagement System for Improving Disease Activity and Quality of Life in Patients With Complex Inflammatory Bowel Disease: Pilot Rando…

2018

Background: The reported efficacy of telemedicine in patients with inflammatory bowel disease (IBD) is inconsistent among studies, and data for complex IBD are lacking. Objective: We aimed to evaluate the impact of remote monitoring using a Web system—Telemonitorizacion de la Enfermedad de Crohn y Colitis Ulcerosa or Telemonitoring of Crohn’s Disease and Ulcerative Colitis (TECCU)—as compared to standard care and telephone care on health outcomes and health care in patients with complex IBD. Methods: We performed a 3-arm randomized controlled trial. Adult patients with IBD who received immunosuppressants and biological agents were recruited from the IBD Unit of a tertiary university hospita…

AdultMalemedicine.medical_specialtyHealth InformaticsPilot ProjectsInflammatory bowel diseaselaw.invention03 medical and health sciencesYoung Adult0302 clinical medicineRandomized controlled trialQuality of lifelawinflammatory bowel diseaseInternal medicineHealth caremedicineHumansAdverse effectinformation and communication technologyulcerative colitisInternetOriginal Paperbusiness.industryCrohn diseaseOdds ratioMiddle Agedmedicine.diseaseInflammatory Bowel DiseasesUlcerative colitisTelemedicineClinical trial030220 oncology & carcinogenesisQuality of Lifee-health030211 gastroenterology & hepatologyColitis UlcerativeFemaletelemedicinebusinessJournal of medical Internet research
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Causal symptom attributions in somatoform disorder and chronic pain.

2009

Abstract Objective Somatoform disorders (SFD) are defined by symptoms that lack medical explanation. This study examined the type and pattern of patients' causal attributions using a new semistructured interview technique Methods The Causal Attributions Interview allows to assess and weigh 15 common explanations of physical symptoms. Attributions given by 79 patients with SFD were compared with those obtained from 187 chronic pain patients. Results The test–retest reliabilities of the interview-elicited attributions were satisfactory to good. SFD patients attributed most of their symptoms to mental/emotional problems (46.9%) and somatic disease (41.1%), while the pain sample preferred physi…

AdultMalemedicine.medical_specialtyHealth StatusPainDiseaseTime pressureSeverity of Illness IndexInterviews as TopicSurveys and QuestionnairesSeverity of illnessmedicineHumansPsychiatrySomatoform DisordersDepression (differential diagnoses)Internal-External ControlPsychiatric Status Rating ScalesChronic painReproducibility of ResultsMiddle AgedPatient Acceptance of Health Caremedicine.diseaseCausalityPsychiatry and Mental healthClinical PsychologyChronic DiseaseQuality of LifeFemalePsychologyAttributionSomatizationJournal of psychosomatic research
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Patterns of evidence integration in schizophrenia and delusion.

2011

Previous studies documented a bias against disconfirmatory evidence (BADE) in patients affected by schizophrenia spectrum disorders, with some discrepant findings on its relationship with delusions. In order to further investigate the patterns of evidence integration in schizophrenia and delusion, we recruited 40 deluded and non-deluded patients with schizophrenia and 40 healthy control subjects. Participants were administered the BADE test, which consisted of 30 delusion-neutral scenarios, each one progressively described by three subsequent disambiguating statements and providing four types of interpretation to rate for plausibility; at every additional evidence presentation, participants…

AdultMalemedicine.medical_specialtyHealthy subjectsMiddle AgedNeuropsychological Testsmedicine.diseaseCognitive biasDelusionsPsychiatry and Mental healthJudgmentDelusionSchizophreniaHealthy controlmedicineHumansIn patientFemaleSchizophrenic Psychologymedicine.symptomPsychologyPsychiatryBiological PsychiatryProblem SolvingSchizophrenia spectrumPsychiatry research
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Repetitive low-energy shock wave application without local anesthesia is more efficient than repetitive low-energy shock wave application with local …

2005

Background: It remains unclear whether application of local anesthesia (LA) interferes with clinical e!cacy of extracorporeal shock wave therapy (ESWT) for chronic plantar fasciitis. Aims: To evaluate the e"ect of local anesthesia on the clinical outcome after repetitive low-energy ESWT for chronic plantar fasciitis. Methods: Eighty-six patients with chronic plantar fasciitis were randomly assigned to receive either low-energy ESWT without LA, given weekly for three weeks (Group I, n = 45; 3 · 2000 pulses, total energy flux density per shock 0.09 mJ/mm 2 ) or identical ESWT with LA (Group II, n = 41). Primary outcome measure was: Reduction of pain from baseline to month 3 post-treatment in …

AdultMalemedicine.medical_specialtyHeelUltrasonic TherapyGroup iiPainPlantar fasciitisPilot Projectslaw.inventionLow energyRandomized controlled triallawOutcome Assessment Health CaremedicineHumansUltrasonicsOrthopedics and Sports MedicineIn patientLocal anesthesiaAnesthetics LocalFasciitisAgedbusiness.industryMiddle Agedmedicine.diseaseSurgerymedicine.anatomical_structureFasciitis PlantarAnesthesiaFemalemedicine.symptombusinessJournal of Orthopaedic Research
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Effect of Recombinant Zoster Vaccine on Incidence of Herpes Zoster After Autologous Stem Cell Transplantation A Randomized Clinical Trial

2019

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AdultMalemedicine.medical_specialtyHerpes Zoster Vaccinemedicine.medical_treatmentvirusesVaccines Synthetic/administration & dosageHematopoietic stem cell transplantationPlaceboInjections IntramuscularTransplantation Autologous01 natural sciencesHerpes Zoster Vaccine/administration & dosage03 medical and health sciences0302 clinical medicineAutologous stem-cell transplantationAdjuvants ImmunologicInternal medicinehemic and lymphatic diseasesmedicineHumansSingle-Blind Method030212 general & internal medicine0101 mathematicsAdverse effectHospitalization/statistics & numerical dataProportional Hazards ModelsImmunocompromised hostintegumentary systembusiness.industryIncidence (epidemiology)010102 general mathematicsvirus diseasesGeneral MedicineMiddle AgedNeuralgia Postherpetic/prevention & controlTransplantationsurgical procedures operativeHerpes Zoster/epidemiologyhematopoietic stem cell transplantationoncologyincidenceFemaleZoster vaccinebusinessFollow-Up Studiesmedicine.drug
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Modulatory role of the brain-derived neurotrophic factor Val66Met polymorphism on the effects of serious life events on impulsive aggression in borde…

2009

Impulsive aggression belongs to the key features of borderline personality disorder (BPD). In the development of BPD, serious life events are known to play a major role. Acute and chronic stress has been suggested to inhibit hippocampal brain-derived neurotrophic factor (BDNF) synthesis and to mediate neural plasticity in response to adverse social experiences. Recently it has been reported that the frequency of violent suicide attempts is higher in adult suicide attempters reporting severe childhood sexual abuse and carrying the Val(66)Val genotype of the BDNF Val(66)Met polymorphism. In this study we analysed modulating effects of BDNF Val(66)Met polymorphism on the effects of physical ma…

AdultMalemedicine.medical_specialtyHeterozygoteGenotypePoison controlSuicide preventionBehavioral NeuroscienceMethionineBorderline Personality Disordermental disordersInjury preventionNeuroplasticityGeneticsmedicineHumansChronic stressPsychiatryChildBorderline personality disorderBrain-derived neurotrophic factorPolymorphism GeneticBrain-Derived Neurotrophic FactorValineChild Abuse Sexualmedicine.diseaseAggressionNeurologySexual abuseImpulsive BehaviorFemalePsychologyClinical psychologyGenes, brain, and behavior
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Expectations modulate long-term heat pain habituation.

2011

Habituation to pain was shown to be a complex mechanism involving the pain encoding regions and the antinociceptive system in the brain. Pain perception can be modulated by cognitive factors; however it is unclear whether cognitive factors also influence habituation to pain. We used an established experimental design with repetitive moderate painful heat stimulation over eight consecutive days. Thirty-seven healthy subjects were recruited and assigned to four different groups: The first group (n=10) was instructed that pain perception over time will habituate; the second group (n=9) that pain will increase; the third group (n=8) was instructed that pain will remain stable over the 8 days of…

AdultMalemedicine.medical_specialtyHot TemperaturePainStimulationContext (language use)Audiologylaw.inventionDevelopmental psychologyYoung AdultCognitionRandomized controlled triallawmedicineHumansHabituationYoung adultHabituation PsychophysiologicPain MeasurementTemperatureCognitionPain PerceptionAnticipation PsychologicalAnticipationAnesthesiology and Pain MedicineNociceptionPsychologyEuropean journal of pain (London, England)
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Enhancing the efficacy of treatment for temporomandibular patients with muscular diagnosis through cognitive-behavioral intervention, including hypno…

2011

Objective This study evaluated the efficacy of a cognitive-behavioral therapy (CBT), including hypnosis, in patients with temporomandibular disorders (TMDs) with muscular diagnosis. Study Design Seventy-two patients (65 women and 7 men with an average age of 39 years) were selected according to the Research Diagnostic Criteria for TMD, and assigned to the experimental group (n = 41), receiving the 6-session CBT program, and the control group (n = 31). All patients received conservative standard treatment for TMD. The assessment included pain variables and psychologic distress. Results There were significant differences between the groups, the experimental group showing a higher improvement …

AdultMalemedicine.medical_specialtyHypnosismedicine.medical_treatmentResearch Diagnostic CriteriaRelaxation TherapyPathology and Forensic Medicinelaw.inventionYoung AdultRandomized controlled trialFacial PainlawHumansMedicineRadiology Nuclear Medicine and imagingDentistry (miscellaneous)Physical Therapy ModalitiesAgedChi-Square DistributionCognitive Behavioral Therapybusiness.industryStandard treatmentChronic painMiddle AgedTemporomandibular Joint Dysfunction Syndromemedicine.diseaseCombined Modality TherapyCognitive behavioral therapyTreatment OutcomeMultivariate AnalysisPhysical therapyCognitive therapyFemaleSurgeryChronic PainOral SurgerybusinessChi-squared distributionHypnosisOral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
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