Search results for " efficacy"

showing 10 items of 282 documents

Online Self-Help as an Add-On to Inpatient Psychotherapy: Efficacy of a New Blended Treatment Approach.

2017

<b><i>Background:</i></b> Depression is one of the most frequent and costly mental disorders. While there is increasing evidence for the efficacy of online self-help to improve depression or prevent relapse, there is little evidence in blended care settings, especially combined with inpatient face-to-face psychotherapy. Therefore, we evaluated whether an evidence-based online self-help program improves the efficacy of inpatient psychotherapy. <b><i>Methods:</i></b> A total of 229 depressed patients were randomly allocated either to an online self-help program (intervention group [IG]; Deprexis) or an active control group (CG; weekly online inf…

AdultMalemedicine.medical_specialty020205 medical informaticsDepression Efficacy Inpatient treatment Internet-based treatment Psychosomatic medicine Psychotherapy Randomized controlled trialDysfunctional family02 engineering and technologylaw.invention03 medical and health sciencesDepression Wirksamkeit stationäre Behandlung internetbasierte Behandlung Psychosomatische Medizin Psychotherapie randomisierte kontrollierte Studie0302 clinical medicineQuality of lifeRandomized controlled triallawIntervention (counseling)0202 electrical engineering electronic engineering information engineeringmedicineHumansddc:610PsychiatryApplied PsychologyDepression (differential diagnoses)Psychiatric Status Rating ScalesPsychodynamic psychotherapyDepressive DisorderInpatientsInternetbusiness.industryPsychosomatic medicineGeneral MedicineMiddle Aged030227 psychiatrySelf CarePsychiatry and Mental healthClinical PsychologyTreatment OutcomeTherapy Computer-AssistedAnxietyFemalemedicine.symptombusinessPsychotherapy PsychodynamicPsychotherapy and psychosomatics
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Alcohol and Drug Use in European University Health Science Students: Relationship with Self-Care Ability

2019

Background: Drug abuse in university students is an emerging social and health issue. The present study assesses alcohol and abuse of other illicit drugs and the adverse consequences related to such use and its relationship with self-care agency among European university students. Methods: A multicenter cross-sectional study was performed among 592 European students from different health science degrees. The screening of alcohol abuse was evaluated with the Alcohol Use Disorder Test (AUDIT), and the screening for substance-related risks and problems was conducted with the Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT) screening test. We analyzed the relationship of substance abuse wit…

AdultMalemedicine.medical_specialtyAdolescentUniversitiesSubstance-Related DisordersHealth Toxicology and Mutagenesisalcohol consumptionAlcohol abuseAlcohol use disorderHashishArticle03 medical and health sciencesYoung Adult0302 clinical medicineHealth careAgency (sociology)medicinesubstance abuseHumans030212 general & internal medicineuniversity studentsPsychiatryStudents030504 nursingbiologybusiness.industryCRAFFTPublic Health Environmental and Occupational HealthAppraisal of Self-care Agencybiology.organism_classificationmedicine.diseaseSelf EfficacySubstance abuseEuropeSelf CareAlcoholismCross-Sectional StudiesHealth OccupationsResidenceFemaleCannabisAUDIT0305 other medical sciencebusinessmedicine.drugInternational Journal of Environmental Research and Public Health
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Experimental evidence for a motivational origin of cognitive impairment in major depression.

2007

BackgroundDiagnostic criteria and empirical evidence support the existence of cognitive deficits in depression. However, depressed mood, loss of interest and low self-efficacy might influence cognitive performance.MethodGoal-setting instructions were used to promote motivation in depressed patients and control subjects during neuropsychological assessment. The resulting performance was compared with performance using standard instructions. Sixty in-patients with non-psychotic unipolar depression and 60 age- and education-matched healthy control subjects were assessed with standard neuropsychological tests [the Auditory Verbal Learning Test (AVLT), the Digit Symbol Test (DST), the Regensburg…

AdultMalemedicine.medical_specialtyAudiologyNeuropsychological TestsVerbal learningSeverity of Illness IndexSurveys and QuestionnairesmedicinePrevalenceVerbal fluency testHumansNeuropsychological assessmentPsychiatryApplied PsychologyDepression (differential diagnoses)Psychomotor learningDepressive Disorder MajorMotivationmedicine.diagnostic_testCognitive disorderNeuropsychologyCognitionVerbal Learningmedicine.diseaseSelf EfficacyPsychiatry and Mental healthFemalePsychomotor DisordersPsychologyCognition DisordersGoalsPsychological medicine
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Focus group study to identify the central facets of fear of hypoglycaemia in people with Type 2 diabetes mellitus.

2017

Aims To determine key worries about hypoglycaemia among insulin-using adults with Type 2 diabetes using a focus group approach. Methods Thirteen focus groups were conducted in three diabetes outpatient care units and one peer support group was set up, in Germany. A total of 64 insulin-dependent adults with Type 2 diabetes (36.5% women, mean age 65.2 ± 11.0 years) discussed their worries about hypoglycaemia. The qualitative results were assigned into thematic categories using a bottom-up coding procedure. Participants completed the Hypoglycaemia Fear Survey and demographic measures were recorded. The results of the Hypoglycaemia Fear Survey were contrasted with the focus group findings to ev…

AdultMalemedicine.medical_specialtyEndocrinology Diabetes and Metabolismmedia_common.quotation_subject030209 endocrinology & metabolismType 2 diabetesPeer support03 medical and health sciences0302 clinical medicineEndocrinologyQuality of lifeAmbulatory careDiabetes mellitusGermanyInternal MedicinemedicineHumansHypoglycemic Agents030212 general & internal medicinePsychiatrymedia_commonAgedbusiness.industryType 2 Diabetes MellitusFearAwarenessFocus GroupsMiddle Agedmedicine.diseaseFocus groupHypoglycemiaSelf EfficacyDiabetes Mellitus Type 2Socioeconomic FactorsQuality of LifeFemaleWorrybusinessDiabetic medicine : a journal of the British Diabetic Association
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Pepsinogen testing for evaluation of the success of Helicobacter pylori eradication at 4 weeks after completion of therapy.

2014

Background and objective: Pepsinogen levels in plasma are increased by inflammation in the gastric mucosa, including inflammation resulting from Helicobacter pylori infection. A decrease in pepsinogen II level has been suggested as a reliable marker to confirm the successful eradication of infection. The aim of our study was to evaluate the potential role of pepsinogens I and II, gastrin-17 and H. pylori antibodies in confirming successful eradication. Material and methods: Altogether 42 patients (25 women, 17 men), mean age 45 years (range 23–74), were enrolled. Pepsinogens I and II, gastrin-17 and H. pylori IgG antibodies were measured in plasma samples using an ELISA test (Biohit, Oyj., …

AdultMalemedicine.medical_specialtyHelicobacter pylori infectionEfficacyGastrin-17macromolecular substancesPepsinogenGastroenterologydigestive systemHelicobacter InfectionsYoung AdultAtrophyPepsinInternal medicinePepsinogen AGastrinsmedicineGastric mucosaPepsinogen CHumansEradicationAgedMedicine(all)lcsh:R5-920biologyPlasma samplesHelicobacter pyloribusiness.industryHelicobacter pyloriMiddle Agedbiology.organism_classificationmedicine.diseaseAntibodies Bacterialdigestive system diseasesmedicine.anatomical_structureTreatment OutcomeGastric MucosaAutomotive Engineeringbiology.proteinPepsinogen IIPepsinogen; Gastrin-17; Eradication; <em>Helicobacter pylori</em>; EfficacyFemaleAntibodybusinesslcsh:Medicine (General)<em>Helicobacter pylori</em>BiomarkersMedicina (Kaunas, Lithuania)
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My Well-Being in My Own Hands: Experiences of Beneficial Recovery During Burnout Rehabilitation.

2015

Purpose To explore how burnout rehabilitation clients experienced their recovery from burnout and what they found beneficial in rehabilitation. Subjects Twelve clients whose burnout levels had declined during rehabilitation were interviewed at the end of the second period of the rehabilitation course. Methods Semi-structured interviews comprised the main material of the study and were analysed by content analysis. In addition, the Bergen Burnout Indicator (BBI-15) was used to measure the reduction in burnout levels. Results The analysis yielded a single overarching theme, Mywell-being in my own hands, and four categories. The overarching theme describes the overall process of recovery and t…

AdultMalemedicine.medical_treatmenteducationHappinessmuutosBurnoutOccupational safety and healthInterviews as TopicOccupational TherapymedicineHumansPerceived controlBurnout ProfessionalOccupational HealthQualitative ResearchRehabilitationtyöterveysRehabilitationinterviewSocial SupportAwarenessMiddle AgedSelf EfficacysisällönanalyysiHealth psychologyAttitudeContent analysisWell-beingFemalekvalitatiivinen tutkimusPsychologyClinical psychologyQualitative researchJournal of occupational rehabilitation
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Clinical outcomes and safety of rituximab treatment for patients with systemic lupus erythematosus (SLE) – results from a nationwide cohort in German…

2013

Objective The objective of this article is to evaluate the safety and clinical outcome of rituximab treatment in systemic lupus erythematosus (SLE) patients refractory to standard of care therapy in a real-life setting in Germany. Methods The GRAID registry included patients with different autoimmune diseases who were given off-label treatment with rituximab. Data on safety and clinical response were collected retrospectively. In SLE patients, clinical parameters included tender and swollen joint counts, fatigue, myalgia, general wellbeing, Raynaud’s and the SLEDAI index. Laboratory tests included dsDNA antibody titres, complement factors, hematologic parameters and proteinuria. Finally, th…

AdultMalemyalgiamedicine.medical_specialty610 MedizinCohort StudiesAntibodies Monoclonal Murine-DerivedRheumatologyRefractoryInternal medicineHumansLupus Erythematosus SystemicMedicineIn patientskin and connective tissue diseasesRetrospective Studiesddc:610Proteinuriabusiness.industryOff-Label UseSystemic lupus erythematosus; rituximab; efficacy; safety;Blymphocytes; cohort studiesDiscontinuationCohortPhysical therapyFemaleRituximabmedicine.symptomRituximabbusinessCohort studymedicine.drugLupus
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Second-line Eribulin in Triple Negative Metastatic Breast Cancer patients. Multicentre Retrospective Study: The TETRIS Trial

2021

Introduction: Large and consistent evidence supports the use of eribulin mesylate in clinical practice in third or later line treatment of metastatic triple negative breast cancer (mTNBC). Conversely, there is paucity of data on eribulin efficacy in second line treatment. Methods: We investigated outcomes of 44 mTNBC patients treated from 2013 through 2019 with second line eribulin mesylate in a multicentre retrospective study involving 14 Italian oncologic centres. Results: Median age was 51 years, with 11.4% of these patients being metastatic at diagnosis. Median overall survival (OS) and progression free survival (PFS) from eribulin starting were 11.9 (95%CI: 8.4-15.5) and 3.5 months (95…

AdultOncologyEribulin Mesylatemedicine.medical_specialtyeribulin mesylatemedicine.medical_treatmentTriple Negative Breast Neoplasmschemotherapytriple negative metastatic breast cancer03 medical and health scienceschemistry.chemical_compound0302 clinical medicineadjuvantInternal medicineAntineoplastic Combined Chemotherapy Protocols80 and overmedicineHumansChemotherapy; Efficacy outcomes; Eribulin mesylate; Toxicity outcomes; Triple negative metastatic breast cancerProgression-free survivalFuransAdverse effectTriple-negative breast cancerAgedNeoplasm StagingRetrospective StudiesAged 80 and overChemotherapybusiness.industryRetrospective cohort studyGeneral MedicineKetonesMiddle Agedmedicine.diseaseMetastatic breast cancerNeoadjuvant TherapyProgression-Free SurvivalchemistryChemotherapy AdjuvantFemale030211 gastroenterology & hepatologytoxicity outcomesefficacy outcomeschemotherapy; efficacy outcomes; eribulin mesylate; toxicity outcomes; triple negative metastatic breast cancer; adult; aged; aged; 80 and over; antineoplastic combined chemotherapy protocols; chemotherapy; adjuvant; female; furans; humans; ketones; middle aged; neoadjuvant therapy; neoplasm staging; progression-free survival; retrospective studies; triple negative breast neoplasmsbusinessResearch PaperEribulinInternational Journal of Medical Sciences
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Validation of the Spanish Version of the Beginning Breastfeeding Survey-Cumulative: A Follow-up Study

2019

Background: The Beginning Breastfeeding Survey-Cumulative (BBSC) is an instrument that assesses the overall maternal perception of breastfeeding effectiveness during the early postpartum period. Research aims: The aims of this study were to adapt and validate a Spanish version of the BBSC and provide new evidence regarding its validity. Methods: A standard forward and back-translation process was used to obtain the Spanish version of the questionnaire (BBSC-E). A sample of 793 breastfeeding mothers was used. Data were obtained from clinical records and questionnaires self-administered at discharge and at 1–4 months postpartum. The factorial structure of the BBSC-E was examined with both an …

AdultPostnatal Caremedicine.medical_specialtyBreastfeedingBreastfeedingMothersPregnancySurveys and QuestionnairesmedicineHumansTranslationsLanguagebusiness.industryFollow up studiesReproducibility of ResultsObstetrics and GynecologySpanish versionSelf EfficacyMaternal perceptionBreast FeedingCross-Sectional StudiesInstrument developmentSpainFamily medicineEnfermeríaFemaleBreastfeeding assessmentbusinessBreastfeeding experienceEarly postpartumFollow-Up StudiesJournal of Human Lactation
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How does a lifestyle intervention during pregnancy influence perceived barriers to leisure-time physical activity? The Norwegian fit for delivery stu…

2018

Abstract Background To develop effective health promotional and preventive prenatal programs, it is important to understand perceived barriers to leisure-time physical activity during pregnancy, including exercise and sport participation. The aims of the present study was 1) to assess the effect of prenatal lifestyle intervention on the perceived barrier to leisure-time physical activity during pregnancy and the first year after delivery and 2) identify the most important perceived barriers to leisure-time physical activity at multiple time points during and after pregnancy. Methods This secondary analysis was part of the Norwegian Fit for Delivery study, a combined lifestyle intervention e…

Adultmedicine.medical_specialtyTime FactorsReproductive medicineDirective CounselingHealth PromotionPrenatal carelcsh:Gynecology and obstetricslaw.inventionYoung Adult03 medical and health sciencesLeisure Activities0302 clinical medicineRandomized controlled triallawPregnancyIntervention (counseling)medicineHumans030212 general & internal medicineExerciseLife StyleFatiguelcsh:RG1-991Self-efficacyMotivationPregnancy030219 obstetrics & reproductive medicineNorwaybusiness.industryPhysical activitySupervised exerciseObstetrics and GynecologyPrenatal CareFearmedicine.diseaseSelf EfficacyDietPhysical therapyFemalebusinessBody mass indexPostpartum periodBarriersRCTResearch Article
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