Search results for " service"
showing 10 items of 2936 documents
Depressive symptoms in older female carers of adults with intellectual disabilities
2010
Background This survey study aims to examine the prevalence and factors associated with depressive symptoms among primary older female family carers of adults with intellectual disabilities (ID). Method In total, 350 female family carers aged 55 and older took part and completed the interview in their homes. The survey package contained standardised scales to assess carer self-reported depressive symptoms, social support, caregiving burden and disease and health, as well as adult and carer sociodemographic information. Multiple linear regressions were used to identify the factors associated with high depressive symptoms in carers. Results Between 64% and 72% of these carers were classifi…
Disorders associated with burnout and causal attributions of stress among health care professionals in psychiatry
2008
Abstract This study, carried out among health care professionals in psychiatry, evaluates burnout (Maslash Burnout Inventory) in relation to other associated disorders: lower levels of self-esteem in different areas (Self-Esteem Inventory); the frequency of stress felt (Nursing Stress Scale); a lesser feeling of general control (Lumpkin); a more negative perception of the general state of health (Diagnostic Interview Schedule); job dissatisfaction and dissatisfaction with numerous aspects of life (Subjective Quality of Life Profile). Moreover, among these professionals, the fact of describing the causes of one's professional burnout as having a “global” impact on one's behavior (using the C…
Cardiac arrest in older adult patients
2021
Purpose of review To describe the epidemiology, prognostication, and treatment of out- and in-hospital cardiac arrest (OHCA and IHCA) in elderly patients. Recent findings Elderly patients undergoing cardiac arrest (CA) challenge the appropriateness of attempting cardiopulmonary resuscitation (CPR). Current literature suggests that factors traditionally associated with survival to hospital discharge and neurologically intact survival after CA cardiac arrest in general (e.g. presenting ryhthm, bystander CPR, targeted temperature management) may not be similarly favorable in elderly patients. Alternative factors meaningful for outcome in this special population include prearrest functional sta…
Using a Physical Activity Application to Promote Physical Activity Levels Among Aged People : A Follow-Up Study
2021
The share and life expectancy of the ageing population are increasing. However, aged people are threatened by insufficient physical activity. Therefore, finding ways to support people to live a physically active life in older age is imperative. Digital wellness technologies represent a potential solution, but in order for such technologies to be effective, research is needed to gain a better understanding on their use among aged people. To address this need, this study investigated whether the use of a physical activity application can promote physical activity among aged people. The physical activity levels were measured at three different time points: before taking the application into us…
La teoría del cambio: una herramienta para la planificación y la evaluación participativa en salud comunitaria
2020
Resumen: Existe un creciente interés por encontrar respuestas innovadoras para evaluar intervenciones complejas en salud pública. En esta nota metodológica, se presenta la teoría del cambio como una herramienta útil para facilitar tanto la planificación como la evaluación de intervenciones en promoción de la salud comunitaria. Una teoría del cambio es una representación visual de cómo funciona un programa o una intervención, en la que se identifican sus diferentes componentes y cómo cada elemento se vincula con otro: cuáles son sus objetivos, los resultados esperados y a través de qué acciones se pretenden alcanzar. Es una herramienta de investigación aplicada a la práctica que se desarroll…
Acceptability, reach and implementation of a training to enhance teachers’ skills in physical activity promotion
2020
This is a pre-print of a published study: Renko, E., Knittle, K., Palsola, M. et al. Acceptability, reach and implementation of a training to enhance teachers’ skills in physical activity promotion. BMC Public Health 20, 1568 (2020). https://doi.org/10.1186/s12889-020-09653-x Background: In order to achieve real-world impacts, successful behavior change interventions need to be scaled up and broadly implemented. Implementation is challenging however, and the factors influencing successful implementation are not fully understood. This study describes the nationwide implementation of a complex theory-based program to promote physical activity and reduce sedentary behavior in vocational school…
Obere gastrointestinale Blutung mit hämorrhagischem Schock am Ende einer Urlaubsreise: Präklinische und innerklinische Versorgung eines gastrointesti…
2014
ZusammenfassungNach der Rückkehr aus dem Urlaub wurde ein 55-jähriger Patient mit Teerstuhl und hämorrhagischem Schock im Zugabteil eines InterCity der Deutschen Bahn notfallmedizinisch versorgt und in ein Krankenhaus der Maximalversorgung eingeliefert. Hier erfolgte zunächst die weitere notfallmedizinische Behandlung, in deren Rahmen in der internistischen Notaufnahme in interdisziplinärer Zusammenarbeit eine Stabilisierung der Hämodynamik sowie die Sicherung der Atemwege und Atemfunktion erfolgten. Anschließend wurde eine Notfall-Endoskopie des oberen Gastrointestinaltrakts durchgeführt. Ursächlich für das hämorrhagische Schockgeschehen war eine arteriell spritzende, endoskopisch nicht zu…
Specialized Management of Oral Anticoagulation Therapy Improves Outcome in Patients with Chronic Renal Insufficiency
2020
Oral anticoagulation (OAC) is effective at preventing and treating thromboses and thromboembolism in patients with normal renal function. We aimed to research the impact of severe renal failure (RF) on patient outcome and to determine the potential benefit of caring for these patients in a specialized coagulation service (CS). A total of 1516 usual medical care patients and 756 CS-managed patients of the thrombEVAL multicenter (21 centers), prospective, cohort study (NCT01809015) were analyzed in a 3-year follow-up. Patients with RF (serum creatinine >
Impact of a physician-targeted letter on opioid prescribing.
2020
We study the effect of a physician-targeted nudge letter on opioid prescribing. In May 2017, the Social Insurance Institution of Finland sent a personal information letter to all physicians who had issued a prescription containing at least 100 tablets of paracetamol-codeine combination to a new patient. The aim of the letter was to draw the physicians’ attention to their prescribing practices and to decrease the size of the first codeine prescription. Using individual level register data and a difference-in-differences strategy, we estimate that the letter decreased the average number of tablets purchased by new patients by 12.5 percent and the probability of a first purchase being at least…
Understanding the risks for post-disaster infectious disease outbreaks: a systematic review protocol
2020
Introduction Disasters have many forms, including those related to natural hazards and armed conflict. Human-induced global change, such as climate change, may alter hazard parameters of these disasters. These alterations can have serious consequences for vulnerable populations, which often experience post-disaster infectious disease outbreaks, leading to morbidity and mortality. The risks and drivers for these outbreaks and their ability to form cascades, are somewhat contested. Despite evidence for post-disaster outbreaks, reviews quantifying them have been on short time scales, specific geographic areas or specific hazards. This review aims to fill this gap and gain a greater understandi…