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Clinical Implications of a Nurse-Led Heart Failure Clinic at a Rural Japanese Hospital.

Clinical outcomes in patients with chronic heart failure (HF) remain suboptimal, even in the contemporary era of guideline-directed medical therapy. HF nursing clinics may offer additional benefits by enhancing self-management and improving quality of life in this population.We retrospectively analyzed prospectively collected clinical data regarding a monthly HF nursing clinic conducted between April 2023 and March 2025. The clinic was operated by certified HF nurses and certified HF educators, who consistently followed patients with chronic HF following discharge from an index HF hospitalizat…

The influencing factors of phosphate control behavior among patients undergoing hemodialysis: based on the health belief model.

PURPOSE: Improving the adherence to phosphate management is crucial for reducing the incidence of mortality and complications and improving quality of life for patients undergoing hemodialysis. This study aimed to investigate the factors related to the phosphate control behavior and explore how the Health Belief Model constructs mediating the influence of phosphate-related knowledge on behavior in hemodialysis patients. METHODS: It was a multicenter cross-sectional study; 333 patients undergoing maintenance hemodialysis were recruited from 3 hemodialysis units of Peking University Third Hospi

Musculoskeletal Injury Patterns and Associations With Potentially Modifiable Factors Among Recreational Tennis Players: A Cross-Sectional Study.

OBJECTIVE: To describe the self-reported occurrence and anatomical distribution of musculoskeletal injuries among recreational tennis players and to explore associated modifiable factors among respondents. METHODS: A cross-sectional online survey was completed by 172 recreational tennis players (mean age 50.2 ± 12.1 years; 64.5% men). Data included participation habits (warm-up/cool-down/stretching and equipment use), self-reported injury characteristics, management, return to play, and return to performance. Injury correlates were analysed using logistic regression. RESULTS: Overall, 73.3%

Многодисциплинарное групповое вмешательство для лиц, живущих с множественной миеломой: технико-экономическое обоснование.

Несмотря на то, что множественные миеломы по-прежнему являются неизлечимым раком, прогресс в их понимании и управлении ими привел к значительному повышению показателей выживаемости. По-прежнему мало случаев оказания помощи лицам, живущим с множественными миеломами, несмотря на рост числа случаев неудовлетворенных потребностей в поддержке среди многих выживших жертв миэломы. Нынешнее исследование направлено на оценку осуществимости и предварительной эффективности новаторского многодисциплинарного группового мероприятия по оказанию помощи лицам, пережившим миэлому. МЕТОДЫ: В рамках обычной служб

Совпадение в аннотации оригинала
BACKGROUND: While multiple myeloma continues to be an incurable cancer, advances in its understanding and management have led to significant … by their haemato-oncologist, attended online for six weekly group sessions of physical exercise and self-management input, completing qualitative, physical and self-report measures at baseline, post-intervention and follow-up. RESULTS: The intervention was deemed overall feasible, with relatively high uptake, participants describing it as largely acceptable and …

Exercise Perceptions and Experiences in Adults With Crohn's Disease Following a Combined Impact and Resistance Training Program: A Qualitative Study.

BACKGROUND: Exercise is increasingly being recognized to counteract specific complications of Crohn's disease (CD). The aim of this study wa … trength, mental well-being, physical fitness, fatigue, abdominal and joint pain, comorbidities, and self-management strategies were among the reported benefits of exercise participation; (3) Seeing progress, goal setting, enjoyment, and a peer-led program receiving support and advice increased motivation. Whereas work-related tiredness, other commitments, and sel …

Interest in peer support persons among patients experiencing early pregnancy loss.

BACKGROUND: Limited data exist regarding the type of support patients need when experiencing early pregnancy loss (EPL). The objective of this study is to explore how patients emotionally cope with EPL and to assess if there is interest in a peer EPL support program with a self-compassion component. METHODS: We conducted semi-structured interviews with patients who experienced EPL in the past two years. We evaluated the kinds of support that patients felt were most helpful, interest in a possible peer EPL support person, and suggestions for the creation of such a program. Content analysis was

Nurse-led education of people with bleeding disorders and their caregivers: A scoping review.

INTRODUCTION: People with bleeding disorders (PwBd) and their caregivers face many challenges in developing viable self-management strategies for living with the condition. Nurse-led education can support them to overcome these challenges. However, it is often unclear what educational needs are addressed, how nurses educate PwBd and what didactic concepts they follow. AIM: To gain deeper insights into nurse-led patient education in haemophilia care and provide a basis for a more systematic and evidence-based approach to this task. METHODS: A scoping review methodology was used. A systematic …

Correctional Officers' Health Literacy and Practices for Pulmonary Tuberculosis Prevention in Prison.

Tuberculosis (TB) prevention in prisons remains a problem that requires advocacy and partnership action. A correctional officer (CO) is resp … %). Significant associations were identified for education, and communication, decision-making, and self-management skills (p < 0.05). The probability (adjusted odds ratio [95% CI]) of good practices was higher among participants with adequate communication skills (7.92 [2.15-29.24]), adequate decision-making skills (6.00 [1.86-19.36]), bachelors' degree or highe …

The impact of male infertility faculty on urology residency training.

The objective of this study was to determine the impact of having male infertility on urology residents' infertility training experience, surgical confidence, and In-Service-Exam Infertility/Sexual Medicine subscores. We electronically surveyed urology residents throughout the United States querying exposure to infertility faculty and fertility knowledge. Univariable and multivariable analysis was performed to determine predictors of higher In-Service Exam Infertility/Sexual Medicine sub-scores and self-rated infertility competency. Fifty-four of 72 respondents (75%) reported that male inferti

A Therapeutic Education Program for patients that underwent at temporary tracheotomy and total laryngectomy: leading to improved the "Diagnostic, Therapeutic and Assistance Path".

BACKGROUND AND AIM OF THE STUDY: Therapeutic education helps patients with a chronic disease to acquire and maintain the ability to live their life while handling their illness. Patients with temporary medium-term tracheotomy or permanent tracheostomy need to acquire skills to be able to handle the stoma, tracheal tube, related issues, and other apparatuses. This was the purpose of our therapeutic education program, which was aimed to take patients and caregiver to an efficient level of self-care. METHODS: In 2018, was created a CME-accredited (Continuing Medical Education) "Workplace-based L

[What motivates patients with atopic diseases to search the internet-a focus group study on expectations and demands].

BACKGROUND: People affected by allergies with mild-to-moderate symptoms are often not treated adequately, despite the availability of preven … t options, provide individualized support for everyday life action strategies, and promote adequate self-management skills. DISCUSSION: In order to promote self-management skills, a web-based service should focus on allergy symptoms, treatment options and day-to-day help.

Sleep disordered breathing, daytime symptoms, and functional performance in stable heart failure.

STUDY OBJECTIVES: To evaluate characteristics of sleep disordered breathing (SDB); clinical and demographic correlates of SDB; and the extent to which SDB explains functional performance and symptoms in stable heart failure patients receiving care in structured HF disease management programs. DESIGN: Cross-sectional, observational study. SETTING: Structured heart failure disease management programs. PARTICIPANTS: 170 stable chronic heart failure patients (mean age = 60.3 +/- 16.8 years; n = 60 [35%] female; n = 50 [29%] African American; left ventricular ejection fraction mean = 32 +/- 14.6

Taste changes experienced by patients receiving chemotherapy.

PURPOSE/OBJECTIVES: To increase knowledge about the nature, frequency, and quality-of-life (QOL) effects associated with taste changes after … y and have negative effects on patients' QOL. Oncology nurses and physicians typically do not offer self-management suggestions to patients. IMPLICATIONS FOR NURSING RESEARCH AND PRACTICE: Repeated-measures research may provide a clearer understanding of chemotherapy-associated taste changes over time. Studies to examine strategies suggested from this and other r …

Informed choices for long-term benefits. The management of catheters in continence care.

1. Non-invasive methods of managing urinary dysfunction should be considered as alternatives to long-term catheterisation and reviewed on a regular basis. 2. Nurses must match choice of catheter and drainage equipment with the individual patient, to enhance self-care and independence. 3. Monitoring of catheter life can establish a pattern of recurrent blockage and allow pro-active, planned recatheterisation. 4. Good handwashing practice is important in catheter management to reduce the risk of cross-infection.

Use and usability of the dr. Bart app and its relation with health care utilisation and clinical outcomes in people with knee and/or hip osteoarthritis.

BACKGROUND: Self-management is of paramount importance in the non-surgical treatment of knee/hip osteoarthritis (OA). Modern technologies offer the possibility of 24/7 self-management support. We developed an e-self-management application (dr. Bart app) for people with knee/hip OA. The aim of this study was to document the use and usability of the dr. Bart app and its relation with health care utilisation and clinical outcomes in people with knee/hip OA. METHODS: For this study we used backend data for the first 26 weeks of use by the intervention group (N = 214) of an RCT examining the effec…

Adolescent Trials Network for HIV-AIDS Scale It Up Program: Protocol for a Rational and Overview.

BACKGROUND: The past 30 years have witnessed such significant progress in the prevention and treatment of HIV/AIDS that an AIDS-free generat … uth HIV prevention and care cascades, and in turn, advance the fields of implementation science and self-management science. OBJECTIVE: This paper aims to describe the structure of the U19-SIU and the effectiveness-implementation hybrid trials, as well as other center-wide protocols and initiatives, implemented within SIU. METHODS: SIU will achieve its aims thr …

Implantation of a Self-Expanding Transcatheter Pulmonary Valve as a Salvage Procedure After Embolization of a Prestent.

BACKGROUND: Transcatheter pulmonary valve implantation is well established for patients with repaired tetralogy of Fallot and pulmonary valve dysfunction. We report a case of a procedural complication salvaged using a self-expanding valve deployed innovatively. CASE SUMMARY: A 23-year-old male with repaired tetralogy of Fallot and severe pulmonary regurgitation underwent transcatheter pulmonary valve implantation. An Edwards Sapien 3 valve with Cheatham Platinum prestenting was planned. The procedure was complicated by Cheatham Platinum stent embolization into the cry (main pulmonary artery [

Effect of a self-care program among women with urinary incontinence: A quasi-experimental study.

Urinary incontinence is a multifactorial health problem that significantly affects women's quality of life. This quasi-experimental pre/post-test study aimed to evaluate the effect of a self-care program on women suffering from urinary incontinence. The study was conducted at the urodynamic unit within Ain Shams Maternity University Hospital, with a purposive sample of 100 women diagnosed with urinary incontinence, with no medical or surgical conditions, and who were not pregnant. A structured interview questionnaire and women's self-care practices checklists were used as study tools. The resu

A clinical trial of safety and tolerability for the selective dopamine D1 receptor antagonist ecopipam in patients with Lesch-Nyhan disease.

Lesch-Nyhan disease (LND) is an inherited metabolic disorder characterized by the overproduction of uric acid and distinct behavioral, cognitive, and motor abnormalities. The most challenging clinical problem is self-injurious behavior (SIB), which includes self-biting, self-hitting, self-abrasion, and other features. Currently, these behaviors are managed by behavioral extinction, sedatives, physical restraints, and removal of teeth. More effective treatments are needed. Pre-clinical studies have led to the hypothesis that D1-dopamine receptor antagonists may provide useful treatments for SIB

Diabetic and Obese Patient Clinical Outcomes Improve During a Care Management Implementation in Primary Care.

BACKGROUND: To address the increasing burden of chronic disease, many primary care practices are turning to care management and the hiring of care managers to help patients coordinate their care and self-manage their conditions. Care management is often, but not always, proving effective at improving patient outcomes, but more evidence is needed. METHODS: In this pair-matched cluster randomized trial, 5 practices implemented care management and were compared with 5 comparison practices within the same practice organization. Targeted patients included diabetic patients with a hemoglobin A1c >9