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Recent Advances in Self-Management Strategies, Vascular Calcification Mechanisms, and Inflammatory Processes in Cardiovascular Disorders: A Comprehensive Review.

Cardiovascular disease remains a leading public health concern, with heart failure representing a significant burden on healthcare systems globally. Effective chronic disease self-management is essential to improve patient outcomes, particularly in managing heart failure. This review aims to explore the multifaceted strategies of chronic disease self-management in heart failure, focusing on behavioral interventions, technological innovations, and integrated care models, while also addressing the underlying vascular pathology associated with disease progression. A comprehensive analysis of curr…

Beyond size and structure: how social network quality influences diabetes management self-efficacy in black/African American men.

The quality of social connections plays a vital role in chronic disease management, particularly for populations experiencing health disparities in Type 2 diabetes (T2D) outcomes. This study examined the influence of social network characteristics on diabetes management self-efficacy among Black/African American men with T2D, a population experiencing significant health disparities. Using a national sample of 1225 Black/African American men, we investigated how network composition, support patterns, and perceived health behaviors within networks relate to diabetes self-efficacy. Results reveal

Bridging the gap: the need for community-engaged research on blood cancer self-management experiences among South Asians.

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… They also suggest that self-management among South Asians is a socially embedded process rather than solely an individual responsibility. However, little is known about how these factors influence blood cancer self-management. … While some studies briefly mentioned aspects of self-management in their discussion sections, no studies had results related to self-management or provided an examination of self-management experiences and practices, culturally tailored interventions, or community-informed strategies. …

The "5E" hierarchical nursing strategy: Improving catheter outcomes, patient satisfaction, and self-management in oncology day-care settings.

Peripheral venous catheters (PVCs) are commonly used in day-care oncology settings, but catheter occlusion and related complications can negatively affect both patient experience and nursing quality. Therefore, exploring effective nursing strategies to minimize complications, enhance satisfaction, and strengthen patients' self-management skills is of significant clinical value. This retrospective controlled study involved 286 oncology patients receiving PVC infusions in the day ward between March and August 2021. Based on admission period, patients were assigned to 2 groups: 142 patients admit…

A synergistic flexibility management strategy for self-healing carboxymethyl cellulose hydrogel with strain responsiveness based on p-phenylenediamine.

Ionic hydrogels, with adjustable physical and chemical properties, have been widely developed in the field of flexible sensing. The structural and functional integrity of ionic hydrogels under operational conditions is essential for their long-term stability and practical applicability. Herein, a rigid-flexible coupling crosslinking strategy was proposed, where p-phenylenediamine and urea served as complementary crosslinkers (rigid and flexible, respectively) within a carboxymethyl cellulose-based network. The rigid flexible coupling crosslinking network was constructed by a simple one-step me

Toward the development of a digital self-nutrition management education program for elderly: findings from focus groups study.

OBJECTIVES: The aim of this qualitative study was to explore and understand the behaviors and challenges of self-nutrition management from the perspective of elderly. METHODS: In May 2025, ten elderly aged 65-83 years with prior experience using digital devices were recruited through purposeful sampling. Data were collected via focus group interviews using a semi-structured questionnaire until saturation was reached, and all interviews were recorded, transcribed, and analyzed using traditional content analysis methods. The collected interview data were extracted focusing on phrases or sentenc

Exploring self-management of diet and physical activity in CACNA1S-related hypokalemic periodic paralysis: A qualitative interview study.

BACKGROUND: Hypokalemic Periodic Paralysis (HypoPP) is a rare genetic neuromuscular disorder characterized by attacks of skeletal muscle wea … ttacks when exposed to multiple triggers simultaneously. CONCLUSIONS: The participants experienced self-management through dietary modifications and adjustments in physical activity to reduce symptoms in CACNA1S-related HypoPP. A novel finding was the experienced cumulative effect of lifestyle-related triggering factors.

Providing 2 Types of mHealth Interventions to Support Self-Management Among People Living With HIV: Randomized Clinical Trial.

BACKGROUND: Mobile health (mHealth) has been continuously developed to support the HIV care continuum for people living with HIV. Considering the practical needs and acceptability of digital health solutions, it is essential to explore effective content and diverse delivery methods for self-management support. OBJECTIVE: This study aimed to assess the effectiveness of 2 non-face-to-face mHealth interventions for people living with HIV. We compared the impact on HIV self-management of (1) a link group, which received access to information via mobile link, and (2) an app group, which used a mob…

Kratom (Mitragyna speciosa) use for self-management of pain: Insights from cross-sectional and ecological momentary assessment data.

Kratom (Mitragyna speciosa) is increasingly used in the US for self-management of pain, despite limited research on its efficacy and safety. To better understand how and why people use kratom for pain self-management, we analyzed baseline survey data (N = 395) and 15-day ecological momentary assessment (EMA) data (N = 357) from kratom consumers across the US. Although we recruited participants based on their kratom use, not on whether they used it for pain management, nearly half (49.1 %) met criteria for chronic pain, with many reporting substantial pain relief and high effectiveness of krato…

The Glycemia Risk Index Predicts Performance of Diabetes Self-Management Habits in Youth With Type 1 Diabetes Mellitus.

BACKGROUND: The Glycemia Risk Index (GRI) was developed in adults with diabetes and is a validated metric of quality of glycemia. Little is known about the relationship between GRI and type 1 diabetes (T1D) self-management habits, a validated assessment of youths' engagement in habits associated with glycemic outcomes. METHOD: We retrospectively examined the relationship between GRI and T1D self-management habits in youth with T1D who received care from a Midwest pediatric diabetes clinic network. The GRI was calculated using seven days of continuous glucose monitor (CGM) data, and T1D self-m…

Pulmonary vein stenosis following radiofrequency pulmonary vein isolation: Presentation, diagnosis, and management using self-expandable, bare metal stents.

UNLABELLED: Pulmonary vein (PV) stenosis is a rare complication following PV isolation (PVI) for atrial fibrillation. Despite the benefit of early intervention, screening is not conducted, emphasizing the importance of maintaining a high index of suspicion. Standardized management approaches are unavailable for this serious complication. This report presents the case of a 56-year-old male with PV stenosis following PVI. During an annual follow up, the patient was asymptomatic, however a left pleural effusion was noted. Subsequent investigations, including a cardiac computed tomography (CT), co

Ultralow-resistance and self-sterilization biodegradable nanofibrous membranes for efficient PM0.3 removal and machine learning-assisted health management.

The development of multifunctional nanofibrous membranes (NFMs) that enable anti-viral protection during air purification and respiratory disease diagnosis for health management is of increasing importance. Herein, we unraveled a heterostructure-enhanced electro-induced stereocomplexation (HEIS) strategy to fabrication of poly(lactic acid) (PLA) NFMs enabling a combination of efficient PM removal, respiratory monitoring and self-sterilization. The strategy involved an electro-induced stereocomplexation (EIS) approach to trigger the generation of hydrogen bonds between enantiomeric poly(L-lacti

Ohnut vs waitlist control for the self-management of endometriosis-associated deep dyspareunia: a pilot randomized controlled trial.

BACKGROUND: Deep dyspareunia affects 50% of people with endometriosis. The Ohnut is a set of interlocking rings that fit over the penis/insertive object. One or more rings can be used to limit insertion depth and reduce deep dyspareunia. AIM: We conducted a pilot, parallel, open-label randomized controlled trial (RCT) to investigate the feasibility of the study design and the acceptability and preliminary efficacy of the Ohnut. METHOD: Participants were recruited from a tertiary center for endometriosis. Eligibility criteria were surgically confirmed endometriosis, age 19-49 years, monogamou

Experiences of and preferences for self-management among low grade non-Hodgkin's lymphoma survivors: A qualitative interview study.

PURPOSE: Supporting self-management is one strategy to help cancer survivors optimise their quality of life. Low grade non-Hodgkin's lymphoma is often incurable with a chronic disease trajectory requiring lifelong self-management. This study explored the views on self-management and preferences for self-management support among survivors of low grade non-Hodgkin's lymphoma and their informal caregivers more than 6 months after completion of systemic anti-cancer therapy. METHOD: In-depth semi-structured telephone interviews were conducted. Key themes and subthemes were determined using inducti…

Nurses' Assessments Versus Patients' Self-Assessments of Postoperative Pain: Knowledge and Skills of Nurses for Effective Pain Management.

Postoperative pain is the most common form of acute pain. Nurses contribute to effective pain management with their knowledge and skills. The aims of this research were to examine differences between nurses' assessments and patients' self-assessments of postoperative pain, differences in the mentioned (self) assessments with respect to characteristics of both groups of respondents, and the correlation between the NRS and the VRS scale. The study included 103 nurses employed at a hospital and 103 patients treated in the surgical departments after the surgical procedures. Data were collected usi

Prevalence, severity, and self-management of depressive mood among community-dwelling people with spinal cord injury in Nepal.

BACKGROUND: Depression is a common psychological condition after spinal cord injury. There are increased incidences of self-harm, suicidal behavior, and lower quality of life among people with spinal cord injury and depression. However, self-management of depressive symptoms in the community is less explored. OBJECTIVE: This study aimed to examine the prevalence, severity, and self-management of depressive mood in community-dwelling people with spinal cord injury. METHODS: A descriptive study was conducted in 2019 among 115 people with spinal cord injury discharged from three health centers …

An app-based just-in-time-adaptive self-management intervention for care partners: The CareQOL feasibility pilot study.

PURPOSE/OBJECTIVE: The primary objective of this study was to establish the feasibility and acceptability of an intensive data collection protocol that involves the delivery of a personalized just-in-time adaptive intervention (JITAI) in three distinct groups of care partners (care partners of persons with spinal cord injury [SCI], Huntington's disease [HD], or hematopoietic cell transplantation [HCT]). RESEARCH METHOD/DESIGN: Seventy care partners were enrolled in this study (n = 19 SCI; n = 21 HD, n = 30 HCT). This three-month (90 day) randomized control trial involved wearing a Fitbit to t

The Relationship Between Post-Traumatic Stress Disorder and Self-Management Behaviors in World Trade Center Workers with Asthma.

BACKGROUND: Comorbid posttraumatic stress disorder (PTSD) is highly prevalent and associated with increased morbidity among World Trade Center (WTC) rescue and recovery workers with asthma. However, the potential behavioral pathways underlying this relationship remain unclear. OBJECTIVE: To evaluate whether PTSD is associated with lower adherence to asthma self-management behaviors among WTC workers with asthma. METHODS: We used data from a prospective cohort of WTC workers with a physician diagnosis of asthma who were prescribed controller medications. Presence of comorbid PTSD was determin…

Effectiveness of self-care interventions for integrated morbidity management of skin neglected tropical diseases in Anambra State, Nigeria.

BACKGROUND: Lymphatic filariasis (LF), Buruli ulcer (BU) and leprosy are neglected tropical diseases (NTDs) of the skin co-endemic in some communities in Nigeria. Not enough is known about the effectiveness of integrated morbidity management and disability prevention in people with these conditions. An integrated self-care intervention was carried out for people with these skin NTDs in two endemic communities of Anambra state, Nigeria. The objective of the study was to assess the effectiveness of self-care practices on costs of care, disability status and health-related quality of life. METHO

Relationship between Occupational Identity Post-Stroke and Outcomes of a Self-Management Participation-Focused Intervention: A Preliminary Investigation.

Self-management programs are used to assist stroke survivors to manage their condition and participation. This study was designed to examine correlations between occupational identity and outcomes of participation-focused self-management program using the Occupational Performance History Interview for the occupational identity and participation and self-efficacy as outcome measures. Spearman's rho correlations were calculated between occupational Identity and the program's outcomes. Results showed moderate significant positive correlations with self-efficacy for self-management and self-effica…