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Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide

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https://read.qxmd.com/read/30733893/factors-influencing-work-life-balance-in-physicians-and-advance-practice-clinicians-and-the-effect-of-heartfulness-meditation-conference-on-burnout
#1
Jayaram R Thimmapuram, Rodney Grim, Theodore Bell, Ronald Benenson, Mark Lavallee, Mihir Modi, David Noll, Ridgley Salter
Background: Burnout levels have risen in recent years and satisfaction with work-life balance has decreased. Individual and organizational factors may affect burnout in physicians and advance practice clinicians (APCs). Meditation is a tool to mitigate stress and enhance well-being. In this study, we assessed the factors affecting work-life balance in physicians and APCs. We also measured the impact of Heartfulness meditation conference on burnout. Methods: Physicians and APCs were surveyed through an abbreviated Maslach burnout inventory (aMBI) to assess the burnout levels and a question to assess the factors influencing work-life balance...
2019: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30671283/being-mindful-a-long-term-investigation-of-an-interdisciplinary-course-in-mindfulness
#2
Sarah Ellen Braun, Patricia Kinser, Caroline K Carrico, Alan Dow
Background: Burnout and work-related stress in health-care professionals (HCPs) is a growing concern to the optimal functioning of the health-care system. Mindfulness-based interventions may be well-suited to address burnout in HCPs. Objective: The purpose of this study was (1) to quantitatively evaluate the effect of a mindfulness-based intervention for interdisciplinary HCPs over time and at a long-term follow-up and (2) to explore perceived benefits, facilitators, and barriers to the practice of mindfulness at the long-term follow-up...
2019: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30643670/assessing-integrative-psychiatry-curriculum-needs
#3
Noshene Ranjbar, Amelia Villagomez, Audrey J Brooks, Mari Ricker, Patricia Lebensohn, Victoria Maizes
Background: Research on incorporating integrative medicine (IM) into medical training is increasing. Programs and organizations around IM have been established, but there has not previously been a needs assessment focused on integrating IM into psychiatry training. Objectives: The results of a needs assessment of training directors and faculty, focused on interest and priorities for developing an IM curriculum for psychiatry training programs, are described. Methods: Psychiatry Training Directors and faculty were invited to participate in a detailed electronic survey...
2019: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30450268/establishing-health-biotech-and-enhancing-local-manufacturing-of-pharmaceuticals-in-sub-saharan-africa
#4
Taye T Balcha
Although many nations in Sub-Saharan Africa (SSA) have recently recorded impressive economic growth, and several countries could attain middle-income status in the next decade, there is no or little concurrent advance in health biotech with little capabilities for manufacturing of medicines, medical supplies, and health commodities in the region. They import majority of medicines, medical supplies, and health commodities used in national programs including immunization, family planning, tuberculosis, HIV, and malaria that drive health outcomes and population-level impact with supports mainly obtained from high-income countries, multilateral agencies, or philanthropies...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30364454/the-stressed-executive-sources-and-predictors-of-stress-among-participants-in-an-executive-health-program
#5
Ravindra Ganesh, Saswati Mahapatra, Debbie L Fuehrer, Levi J Folkert, Whitney A Jack, Sarah M Jenkins, Brent A Bauer, Dietlind L Wahner-Roedler, Amit Sood
Background: Stress is highly prevalent in the U.S. society, especially in executives, and is a well-documented risk factor for a wide range of medical disorders. Knowledge of common sources of stress and predictive factors may help identify executives at risk of high stress and allow us to appropriately refer them for stress management treatment. Objective: The primary aim of this study was to identify common sources of stress, predictors of high stress, and other correlates among executives...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30349761/identifying-stress-landscapes-in-boston-neighborhoods
#6
F Garrett Conyersm, Helene M Langevin, Gary J Badger, Darshan H Mehta
Background: Chronic stress plays a role in the development of health disparities. However, the relationship between neighborhood stressors and stress-related health problems and behaviors is unknown. In the city of Boston, Massachusetts, 3 neighborhoods, while within a 3 mile radius, have widely divergent life expectancies. This work aims to investigate and compare perceived neighborhood-level stressors, stress-related negative behaviors, and stress-related health problems in these neighborhoods...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30245922/-there-is-always-a-teacher-among-them-reflections-from-an-american-medical-student-on-time-spent-with-medical-providers-in-the-united-states-china-and-vietnam
#7
Harrison VanDolah
There is a famous Chinese saying by Confucius that goes "With three men walking, there is always a teacher among them." In this narrative essay, I recount the story of how curiosity led me to find lessons about medicine from research on complementary and alternative medicine and medical service experiences in the "three men walking" of China, Vietnam, and the United States. As we visit the many teachers I had along the way, we will draw out various lessons from each experience and reflect on the value in experiencing cross-cultural medicine as a medical provider-in-training, with the hope that it will inspire other aspiring healers to cultivate their own curiosity...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30159213/nutrition-education-for-the-health-care-provider-improves-patient-outcomes
#8
Vanessa Baute, Revathy Sampath-Kumar, Sarah Nelson, Barbara Basil
Nutrition education is globally lacking in medical training, despite the fact that dietary habits are a crucial component of physician self-care, disease prevention, and treatment. Research has shown that a physician's health status directly affects the quality of their preventative health counseling and patient outcomes, yet on average less than 20 hours over 4 years of medical education is spent teaching nutrition. This leaves providers with a gap in knowledge regarding this critical component of health. In a recent study, only 14% of resident physicians reported being adequately trained to provide nutritional counseling...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30109161/measuring-geographic-and-wealth-inequalities-in-health-distribution-as-tools-for-identifying-priority-health-inequalities-and-the-underprivileged-populations
#9
Sherine Shawky
Background: Currently, there is no consensus on standard measure that can be routinely part of the health information systems to alert countries to inequalities in health and identify the priority health inequality conditions. Objectives: To identify the health inequality measures relevant for assessing geographic and wealth inequalities; use the measures as a demonstration to what can happen in practice to recognize the geographic and wealth-related priority health inequalities within a country; and identify the geographic and wealth underprivileged populations...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30038847/caregiver-perceptions-of-music-therapy-for-children-hospitalized-for-a-blood-and-marrow-transplant-an-interpretivist-investigation
#10
Greta J Yates, Nicole B Beckmann, Megan E Voss, Maureen R Anderson, Michael J Silverman
Background: Despite pharmacological and psychosocial support, pediatric blood and marrow transplant (BMT) recipients typically experience heightened levels of somatic and psychological distress while undergoing transplant. Although clinicians have used psychosocial interventions to target distress, there are gaps in the literature concerning music therapy for children recovering from BMT. This is especially the case among younger children and those affected by rare genetic or metabolic disorders...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30013821/total-lifestyle-coaching-a-pilot-study-evaluating-the-effectiveness-of-a-mind-body-and-nutrition-telephone-coaching-program-for-obese-adults-at-a-community-health-center
#11
Emma Chad-Friedman, Melanie Pearsall, Kathleen M Miller, Amy E Wheeler, John W Denninger, Darshan H Mehta, Michelle L Dossett
Background: Stress and obesity are interrelated and common among low-income adults. Mind-body interventions have been shown to reduce psychological distress and have been incorporated into many weight loss interventions. However, few of these programs have incorporated a telephone coaching component. Objective: We designed and piloted a novel weight loss telephone coaching intervention for this population and examined its effectiveness on weight loss and improvements in health behaviors in obese community health center patients...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/30013820/a-pilot-randomized-clinical-trial-comparing-three-brief-group-interventions-for-individuals-with-tinnitus
#12
Erin Martz, Margaret A Chesney, Hanoch Livneh, Chennettee Jelleberg, Bret Fuller, James A Henry
Background: Tinnitus (ie, ear or head noises not caused by external sounds) is common among the general population and is the most prevalent service-connected disability in the United States' Department of Veterans Affairs system. While numerous clinical interventions have been created to systematically address the range of issues caused by tinnitus, only a few tinnitus interventions have focused on both teaching and assessing coping strategies. The present pilot study involved a randomized clinical trial comparing 3 brief group interventions to a usual-care (UC) group (ie, a wait-list control group): the first intervention based on acceptance and commitment therapy (ACT), a second based on cognitive-behavioral therapy (CBT), and a third based on coping effectiveness training (CET)...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/29796339/evaluation-of-cytotoxic-and-genotoxic-effects-of-extremely-low-frequency-electromagnetic-field-on-mesenchymal-stromal-cells
#13
Christina L Ross, Mark J Pettenati, Joseph Procita, Lisa Cathey, Sunil K George, Graca Almeida-Porada
Background: Interest in the use of extremely low-frequency (ELF) electromagnetic field (EMF) for the treatment of pain and inflammation is increasing due to the ability of this promising therapy to compete with pharmaceuticals without the adverse effects caused by drugs. However, there continues to be concerns regarding cytotoxic and genotoxic effects that may occur as a result of exposure to EMF. Objective: To investigate this concern, we tested the effect of our known therapeutic 5 Hz, 0...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/29796338/tai-chi-for-reducing-dual-task-gait-variability-a-potential-mediator-of-fall-risk-in-parkinson-s-disease-a-pilot-randomized-controlled-trial
#14
Gloria Vergara-Diaz, Kamila Osypiuk, Jeffrey M Hausdorff, Paolo Bonato, Brian J Gow, Jose Gv Miranda, Lewis R Sudarsky, Daniel Tarsy, Michael D Fox, Paula Gardiner, Cathi A Thomas, Eric A Macklin, Peter M Wayne
Objectives: To assess the feasibility and inform design features of a fully powered randomized controlled trial (RCT) evaluating the effects of Tai Chi (TC) in Parkinson's disease (PD) and to select outcomes most responsive to TC assessed during off-medication states. Design: Two-arm, wait-list controlled RCT. Settings: Tertiary care hospital. Subjects: Thirty-two subjects aged 40-75 diagnosed with idiopathic PD within 10 years...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/29662722/acupuncture-for-chronic-pain-in-the-vermont-medicaid-population-a-prospective-pragmatic-intervention-trial
#15
Robert T Davis, Gary Badger, Kristina Valentine, Alexander Cavert, Remy R Coeytaux
Introduction: In response to the opioid crisis, the 2016 Vermont legislature commissioned a study to assess acupuncture for patients with chronic pain in the Vermont Medicaid population. Objective: To assess the feasibility, acceptability, and effectiveness of acupuncture provided by licensed acupuncturists for Vermont Medicaid patients with chronic pain. Methods: A total of 156 Medicaid patients with chronic pain were offered up to 12 acupuncture treatments within a 60-day period at the offices of 28 Vermont licensed acupuncturists...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/29662721/neural-mechanisms-of-qigong-sensory-training-massage-for-children-with-autism-spectrum-disorder-a-feasibility-study
#16
Kristin K Jerger, Laura Lundegard, Aaron Piepmeier, Keturah Faurot, Amanda Ruffino, Margaret A Jerger, Aysenil Belger
Objectives: Despite the enormous prevalence of autism spectrum disorder (ASD), its global impact has yet to be realized. Millions of families worldwide need effective treatments to help them get through everyday challenges like eating, sleeping, digestion, and social interaction. Qigong Sensory Training (QST) is a nonverbal, parent-delivered intervention recently shown to be effective at reducing these everyday challenges in children with ASD. This study tested the feasibility of a protocol for investigating QST's neural mechanism...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/29662720/role-of-active-versus-passive-complementary-and-integrative-health-approaches-in-pain-management
#17
David Cosio, Erica Lin
Background: A general conclusion about the treatment of chronic, noncancer pain is that the results from traditional, passive modalities are disheartening. Perhaps this may be due to the propensity of patients to seek out passive versus active treatments. In pain management, active treatments should be the primary focus, with passive interventions as an adjunct. Objective: The current study tested the hypotheses that Veterans would report a greater significant increase in active versus transitional and active versus passive complementary and integrative health (CIH) utilization after completing a formal pain education program...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/29637012/tele-yoga-for-chronic-pain-current-status-and-future-directions
#18
Danielle C Mathersul, Louise A Mahoney, Peter J Bayley
Pain is a pervasive, debilitating disorder that is resistant to long-term pharmacological interventions. Although psychological therapies such as cognitive behavior therapy demonstrate moderate efficacy, many individuals continue to have ongoing difficulties following treatment. There is a current trend to establish complementary and integrative health interventions for chronic pain, for which yoga has been found to have exciting potential. Nevertheless, an important consideration within the field is accessibility to adequate care...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/29619284/yoga-for-young-adults-with-noncurative-cancer-a-brief-report
#19
Hillary Woodside, S Nicole Culos-Reed, Marie-Claude Grégoire, Robert Rutledge, Melanie R Keats
Background: The practice of yoga has been shown to improve disease- and treatment-related side effects in the noncurative cancer patient. Objective: This user experience study aimed to examine the feasibility and usefulness of a DVD-based yoga program for young adult cancer patients with a noncurative diagnosis. Methods: Participants were asked to partake in a 7-week DVD-based yoga program and complete measures of program use and usefulness...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
https://read.qxmd.com/read/29552422/diabetes-empowerment-council-integrative-pilot-intervention-for-transitioning-young-adults-with-type-1-diabetes
#20
Marc J Weigensberg, Cheryl Vigen, Paola Sequeira, Donna Spruijt-Metz, Magaly Juarez, Daniella Florindez, Joseph Provisor, Anne Peters, Elizabeth A Pyatak
Background: The transition of young adults with type 1 diabetes (T1D) from pediatric to adult care is challenging and frequently accompanied by worsening of diabetes-related health. To date, there are no reports which prospectively assess the effects of theory-based psycho-behavioral interventions during the transition period neither on glycemic control nor on psychosocial factors that contribute to poor glycemic control. Therefore, the overall aim of this study was to develop and pilot test an integrative group intervention based on the underlying principles of self-determination theory (SDT), in young adults with T1D...
2018: Global Advances in Health and Medicine: Improving Healthcare Outcomes Worldwide
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