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https://read.qxmd.com/read/30897464/positive-cognitive-behavior-therapy-in-the-treatment-of-depression-a-randomized-order-within-subject-comparison-with-traditional-cognitive-behavior-therapy
#1
Nicole Geschwind, Arnoud Arntz, Fredrike Bannink, Frenk Peeters
Previous research suggests that a stronger focus on positive emotions and positive mental health may improve efficacy of Cognitive Behavior Therapy (CBT). Objectives were to compare differential improvement of depressive symptoms (primary outcome), positive affect, and positive mental health indices during positive CBT (P-CBT; CBT in a solution-focused framework, amplified with optional positive psychology exercises) versus traditional, problem-focused CBT (T-CBT). Forty-nine patients with major depressive disorder (recruited in an outpatient mental health care facility specialized in mood disorders) received two treatment blocks of eight sessions each (cross-over design, order randomized)...
March 9, 2019: Behaviour Research and Therapy
https://read.qxmd.com/read/30896255/bone-health-in-women-with-breast-cancer
#2
S K Ramchand, Y M Cheung, M Grossmann
Women with early, estrogen receptor-positive breast cancer are treated with adjuvant endocrine therapy, using aromatase inhibitors or selective estradiol receptor modulators such as tamoxifen, to deprive breast tissue from the deleterious effects of estradiol action, hence improving long-term prognosis. Aromatase inhibitors and, in premenopausal women, tamoxifen accelerate bone loss and increase fracture risk. Therefore, all women commencing endocrine therapy need a targeted work-up to assess the baseline fracture risk, and monitoring of bone health during endocrine therapy should be individualized based on this baseline risk...
March 21, 2019: Climacteric: the Journal of the International Menopause Society
https://read.qxmd.com/read/30895917/effect-of-conservative-treatment-in-aortoiliac-occlusive-disease
#3
W Wen, G H Ho, E J Veen, H G W de Groot, M G Buimer, L van der Laan
OBJECTIVE: To determine the effect of primary conservative treatment without revascularization in patients with proven aortoiliac occlusive disease (AIOD) presenting with intermittent claudication (IC). BACKGROUND: The initial treatment of IC should focus on supervised exercise therapy (SET) and pharmacotherapy. Nowadays, primary endovascular revascularization (EVR) has become increasingly popular in patients with all types of AIOD. But in daily practice, EVR is often performed without initially extensive exercise...
March 21, 2019: Acta Chirurgica Belgica
https://read.qxmd.com/read/30895824/liuzijue-qigong-a-voice-training-method-for-unilateral-vocal-fold-paralysis-patients
#4
Jun Tang, Wei Huang, Xuhui Chen, Qian Lin, Tingwei Wang, Hao Jiang, Ping Wan, Zhaoming Huang
OBJECTIVES: Liuzijue Qigong (LQG), a kind of traditional Chinese health exercise (TCHE), is not only widely used to strengthen physical fitness and maintain psychological well-being in the elderly but has also been utilized to help improve respiratory function. As respiratory support is an important driving force for speech production, it is logical to postulate that the LQG training method with 6 monosyllabic speech sounds, xū, hē, hū, sī, chuī, and xī, can help individuals (1) experience a relaxing and natural state of speech production, (2) eliminate voice symptoms, and (3) improve their overall body function and mood...
March 21, 2019: Annals of Otology, Rhinology, and Laryngology
https://read.qxmd.com/read/30895809/effects-of-sacubitril-valsartan-on-b-type-natriuretic-peptide-circulating-levels-and-loop-diuretic-dose-in-a-case-series-of-stabilized-heart-failure-patients-with-left-ventricular-ejection-fraction-%C3%A2-35
#5
Nicola Riccardo Pugliese, Iacopo Fabiani, Viola Zywicki, Matteo Mazzola, Andreina D'Agostino, Gian Giacomo Galeotti, Frank Lloyd Dini
Sacubitril/valsartan, an angiotensin receptor neprilysin inhibitor, was shown to improve outcome in patients with heart failure (HF) and reduced left ventricular ejection fraction (LVEF). There are reasons for believing that the concept of the lower the B-type natriuretic peptide (BNP) circulating level the better the prognosis, may no longer be correct in patients treated with sacubitril/valsartan, since sacubitril may interfere with BNP clearance. We reported a case series of ten patients with stable chronic HF and LVEF ≤35% (mean age: 64 ± 8 years; 30% female), referred to our outpatient HF clinic, treated with sacubitril/valsartan, in whom the global amelioration of NYHA class and LVEF coupled a clinically significant decrease in BNP levels and a reduction of loop diuretic dose...
March 21, 2019: Current Medical Research and Opinion
https://read.qxmd.com/read/30893122/amssm-position-statement-update-blood-borne-pathogens-in-the-context-of-sports-participation
#6
Christopher McGrew, Daisy-Scarlett MacCallum, Dustymarie Narducci, Rathna Nuti, Leonard Calabrese, Robert Dimeff, Stephen Paul, Sourav K Poddar, Ashwin Rao, Douglas McKeag
This AMSSM position statement update is directed toward health care providers of patients involved in sport and exercise. There have been significant advances in clinical and scientific research in the understanding of blood-borne pathogens (BBPs), and this update incorporates these advancements. This document is intended as a general guide to clinical practice based on the current state of evidence, while acknowledging the need for modification as new knowledge becomes available. Confirmed transmission of BBPs during sport is exceedingly rare...
March 20, 2019: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://read.qxmd.com/read/30893086/food-dependent-exercise-induced-anaphylaxis
#7
Ru-Xin Foong, Mattia Giovannini, George du Toit
PURPOSE OF REVIEW: The following article provides an overview of food-dependent exercise-induced anaphylaxis (FD-EIAn). The review focuses on the epidemiology, pathophysiology, and clinical findings of FD-EIAn and details current practice in terms of the investigation, management, and treatment options available. RECENT FINDINGS: The management of FD-EIAn has not changed significantly over the last few years and still requires careful investigation by an experienced clinician to ensure that the correct diagnosis is made and appropriate treatment is given...
March 18, 2019: Current Opinion in Allergy and Clinical Immunology
https://read.qxmd.com/read/30892882/preventive-efficiency-of-green-tea-and-its-components-on-non-alcoholic-fatty-liver-disease
#8
Jie Zhou, Chi-Tang Ho, Piaopiao Long, Qilu Meng, Liang Zhang, Xiaochun Wan
Non-alcoholic fatty liver disease (NAFLD) is a typical chronic liver disease highly correlated with metabolic syndrome. Growing prevalence of NAFLD is supposed to be linked with the unhealthy lifestyle, especially high-calorie diet and lacking enough exercise. Currently, there is no validated pharmacological therapy for NAFLD except for weight reduction. However, many dietary strategies had preventive effects on the development of liver steatosis or its progression. As one of the most common beverages, green tea contains abundant bioactive compounds possessing antioxidant, lipid-lowering and anti-inflammatory effects, as well as improving insulin resistance and gut dysbiosis that can alleviate the risk of NAFLD...
March 20, 2019: Journal of Agricultural and Food Chemistry
https://read.qxmd.com/read/30892694/exercise-and-cardiovascular-progenitor-cells
#9
Rian Q Landers-Ramos, Ryan M Sapp, Daniel D Shill, James M Hagberg, Steven J Prior
Autologous stem/progenitor cell-based methods to restore blood flow and function to ischemic tissues are clinically appealing for the substantial proportion of the population with cardiovascular diseases. Early preclinical and case studies established the therapeutic potential of autologous cell therapies for neovascularization in ischemic tissues. However, trials over the past ∼15 years reveal the benefits of such therapies to be much smaller than originally estimated and a definitive clinical benefit is yet to be established...
March 14, 2019: Comprehensive Physiology
https://read.qxmd.com/read/30892604/priorities-for-research-in-multiple-conditions-in-later-life-multi-morbidity-findings-from-a-james-lind-alliance-priority-setting-partnership
#10
S G Parker, L Corner, K Laing, G Nestor, D Craig, J Collerton, J Frith, H C Roberts, A A Sayer, L M Allan, L Robinson, K Cowan
INTRODUCTION: multiple conditions in later life (multi-morbidity) is a major challenge for health and care systems worldwide, is of particular relevance for older people, but has not (until recently) received high priority as a topic for research. We have identified the top 10 research priorities from the perspective of older people, their carers, and health and social care professionals using the methods of a James Lind Alliance Priority Setting Partnership. METHODS: in total, 354 participants (162 older people and carers, 192 health professionals) completed a survey and 15 older people and carers were interviewed to produce 96 'unanswered questions'...
March 20, 2019: Age and Ageing
https://read.qxmd.com/read/30892183/pain-on-the-plantar-surface-of-the-foot
#11
Natalia Gutteck, Sebastian Schilde, Karl-Stefan Delank
BACKGROUND: Plantar fasciitis (PF) is characterized by pain on weight-bearing in the medial plantar area of the heel, metatarsalgia (MTG) by pain on the plantar surface of the forefoot radiating into the toes. Reliable figures on lifetime prevalence in Germany are lacking. METHODS: This review is based on pertinent publications retrieved from a selective search in PubMed, on guidelines from Germany and abroad, and on the authors' clinical experience. RESULTS: Plantar fasciitis is generally diagnosed from the history and physical examination, without any ancillary studies...
February 8, 2019: Deutsches Ärzteblatt International
https://read.qxmd.com/read/30891422/internet-based-cognitive-behavioral-therapy-of-perfectionism-comparing-regular-therapist-support-and-support-upon-request
#12
Molly Zetterberg, Per Carlbring, Gerhard Andersson, Matilda Berg, Roz Shafran, Alexander Rozental
Perfectionism may be a clinically relevant problem on its own or as part of the etiology and maintenance of psychiatric disorders, e.g., anxiety disorders, depression, and eating disorders. Cognitive behavior therapy has been shown to be a promising treatment for managing perfectionism and its associated problems, including when being administered via the Internet, i.e., Internet-based cognitive behavioral therapy (ICBT). In the current study, seventy-eight self-referred participants underwent ICBT after an initial eight-week wait-list period, i...
September 2019: Internet Interventions
https://read.qxmd.com/read/30890535/amssm-position-statement-update-blood-borne-pathogens-in-the-context-of-sports-participation
#13
Christopher McGrew, Daisy-Scarlett MacCallum, Dustymarie Narducci, Rathna Nuti, Leonard Calabrese, Robert J Dimeff, Stephen Paul, Sourav Poddar, Ashwin Rao, Douglas McKeag
This American Medical Society for Sports Medicine position statement update is directed towards healthcare providers of patients involved in sport and exercise. There have been significant advances in clinical and scientific research in the understanding of blood-borne pathogens (BBPs), and this update incorporates these advancements. This document is intended as a general guide to clinical practice based on the current state of the evidence, while acknowledging the need for modification as new knowledge becomes available...
March 19, 2019: British Journal of Sports Medicine
https://read.qxmd.com/read/30890162/long-term-at-home-treatment-with-transcranial-direct-current-stimulation-tdcs-improves-symptoms-of-cerebellar-ataxia-a-case-report
#14
Giuseppina Pilloni, Michael Shaw, Charles Feinberg, Ashley Clayton, Maria Palmeri, Abhishek Datta, Leigh E Charvet
BACKGROUND: Progressive cerebellar ataxia is a neurodegenerative disorder without effective treatment options that seriously hinders quality of life. Previously, transcranial direct current stimulation (tDCS) has been demonstrated to benefit cerebellar functions (including improved motor control, learning and emotional processing) in healthy individuals and patients with neurological disorders. While tDCS is an emerging therapy, multiple daily sessions are needed for optimal clinical benefit...
March 19, 2019: Journal of Neuroengineering and Rehabilitation
https://read.qxmd.com/read/30888982/a-randomized-controlled-trial-to-assess-the-effectiveness-of-muscle-strengthening-and-balancing-exercises-on-chemotherapy-induced-peripheral-neuropathic-pain-and-quality-of-life-among-cancer-patients
#15
Shelly Dhawan, Rachel Andrews, Lalit Kumar, Sanjay Wadhwa, Garima Shukla
BACKGROUND: Chemotherapy-induced peripheral neuropathy (CIPN) is the presence of tingling, burning, itching, and unpleasant sensations in hands and feet due to nerve damage by chemotherapy. Exercise rehabilitation has potential to prevent or alleviate CIPN. OBJECTIVE: The aim of this study was to assess the effectiveness of muscle strengthening and balancing exercises on CIPN pain and quality of life (QOL) among cancer patients. METHODS: The randomized controlled trial included 45 cancer patients from a tertiary care hospital in India receiving chemotherapeutic drugs paclitaxel and carboplatin and found to have CIPN...
March 18, 2019: Cancer Nursing
https://read.qxmd.com/read/30887856/the-use-of-stromal-vascular-fraction-svf-platelet-rich-plasma-prp-and-stem-cells-in-the-treatment-of-osteoarthritis-an-overview-of-clinical-trials
#16
Sahar Mehranfar, Isa Abdi Rad, Ebrahim Mostafav, Abolfazl Akbarzadeh
Osteoarthritis (OA) is a major cause of disability across the world, which its prevalence is relatively high in elder population. Current accepted therapies such as exercise, anti-inflammatory drugs and intra-articular inoculation of corticosteroids are aimed at controlling symptoms in the affected patients. Surgical options including arthroplasty, osteotomy and joint replacement are other choices of treatment, which are invasive and can be applied in case of failure of conventional therapies. In the last few decades, efforts to treat musculoskeletal diseases are being increasingly focused on regenerative cellular therapies...
December 2019: Artificial Cells, Nanomedicine, and Biotechnology
https://read.qxmd.com/read/30887592/effect-of-a-relaxation-training-exercise-on-behaviour-anxiety-and-pain-during-buccal-infiltration-anaesthesia-in-children-randomized-clinical-trial
#17
Sowmya Sridhar, Baranya Shrikrishna Suprabha, Ramya Shenoy, Kunnumal Thekkeveetil Shwetha, Arathi Rao
BACKGROUND: Cognitive behavioural techniques can decrease procedural pain and anxiety in children. Bubble breath exercise, a play therapy technique may be used as a relaxation strategy to manage anxiety and pain. The objective of the study was to evaluate the effect of bubble breath exercise on dental anxiety, dental behaviour, and pain intensity during buccal infiltration of local anaesthetic in children. STUDY DESIGN: This randomized controlled trial involved 66 children aged 7-11 years, randomly allocated to two groups: Group 1(control) and Group 2(intervention group)...
March 19, 2019: International Journal of Paediatric Dentistry
https://read.qxmd.com/read/30886990/effectiveness-and-cost-effectiveness-of-the-modified-pilates-method-versus-aerobic-exercise-in-the-treatment-of-patients-with-fibromyalgia-protocol-for-a-randomized-controlled-trial
#18
Katherinne Ferro Moura Franco, Yuri Rafael Dos Santos Franco, Evany Maira Espírito Santo Salvador, Bruna Cristina Brajon do Nascimento, Gisela Cristiane Miyamoto, Cristina Maria Nunes Cabral
Background: Fibromyalgia is characterized by chronic generalized pain, fatigue, sleep disorders and other symptoms. Physical exercise is recommended as the first choice of non-pharmacological therapy. Thus, the aim of this study is to evaluate the effectiveness and cost-effectiveness of modified Pilates exercises compared to aerobic exercises in the treatment of patients with fibromyalgia. Methods: In this randomized controlled trial with blinded assessor, 98 patients who meet the fibromyalgia classification criteria of the American College of Rheumatology 2010, aged between 20 and 75 years, and with pain intensity greater than or equal to 3 points in the Pain Numerical Rating Scale, will be randomly divided into Aerobic Group (aerobic exercises on treadmills or stationary bikes) and Pilates Group (modified Pilates exercises), and treated twice a week for eight weeks on the Center for Excellence in Clinical Research in Physical Therapy at Universidade Cidade de São Paulo, Brazil...
2019: BMC rheumatology
https://read.qxmd.com/read/30885256/physical-exercise-augmented-cognitive-behaviour-therapy-for-older-adults-with-generalised-anxiety-disorder-pexacog-study-protocol-for-a-randomized-controlled-trial
#19
Silje Haukenes Stavestrand, Kristine Sirevåg, Inger Hilde Nordhus, Trond Sjøbø, Trygve Bruun Endal, Hans M Nordahl, Karsten Specht, Åsa Hammar, Anne Halmøy, Egil W Martinsen, Eva Andersson, Helene Hjelmervik, Jan Mohlman, Julian F Thayer, Anders Hovland
BACKGROUND: Generalised anxiety disorder (GAD) is a frequent and severe anxiety disorder among older adults. GAD increases the risk of developing other disorders such as depression and coronary heart disease. Older adults with GAD exhibit a poorer response to cognitive behaviour therapy (CBT) compared to younger patients with GAD. The normal age-related cognitive decline can be a contributor to reduced treatment efficacy. One strategy for improving treatment efficacy is to combine CBT with adjunctive interventions targeted at improving cognitive functions...
March 18, 2019: Trials
https://read.qxmd.com/read/30878496/robotic-assisted-shoulder-rehabilitation-therapy-effectively-improved-post-stroke-hemiplegic-shoulder-pain-a-randomized-controlled-trial
#20
Min-Su Kim, Sung Hoon Kim, Se-Eung Noh, Heui Je Bang, Kyoung-Moo Lee
OBJECTIVE: The purpose of this study was to investigate the therapeutic effects of a newly developed shoulder robot on post-stroke hemiplegic shoulder pain DESIGN: Prospective, single-blind randomized controlled trial. SETTING: Inpatient department of a tertiary university hospital. PARTICIPANTS: Hemiplegic shoulder pain patients (n=38) were consecutively recruited and randomly assigned to an intervention or control group. INTERVENTIONS: A newly developed robot was designed to perform joint mobilization and stretching exercises with patients lying in the supine position...
March 13, 2019: Archives of Physical Medicine and Rehabilitation
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