The reassuring potential of spinal imaging results: development and testing of a brief, psycho-education intervention for patients attending secondary care

2017 ◽  
Vol 27 (1) ◽  
pp. 101-108 ◽  
Author(s):  
Emma L. Karran ◽  
Yun-Hom Yau ◽  
Susan L. Hillier ◽  
G. Lorimer Moseley
Keyword(s):  
Secondary Care ◽  
Education Intervention ◽  
Spinal Imaging ◽  
Imaging Results

scholarly journals Spectrum of nitrous oxide intoxication related neurological disorders in Korea: a case series and literature review

2021 ◽  
Vol 23 (2) ◽  
pp. 108-116
Author(s):  
Jungsoo Lee ◽  
Yangmi Park ◽  
Hyunkee Kim ◽  
Nakhoon Kim ◽  
Wonjae Sung ◽  
...  
Keyword(s):  
Nitrous Oxide ◽  
Axonal Neuropathy ◽  
Case Series ◽  
Limb Weakness ◽  
Laboratory Findings ◽  
Analgesic Effects ◽  
Spinal Imaging ◽  
Spine Imaging ◽  
Imaging Results ◽  
History Of Use

Background: Nitrous oxide (N2O) is used in surgery and dentistry for its anesthetic and analgesic effects. However, neurological and psychiatric manifestations of N2O abuse have been increasingly reported among Korean adults. The aim of this study was to demonstrate laboratory findings of N2O abuse in Korean patients.Methods: Patients diagnosed with N2O-induced neuropathy or myelopathy from August 2018 to December 2019 were enrolled. Their clinical presentations and laboratory and imaging findings were analyzed.Results: Sensory changes and limb weakness were present in nine of the enrolled patients. The laboratory findings revealed that seven patients had high homocysteine levels and five had high methylmalonic acid levels in their blood. Nerve conductions studies indicated that axonal neuropathy was present in four cases and longer F-wave and Hoffman’s-reflex latencies were present in two cases. Signal changes in cervical spine imaging occurred in five patients, while two had normal results.Conclusions: Chronic N2O abuse can cause neurological damage or psychiatric problems. Because N2O is illegal for recreational use in Korea, patients tend to hide their history of use. Even though the spinal imaging results were normal, clinicians should consider the possibility of N2O use, and further electrophysiological tests should be applied for precise evaluations.

scholarly journals A cycling and education intervention for the treatment of hip osteoarthritis: A quality improvement replication programme

2020 ◽  
Vol 8 ◽  
pp. 205031212094652
Author(s):  
Thomas W Wainwright ◽  
Louise C Burgess ◽  
Tikki Immins ◽  
Neil Cowan ◽  
Robert G Middleton
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Secondary Care ◽  
Weight Bearing ◽  
Hip Osteoarthritis ◽  
Hip Pain ◽  
Education Intervention ◽  
Timed Up And Go ◽  
Original Cohort ◽  
Patient Reported

Objectives: The Cycling against Hip Pain programme is a 6-week exercise and education treatment pathway for people with hip osteoarthritis. Preliminary results of the Cycling against Hip Pain programme found significant improvements in clinical and patient-reported outcome measures for patients referred from primary care. This article evaluates the effectiveness of the changes made to the pathway in a quality improvement replication programme. Methods: The replicated Cycling against Hip Pain programme was delivered between February 2018 and September 2019 in a region of England with a high percentage of adults aged over 65 years. All participants were referred from the orthopaedic outpatient department of the funding hospital (secondary care). The programme was delivered at a local leisure centre and combined 30 min of education on osteoarthritis with 30 min of progressive static cycling, once a week for 6 weeks. Results: The participants on the replicated Cycling against Hip Pain programme did not differ from the original cohort in terms of age or pre-programme weight, however, presented with worse hip symptoms at baseline. Consistent with the findings from the original cohort, participants demonstrated significant improvements to their Oxford Hip Score, 30-s chair stand performance, Timed Up and Go score, Hip Osteoarthritis Outcome Score function and pain, EQ5D health rating, EQ5D-5L score and pain at rest and on weight bearing. In addition, participants reported an increase in knowledge, confidence and motivation to exercise. Conclusion: A 6-week cycling and education intervention for the treatment of hip osteoarthritis provided benefits to function, pain and quality of life for patients referred from secondary care. These results are consistent with findings from patients who were referred from primary care and further support the potential of the pathway in the conservative management of hip osteoarthritis.

Fatigue Management Health Education Intervention Effects on Flight Attendants

2020 ◽  
Vol 91 (12) ◽  
pp. 911-917
Author(s):  
Chia-Jung Hu ◽  
Feng-Ping Lee ◽  
Rei-Mei Hong
Keyword(s):  
Health Education ◽  
Behavioral Intention ◽  
Self Efficacy ◽  
Flight Attendants ◽  
Education Intervention ◽  
Intervention Effects ◽  
Fatigue Management ◽  
Management Knowledge ◽  
Health Education Intervention ◽  
Experimental Group

BACKGROUND: This study explored the impact of a fatigue management health education intervention (FMI) on flight attendants fatigue management knowledge, attitudes, behavioral intention, self-efficacy, and fatigue intensity.METHODS: A quasi-experimental pretest-posttest design was used. The sample included 70 flight attendants of an international airline company in Taiwan. The experimental group (N 34) received an FMI, while the control group (N 36) had no intervention. Fatigue management knowledge, attitude, behavior intention, self-efficacy, and fatigue intensity were assessed at baseline and 1 wk later. Single-factor analysis of covariance and Jensen Neman methods were used to assess the differences in outcomes between the two groups.RESULTS: Attitude and self-efficacy in the experimental group were significantly improved after the FMI [standardized mean difference (SMD), 0.96; 1.98]. The intervention also reduced their fatigue intensity (SMD 6.05) and both knowledge and behavioral intention scores were increased in more than 80% of subjects in the experimental group.DISCUSSION: FMI can effectively improve fatigue management knowledge, attitudes, behavioral intention, and self-efficacy and reduce fatigue intensity in flight attendants.Hu CJ, Lee FP, Hong RM. Fatigue management health education intervention effects on flight attendants. Aerosp Med Hum Perform. 2020; 91(12):911917.

Management of hyponatremia in secondary care

2014 ◽  
Author(s):  
Sophie Mescall ◽  
Amataullah Hashi ◽  
Polly Begum ◽  
Muhammad Ali Karamat
Keyword(s):  
Secondary Care
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