I Just Want to Feel Normal!

2020 ◽  
pp. 231-236
Author(s):  
Jami Gross-Toalson ◽  
Jennifer Linebarger
Keyword(s):  
Treatment Adherence ◽  
Medical Condition ◽  
Safety Net ◽  
Team Approach ◽  
Medication Regimen ◽  
Medication Nonadherence ◽  
Health Concerns ◽  
Health Complications ◽  
Common Barriers ◽  
Significant Health

Medication nonadherence is common in adolescents and places patients at higher risk of significant health complications. Medication nonadherence should be considered whenever a patient’s medical condition is not under control. Common barriers to treatment adherence include disease frustration, adolescent development, medication regimen issues, and cognitive or mental health concerns. Routinely assessing treatment adherence helps clinicians identify barriers and develop strategies with the patient for addressing those barriers. A collaborative team approach can create a safety net to support the patient’s treatment adherence. This chapter describes the factors associated with adherence, offers strategies and tools for assessing and identifying the barriers to adherence, and outlines a collaborative process for improving adherence.

The Interaction of Pulmonary Physiology and Swallowing: A Juggling Act for the Physician and Speech-Language Pathologist

2009 ◽  
Vol 18 (1) ◽  
pp. 34-40
Author(s):  
Karen J. Dikeman ◽  
Marta S. Kazandjian ◽  
Elbert Tun ◽  
Panina Niyazova ◽  
Tien-Tsai Tsai ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Medical Condition ◽  
Team Approach ◽  
Care Providers ◽  
Geriatric Population ◽  
Pulmonary Physiology ◽  
Speech Language Pathologist ◽  
Ventilator Dependence ◽  
Clinical Case Studies ◽  
Single Disease Entity

Abstract Patients who are dependent upon tracheostomy and/or ventilator use present a particular challenge to health-care providers. The interaction of pulmonary physiology and deglutition is complex, as illustrated in the course of patients who are in the weaning process. Speech language pathologists (SLPs) should work closely with their physician colleagues to understand the influence of multiple medical co-morbidities on intervention. In traditional medicine, the clinician's objective is to connect a patient's many symptoms and complaints to a single disease entity. However, in caring for the ventilator dependent geriatric population, a symptom such as dysphagia typically results from the interplay of various, multi-organ symptoms, and conditions. This article strives to demonstrate the “juggling act” that the physician and SLP must balance between the patient's current medical condition, pulmonary dysfunction, and disordered swallowing. Clinical case studies illustrate the benefit of swallowing intervention on quality of life. While the care of patients with tracheostomy and ventilator dependence requires a team approach, with respiratory therapy and nursing vital members, this article emphasizes the roles of the SLP and physician.

scholarly journals Volatile Organic Compounds (VOCs) Emitted from Coated Furniture Units

Coatings ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 806
Author(s):  
Ozge Cemiloglu Ulker ◽  
Onur Ulker ◽  
Salim Hiziroglu
Keyword(s):  
Air Quality ◽  
Volatile Organic Compounds ◽  
Organic Compounds ◽  
Indoor Air ◽  
Exposure Period ◽  
Point Of View ◽  
Health Concerns ◽  
Volatile Organic ◽  
Significant Health

Volatile organic compounds (VOCs) are the main source influencing the overall air quality of an environment. It is a well-known fact that coated furniture units, in the form of paints and varnishes, emit VOCs, reducing the air quality and resulting in significant health problems. Exposure time to such compounds is also an important parameter regarding their possible health effects. Such issues also have a greater influence when the exposure period is extended. The main objective of this study was to review some of the important factors for the emission of VOCs from coated furniture, from the perspective of material characteristics, as well as health concerns. Some methods for controlling VOC emissions to improve indoor air quality, from the point of view recent regulations and suggestions, are also presented in this work.

scholarly journals The Effect on Treatment Adherence of Administering Drugs as Fixed-Dose Combinations versus as Separate Pills: Systematic Review and Meta-Analysis

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Katy A. van Galen ◽  
Jeannine F. Nellen ◽  
Pythia T. Nieuwkerk
Keyword(s):  
Treatment Adherence ◽  
Medical Condition ◽  
Statistical Significance ◽  
Random Effect ◽  
Random Effect Model ◽  
Fixed Dose ◽  
Favourable Effect ◽  
Effect Estimate ◽  
Medical Conditions ◽  
Optimal Adherence

Administering drugs as fixed-dose combinations (FDCs) versus the same active drugs administered as separate pills is assumed to enhance treatment adherence. We synthesized evidence from randomized controlled trials (RCTs) about the effect of FDCs versus separate pills on adherence. We searched PubMed for RCTs comparing a FDC with the same active drugs administered as separate pills, including a quantitative estimate of treatment adherence, without restriction to medical condition. The odds ratio (OR) of optimal adherence with FDCs versus separate pills was used as common effect size and aggregated into a pooled effect estimate using a random effect model with inverse variance weights. Out of 1258 articles screened, only six studies fulfilled inclusion criteria. Across medical conditions, administering drugs as FDC significantly increased the likelihood of optimal adherence (OR 1.33 (95% CI, 1.03–1.71)). Within subgroups of specific medical conditions, the favourable effect of FDCs on adherence was of borderline statistical significance for HIV infection only (OR 1.46 (95% CI, 1.00–2.13)). We observed a remarkable paucity of RCTs comparing the effect on adherence of administering drugs as FDC versus as separate pills. Administering drugs as FDC improved medication adherence. However, this conclusion is based on a limited number of RCTs only.

scholarly journals APPLICATION OF NANOTECHNOLOGY IN FOOD TECHNOLOGY AND TARGETED DRUG THERAPY FOR PREVENTION OF OBESITY: AN OVERVIEW

2016 ◽  
Vol 4 (1) ◽  
pp. 7 ◽  
Author(s):  
Jyotibala Banjare
Keyword(s):  
Drug Therapy ◽  
Medical Condition ◽  
Sleep Apnoea ◽  
The Body ◽  
Short Term ◽  
Major Health ◽  
Targeted Drug ◽  
Health Complications ◽  
New Generation ◽  
Oral Supplements

Obesity is a medical condition arises as a result of an imbalance between lipolysis and lipogenesis which leads to accumulation of excess fat. Obesity is linked with major health complications such as diabetes, cardiac disorder, cancer, hypertension, sleep apnoea, etc. Weight loss through medication and healthy food balance can prevent obesity and associated disorders. Though, diet based therapy and drugs have short term effect with lacunae. At present, no reliable and established oral supplements are available to take care of obesity. Nanotechnology is a briskly emerging area of science and technology for food modulation at molecular and atomic level. The unique size and superior properties of nanomaterial have huge application in biology and medicine for food and drug development. Nanotechnology is playing an important role in the food industry for unindustrialized improved food, uptake, absorption, and bioavailability of nutrients to the body. Balanced or better-modified nutrients food, restricted calorie measures and commercial availability is geared through Nanoscience for control of obesity. Nanoparticle Targeted drug therapy, particularly for adipose tissue, may provide a new generation formulation for therapeutics of obesity.

Fire and fear: Immediate and long-term health aspects

2016 ◽  
Author(s):  
Laura Mitchem ◽  
Henrietta Harrison ◽  
Alex G. Stewart
Keyword(s):  
Public Health ◽  
Local Population ◽  
Incident Response ◽  
Smoke Plume ◽  
Health Concerns ◽  
The Public ◽  
Key Points ◽  
Perceived Involvement ◽  
Significant Health

Fires can cause significant health concerns within local communities impacted by any associated smoke plume. This chapter discusses the potential public health concerns associated with fires, in particular fires at waste-processing installations. Using an example scenario, actions to be undertaken throughout the incident response, from initial acute phase to recovery, are considered, along with health concerns and fears, real or perceived, involvement of asbestos-contaminant material, multi-agency communication mechanisms, and potential issues associated with long-running fires. The multi-agency mechanisms for response are detailed, including the various coordinating groups (strategic, tactical, recovery coordinating groups (SCG, TCG, RCG, respectively), and expert cells (scientific and technical advisor cell, air quality cell (AQC)). Key points to note in the incident response include concerns raised by the local population, typical health effects associated with exposure to a smoke plume, and tools that support the response to the incident and the public health risk assessment.

scholarly journals Barriers to Calling 9-1-1 during Overdose Emergencies in a Canadian Context

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Kayla M. Follett ◽  
Anthony Piscitelli ◽  
Michael Parkinson ◽  
Felix Munger
Keyword(s):  
Current Case ◽  
Outreach Services ◽  
Accidental Overdose ◽  
Custody Of Children ◽  
Canadian Context ◽  
Drug Overdoses ◽  
Waterloo Region ◽  
Common Barriers ◽  
Significant Health

Research has shown there are notable barriers to calling 9-1-1 during accidental overdose emergencies. Overdose is a significant health and social justice concern, yet Canadian researchers have not explored the existence or prevalence of these systemic obstacles. The current case study examines the barriers to calling 9-1-1 that people face in Southern Ontario when confronted with accidental overdose incidents. The locality of this study is particularly suitable as Wellington County, that is, Waterloo Region and Guelph are socio-demographically similar to Ontario and Canada. Barriers were assessed by surveying individuals that have or currently use drugs (n=291) and are clients of local methadone clinics or outreach services. Data were explored using frequency tables and then compared using crosstabulations. The findings of this case study suggest there are multiple barriers to calling 9-1-1 during accidental drug overdoses. Similar to previous studies, the most common barriers cited were fear of being arrested (53%), breaching probation or parole (30%), and fear of losing custody of children (24%). Lowering the barriers to calling 9-1-1 may help to forge the path necessary to improved health care and access to resources. Ultimately, and most importantly, lives may be saved.

scholarly journals Urinary incontinence: prevalence, risk factors, impact on quality of life and treatment seeking behaviour among middle aged women

2017 ◽  
Vol 4 (6) ◽  
pp. 1953 ◽  
Author(s):  
Brijesh Kumar Agarwal ◽  
Namita Agarwal
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Health Problem ◽  
Medical Condition ◽  
Treatment Seeking ◽  
Personal Factors ◽  
International Continence Society ◽  
Sexual Activities ◽  
Significant Health

Background: Urinary incontinence (UI) is one of the priority health issue recognized by WHO. Urinary incontinence (UI) is defined by the international continence society as "a condition in which involuntary loss of urine is objectively demonstrable and is a social and hygiene problem. It is a common and distressing medical condition severely affecting quality of life (QOL). Urinary incontinence is a common health problem among women, with the prevalence varying from 8-45% in different studies.Methods: This study was based among the population around SRM-IMS, Bareilly. Total 464 women were interviewed out of 2860 total inhabitants.Results: Out of 464, 236 females were selected for this study. 28 women had urinary incontinence. The overall prevalence of urinary incontinence in our study was about 12%. There was significant association of increasing age and presence of urinary incontinence. Urinary incontinence does impact on quality of life of a woman having urinary incontinence. Impact of personal factors do not have much impact on urinary incontinence. 22% women had stress urinary incontinence, 38% had urgency incontinence and 38% had mixed type of urinary incontinence.Conclusions: Various obstetrical factors do contribute to urinary incontinence. Urinary incontinence is a significant health problem in the society leading to restriction in social and sexual activities. Almost 1 in 12 women suffering from urinary incontinence. Simple epidemiological tools such as a questionnaire can unveil the urinary incontinence subjectively. Further efforts are to be done to improve the quality of life and minimizing the urinary incontinence by pursuing them for treatment.

Avoidant/Restrictive Food Intake Disorder

2021 ◽  
pp. 112-130
Author(s):  
Kristina Duncombe Lowe ◽  
Sarah Eckhardt
Keyword(s):  
Mental Health ◽  
Food Intake ◽  
Emotional Disorders ◽  
Treatment Model ◽  
Health Concerns ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Clinical Presentations ◽  
Family Based ◽  
Common Barriers

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A) is an innovative intervention that has been adapted for the treatment of youth with avoidant/restrictive food intake disorder (ARFID). When combined with family-based treatment (FBT) for eating disorders, the UP-C/A is a highly customizable treatment model that addresses the multitude of clinical presentations seen in ARFID patients while also flexibly addressing the high rates of comorbid mental health concerns common in these youth. This chapter discusses important considerations when deciding when and how to add the UP-C/A for ARFID patients, as well as how to troubleshoot common barriers in treatment. Important adaptations to the UP-C/A are also presented, including ways to personalize Top Problems and goals, psychoeducation, exposures, and parental involvement for this unique patient population.

Primary Care for Homeless Veterans

2018 ◽  
pp. 61-76
Author(s):  
Thomas P. O’Toole
Keyword(s):  
Primary Care ◽  
Health Disparities ◽  
Safety Net ◽  
Homeless Persons ◽  
Social Safety Net ◽  
Culturally Sensitive Care ◽  
Homeless Veterans ◽  
One Stop ◽  
Significant Health ◽  
Quality Evidence

In many ways homelessness is both a health issue and a reflection of the viability of our social safety net and health care system. Despite advances made in our understanding of how to best provide care and assist homeless persons, significant health disparities and gaps in care persist, as does the conundrum of chronic and persistent homelessness. Primary care tailored to homeless persons provides a unique opportunity to address some of these health disparities and vulnerabilities as well as the platform on which to engage them in an array of additional services over a continuum of time and need. Core tenets of the most successful models capture several key elements: (1) availability of care based on an open-access, on-demand, and non-contingent model; (2) one-stop, wrap-around services that are integrated and coordinated; (3) capacity for intensive, longitudinal and community/social service–linked case management; (4) high-quality, evidence-based, and culturally sensitive care that both destigmatizes seeking care and supports professionalism among the providers delivering that care; and (5) accountability to specific measurable goals and outcomes. However, it will not happen without deliberate planning and organization and a commitment to the capacity needed to bring services to scale.

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