A Guide to Having a Healthy Family

2018 ◽  
Author(s):  
Samuel T. Gladding
Keyword(s):  
Healthy Family

Family Interaction and Depressive Symptoms in Chinese Emerging Adults: A Mediation Model of Gratitude

2021 ◽  
pp. 003329412110006
Author(s):  
Kelly Ka Lai Lam ◽  
Wei-Wen Chen
Keyword(s):  
Depressive Symptoms ◽  
Emerging Adults ◽  
Structural Equation ◽  
Family Interaction ◽  
Assessment Instrument ◽  
Equation Modeling ◽  
Mediation Model ◽  
Online Questionnaire ◽  
Patient Health ◽  
Healthy Family

In this study, we investigated the relations between family interaction, gratitude, and depressive symptoms among Chinese emerging adults. It also investigated gratitude as a mediator in the relation between family interaction and depression. Data were obtained from 321 college students who completed the online questionnaire about the Family Assessment Instrument, Gratitude Questionnaire, Patient Health Questionnaire, and demographic information. Structural equation modeling (SEM) was used to test hypotheses and bootstrapping with 5,000 resamplings (95% confidence interval) was used to confirm the mediation model. Results showed that gratitude partially mediated the relation between family interaction and depression. In other words, students with healthy family interaction, as indicated by perceived better family communication, mutuality, and harmony with family members, tended to report higher general gratitude, and subsequently diminished depressive symptoms. The practical implications were discussed.

scholarly journals Awakening efficacy of a vibrotactile device in patients on home nocturnal ventilatory assistance and healthy subjects as family caregiver proxies

2020 ◽  
Vol 17 ◽  
pp. 147997312098333
Author(s):  
Valerie Attali ◽  
Sophie Lavault ◽  
Antoine Guerder ◽  
Saba Al-Youssef ◽  
Benjamin Dudoignon ◽  
...  
Keyword(s):  
Healthy Subjects ◽  
Vibrotactile Stimulus ◽  
Chronic Obstructive ◽  
Vibrotactile Stimulation ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
Random Intervals ◽  
Healthy Family ◽  
Central Hypoventilation ◽  
Hypoventilation Syndrome

The objective of this study was to test the capacity of vibrotactile stimulation transmitted to the wrist bones by a vibrating wristband to awaken healthy individuals and patients requiring home mechanical ventilation during sleep. Healthy subjects (n = 20) and patients with central hypoventilation (CH) (Congenital Central Hypoventilation syndrome n = 7; non-genetic form of CH n = 1) or chronic obstructive pulmonary disease (COPD) (n = 9), underwent a full-night polysomnography while wearing the wristband. Vibrotactile alarms were triggered five times during the night at random intervals. Electroencephalographic (EEG), clinical (trunk lift) and cognitive (record the time on a sheet of paper) arousals were recorded. Cognitive arousals were observed for 94% of the alarms in the healthy group and for 66% and 63% of subjects in the CH and COPD groups, respectively (p < 0.01). The percentage of participants experiencing cognitive arousals for all alarms, was 72% for healthy subjects, 37.5% for CH patients and 33% for COPD patients (ns) (94%, 50% and 44% for clinical arousals (p < 0.01) and 100%, 63% and 44% for EEG arousals (p < 0.01)). Device acceptance was good in the majority of cases, with the exception of one CH patient and eight healthy participants. In summary this study shows that a vibrotactile stimulus is effective to induce awakenings in healthy subjects, but is less effective in patients, supporting the notion that a vibrotactile stimulus could be an effective backup to a home mechanical ventilator audio alarm for healthy family caregivers.

Clinical and genetic characteristics in patients under 30 years with sporadic pituitary adenomas

2021 ◽  
Author(s):  
Idoia Martinez de LaPiscina ◽  
Nancy Portillo Najera ◽  
Itxaso Rica ◽  
Sonia Gaztambide ◽  
Susan M Webb ◽  
...  
Keyword(s):  
Pituitary Adenomas ◽  
Tumour Size ◽  
Young Patients ◽  
Mass Effect ◽  
Comparative Genomic ◽  
Clinical Value ◽  
Genetic Characteristics ◽  
Novel Variants ◽  
Disease Penetrance ◽  
Healthy Family

Objective: Pituitary adenomas (PA) are rare in young patients and additional studies are needed to fully understand their pathogenesis in this population. We describe the clinical and genetic characteristics of apparently sporadic PA in a cohort of young patients. Design: Clinical and molecular analysis of 235 patients (age ≤30 years) with a PA. Clinicians from several Spanish and Chilean hospitals provided data. Methods: Genetic screening was performed via next-generation sequencing and comparative genomic hybridization array. Clinical variables were compared among paediatric, adolescent (<19 years) and young adults’ (≥19-30 years) cohorts and types of adenomas. Phenotype-genotype associations were examined. Results: Among the total cohort mean age was 17.3 years. Local mass effect symptoms were present in 22.0% and prolactinomas were the most frequent (44.7%). Disease-causing germline variants were identified in 22 individuals (9.3%), more exactly in 13.1% and 4.7% of the populations aged 0-19 and 19-30 years, respectively; genetically positive patients were younger at diagnosis and had larger tumour size. Healthy family carriers were also identified. Conclusions: Variants in genes associated with syndromic forms of PAs were detected in a large cohort of apparently sporadic pituitary tumours. We have identified novel variants in well-known genes and set the possibility of incomplete disease penetrance in carriers of MEN1 alterations or a limited clinical expression of the syndrome. Despite the low penetrance observed, screening of AIP and MEN1 variants in young patients and relatives is of clinical value.

POLICY IMPLEMENTATION OF A HEALTHY INDONESIA PROGRAM WITH A FAMILY APPROACH IN BANDUNG DISTRICT

2021 ◽  
Vol 8 (3) ◽  
pp. 143-155
Author(s):  
Uri Zaenuri ◽  
Ria Arifianti ◽  
Ratna Meisya Dai
Keyword(s):  
Policy Implementation ◽  
Community Health ◽  
Community Health Center ◽  
Health Sector ◽  
Training Methods ◽  
Implementation Model ◽  
Family Approach ◽  
The Social ◽  
Healthy Family ◽  
Policy Measures

The purpose of this study was to determine the implementation of the Healthy Indonesia Program with a Family Approach which is indispensable as a determinant of the success of the Bandung Regency Government's performance in the health sector. The Healthy Indonesia Program with a Family Approach is a priority program of the Ministry of Health which is implemented by the Center for Community Health. The implementation of the Healthy Indonesia Program with a Family Approach in Bandung Regency was only carried out in 2017 with program socialization activities at the Health Office and Community Health Center levels. The research method used is descriptive qualitative with the approach of Donald van Meter and Carl van Horn's policy implementation model. The findings from the implementation of the Healthy Indonesia Program with a Family Approach in Bandung Regency have been implemented but have not yet reached the target of total coverage. The Bandung Regency Healthy Family Index is included in the unhealthy assessment (<0.8). So that the success of implementation will be achieved when making improvements from deficiencies, both in terms of standards and policy targets or policy measures and objectives, resources, characteristics of the implementing organization, attitudes of the implementers, communication between organizations and implementing activities, and the social, economic and political environment. Suggestions from this study are to improve the empowerment of family roles and community potential with training methods for community cadres, continue the enumerator recruitment program to assist with home visits and data collection and data input, advocate for budget allocations sourced from regional revenue and expenditure budgets.

scholarly journals Dr. F. Rapchevskiy. To symptomatology of eclamptic generic convulsions. (Gazeta lekarska, No. 39, 1894)

2020 ◽  
Vol 8 (9) ◽  
pp. 849-851
Author(s):  
B. Polonsky
Keyword(s):  
Lower Extremities ◽  
Excellent Health ◽  
Healthy Family

A woman of 20 years old, married for 3 years, enjoying excellent health, from a healthy family. From 15 years of age, he menstruates correctly after 4 weeks 4-5 days. A year and a half ago, she gave birth on time safely; the pregnancy proceeded without any deviation from the norm. She is currently 7 months pregnant. 14 / I 94, the patient consulted the author about a felt extraordinary weakness in the lower extremities. Only insignificant swelling of the legs was ascertained; there was no plaque in the urine. Nowhere, in any organs, nothing special was found.

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