Implementation of a Geriatric Patient-Centered Medical Home: the Geriatric Patient – Aligned Care Team (GeriPACT)
Abstract
2147 13100
Implementation of a Geriatric Patient-Centered Medical Home: the Geriatric Patient – Aligned Care Team (GeriPACT)by
Abstract
Background: A Veterans Health Administration (VHA) patient centered medical home, the Geriatric Patient- Aligned Care Team (GeriPACT). Methods: Plan-Do-Study-Act (PDSA) cycles regarding strategy, resource development, patient and caregiver experience of care, and clinical care process improvement. Stakeholder engagement for half-time operation with initial grant support for personnel who also had collateral duties. Tracking of operations data. Results: The clinic population grew from 200 to 627 over a 7-year period [...] 2147 13100 |
Transient Phenomenon in Polymer-Dispersed Liquid CrystalsAbstract
In the present study, we report the experimental results related to the transient phenomenon, i.e., the time-dependent changes in the electro-optical properties of as-made polymer-dispersed liquid crystal (PDLC) films prepared by the UV-curing phase-separation method. This phenomenon occurs explicitly via polymer-induced phase separation when the matrix curing is not complete, some liquid crystal plasticized in the matrix, and some uncured pre-polymer components remain in the liquid crystal droplets. The outcome is [...] 1908 13091 |
Palmitoylethanolamide for Neurological DisordersAbstract
Neurological tissue along with the cartilage remains one of the tissues that escapes human efforts of regeneration after injury. The human body, after an injury, can repair its tissues only to a certain extent that can help in recovering the function of organs. However, this is not the case in some organs, such as the brain and spinal cord. For a long time, basic medical science has been investigating the regeneration process that helps the human body, which is mainly through the pharmacological agents, proteins/ot [...] 1650 13085 |
Physical Activity’s Impact on Quality of Life in Older Adults with Dementia: A Systematic ReviewAbstract
Individuals with dementia frequently report poor quality of life (QOL), which declines as their disease progresses. Some evidence suggests that physical activity may help maintain cognitive function in older age, but it is unclear whether physical activity affects quality of life in older adults with dementia. The purpose of this review paper is to explore whether and how physical activity impacts QOL in patients with diagnosed dementia in different residential settings. To conduct this systematic review, the follo [...] 1600 13072 |
Mindfulness Meditation in College Students to Advance Health EquityAbstract
Purpose: High levels of mindfulness correspond with some positive health behaviors such as exercise participation, fruit and vegetable intake, and effective stress management. This study provided mindfulness meditation during an academic semester to a group of predominantly minority college students derived from a population in which 77.9% of the students are considered economically disadvantaged, to assess the effects of mindful meditation on various health behaviors and mindfulness to combat avoidable health ineq [...] 2034 13066 |
Brief Review: Pancreatic Islet Transplantation for Type 1 Diabetes in HumansAbstract
Pancreatic islet transplantation (ITx) has moved from the experimental phase of development to a position of an accepted and appropriate procedure to apply in clinical medicine. The primary indication for use of ITx is for management of dangerous and recurrent hypoglycemia secondary to use of exogenous insulin for management of hyperglycemia in people with type 1 diabetes. ITx involves procurement of a pancreas donated by a person who has died. The organ is taken to a specialized laboratory for isolation of islets [...] 1286 13057 |
Hot Topics on Nutrition in IBDby
Abstract
Inflammatory bowel diseases (IBD) affect primarily the bowel, but they are multisystemic diseases with a wide range of extraintestinal manifestations and complications. Nutritional imbalance occurs frequently in patients with IBD. The spectrum of malnutrition goes from undernutrition (low protein-caloric intake, disease-related malnutrition, micronutrient deficiencies) to overnutrition and obesity. The nutritional status of patients with IBD is increasingly recognized as a key aspect of the treatment and must be ad [...] 1780 13050 |
Synaptic Plasticity and Learning Processes: A Neuroeducation PerspectiveAbstract
The story of each individual is essentially the story of their learning processes and relationships from the moment they were born. Indeed, the story of learning processes is merely a constant stratification of experiences based on biological and neurofunctional features that are influenced by genetic and cultural factors and subject to environmental stimuli constantly reshaping their behaviour.Neuroscientific studies conducted over the past decades have highlighted a unique feature of the human nervous system, cal [...] 1935 13049 |
Healthcare-Related Qigong for the Prevention of Lifestyle-Related Diseasesby
Abstract
Qigong is a form of traditional Chinese exercise combining breathing, movement, and meditation to improve fitness for the purpose of preventing disease and prolonging life. We review the clinical efficacy and underlying mechanism of the application of Qigong in the healthcare setting. In addition, we discuss topics such as the impacts on respiratory, cardiovascular function, and immune function, as well as studies of the influences on brain function and mental health. In summary, there is strong evidence of the cli [...] 2120 13034 |
Association of Telomere Length, a Cellular Aging Marker, with Depression, PTSD and HostilityAbstract
Depression, PTSD, and hostility are common mental conditions that are associated with aging. A growing body of research has highlighted the possible effects of depression, PTSD, and hostility on aging and telomere length (TL), a cellular aging marker. Individuals who exhibit excessive responses to stressors show notable circulating inflammatory responses with high cortisol reactivity, which increases cell turnover and oxidative stress and may subsequently contribute to shortened TL. This review focuses on the most [...] 2180 13008 |
Perspectives on the Neurobiology of Antipsychotic Drugs in Psychiatric DisordersAbstract
Antipsychotics have been a pillar in the treatment of schizophrenia since their introduction more than 60 years ago. Their variety in structures and receptor binding properties confers on them a complex clinical profile of effectiveness and risk of adverse side-effects. Although antipsychotics are best known for their therapeutic effects in schizophrenia, these are limited to the positive symptoms, with much less influence on negative symptoms or cognitive deficits. Moreover, although the newer (so-called second-ge [...] 1469 13005 |
Cultural Eutrophication Impacts on New River in Northern Belize: A Community Capitals Assessmentby
Abstract
Watershed health and integrity are essential to human and ecosystem health and well-being. New River watershed communities in northern Belize, Central America are vulnerable to annual ‘cultural eutrophication’ - natural eutrophication exacerbated by human activity. Human-caused pollution from agriculture, septic effluent, and industrial drainage, in combination with extended drought and the slow flow of New River, has caused more frequent and prolonged periods of eutrophication. In this qualitative study, 42 New Ri [...] 1289 13000 |
Experimental Study of Lean-burning Limits of Hydrogen-enriched LPG Intended for Domestic UseAbstract
The lean-burning limits of hydrogen-enriched Liquefied Petroleum Gas (LPG) have been studied using a Bunsen burner. The lean-burning limits under different conditions are important design considerations in developing gas-fired domestic appliances. In this study, the lean-burning limits of hydrogen-enriched LPG have been obtained across a wide range of Reynolds numbers (600 to 1800) and H2 volumetric fractions (0% to 25%). The results show that the lean-burning limit is increased, on average, by 4.0% to 7.2% for eve [...] 2522 12997 |
Participation in an Online Prenatal Mindfulness- Relationship-Based (PMRB) Program: Outcomes for Maternal Mindfulness, Mental Health, Interoception, and Mother-Infant Relationship during Pregnancy and Post-PartumAbstract
This feasibility study sought to investigate the impact of an online 9-session Prenatal Mindfulness Relationship-Based (PMRB) group treatment program upon maternal mental health (depression, anxiety, and stress), interoception, and mother-infant relationship during pregnancy and post-partum. The study was designed in two parts 1) a quantitative examination of pre, post-treatment and 10-12 weeks post-partum measures targeting 13 pregnant women from a non-clinical population and 2) a qualitative exploration of the sa [...] 2066 12994 |
Heart Rate Variability during Acupuncture Treatment of Lumbosacral PainAbstract
Pain could be directly related to autonomous imbalance. To date, only one scientific work examining heart rate variability (HRV) and heart rate (HR) as the important parameters of autonomous nervous system (ANS) in the context of clinical routine acupuncture treatments for lumbosacral pain conditions is available in the listed databases. The present study aimed to investigate the short-term effects of HRV and HR, during and after the acupuncture needle stimulation in patients with lower back pain. Eighteen patients [...] 2023 12993 |
The Way is in Training: Martial Arts-informed Compassionate Mind Training to enhance CFT Therapists’ Compassionate Competenciesby
Abstract
Traditional Martial Arts practice(s) can be construed as forms of fully embodied Compassionate Mind Training (CMT). Integration of these body-mind systems can be a powerful means to cultivate and entrain important therapist competencies in compassionate engagement and action. Through such training and personal practice, compassion-focused therapists can develop and enhance their abilities to stimulate and access compassionate motivation at a deeply embodied level. Martial arts-informed CMT thus has the potential to [...] 1933 12990 |
Next Generation Sequencing in Autism Spectrum DisorderAbstract
Autism spectrum disorder is a clinically heterogeneous condition, characterized by social deficits, language impairment, repetitive behaviors, and restricted interest. Autism displays significant genetic heterogeneity. In the past one and a half decades, next generation sequencing has enabled identification of many variants that predispose to autism. These discoveries have improved understanding of the disease etiology of autism spectrum disorder. In this review article, we will address how development of next gene [...] 2087 12982 |
Theory and Interpersonal Processes in Compassion Focused TherapyAbstract
This paper reviews key theories underlying the interpersonal process in Compassion Focused Therapy (CFT) and links these to purported mechanisms of action in CFT. The paper goes on to provide a concrete practice example of an exampled dialogue between a clinician and client and narrates the interpersonal processes and mechanisms of action in an attempt to elucidate how interpersonal processes can be leveraged to facilitate therapeutic change. In so doing, this paper seeks to advance scholarship on precise mechanism [...] 1770 12971 |
Sleep Disorders in Children with Central Nervous System TumorsAbstract
Sleep complaints are common in pediatric patients with central nervous system (CNS) tumors. These problems may result from disruption of normal homeostatic, circadian, neuroendocrine, and cardiorespiratory pathways and vary by tumor location and treatment received. Children with tumors within the hypothalamus and surrounding regions are prone to excessive daytime sleepiness. Sleep-related breathing disorders, especially those involving abnormal control of breathing, may occur in patients with tumors of the brainste [...] 1611 12971 |
Views of Conventional Medicine and Integrative Medicine among Informal Dementia Caregivers and Healthcare Professionals in NW EnglandAbstract
The urgent need for innovative approaches to dementia treatment that are acceptable, effective and affordable underlies this research. Growing evidence supports ‘integrative medicine’ as a potential treatment approach aligned with and including conventional medicine. However, success will depend on addressing barriers, recognising needs of diverse communities and involving people in co-creating desired interventions. The three aims of this study were to, 1) describe conventional allopathic medicine and integrative [...] 1641 12970 |
Examination of PCDD/F Formation in Thermal Systems Using Simple Mathematical ModelsAbstract
A set of empirical models which accounts for the formation of gas phase polychlorinated dibenzo-p-dioxins and furans (PCDD and PCDF), and solid phase PCDD/F by the de novo mechanism is described.In each case, competing formation and destruction reactions are considered to operate.The effect of the time-temperature history on their formation is then examined.At high temperatures, steady-state is reached in fractions of a second, resulting in the observed low product concentrations.Rapid cooling as found in furnaces [...] 1623 12952 |
Synthesis of NaA Zeolite: Conventional Route and Green RouteAbstract
The research describes a sustainable approach for the synthesis of zeolite NaA using kaolin as an alternative source of silica. The main objective of this research was to prepare NaA zeolite using metakaolin derived from kaolin from the state of Rio Grande do Norte, Brazil, as an alternative source of silica, reducing the production cost and evaluating its thermal stability. In addition, a study of the thermal stability of the zeolite and cost estimates for zeolite production were carried out. Traditional methods o [...] 2127 12940 |
Living in an Age of Longevity: Enduring Insights and Perspectives for Embarking on a Quest for Health and Well-Being in Later LifeAbstract
While increases in life expectancy along with extended longevity can be seen as a success story, there remains the central issue surrounding the health and quality of life for increasing numbers of older people. As populations live longer the idea that older people should be empowered to remain active and productive citizens will be paramount. Questions concerning the meaningfulness, purpose and desirability of living longer present an existential challenge for all and sundry. It is clear, that the speed of populat [...] 1695 12934 |
Silk-CNT Mediated Fibroblast Stimulation toward Chronic Wound RepairAbstract
Background:Diabetic patients suffer from chronic wounds partly due to altered function of fibroblasts. Fibroblasts of diabetic patients synthesize collagen I (COLI) at a much higher level than collagen III (COLIII), resulting in delayed tissue granulation and, consequently, a delay in the overall wound healing process.
Methods:We aimed to revive the matrix protein productivity of diabetic fibroblasts by employing aligned, electrically conductive and biocompatible spider silk-CNT fibers as a cell culture matrix to m [...] 2420 12922 |
Religious and Traditional Fasting May Be an Alternative Method to Tackle Global Health Threats and the Epidemic of ObesityAbstract
Intermittent fasting practices, recommended as a potential nutritional approach against obesity and metabolic diseases, have become increasingly widespread in recent years. Although convincing data on the anti-obesity and cardio-metabolic benefits of intermittent fasting are obtained mostly from experimental studies, religious and traditional fasting practices have been among the treatment methods applied for human health for centuries. Both intermittent fasting and religious fasting may be a promising strategy for [...] 1362 12912 |
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