Improvement In General Health Research Articles

Participation-oriented psychotherapy for patients with mental disorders who are able or unable to work : Results of asurvey of practicing psychotherapists

Treatment of (chronic) mental disorders must focus on both reducing symptoms and improving social and work participation by social medicine treatments and counselling. The objective of this study was to compare psychotherapy patients who are fit or unfit for work to describe similarities and differences regarding patient status and interventions. Interviews were performed with 73cognitive behavior therapists and 58psychodynamic psychotherapists about 188 and 134 recent cases they had seen, respectively. The case reports referred to patients who were on average 42years old (65% females). There were no differences between patients with no or short-term sick leave (up to 6weeks, n = 156) and patients with longer sick leave (7weeks or more, n = 140) with respect to basic characteristics of treatment (side effects, therapeutic alliance). Patients with alonger sick leave duration had more severe capacity and participation impairments and received more specific work participation-oriented treatments, whereas general saluto-therapeutic activities (sports-club, counselling, family-support) were similarly undertaken in patients with shorter or longer sick leave. Therapists chose intervention options according to indication: in patients with work participation problems, more work-related treatments are undertaken, whereas interventions for general mental health improvement are distributed independent of specific work participation problems.

High-intensity interval training in patients with glaucoma (HIT-GLAUCOMA): protocol for a multicenter randomized controlled exercise trial.

Glaucoma stands as a prominent global cause of irreversible blindness and the primary treatment approach involves reducing intraocular pressure (IOP). However, around one-third of patients exhibit disease progression despite effective IOP reduction. Microvascular endothelial function, chronic inflammation, and oxidative stress are known to affect retinal neuronal networks and have been associated with disease severity and progression. Exercise training has the potential to counteract these mechanisms as add-on treatment to usual care. The HIT-GLAUCOMA study will investigate the effects of a 6-month high-intensity interval training (HIIT) on intermediate endpoints such as local retinal microvascular and systemic large artery function, inflammation, and oxidative stress as well as clinical endpoints such as visual field indices, optic nerve rim assessment, retinal nerve fiber layer thickness, IOP, number of eye drops, vision-related quality of life and ocular surface disease symptomatology. The study is a multi-center randomized controlled clinical trial in patients with both normal tension and high-tension primary open angle glaucoma. Across two study centers, 128 patients will be enrolled and randomized on a 1:1 basis into an exercise intervention group and a usual care control group. The primary microvascular endpoints are retinal arteriolar and venular flicker light-induced dilation at 6months. The primary endpoint in the systemic circulation is brachial artery flow-mediated dilation at 6months. We hypothesize that exercise therapy will improve retinal microvascular function and thus ocular blood flow in patients with glaucoma. As clinical outcomes, we will investigate the effect of exercise on visual field indices, optic nerve rim assessment, retinal nerve fiber layer thickness, IOP, number of eye drops, vision-related quality of life and ocular surface disease symptomatology. HIT-GLAUCOMA is a blueprint trial design to study the effect of exercise training on neurodegenerative and cardiovascular diseases. Importantly, patients are also expected to benefit from improvements in general health and cardiovascular co-morbidities. If proven effective, exercise may offer a new add-on treatment strategy to slow glaucoma progression. The trial is registered at Clinicaltrials.gov under the identifier NCT06058598 and is currently in the recruitment stage.

Effect of Emotional Intelligence on the General Health and Life Orientation of Adolescents Who Have a Hearing Impairment

ABSTRACT Deafness is a common sensorineural disorder that can lead to lower quality of life and life orientation. Hence, we examined the effect of emotional intelligence (EI) on the general health and life orientation of adolescents who have a hearing impairment. The Participants were 32 adolescents aged 16–19 years selected via random sampling method from Deaf schools in Isfahan. They were randomly divided to intervention and control groups. Each group also consisted of 16 adolescents. The intervention group participated in an EI program for 12 sessions. These sessions were implemented for 45 minutes a day, two days a week for six weeks. Data were collected by a General Health Questionnaire (GHQ) and Life Orientation Test (LOT). The findings suggested that EI training significantly influenced the general health and life orientation of the experimental group, after participation in the intervention sessions. These results suggest that EI might result in positive and effective consequences and might play an important role in the improvement of general health and life orientation of the participants. For this reason, these findings have critical implications for therapists, teachers, and parents in supporting adolescents who have a hearing impairment to develop their general health and life orientation.

RELATIONSHIP AMONG EXPERIENTIAL AVOIDANCE, COGNITIVE EMOTION REGULATION STRATEGIES, AND DEPRESSION

Depression is a prevalent psychiatric illness and a leading cause of disability worldwide. Experiential Avoidance (EA) and maladaptive cognitive emotion regulation (CER) strategies are significant predictors of depression, yet their interaction remains poorly understood. This study aimed to investigate the relationship between experiential avoidance, CER strategies, and depression, while examining the arbitrating role of maladaptive CER strategies in the association between EA and depression. A purposive sample of N= 354 patients diagnosed with Major Depressive Disorder was recruited from three teaching hospitals. Following research and clinical ethics protocols, measures were administered. Results revealed that participants in the treatment group N=38 demonstrated statistically significant improvement in depression, general health, and quality of life, with sustained effects observed at 9 months post-baseline. Additionally, participants in the treatment group reported higher treatment satisfaction compared to the control group N=38. Spiritual-integrated cognitive-behavioral therapy (CBT) shows promise in alleviating post-partum depression when compared to treatment as usual. Future research should explore the generalizability of these findings and investigate potential mechanisms underlying the effectiveness of spirituality-integrated CBT in treating depression.

Comparison of the efficacy and complications of tolterodine and α-adrenergic receptor blockers in improving ureteral stent-related symptoms: A systematic review and meta-analysis.

We conducted a systematic evaluation of the therapeutic efficacy and complications of tolterodine and α-adrenergic receptor blockers in alleviating ureteral stent-related symptoms. Until August 2023, we conducted a comprehensive literature search on PubMed, Embase, Web of Science, and Cochrane Library to identify randomized controlled trials evaluating the efficacy and complications of tolterodine and α-adrenergic receptor blockers in treating ureteral stent-related symptoms. Two reviewers independently screened studies and extracted data. The scores from various domains of the Ureteral Stent Symptom Questionnaire (USSQ) were summarized and compared, and statistical analysis was performed using RevMan 5.4.0 software. A total of 8 studies met the inclusion criteria for our analysis. These studies were conducted at different centers. All studies were randomized controlled trials, involving a total of 487 patients, with 244 patients receiving α-adrenergic receptor blockers and 243 patients receiving tolterodine. The results showed that tolterodine demonstrated significantly better improvement in body pain (MD, 1.56; 95% CI [0.46, 2.66]; p = 0.005) (MD, 0.46; 95% CI [0.12, 0.80]; p = 0.008) (MD, 3.21; 95% CI [1.89, 4.52]; p = 0.00001) among patients after ureteral stent placement compared to α-adrenergic receptor blockers at different time points. Additionally, at 4 weeks, tolterodine showed superior improvement in general health (MD, 0.15; 95% CI [0.03, 0.27]; p = 0.01) and urinary symptoms (MD, 1.62; 95% CI [0.59, 2.66]; p = 0.002) compared to α-adrenergic receptor blockers, while at 6 weeks, tolterodine showed better improvement in work performance (MD, -1.60; 95% CI [-2.73, -0.48]; p = 0.005) compared to α-adrenergic receptor blockers. Additionally, the incidence of dry mouth (RR, 4.21; 95% CI [1.38, 12.87]; p = 0.01) is higher with the use of tolterodine compared to α-adrenergic receptor blockers. However, there were no significant statistical differences between the two drugs in other outcomes. This meta-analysis suggests that tolterodine is superior to α-adrenergic receptor blockers in improving physical pain symptoms after ureteral stent placement, while α-adrenergic receptor blockers are more effective than tolterodine in enhancing work performance. Additionally, the incidence of dry mouth is higher with the use of tolterodine compared to α-adrenergic receptor blockers. However, higher-quality randomized controlled trials are needed to further investigate this issue.

THE EFFECT OF OSTEOARTHRITIS GRADE ON PATIENT-REPORTED OUTCOME MEASURES AFTER TOTAL HIP ARTHROPLASTY: A SYSTEMATIC REVIEW AND META-ANALYSIS

Although total hip arthroplasty (THA) is beneficial for many patients with hip osteoarthritis (OA), a subset of patients experience minimal benefit. It is therefore pertinent to understand the predictors of poor functional outcome to facilitate shared decision making. One such predictor is preoperative radiographic OA severity. The aim of this systematic review was to determine whether preoperative radiographic OA severity could predict postoperative patient-reported outcome measures (PROMs) and satisfaction rates after THA.This systematic review was conducted according to PRISMA guidelines, and the protocol published in PROSPERO (ID:Â CRD42023445918). A literature search was performed using Embase, MEDLINE and Cochrane Library databases. Demographics, radiographic OA severity, PROMs, satisfaction, and complications after THA were collected. A meta-analysis was performed, where appropriate, using a random-effects model.Of 631 identified articles, 12 were included in the final analysis (8,034 participants; mean age 65.2, 38.1% male, mean BMI 29.1 kg/m2). There were three key findings. Firstly, those with mild OA are less likely to achieve a meaningful clinical improvement in PROMs (odds ratio (OR) 0.50, 95% confidence interval (CI) 0.38, 0.65; p < 0.00001). Secondly, two studies indicates that postoperative patient satisfaction was lower in participants with mild OA. Thirdly, participants with mild arthritis experience less improvement in SF-36 physical functioning (mean difference (MD) -8.31, 95% CI -10.97, -5.64; p < 0.00001) and role physical (MD -5.59, 95% CI -8.40, -2.77; p < 0.0001), but showed higher improvement in general health (MD 1.68, 95% CI 0.31, 3.06; p = 0.02).Patients with mild OA, as determined radiographically, are less likely to achieve meaningful clinical improvements in PROMs and have lower postoperative satisfaction after THA. This information will improve collaborative decision-making in the preoperative period.

Advantages of team sports during the physical training of future border guards

Professional training of military personnel is one of the most urgent problems today. Physical training of border guards is defined as one of the most important indicators of professionalism and is the basis of their professional activity. The high role given to physical training in the educational process of departmental educational institutions during the period of their training and retraining is due to the fact that the professional activity of border guards is directly related to various situations that make high demands on the physical fitness of border guards, their personal, moral-willed, mental and intellectual qualities. The use of team sports in the training of military personnel can be a key element in maximizing their potential. The use of team sports is an important component of physical fitness, as it not only promotes the development of physical skills, but also builds key communication and social skills. Active participation in team sports involves systematic physical activity, which contributes to the improvement of general health and well-being. Team games help foster the values of team cooperation and interaction. These sports also help build leadership skills, foster commitment to a common goal, and teach effective teamwork. In a team environment, players learn to work toward a common goal, support each other's strengths, and compensate for each other's weaknesses. Team exercises can be used to achieve specific physical goals, such as improving coordination, developing endurance and increasing strength, while aspects of cooperation and understanding also become important exceptions during classes. The article analyzes the possibility of using the full potential of team games during the physical training of cadets.

Thyroidectomy for Euthyroid Patients with Hashimoto Disease and Persistent Symptoms: An Observational, Postrandomization Study.

Despite adequate hormone substitution in Hashimoto disease, some patients may have persistent symptoms with a possible autoimmune pathophysiology. A recent randomized trial (RCT) using patient-reported outcome measures as the primary endpoint showed benefit in total thyroidectomy, but at a cost of high complication rates. To verify results from the RCT in an observational study including a wider range of patients and explore means of predicting who may benefit from such surgery. A total of 154 patients with Hashimoto disease, euthyroid with or without thyroid hormone substitution, and persistent Hashimoto-related symptoms were subjected to total thyroidectomy and followed for 18 months after surgery. The primary outcome was the General Health (GH) dimensional score in the Short Form-36 Health Survey (SF-36). Eighteen months after surgery, a clinically significant improvement in GH was seen, similar to the findings in the previous RCT. Anti-TPO antibody titers were markedly reduced after surgery, but preoperative titers or other preoperative parameters could not predict the outcome of surgery. Three (1.9%) of 154 patients experienced permanent unilateral recurrent nerve palsy and six (3.9%) experienced hypoparathyroidism after surgery. Thyroidectomy had a beneficial symptom-reducing effect in euthyroid patients with Hashimoto disease and persistent symptoms. The pathophysiology of residual symptoms remains unclear, and surgical complication rates are high. If thyroidectomy is considered as a treatment option, it should be performed in dedicated centers with experienced endocrine surgeons and as part of further studies on persistent symptoms. This trial is registered with NCT-02319538.

IJCM_248A: Visual health related to quality of life and visual acuity in cataract patients advised for surgery: A hospital-based cross-sectional study

Background: Vision plays a pivotal role in daily activities, and its impairment, often caused by cataracts, significantly impacts the quality of life. Cataracts, characterized by cloudiness or opacity in the eye lens, contribute significantly to visual impairment, especially in individuals over 60 years. The prevalence of cataract-induced blindness in India is alarmingly high, with 80.1% of blindness and 58% of senile cataract cases attributed to this condition. Objectives: To assess the impact of cataract surgery on the visual health- related quality of life (VHRQoL) among patients. Methodologyology: This hospital-based cross-sectional study was conducted at Government Wenlock Hospital and KMC Mangalore Attavar, hospitals affiliated to Kasturba Medical college, Mangalore. The study included cataract patients, both preoperative and postoperative, excluding those with other eye-related disorders. Non-probability (purposive) sampling was employed, determining a sample size of 60 based on a 95% confidence level and 62% prevalence of cataract. Results: Patients undergoing cataract surgery exhibited notable improvements in general vision, ocular pain, mental health, and near activities. Enhanced role performance, social life, and reduced dependency were observed. Post-operative visual acuity improved, especially for pre-operative values below 6/18. VFQ-J11 revealed significant associations in 4 out of 7 domains, surpassing VFQ-25 (2 out of 12), making VFQ-J11 a preferred tool for assessing pre- operative and post-operative patients. Conclusion: The cataract surgery leads to an overall enhancement in the quality of life for the majority of patients, with a moderate correlation between VHRQoL improvement and visual acuity.

Взаимосвязь уровней гистамина, диаминоксидазы и субстанции P в сыворотке крови у пациентов с хронической крапивницей

The onset and progression of various disorders, including chronic urticaria, are associated with stress. The gut-brain-skin axis is used to describe correlations among the nervous system, gastrointestinal tract states and systemic and skin inflammation. We have summarized inflammatory and immune mechanisms underlying chronic urticaria and stress in the context of the gut-brain-skin axis. The study was aimed to show the relationships between substance P, the neurotransmitter, and diamine oxidase, the enzyme disrupting histamine in the gut of patients suffering from chronic urticaria. A total of 165 adults aged 18–68 were enrolled; 97 patients had chronic urticaria, the comparison group was formed of 68 nominally healthy individuals. ELISA (Cloud-Clone Corp; China) was used to simultaneously estimate serum levels of substance P, diamine oxidase, and histamine. We revealed a significant positive correlation (ρ = 0.5; p < 0.05) between substance P and diamine oxidase in patients with chronic urticaria and in the comparison group, which confirmed the existence of the gut-brain-skin axis. The paper provides theoretical background and new targets for treatment of chronic urticaria. The possibility of prevention and treatment of these disorders by modulation of gut microbiota is discussed, the place of diet and the lifestyle modification contributing to improvement of general health are determined.

Аdvantages of team sports during the physical training of future border guards

Professional training of military personnel is one of the most urgent problems today. Physical training of border guards is defined as one of the most important indicators of professionalism and is the basis of their professional activity. The high role given to physical training in the educational process of departmental educational institutions during the period of their training and retraining is due to the fact that the professional activity of border guards is directly related to various situations that make high demands on the physical fitness of border guards, their personal, moral-willed, mental and intellectual qualities. The use of team sports in the training of military personnel can be a key element in maximizing their potential. The use of team sports is an important component of physical fitness, as it not only promotes the development of physical skills, but also builds key communication and social skills. Active participation in team sports involves systematic physical activity, which contributes to the improvement of general health and well-being. Team games help foster the values of team cooperation and interaction. These sports also help build leadership skills, foster commitment to a common goal, and teach effective teamwork. In a team environment, players learn to work toward a common goal, support each other's strengths, and compensate for each other's weaknesses. Team exercises can be used to achieve specific physical goals, such as improving coordination, developing endurance and increasing strength, while aspects of cooperation and understanding also become important exceptions during classes. The article analyzes the possibility of using the full potential of team games during the physical training of cadets.

Novel Antireflux “RELIEF” Stent to Prevent Vesicoureteral Reflux

ObjectiveTo assess efficacy, comfort, & symptoms of a novel ureteral stent (RELIEF) substituting the distal semirigid coil of a traditional double-J (DJ) for a floating, monofilament tether allowing coaptation of the ureteral orifice. Ureteral instrumentation notoriously cause discomfort, urgency, frequency, dysuria & hematuria; prolonged morbidity is likely related to stent-associated vesicoureteral reflux (VUR). We hypothesized this design would eliminate VUR, be safe & provide comfort following intervention. Methods28 patients within a single institution were enrolled. Passive cystography was performed pre- & post-stent placement assessing VUR. Patients completed Ureteric Stent Symptoms Questionnaires (USSQ) before placement (baseline), post-op day 1, & day of removal. Results20 RELIEF stents were placed (11 female and 9 male). 95% demonstrated no VUR following placement. No unexpected adverse complications occurred; 1 patient opted for early stent removal for significant discomfort. Average total USSQ scores demonstrated statistically significant improvement between first and third surveys (p<0.001). Statistically significant improvement in body pain, general health & work performance scores were noted as well (p<0.05). ConclusionsThe RELIEF stent eliminates VUR with similar stent-related morbidity and overall well-tolerance. RELIEF associated USSQ scores were below published mean symptom scores for standard DJ stents and appear safe in this preliminary clinical trial.

Blood purification practices: Some ethnopharmacological insight from a rural community in KwaZulu-Natal, South Africa

Ethnopharmacological relevanceBlood purification practices, also referred to as blood cleansing or detoxification, is an ancient concept which is widespread within African traditional medicine. There is, however, limited consolidated information about the selection of plant species, the purpose of use and how the preparation is made. An in-depth examination of how regional communities use medicinal plants for blood purification is needed to better understand this ethnopharmacological practice. Aim of the studyTo gather knowledge on the traditional use of medicinal plants used for the purpose of blood purification by laypersons in northern Maputaland, KwaZulu-Natal, South Africa. MethodsAn ethnobotanical survey was conducted on medicinal plants used in the rural areas of northern Maputaland for blood purification. Interviews were conducted in 55 homesteads, where the most knowledgeable participant per household was interviewed using structured questionnaires. Information collected included knowledge of the concept of blood purification, purpose for medicating, plant selection, and mode of preparation. The most important species and families were identified through indices. ResultsSixty-four plant species from 35 families were recorded as blood purifiers for the treatment of ailments linked to the need for blood purification. Terminalia sericea Burch. ex DC. was the most used plant species (mentioned by 39% of the people interviewed). The conditions that were mostly associated with blood purification were skin complaints, gastro-intestinal disorders, and overall improvement of general health. Blood purification is also commonly used for non-medical purposes such as granting good luck or as a love charm. Six new plant species and five new Zulu vernacular names had not previously been documented for blood purification. ConclusionThe frequently mentioned use of medicinal plants for blood purification by the rural community of northern Maputaland clearly emphasises the importance of this cultural practice. There is no doubt that when examining African traditional medicine, holistic terms such as “blood cleansing” cannot be ignored. Future studies may provide a better understanding of this often misunderstood and undocumented practice.

Evaluating Preconception Health and Behaviour Change in Australian Women Planning a Pregnancy: The OptimalMe Program, a Digital Healthy Lifestyle Intervention with Remotely Delivered Coaching.

OptimalMe is a digital healthy lifestyle intervention for women planning a pregnancy, with remotely delivered coaching. This follow-up study of Australian women, stratified by coaching delivery mode (phone vs. videoconferencing), assessed alignment to preconception care guidelines and self-reported behaviour change. Overall, 298 women enrolled with a mean (SD) age of 31.8 (4.3) years and mean BMI of 25.7 (6.1) kg/m2. Suboptimal preconception behaviours were reported at baseline, including alcohol consumption (57.2%), infrequent weighing (37.2%) and incomplete cervical cancer screening (15.8%) and prenatal supplementation (38.5). At follow-up (4.5 months) (n = 217), a statistically significant shift towards desired behaviours was reported for alcohol consumption (z = -2.6045, p = 0.00932), preconception supplementation (z = -2.7288, p = 0.00634) and frequent weight monitoring (z = -5.2911, p < 0.00001). An insignificant shift towards adherence to cervical cancer screening (z = -1.8679, p = 0.06148) was observed, with a positive trend towards adherence. Results indicate that women who are actively planning a pregnancy require support to optimise health and lifestyle in preparation for pregnancy and general health and lifestyle improvement. Women demonstrated improvement in lifestyle behaviours and self-monitoring, indicating the uptake of low-intensity, non-prescriptive information provision. Supporting the provision of knowledge-enhancing tools and general healthy lifestyle information combines with skilled health coaching as an effective method for behaviour change and self-management. OptimalMe also shows significant improvements in rates of healthcare engagement, which suggests coaching-based digital health interventions may decrease women's barriers for preconception care and improve engagement in clinical settings.

IoT-Based Health Monitoring System: Design, Implementation, and Performance Evaluation

The Internet of Things (IoT) technology's rapid improvements have opened the door for creative solutions across a range of industries, including healthcare. An IoT-based health monitoring system that aims to revolutionise patient care and healthcare administration is described in this study along with its design, implementation, and performance evaluation. To continuously gather and send health-related data, our system makes use of a network of wearable sensors and gadgets that are seamlessly incorporated into a patient's daily life. Vital indicators like heart rate, blood pressure, temperature, and activity levels are tracked by these devices. To enable real-time analysis and storage, the data is safely sent to a centralised server. Both patients and healthcare professionals can access this information through a user-friendly smartphone application, enabling proactive healthcare decision-making. An effective and scalable architecture is used in the implementation of this system to guarantee the confidentiality, accuracy, and reliability of the data. The data is analysed using machine learning algorithms, which enables the early identification of abnormalities and trends that could portend serious health problems. The system can also produce warnings and notifications, ensuring prompt intervention when it's necessary. Our IoT-based health monitoring system's performance review indicates how well it performs in terms of enhancing healthcare outcomes. The solution gives healthcare professionals immediate access to crucial health information, allowing them to personalise treatment regimens, offer remote consultations, and make educated judgements. Continuous monitoring benefits patients by allowing for early intervention, fewer hospital stays, and an improvement in general health. Additionally, the system's scalability and versatility make it appropriate for a variety of healthcare settings, including small-scale home care and extensive hospital networks.

Inspiratory muscle training in patients with obesity: a systematic review and meta-analysis

IntroductionObesity is a chronic medical condition that affects, among others, the cardiovascular and respiratory systems. Interventions for its treatment focus on sustained weight reduction and general health improvement, leaving respiratory management aside. Our objective was to determine the effects of inspiratory muscle training (IMT) in patients with obesity.MethodsA systematic review was performed in Embase, Cochrane Library (CENTRAL), CINAHL, Web of Science, and PubMed/MEDLINE on June 26, 2023. Randomized clinical trials (RCTs), and quasi-randomized clinical trials investigating the effects of IMT in people with obesity were included. Selected studies were screened by two independent reviewers who extracted data and assessed the quality of the evidence.ResultsThe initial search returned 705 potential studies were included. Ultimately, eight studies met the criteria for eligibility and were included in the review. IMT improves physical capacity [6-minute walk test (6MWT): 44.5 m, 95% CI: 30.5 to 58.5; p &amp;lt; 0.0001] and the strength of the inspiratory muscles [maximal inspiratory pressure (MIP): −28.4 cm H2O, 95% CI: −41.9 to −14.8; p &amp;lt; 0.0001] compared to the controls, without differences in the pulmonary function, body mass index (BMI) and metabolic parameters.ConclusionInspiratory muscle training improves physical capacity and inspiratory muscle strength without significant changes in lung function, BMI, and metabolic parameters.Systematic review registration: PROSPERO, identifier CRD42023439625, https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023439625.

AN OPEN-LABELLED CLINICAL TRIAL ON SWARNA PRASHAN AT SPARSH HOSPITAL, PATTANKODOLI

In Ayurveda administration of the gold particles in children’s is considered to be a unique practice termed as Swarna Prashana (SP). The main ingredients include Swarna Bhasma, Goghrita, Honey and other herbal drugs which are useful in enhancing intellectual property. For the past several decades, clinical practices proved that SP has better Immunomodulatory effect by activating both cellular and humeral immunity. Aim: The Present trial was conducted to evaluate and document the effect of Swarna Prashana on children with respect to improvement in general health status and immunity at Swarna Hospital, Pattankodoli. Methodology: The trial was Open label, Prospective and Observational study in 23 children between the age group of 4 months to 60 months, regular follow-ups were taken on 0th, 180th day and 360th day and assessed on the basis of specially prepared Immune status questionnaires and illness dairy. Result: As parameters were ordinal in nature, “Wilcoxon Signed Rank test” is used for intra-group comparison and results were analysed and on 0th, 180th day and 360th day it has shown significant reduction in Illness Dairy. In same way it has also shown significant results in immune status of the child. Conclusion: Swarna Prashana has a unique immune enhancing property along with improvement in general health status and intellectual health.

Awareness and attitudes regarding oral care intervention program based on community care for older adults at home: focusing on the grounded theory

Objectives: This study is based on a visiting oral health care intervention program in the community care. This qualitative study was conducted through in-depth interviews to identify awareness and attitudes regarding intervention program among older adults. Methods: The research team visited the homes of the target older adults and conducted in-depth interviews for approximately an hour using a semi-structured questionnaire. The collected voice recordings were transcribed using Clova Note, and AI program by Naver. Using the ‘Word Cloud Generator 3.7’ program, words of high importance and interest from interview answers were extracted, visualized, and analyzed. Results: Participating older adults acknowledged that their quality of life related to oral health could be improved by increasing the level of oral health awareness and oral health knowledge through the intervention program. In addition, the older adults indicated that their oral hygiene management ability improved compared to before the intervention through expert oral hygiene management and oral health education. Further, as the level of oral health knowledge increased, so too did satisfaction with the intervention program increase. Conclusions: The intervention program for visiting oral health care showed a positive effect on the awareness and attitude of older adults. Thus, it is suggested that education for continuous competency enhancement of dental hygienists and multidisciplinary education for the improvement of general health and quality of life of older adults should be promoted.

Clinical study of antinib combined with radiotherapy in the treatment of third-line extensive small cell lung cancer

Objective: To explore whether the survival benefit of the third-line extensive small-cell lung cancer (ES-SCLC) will be obtained by the combination of anlotinib and radiotherapy, and evaluate the safety of this treatment regimen. Methods: Twenty-seven patients with ES-SCLC who received third-line treatment with less than three metastatic organs at the Cancer Hospital of Xinjiang Medical University from November 2018 to July 2021 were collected and treated with radiotherapy based on anlotinib. Kaplan-Meier curve was used to estimate the overall survival (OS) and progression-free survival (PFS), descriptive statistical analysis was used to evaluate the safety, and European organisation for research and treatment of cancer quality of life questionnaire-core 30 (EORTC QLQ-C30) was used to evaluate the quality of life. Results: The follow-up cut-off date was July 1, 2021, and the follow-up time ranged from 4.8 to 31.0 months, with a median follow-up time of 10.2 months for the entire group. Among the 27 patients, 4 achieved partial remission, 17 had stable disease and 6 had progression of disease. The objective remission rate (ORR) was 14.8%, and the disease control rate (DCR) was 77.8%. Median PFS and the median OS were 5 months and 11 months, respectively. The most common adverse reactions included fatigue (33.3%, 9/27), anorexia (14.8%, 4/27), bleeding (14.8%, 4/27) and hand-foot syndrome (11.1%, 3/27). Most of them were grade 1 to grade 2, 3 cases were more than grade 3, and there was no grade 5 toxicity recorded. After radiotherapy combined with amlotinib treatment, patients showed improvement in general health, somatic functioning, social functioning, and emotional functioning (all P<0.05). Conclusion: For the third-line ES-SCLC patients, radiotherapy based on the anlotinib can significantly prolong their PFS and OS, and the adverse reactions can be tolerated.

Cognitive behavior therapy for autistic adolescents, awareness and care for my autistic traits program: a multicenter randomized controlled trial

BackgroundAutistic people demonstrate focused interests, sensitivity to sensory stimulation, and, compared with the general population, differences in social communication and interaction. We examined whether a combination of the Awareness and Care for My Autistic Traits (ACAT) program and treatment-as-usual is more effective than only treatment-as-usual in increasing the understanding of autistic attributes, reducing treatment stigma, and improving mental health and social adaptation among autistic adolescents and their parents/guardians.MethodsForty-nine adolescents and their parents/guardians were randomly assigned to either a combination of ACAT and treatment-as-usual or only treatment-as-usual. The combined group received six weekly 100-minute ACAT sessions, while the treatment-as-usual group received no additional intervention. The primary outcome was the change in understanding of autistic attributes (Autism Knowledge Quiz-Child), administered from pre- to post-intervention. The secondary outcomes included the change in Autism Knowledge Quiz-Parent, reduced treatment stigma, and improved mental health and social adaptation among autistic adolescents and their parents/guardians. A primary outcome measure scale was scored by assessors who were blind to the group assignment.ResultsThe combined group (both autistic adolescents and their parents/guardians) showed an increase in Autism Knowledge Quiz scores compared to those in the treatment-as-usual group. Autistic adolescents in the combined group also demonstrated a decrease in treatment-related stigma and an improvement in general mental health compared to those in the treatment-as-usual group, while there were no group differences in the change in social adaptation. For parents/guardians, there were no group differences in the change in treatment-related stigma, general mental health, adaptive skills, or attitudes toward their children.ConclusionsThe ACAT program could be an effective treatment modality to increase the understanding of autistic attributes among both autistic adolescents and their parents/guardians. The ACAT program positively affects self-understanding, reduces treatment stigma, and stabilizes behavioral issues for autistic adolescents as a part of mental health measures, but it does not effectively reduce treatment barriers or improve mental health for parents/guardians. Further research should consider whether additional support for parents/guardians could be beneficial.Trial registration: The study was registered in UMIN (UMIN000029851, 06/01/2018).