Wellness Condition Research Articles

The commonly used adult generic quality of life instruments for chronic diseases with merits and demerits

Abstract A chronic condition is a physical or emotional wellness condition that endures over a year, causes utilitarian limitations, or requires progressing checking or treatment. The aging of the population has caused a high prevalence of chronic illnesses, such as diabetes, cardiovascular diseases, and cancer. Even though individuals live longer, they often live with disabilities and constant illnesses. Quality of life (QOL) has become a critical idea and focus for examination and practice in the fields of well-being and medication. During the previous years, more examination has focused on patients’ QOL, and the utilization of QOL evaluations has expanded. Health-related QOL (HRQOL) is now mandatory in assessing health outcomes. Searches were conducted using PUBMED, Google Scholar, Web of Science, and Google to find the studies published in peer-reviewed journals. Key search terms included HRQOL, QOL, SF-36, MQOL, COOP chart, SIP, NHP, QWB, EQ-5D, and EuroQol Instrument. Relevant articles were chosen from the search results. This review provides researchers and clinicians with up-to-date practical and comparative information on adult generic QOL instruments to help them decide which the instrument is best suited for their study. It examines the Medical Outcomes Study 36-Item Short Form (SF-36) Health Survey, the McGill QoL Questionnaire – Original (MQOL – Original), the Dartmouth Primary Care Cooperative Information Project (COOP) Charts, Sickness Impact Profile (SIP), Nottingham Health Profile (NHP), Quality of Well-Being (QWB) scale, and the EuroQOL 5-Dimension Instrument (EQ 5-D). This paper looks at 7 HR-QOL instruments and finds that there are no consistently “best” or “worst” instruments. The choice to use the generic QOL measure is driven by the reason for the assessment.

Prediction of Wellness Condition for Community-Dwelling Elderly via ECG Signals Data-Based Feature Construction and Modeling.

The accelerated growth of elderly populations in many countries and regions worldwide is creating a major burden to the healthcare system. Intelligent approaches for continuous health monitoring have the potential to promote the transition to more proactive and affordable healthcare. Electrocardiograms (ECGs), collected from portable devices, with noninvasive and cost-effective merits, have been widely used to monitor various health conditions. However, the dynamic and heterogeneous pattern of ECG signals makes relevant feature construction and predictive model development a challenging task. In this study, we aim to develop an integrated approach for one-day-forward wellness prediction in the community-dwelling elderly using single-lead short ECG signal data via multiple-features construction and predictive model implementation. Vital signs data from the elderly were collected via station-based equipment on a daily basis. After data preprocessing, a set of features were constructed from ECG signals based on the integration of various models, including time and frequency domain analysis, a wavelet transform-based model, ensemble empirical mode decomposition (EEMD), and the refined composite multiscale sample entropy (RCMSE) model. Then, a machine learning based predictive model was established to map the l-day lagged features to wellness condition. The results showed that the approach developed in this study achieved the best performance for wellness prediction in the community-dwelling elderly. In practice, the proposed approach could be useful in the timely identification of elderly people who might have health risks, and could facilitating decision-making to take appropriate interventions.

Behavior and factors associated with anemia inMexican women of childbearing age. Ensanut 2018-19

To study the behavior of anemia in 2006, 2012 and 2018-19, its severity and associated factors in Mexican women between 20 and 49 years of age. The Ensanut 2006, 2012 and 2018-19 has a methodological design that allows comparisons between them. Capillary hemoglobin (Hb) classified anemia with Hb values <12dL. Pregnant women were excluded. Anemia was associated with individual and sociodemographic factors using a logit regression model. The reduction in anemia from 2006 to 2012 was significant, but not the increase for 2018-19. Anemia was associated with a higher number of pregnancies, and being 35 to 49 years of age. A BMI≥30 (k/m2), tertile 3 of wellness condition, not being indigenous and living in the Center and Mexico City were protective of anemia. Anemia continues to be a public health problem, especially in women 35 to 49 years of age with more than four pregnancies.

OP0256-PARE A PAW? YES, THANK YOU AN ANIMAL ASSISTED INTERVENTION (AAI) PILOT PROJECT FOR CHILDREN WITH JUVENILE IDIOPATHIC ARTHRITIS (JIA)

Background:Animal-Assisted Interventions (AAI) is the new way to indicate what was previously known as “Pet Therapy”, as activities can be done either with the conventional “pets” (dogs, cats and rabbits) or with horses and donkeys.Children with JIA have several problems in terms of adherence both due to the atavistic fear of the needle and due to nausea and vomiting - the most important side effects of Methotrexate – often since the 2-3 days before the assumption to immediately after it.Sure that animals can help children to forget this fear and to avoid the psycological conditions which enhance nausea, for the first time in Italy (and probably in Europe) it was designed a specific AAI program for these children.Objectives:To promote a general state of psycho-physical well-being in children and families about:manage of therapy; reduce discomfort and anxiety caused by entering hospital; improve self-esteem and the response to the stress generated by the execution of therapy and disease management; strengthen communication and socialization; stimulate the affective area through the activities of animal care.Methods:Dogs and cats are part of the recreational activities once a week in an equipped area in the OIRM Hospital (no alternative gateway was needed).Paediatric Rheumatologists selected two different groups of children: the first one (5 children in the pilot study) every 15 days; the second one (5 children) every month; the selection was made looking at the therapeutic scheme.Every session, one hour, has 3 clearly distinct stages:Welcome and organization: children say hello to dogs and cats, open the toolkits specifically designed for the intervention, express their state of mind and are encouraged to tell their own stories.Therapy:parents prepare and inject the drug to their children under medical or Health Professional control without discontinuation of the activities with animals.Play and socializing:children are involved in petting and other activities with animals; they are also involved in manipulative activities (design, puppets shows, modelling clay, animal care, ball retriving, etc). This step has the aim to relieve stress and discomfort due to medical procedures.Visual Analogic Scales (VAS) were part of the toolkit, to let the researchers evaluate the effects of the activity directly from the children experience.For the first time, we will control also the animal health status and wellness condition monitoring behavioural parameters and salivary cortisol level during each session.Results:The pilot project started in October 2019 and nowaday we closed 12 meetings, 4 on October, 4 on November, 3 on December and 2 on January, with the participation of 2 dogs (Golden and Labrador Retriever) and 1 cat (Devon Rex) in each one.All children love to play with animals, seek their closeness at the time of therapy and enjoy playing all together with the dogs; no one cry or refuse therapy and, since the third session, no one has nausea before, during or after the injection. Parents have reached a certain level of confidence: they stay quietly in the waiting room or go away to have a drink or to run an errand (it becomes a moment of relaxing for them too).Animals remain in healthy and wellness conditions during the activity.Conclusion:These preliminary data seem that AAI to be useful in helping patients in JIA to overcome some problems related to their pathology.Disclosure of Interests:UGO VIORA: None declared, Patrizia Ponzio: None declared, Maria Teresa Mascarino: None declared, Barbara Picco: None declared, Paolo Guiso: None declared, Eleonora Battista: None declared, Silvana Martino: None declared, Davide Montin Speakers bureau: Not relevant for the topic, Marta Dellepiane: None declared, Germana Rosso: None declared

Role of Yoga for People Suffering from Schizophrenia in India

Schizophrenia is a serious long-haul emotional wellness condition. It causes a scope of various mental manifestations. It is a genuine dysfunctional behavior influencing diverse districts of the cerebrum, which causes indications, for example, fantasies and hallucinations. Urban areas are more effected with Schizophrenia then rural regions. Yoga can play an important role in treating anxiety and depression among patients suffering from Schizophrenia. It lessens tension, discouragement and pregnancy related awkward encounters. AI can be used to learn more about Schizophrenia. The focus of research was to show awareness among people suffering from Schizophrenia in India.

Differences wellness among students in guidance and counseling major FKIP UHAMKA Early And Year End Year Class

The background of this research is the emergence of diverse and confusing behavior between students of UHAMKA phenomenon who stay in first and last term on the major counseling. This study aims to describe differences between them in wellness condition. This research was conducted on the students of the Guidance and Counseling majors, Faculty of Teacher and Education Science in the fisrt and last semester. The population of this study supports 147 people in a group and 197 people in B group. The sample was 177 people in a group and 69 people in B group. Sampling technique used is random sampling that. This research uses quantitative methods of comparative approach. The Data in this research is the normal distribution but not homogeneous so that the applied technique of nonparametric analysis of data with the test method of hypothesis U-test (Mann Whitney). Based on the calculation result of the U-test (Mann Whitney) Obtained Z&gt;observed Ztable(22.574&gt;1.96) the which means H0 rejected. The results of this study concluded that there are differences in the level of wellness between a groups of samples, with the wellness of students who stay in last half is much larger than the Guidance Counseling Major student Who stay in the first half.

M-Health: Lessons Learned by m-Experiences.

m-Health is an emerging area that is transforming how people take part in the control of their wellness condition. This vision is changing traditional health processes by discharging hospitals from the care of people. Important advantages of continuous monitoring can be reached but, in order to transform this vision into a reality, some factors need to be addressed. m-Health applications should be shared by patients and hospital staff to perform proper supervised health monitoring. Furthermore, the uses of smartphones for health purposes should be transformed to achieve the objectives of this vision. In this work, we analyze the m-Health features and lessons learned by the experiences of systems developed by MAmI Research Lab. We have focused on three main aspects: m-interaction, use of frameworks, and physical activity recognition. For the analysis of the previous aspects, we have developed some approaches to: (1) efficiently manage patient medical records for nursing and healthcare environments by introducing the NFC technology; (2) a framework to monitor vital signs, obesity and overweight levels, rehabilitation and frailty aspects by means of accelerometer-enabled smartphones and, finally; (3) a solution to analyze daily gait activity in the elderly, carrying a single inertial wearable close to the first thoracic vertebra.

The Warrior Wellness Study: A Randomized Controlled Exercise Trial for Older Veterans with PTSD.

ABSTRACTPosttraumatic stress disorder (PTSD) affects up to 30% of military veterans. Older veterans, many of whom have lived with PTSD symptoms for several decades, report a number of negative health outcomes. Despite the demonstrated benefits of regular exercise on physical and psychological health, no studies have explored the effect of exercise in older veterans with PTSD. This article describes the development, design, and implementation of the Warrior Wellness exercise pilot study for older veterans with PTSD. Veterans ≥60 yr old with a Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition diagnosis of PTSD will be recruited and randomized to (a) Warrior Wellness, a 12-wk supervised, facility-based exercise intervention, or (b) usual care for 12 wk. Warrior Wellness is a theory- and evidence-based behavioral intervention that involves three sessions per week of multicomponent exercise training that targets strength, endurance, balance, and flexibility. Warrior Wellness focuses on satisfaction with outcomes, self-efficacy, self-monitoring, and autonomy. Factors associated with program adherence, defined as the number of sessions attended during the 12 wk, will be explored. Primary outcomes include PTSD symptoms and cardiovascular endurance, assessed at baseline and 12 wk. Compared with those in usual care, it is hypothesized that those in the Warrior Wellness condition will improve on these efficacy outcomes. The Warrior Wellness study will provide evidence on whether a short-term exercise intervention is feasible, acceptable, and effective among older veterans with PTSD, and explore factors associated with program adherence.ClinicalTrials.gov Identifier: NCT02295995

Personalized Health Monitoring System of Elderly Wellness at the Community Level in Hong Kong

Rapid advances in information and sensor technology have led to the development of tools and methods for personalized health monitoring. These techniques support timely and efficient healthcare services by tracking the vital signs, detecting physiological changes and predicting health risks. In this paper, we propose an integrated system to monitor the wellness condition of elderly. This system is conceptualized to provide a computer-aided decision support for clinicians and community nurses, by means of which they can easily monitor and analyze an elderly’s overall activity and vital signs using a wearable wellness tracker and an all-in-one satiation-based monitoring device, offering an efficient solution with a reduction in time cost and human error. We design a data-preparing scheme for acquiring data and processing data from multiple monitoring devices, and propose a personalized scheme for forecasting the elderly’s one-day-ahead wellness condition via data integration and statistical learning. We conduct a pilot study at a nursing home in Hong Kong to demonstrate the implementation of the proposed system. The proposed forecasting scheme is validated by the collected data.

Fuzzy optimization to improve mobile health and wellness recommendation systems

In this article, we focus on mobile wellness and health-related applications from the perspective of the level of imprecision present in the data used in the recommendation systems. We propose a general fuzzy optimization model based on chanced constrained optimization to design recommendation systems that can take into consideration (i) the imprecision in the data and (ii) the imprecision by which one can estimate the effect of a recommendation on the user of the system. Our proposal is one of the first to use fuzzy optimization models in health-related decision making problems and the first to define a chance constrained optimization problem for interval-valued fuzzy numbers. The proposed approach identifies a set of actions to be taken by the users in order to optimize general health-related and/or wellness condition of the user from various perspectives. The model is illustrated through the example of walking speed optimization, with an additional numerical experiment offering a comparison with traditional methods.

Reducing Childhood Obesity: An Innovative Curriculum With Wellness Policy Support

ObjectiveTo conduct an outcome evaluation of Food, Health & Choices (curriculum) and Positively Healthful Classrooms (wellness policy) on students' BMI, %BF, energy balance related behaviors, and theory-based mediators.DescriptionTwenty schools randomized to 4 conditions: curriculum, wellness, curriculum+wellness, and delayed control. This year-long intervention with fifth graders was based on social cognitive and self-determination theories.EvaluationCurriculum+wellness condition decreased BMI-percentile for age and gender by 1.04% (p<.0, %BF by 0.02% (p<.001) and sweetened beverage intake (p<0.01); and increased knowledge and beliefs about healthy behaviors (both p<0).Conclusions and ImplicationsThe curriculum+wellness intervention is a promising approach to childhood obesity reduction and could be widely disseminated.FundingUSDA Abstract #2010-85215-20661 ObjectiveTo conduct an outcome evaluation of Food, Health & Choices (curriculum) and Positively Healthful Classrooms (wellness policy) on students' BMI, %BF, energy balance related behaviors, and theory-based mediators. To conduct an outcome evaluation of Food, Health & Choices (curriculum) and Positively Healthful Classrooms (wellness policy) on students' BMI, %BF, energy balance related behaviors, and theory-based mediators. DescriptionTwenty schools randomized to 4 conditions: curriculum, wellness, curriculum+wellness, and delayed control. This year-long intervention with fifth graders was based on social cognitive and self-determination theories. Twenty schools randomized to 4 conditions: curriculum, wellness, curriculum+wellness, and delayed control. This year-long intervention with fifth graders was based on social cognitive and self-determination theories. EvaluationCurriculum+wellness condition decreased BMI-percentile for age and gender by 1.04% (p<.0, %BF by 0.02% (p<.001) and sweetened beverage intake (p<0.01); and increased knowledge and beliefs about healthy behaviors (both p<0). Curriculum+wellness condition decreased BMI-percentile for age and gender by 1.04% (p<.0, %BF by 0.02% (p<.001) and sweetened beverage intake (p<0.01); and increased knowledge and beliefs about healthy behaviors (both p<0). Conclusions and ImplicationsThe curriculum+wellness intervention is a promising approach to childhood obesity reduction and could be widely disseminated. The curriculum+wellness intervention is a promising approach to childhood obesity reduction and could be widely disseminated.

Outcomes from the women's wellness project: A community-focused physical activity trial for women

Background Given the low rates of physical activity participation, innovative intervention approaches are needed to make a public health impact. Methods The study was conducted at the Miriam Hospital/Brown Medical School in Providence, RI, and in communities of Southeastern Massachusetts from 2002 to 2005. Previously sedentary women ( n = 280; mean age = 47.1; 94.6% Caucasian) were randomly assigned to one of three conditions: (1) Choose to Move, a self-help printed booklet ( n = 93), (2) Jumpstart, a motivationally tailored, print based intervention ( n = 95); or (3) Wellness, women's health materials ( n = 92). Face-to-face contact at months 3 (M3) and 12 (M12) occurred within participants' communities in local libraries. Results At M3, participants in the Jumpstart condition reported significantly more minutes of physical activity per week (M = 140.4, SE = 14.82) than participants in the Wellness condition (M = 98.1, SE = 15.09), ( t(275) = 2.00, p < 0.05). The Jumpstart arm showed a trend towards significance ( t(275) = 1.93, p = 0.054) when compared with the CTM arm (M = 99.5, SE = 15.11); there was no significant difference between the CTM and Wellness arms ( t(275) = 0.07, p = NS). At M12, there were no significant differences ( F(2,275) = 0.147, p = NS) between any of the treatment arms. Conclusions Results suggest that print-based programs for physical activity may be efficacious short-term, but more research is needed to find approaches that are effective long-term. It is possible to deliver print-based programs through existing community infrastructures, however these approaches need further evaluation to examine maintenance effects apart from the demand characteristics of a research study.