title stringlengths 1 1.19k | keywords stringlengths 0 668 | concept stringlengths 0 909 | paragraph stringlengths 0 61.8k | PMID stringlengths 10 11 |
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Symptom Checklist-90-R | The SCL-90-R [Subjects’ responses ranged from 0 (not at all) to 4 (very strongly). Cronbach’s | PMC10104919 | ||
EORTC QLQ-C30 and EORTC QLQ-BR23 | The EORTC QLQ-C30 [ | PMC10104919 | ||
Statistical analyses | Statistical analyses were performed using Statistical Package for the Social Sciences software (SPSS, version 26). A total of 124 subjects (69.67%) answered the entire questionnaire without omissions. Subscales with two or more missing values were not included in the calculation. This procedure resulted in 177 complete... | PMC10104919 | ||
Sample | psychiatric, SD, cognitive impairment, breast cancer | DISEASE, BREAST CANCER | Women who had been diagnosed with operable breast cancer were included in the study (ICD-10-CM Diagnosis Code C50.919) [110]. The exclusion criteria for the study were (a) cognitive impairment and/or psychiatric comorbidity and/or a physical condition related to the disease that, in the opinion of the treating physicia... | PMC10104919 |
Results | PMC10104919 | |||
Discussion | nonverbal behaviors, dyspnea, fatigue, breast cancer, cancer | REGRESSION, CANCER, BREAST CANCER | The integrated approach proposed in the FRIPOS project seems to be an adequate response to the claims that appear in the literature related to the concept of holistic management [Indeed, the inclusion of the psycho-oncologist in the treatment has brought significant benefits or at least a state of stability in many are... | PMC10104919 |
Acknowledgements | OME, PRIAMO | ONCOLOGY, BREAST | We thank the patients who participated in the study and dedicated time and resources at a particularly sensitive moment in their lives. We also thank the professionals who made the development and implementation of the Fil-Rouge project possible: Psychological Service of the Clinical Institute of S. Anna Brescia, San D... | PMC10104919 |
Author contribution | Conceptualization, C.C., D.L. and F.P.; methodology, D.L., G.F., F.P., A.Be., A.Bu., V.G., N.R.; formal analysis, C.C. and A.D.B.; data curation, C.C., E.D.; writing-original draft preparation, C.C.; writing, C.C., A.D.B., E.D., G.D.F., G.G.; supervision, D.L., F.V., G.D.F., G.G.; project administration, D.L., G.F., F.... | PMC10104919 | ||
Funding | Open access funding provided by Università degli Studi di Torino within the CRUI-CARE Agreement. This research was funded by Associazione Priamo, viale Piave, 101—25123 Brescia; | PMC10104919 | ||
Data availability | The data presented in this study are available on request from the corresponding author. The data are not publicly available due to privacy reasons. | PMC10104919 | ||
Declarations | PMC10104919 | |||
Ethics approval | The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the S. Anna Clinical Institute in Brescia (Prot. Number: 1.0; 06/06/2016). | PMC10104919 | ||
Informed consent | Informed consent was obtained from all subjects involved in the study. | PMC10104919 | ||
Competing interests | The authors declare no competing interests. | PMC10104919 | ||
References | PMC10104919 | |||
Background | Cesarean section is becoming increasingly common. Well-managed postoperative analgesia improves patient comfort while encouraging early ambulation and breastfeeding. The analgesic efficacy of transversalis facial plane block (TFPB) vs. anterior quadratus lumborum block (QLB) was compared in this study. | PMC10362577 | ||
Methods | pain | We analyzed the data of 49 pregnant women (gestation, ≥ 37weeks; age, 18–45years) scheduled for elective cesarean delivery (CD) under general anesthesia. They were randomly divided into TFPB and anterior QLB groups. All blocks were administered bilaterally with 25mL of 0.25% bupivacaine under ultrasound guidance prior ... | PMC10362577 | |
Results | There was no difference in postoperative morphine consumption between the groups at the third, sixth, and ninth hours, but the anterior QLB group consumed less morphine at the 12th, 18th, and 24th hours. Except for the first hour, resting and dynamic NRS scores were comparable between the groups. The first-hour resting... | PMC10362577 | ||
Conclusions | pain | In patients undergoing CD, anterior QLB decreased morphine consumption in the late period (9–24h) compared to TFPB, while pain scores were similar between both groups. The reduction in morphine consumption was statistically significant, but not clinically significant. | PMC10362577 | |
Keywords | PMC10362577 | |||
Introduction | Since the introduction of ultrasound technology in anesthesia practice, interfacial plane blocks have become a part of postoperative analgesia management for many surgical procedures, including cesarean delivery (CD) [The anterior QLB, described by Børglum et al. [ | PMC10362577 | ||
Methods | PMC10362577 | |||
Study protocol | RECRUITMENT | This was a single-center, prospective, randomized (1:1) controlled, double-blind, parallel group study. The study was approved by the local ethics committee (OMU-KAEK 2021/379) and Ministry of Health (2021-AKD-764205) and registered on ClinicalTrials.gov prior to the initial patient recruitment with registration number... | PMC10362577 | |
Participants | renal, cardiac, hepatic disease | OBESE | The study was conducted at a training hospital between June and October 2022. Written informed consent was obtained from all participants for the interventions before including the study. The study included patients aged 18–45 years, with an American Society of Anesthesiologists (ASA) score of II and gestational age of... | PMC10362577 |
Randomization and blinding | The patients were divided into two groups of 25 patients each. The sealed envelope technique was used for randomization. All patients were assigned a randomization ID. This ID was used during postoperative follow-up. An experienced anesthesiologist who would not be involved in the patient's intraoperative or postoperat... | PMC10362577 | ||
Anesthesia management | All patients were administered general anesthesia according to our clinic's standard CD protocol. No premedication was administered to the patients. In addition, all the patients were started on intravenous infusion of Ringer’s lactate solution (5–7mL/kg/h). After ASA-recommended standard monitoring (non-invasive blood... | PMC10362577 | ||
Interventions | All ultrasound-guided fascial plane blocks were performed before extubation at the end of surgery, in accordance with the rules of asepsis/antisepsis. In both blocks, a low-frequency convex transducer (2–5MHz, LOGIQ V1, GE Healthcare, USA) and block needles (21 G, 100mm, SonoPlex STIM Pajunk, Germany) were used. As a l... | PMC10362577 | ||
Anterior QLB | CREST, DECUBITUS | While the patient was in the lateral decubitus position, the transducer was first placed between the iliac crest and subcostal margin. The abdominal muscles, latissimus dorsi muscle, erector spinae muscle, psoas muscle, transverse process of the 4th lumbar vertebra, and vertebral corpus were visualized by sonography (F... | PMC10362577 | |
Postoperative management | NRS, pain | All patients received 1g of IV paracetamol 30min before surgery and another 1g every 8 h in the hospital. A numeric rating scale (NRS) was used to measure the pain level. Patients were informed about the NRS scoring system (0 points, indicating no pain; 10 points, indicating the worst pain imaginable) during the preope... | PMC10362577 | |
Outcomes | postoperative pain, nausea, toxicity, nausea and vomiting, vomiting, pain, organ damage, hematoma | SECONDARY, RESPIRATORY DEPRESSION, HEMATOMA | The primary outcome of this study was the amount of opioid consumption in the first 24h after surgery; postoperative pain scores and the time of first opioid demand were the secondary outcomes. Morphine consumption was measured at 3, 6, 9, 12, 18, and 24h, and static and dynamic pain scores were measured at 1, 3, 6, 9,... | PMC10362577 |
Sample size | The mean 24-h cumulative morphine consumption in the pilot study, which included ten patients, was 6.08 ± 2.17mg in the anterior QLB group and 8.50 ± 2.55mg in the TFPB group. Therefore, with 95% confidence (1 − α), 95% test power (1 − β), and effect size d = 1.032, the sample size calculation determined that a minimum... | PMC10362577 | ||
Statistical analysis | Statistical analyses were performed using IBM SPSS V23.0 (IBM, New York, USA). Normality was tested using the Shapiro–Wilk test. The mean ± standard deviation and median were used to express the continuous variables (25th–75 | PMC10362577 | ||
Results | hemorrhage | SEVERE PRE-ECLAMPSIA, HEMORRHAGE | Sixty patients scheduled for elective cesarean section were screened for participation in the study. Ten patients were excluded from the study due to the following reasons: five patients were diagnosed with severe pre-eclampsia, and an additional five patients declined to participate. Therefore, 50 patients were includ... | PMC10362577 |
Discussion | visceral pain, thoracolumbar, somatic pain, inguinal hernia, pain | COMPLICATIONS, UTERUS | In the present study, on the patients who underwent CD under general anesthesia, the total opioid demand in the first 24h was reduced in the anterior QLB group compared to that the TFPB group, but there was no difference in the early (0–9h) opioid requirements. The patients' postoperative resting and dynamic NRS rating... | PMC10362577 |
Conclusion | In the present study, the analgesic effects of the anterior QLB and TFPB blocks were found to be similar in the first 9h in patients undergoing CD under general anesthesia. However, there was a benefit to QLB in terms of reducing morphine consumption in the late period (9–24h), which was not clinically significant, but... | PMC10362577 | ||
Acknowledgements | None | PMC10362577 | ||
Authors’ contributions | NoneSB, ST, EK, CK: Study conception, design, data collection and write the manuscript. HA, CG: Data collection, CK, ST: Analysis and interpretation of results, data collection. BD, NS, EK: Data collection. HA, CG, BD, NS: Study design, supervised the work, performed the analysis, contributed data and analysis tools. A... | PMC10362577 | ||
Funding | None. | PMC10362577 | ||
Availability of data and materials | The datasets used and/or analysed during the current study available from the corresponding author on reasonable request. | PMC10362577 | ||
Declarations | PMC10362577 | |||
Ethics approval and consent to participate | This study was approved by the ethics committee of Ondokuz Mayis University Clinical Research Ethics Committee, approval no: 2021/379. Informed consent was obtained from all subjects and/or their legal guardian(s). The Declaration of Helsinki was adhered to in this study. All methods were performed in accordance with t... | PMC10362577 | ||
Consent for publication | Not applicable. | PMC10362577 | ||
Competing interests | The authors declare no competing interests. | PMC10362577 | ||
References | PMC10362577 | |||
Background | long-term illness, Tele-yoga | Yoga is a mind-body exercise that has demonstrated its feasibility and safety even for individuals with severe long-term illness. Engaging in yoga has the potential to yield positive effects on both physical and mental well-being. Tele-yoga is a novel approach to rehabilitation in which participants practice group yoga... | PMC10534282 | |
Objective | long-term illness | This study aims to explore the expectations of tele-yoga among individuals with long-term illness before starting a tele-yoga intervention. | PMC10534282 | |
Methods | The study employed an inductive qualitative design and is part of a process evaluation within an ongoing randomized controlled trial. A total of 89 participants were interviewed before the start of the tele-yoga intervention. The interview guide encompassed questions about their general perceptions of yoga and the spec... | PMC10534282 | ||
Results | anger, pains, aches, anxiety | Participants expressed their expectations for tele-yoga, focusing on the anticipated improvements in physical function and overall health. These expectations included hopes for reduced respiratory issues; relief from discomfort, aches, and pains; as well as increased physical flexibility, coordination, and overall well... | PMC10534282 | |
Conclusions | Expectations before an intervention can provide valuable insights into understanding the factors influencing adherence to tele-yoga and its outcomes. Our findings provide a wide range of expectations for tele-yoga, spanning both physical and mental aspects. Moreover, the technology’s potential to facilitate yoga delive... | PMC10534282 | ||
Trial Registration | ClinicalTrials.gov NCT03703609; https://clinicaltrials.gov/ct2/show/NCT03703609 | PMC10534282 | ||
Introduction | PMC10534282 | |||
Background | illness, fatigue, pain, long-term illness, unformed, shortness of breath | Long-term illness is common and leads to limitations in daily life and to a decreased health-related quality of life in all dimensions among those affected [Medical yoga is a therapeutic form of Kundalini yoga led by a certified yoga instructor that uses different standardized yoga programs with a combination of physic... | PMC10534282 | |
Aim | long-term illness | The objective of this study was to explore the expectations of individuals with long-term illness regarding a tele-yoga intervention before the actual initiation of the program. | PMC10534282 | |
Methods | PMC10534282 | |||
Design and Sample | long-term illness, impaired cognitive | The study utilized a qualitative design with an inductive approach and was conducted as part of a process evaluation within a randomized controlled trial evaluating the effects of tele-yoga (ClinicalTrials.gov Identifier: NCT03703609). This study used a single-blind methodology where the evaluator and analyst were blin... | PMC10534282 | |
Data Collection | We constructed a semistructured interview guide comprising a total of 10 questions (see | PMC10534282 | ||
Data Analysis | PMC10534282 | |||
Overview | The interviews were tape-recorded and transcribed verbatim. Qualitative content analysis with an inductive approach was performed using the structure described by Elo and Kyngäs [ | PMC10534282 | ||
Preparation Phase | Initially, the first 2 authors (TH and ML) independently read 20 transcribed interviews and identified units of analysis in the text that described different expectations of tele-yoga.A meaningful unit comprised sentences and could encompass multiple meanings. Subsequently, the entire research team engaged in discussio... | PMC10534282 | ||
Organizing Phase | In the next step, the first 2 authors (TH and ML) independently coded 5 randomly selected interviews, discussed their coding, and established a mutual agreement for the open coding. Following this agreement, they proceeded to analyze the remaining interviews. In the open coding process, notes and headings were written ... | PMC10534282 | ||
Ethical Consideration | The study was conducted in accordance with the ethical guidelines designed for studies of human research according to the World Medical Association Declaration of Helsinki [ | PMC10534282 | ||
Results | PMC10534282 | |||
Emerging Categories and Subcategories | During the interviews, we specifically inquired about the participants’ expectations regarding both the exercise format of the intervention (ie, medical yoga) and the delivery mode (ie, the technology to deliver the yoga; in this case, tele-yoga). Most participants had no prior experience with yoga or telerehabilitatio... | PMC10534282 | ||
Expectations That Tele-Yoga Can Improve Physical Function and Health | PMC10534282 | |||
Category Overview | breathing, reduced pain, pain | This category encompasses the expectations of tele-yoga regarding the potential physical benefits that participants anticipated in yoga practice. The study participants were seeking ways to manage their symptoms, as they often felt a lack of control over their condition. They believed that tele-yoga could enhance their... | PMC10534282 | |
Decrease in Respiratory Problems
| respiratory problems, breathlessness, long-term illness, breathing difficulties, COPD, shortness of breath | COPD | Many participants described breathing difficulties, such as shortness of breath and breathlessness, as a result of their long-term illness. These symptoms significantly impacted their daily lives and overall well-being. The participants believed that tele-yoga would have a positive impact on their breathing and help re... | PMC10534282 |
Relief From Discomfort, Aches, and Pain
| pains, aches, pain | The participants had expectations that tele-yoga training would provide relief from long-term pain and reduce aches and pains. They perceived tele-yoga as an alternative to painkillers, preferring to work with their body’s natural resources instead of solely relying on pharmacological solutions. Although they did not e... | PMC10534282 | |
Increased Physical Flexibility, Appearance, and Coordination
| Stiffness and inflexibility, reduced mobility | BENDING | Several participants had an expectation that tele-yoga would improve their body function and make them more active. Many had experienced reduced mobility and increased stiffness, and they believed that tele-yoga could address these issues by enhancing their flexibility and mobility. They anticipated that yoga postures ... | PMC10534282 |
Expectations That Tele-Yoga Can Affect Psychological Well-Being and Performance | PMC10534282 | |||
Category Overview | anger, anxiety | This category focused on the psychological aspects of tele-yoga, with participants expressing expectations of improved psychological well-being. They had both positive and negative thoughts about the spiritual dimensions of yoga. The participants expected that tele-yoga would help reduce stress and negative emotions su... | PMC10534282 | |
Embracing an Intangible, Mystic, and Spiritual Dimension of Life | Participants had varying perspectives on yoga, with some finding it mysterious and difficult to understand due to its roots in ancient Eastern religion and history. Some participants were more skeptical and judgmental, while some were more curious and open-minded about the practice.....initially it came across as a bit... | PMC10534282 | ||
Strategies to Manage Stress, Negative Emotions, and Anxiety | calmness, anger, anxiety | Participants had expectations that tele-yoga would offer them relaxation and provide a sense of peace and tranquility in their daily life.They also had expectations that tele-yoga would help reduce stress levels and improve stress management, leading to increased feelings of calmness and relaxation. They anticipated th... | PMC10534282 | |
Influence on Motivational Drive
| long-term illness | Participants anticipated that tele-yoga would have a positive impact on their overall physical activity levels.I was not expecting to be part of that group but otherwise I had thought that it was something that would give me a kick in the butt to get started and move a little more again, it has been quite bad with that... | PMC10534282 | |
Expectations That the Technology Can Facilitate the Delivery of Yoga
| PMC10534282 | |||
Category Overview | This category encompasses participants’ expectations regarding the implementation of tele-yoga using technology. They expressed their thoughts about practicing yoga remotely in a group setting, as well as the time commitment required for the tele-yoga intervention during the study. | PMC10534282 | ||
Technology Can Simplify Participation | Many participants were of the belief that the technology would facilitate participation in tele-yoga sessions from home and decrease traveling. They anticipated that performing tele-yoga would be comfortable and easy to follow from home.I think it will be great not to have to go anywhere but to be at home in the enviro... | PMC10534282 | ||
Feasibility and User-Friendliness of the Technology | Participants’ expectations regarding the technology were influenced by their previous experiences with computers, tablets, smartphones, and other mobile devices. In general, most participants were familiar with the technology, described the use of technology as exciting, and did not consider it to be a problem. Even th... | PMC10534282 | ||
Performing Tele-Yoga in a Cyberspace Group | DISEASE | During the tele-yoga sessions, participants engaged in group meetings, and their expectations regarding group participation were explored. Some participants expressed disinterest or had negative thoughts about being part of a group. They mentioned being like a “lone wolf” or shared past negative experiences with group ... | PMC10534282 | |
Elaborations of Time Spent on Yoga | The participants were asked if they expected that the time allocated for the tele-yoga was reasonable and how much time they planned to spend doing yoga. The participants mostly answered that they would follow the allotted time and that it seemed appropriate, but some also felt that they might set aside more time, espe... | PMC10534282 | ||
Discussion | PMC10534282 | |||
Principal Findings | weight loss | This study aimed to investigate the expectations of participants before a tele-yoga intervention, where the participants were expected to engage in both group and individual yoga training using technology. The main findings of the study revealed that several of the expectations regarding tele-yoga were normative expect... | PMC10534282 | |
Methodological Strength and Limitations | verbal and nonverbal communication, unformed | The consecutive selection is a strength as it ensures the inclusion of a representative sample of study participants. The substantial number of participants (N=89) has provided us with rich and representative data on expectations. As the question of expectations can be relatively broad, a larger sample is preferable. R... | PMC10534282 | |
Conclusions | This study explored participants’ expectations before starting a tele-yoga intervention. By studying the expectations of the participants in the intervention, we can further understand what influences them to participate and how expectations can affect adherence to the tele-yoga intervention as well as the outcomes. Se... | PMC10534282 | ||
Data Availability | Data are stored according to the electronic data management plan at the Department of Health, Medicine and Caring Sciences at Linköping University. | PMC10534282 | ||
Background | The increased complexity of residents and increased needs for care in long-term care (LTC) have not been met with increased staffing. There remains a need to improve the quality of care for residents. Care aides, providers of the bulk of direct care, are well placed to contribute to quality improvement efforts but are ... | PMC10054219 | ||
Methods | SECONDARY | Intervention teams participated in a year-long facilitative intervention which supported care aide-led teams to test changes in care provision to residents using a combination of networking and QI education meetings, and quality advisor and senior leader support.This was a controlled trial with random selection of inte... | PMC10054219 | |
Results | resident-adjusted pain, pain | SECONDARY | The final sample included 32 intervention care units matched to 32 units in the control group. In an adjusted model, there was no statistically significant difference between intervention and control units for CRU or in secondary staff outcomes. Compared to baseline, resident-adjusted pain scores were statistically sig... | PMC10054219 |
Conclusions | The Safer Care for Older Persons in (residential) Environments (SCOPE) intervention resulted in a smaller change in its primary outcome than initially expected resulting in a study underpowered to detect a difference. These findings should inform sample size calculations of future studies of this nature if using simila... | PMC10054219 | ||
Trial registration | PMC10054219 | |||
Keywords |
Given the complexity of care environments and the influence of contextual factors in implementation, pragmatic trials are needed; however, attention to study design and measurement is crucial as is assessment of implementation of complex interventions in the long-term care environment.This study, highlights the ways i... | PMC10054219 | ||
Introduction | bladder and bowel incontinence, Dementia | As a greater proportion of our population survives into late life, the number of people living with chronic and co-existing medical conditions and cognitive impairment has increased [Dementia is one of the most distressing and burdensome health problems encountered by the LTC home workforce [Over recent decades, nation... | PMC10054219 | |
Intervention | one-and-a-half, pain | The SCOPE intervention is based on a modified Institute for Healthcare Improvement (IHI) Breakthrough Collaborative Series model designed around successful collaborative learning approaches for quality improvement [A “Getting Started Kit”: Teams and Sponsors (unit and facility managers) received baseline performance da... | PMC10054219 | |
Theoretical framing | The study was theoretically informed by the Facilitation has been described both as a single intervention and as part of a multifaceted intervention [ | PMC10054219 | ||
Methods | SCOPE was a pragmatic controlled trial with each randomly selected LTC home identifying a care unit to participate in the intervention. Care aides and residents of these units (clustered within the units) formed the units of analysis. Control (usual care) units in non-intervention LTC homes were matched to intervention... | PMC10054219 | ||
Setting | This study was part of a larger research program examining modifiable contextual factors that influence implementation and improvement efforts in LTC homes in British Columbia, Alberta, and Manitoba, the Translating Research in Elder Care (TREC) program. TREC is a longitudinal research program comprised of many studies... | PMC10054219 | ||
Outcomes and measures | SCOPE was situated between two routinely occurring waves of TREC data collection and used variables from these sources for its quantitative outcome measurement. The primary outcome measure for this study aimed at improving use of best practices for resident care was between group change in | PMC10054219 | ||
Sample size and power calculation | The primary outcome measure was change in Conceptual Research Use (CRU), from baseline to post intervention, compared between intervention and control (usual care) units. Initial modeling was based on unit aggregate expected change in the primary outcome, dictating a sample size of 34 units to be matched to usual care ... | PMC10054219 | ||
Sampling | dementia | FRASER | To be eligible to participate, LTC homes had to (a) be a part of the TREC cohort in Alberta and British Columbia; (b) have units comprising general nursing care for older adults, rather than those co-managed with acute care; (c) have the majority of residents over the age of 65; (d) have more than 35 beds in total; (e)... | PMC10054219 |
Participants | SCOPE teams comprised four to seven members, at least two of which were care aides. Each team was either led by a care aide or co-led by two care aides. Other team members consisted of unit-based care aides and/or professional staff (e.g | PMC10054219 | ||
Analysis | ® | REGRESSION | SAS® 9.4 (SAS Institute Inc., Cary, NC, USA) was used for all statistical analyses. Using descriptive statistics, baseline characteristics of LTC homes, care units, care aides, and residents were compared between study arms. To assess intervention effectiveness, mixed effects regression models were used [ | PMC10054219 |
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