Factors Associated with herb and dietary supplement use by young adults in the United States

<p>Abstract</p> <p>Background</p> <p>Little is known about the association between use of herbs and dietary supplements (HDS) and lifestyle/behavior factors in young adults in the US.</p> <p>Methods</p> <p>Analyzing the 2002 National Health Interview Survey (NHIS), we examined the patterns of HDS (excluding vitamins/minerals) use among young adults in the United States using descriptive statistics and logistic regression.</p> <p>Results</p> <p>In our sample of 18 to 30 year olds (n = 6666), 26% were current smokers, 24% were moderate/heavy drinkers, 43% had high physical activity, and 54% and 76% use prescription and over the counter (OTC) medications respectively. Non-vitamin, non-mineral HDS was used by 17% of the overall sample in the last 12 months. In the multivariable analysis, the lifestyle and behavioral factors associated with HDS use include: current smoking (odds ratio 1.41 95% CI [1.16–1.72]); being a former smoker (1.50 [1.15–1.95]); moderate/heavy alcohol use (2.02 [1.53–2.65]); high physical activity levels (2.45 [1.98–3.03]); and prescription medication use (1.51 [1.26–1.81]). Among HDS users, only 24% discussed their use with a health care professional.</p> <p>Conclusion</p> <p>Nearly one in five young adults report using non-vitamin/non-mineral HDS.</p

Effectiveness of a short-course in improving knowledge and skills on evidence-based practice

<p>Abstract</p> <p>Background</p> <p>To assess the effectiveness (change in knowledge and skills measured by the Fresno test) of a short course in Evidence Based Practice (EBP) carried out in a group of family medicine residents</p> <p>Methods</p> <p>Before-after study. Participants' were 152 Family Medicine residents in their second year of the training programme. Settings were Primary Care Teaching Units in Catalonia. Intervention was comprised of a four half-day training course designed to develop the knowledge and skills required to practice evidence-based care. The main outcome measure was change in EBP knowledge and skills, measured using the Spanish version of the Fresno test (score range, 0-212)</p> <p>Results</p> <p>The mean difference between pre-test and post-test was 47.7, a statistically significant result with 95% CI of 42.8-52.5 (<it>p </it>< 0.0001). An important improvement was observed in the questions related to calculations such as sensitivity, specificity, the absolute risk reduction or the number needed to treat. A more modest increase was found in the residents' knowledge and skills in finding the best clinical evidence, and appraising the validity and applicability of an article. Finally, a weak and non-statistically significant improvement was found in formulating a clinical question.</p> <p>Conclusions</p> <p>The study provides evidence for responsiveness to changes in knowledge and skills in EBP after an educational intervention.</p

A comparative study of models to predict storm impact on beaches

International audienceThe storm impact scale of Sallenger (J Coast Res 890-895, 2000) was tested on a partially engineered beach. This scale is supposed to provide a convenient tool for coastal managers to categorize the storm impact at the shore. It is based on the relation between the elevation of storm wave runup and the elevation of a critical geomorphic or man-made structures in the present study. Two different approaches were tested to estimate the elevation of extreme storm wave runup: (1) a parametric model based on offshore wave conditions and local beach slope and (2) the XBeach process-based model that solves implicitly the runup. The study shows comparisons between impact regimes computed with the two methods and those derived from video observations acquired during 2 weeks while the site was battered by three consecutive storms. Storms scenario including wave conditions with higher return periods and different tidal range were also investigated. The advantages and disadvantages of the two methods used to compute extreme water level are then compared, and guidelines for the development of early warning system are drawn