14 research outputs found
Pronounced Shape Change Induced by Quasiparticle Alignment
Mean lifetimes of high-spin states of 74Kr have been determined using the Doppler-shift attenuation method. The high-spin states were studied using the 40Ca(40Ca,α2p) reaction at a beam energy of 160 MeV with the GASP γ-ray spectrometer. The ground-state band and negative parity side band show the presence of three different configurations in terms of transitional quadrupole deformations. A dramatic shape change was found along the ground-state band after the S-band crossing. The deduced quadrupole deformation changes are well reproduced by cranked Woods-Saxon Strutinsky calculations
A combined nurse-pharmacist managed pain clinic: joint venture of public and private sectors
Education du patient et douleur chronique une approche sociopsychoéducative comme complément des stratégies multidisciplinaires de soins
Introduction : Ă partir dâune revue de littĂ©rature relative aux stratĂ©gies de prise en charge multidisciplinaire de la douleur chronique, cet article examine les aspects Ă©ducatifs des interventions destinĂ©es aux patients. MĂ©thode : Revue de littĂ©rature (1993â2010) de programmes de gestion de la douleur chronique et analyse dĂ©taillĂ©e des composantes Ă©ducatives de 31 programmes Ă©ducatifs. RĂ©sultats : La majoritĂ© des auteurs recommandent dâintĂ©grer un volet Ă©ducatif dâapprentissage dans les programmes, et la majoritĂ© des programmes dĂ©crits incluent de tels volets. Toutefois, il y a une rĂ©elle diversitĂ© dans la conception de lâĂ©ducation du patient et dans ses applications pratiques. Plusieurs programmes se fondent sur des visions monodisciplinaires, contrairement Ă lâapproche multidisciplinaire inhĂ©rente Ă lâĂ©ducation du patient. Cela conduit Ă des malentendus, des limites, des zones dâombre oĂč tout le potentiel de lâĂ©ducation des patients nâest pas exploitĂ©. Conclusion : Peu de programmes utilisent toutes les richesses dâune approche combinĂ©e, Ă la fois psychologique, socioanthropologique et pĂ©dagogique, qui constitue lâĂ©ducation du patient. Des recommandations dâobjectifs Ă©ducatifs,de contenus et de mĂ©thodes sont proposĂ©e
Effects of a psychoeducational program for chronic pain management Efectos de un programa psicoeducativo en el control del dolor crĂłnico Efeitos de um programa psicoeducativo no controle da dor crĂŽnica
AIMS: to evaluate the impact of an eight-week psychoeducational program focused on pain intensity, disability and depressive symptoms of patients with chronic pain. METHOD: 79 patients with chronic pain of different etiologies composed the sample. Patients were assessed before, at the end of the intervention and six months after the intervention. The program was developed by a nurse using cognitive-behavioral strategies and was conducted by a multidisciplinary team. The Wilcoxon test was used to compare repeated measures. RESULTS: the participants' mean age was 53 years old, most were female (91%), with an average of 9.5 years of schooling and an average pain duration of 9.9 years. Significant reduction in pain intensity (p<0.001), disability (p<0.001) and depressive symptoms (p<0.001) was found at the end of the program. CONCLUSIONS: the psychoeducational program was effective in reducing pain intensity, reducing disability and in controlling depressive symptoms in this sample.<br>OBJETIVOS: evaluar el impacto de un Programa psicoeducativo de ocho semanas en la intensidad del dolor, incapacidad y sĂntomas depresivos de pacientes con dolor crĂłnico. MĂTODO: 79 pacientes con dolor crĂłnico de diferentes etiologĂas compusieron la muestra. Los participantes fueron evaluados antes y al final del Programa y seis meses despuĂ©s. El Programa fue desarrollado por una enfermera, utilizĂł estrategias cognoscitivo-comportamentales y fue aplicado por un equipo multidisciplinar. La prueba no paramĂ©trico de Wilcoxon fue utilizado para comparar medidas repetidas. RESULTADOS: la mayorĂa de los participantes eran del sexo femenino (91%), con edad media de 53 años, escolaridad media de 9,5 años y duraciĂłn media del dolor de 9,9 años. Al final del Programa se observĂł reducciĂłn significativa en la intensidad del dolor (p<0.001), incapacidad (p<0.001) y sĂntomas depresivos (p<0.001). CONCLUSIONES:el Programa psicoeducativo fue efectivo en el control del dolor, en la reducciĂłn de la incapacidad y en el control de los sĂntomas depresivos en la muestra estudiada.<br>OBJETIVOS: avaliar o impacto de um programa programa psicoeducativo de oito semanas na intensidade da dor, incapacidade e sintomas depressivos de pacientes com dor crĂŽnica. MĂTODO: 79 setenta e nove pacientes com dor crĂŽnica de diferentes etiologias compuseram a amostra. Os participantes foram avaliados antes e ao final do pPrograma e seis meses apĂłs. O pPrograma foi desenvolvido por uma enfermeira, utilizou utilizaram-se estratĂ©gias cognitivo-comportamentais, e foi aplicadaso por equipe multidisciplinar. O teste nĂŁo paramĂ©trico de Wilcoxon foi utilizado para comparar medidas repetidas. RESULTADOS: as maioria doas participantes eram do sexo feminino (91%), com idade mĂ©dia de 53 anos, escolaridade mĂ©dia de 9,5 anos e duração mĂ©dia da dor de 9,9 anos. Ao final do Programa, se observou-se redução significativa na intensidade da dor (p<0,001), incapacidade (p<0,001) e sintomas depressivos (p<0,001). CONCLUSĂES: o pPrograma psicoeducativo foi efetivo no controle da dor, na redução da incapacidade e no controle dos sintomas depressivos na amostra estudada
Patient education and chronic pain: a social, psychological and educational approach as a complement to multidisciplinary strategies of care
Pain characteristics of temporomandibular disorder: a pilot study in patients with cervical spine dysfunction
American College of Foot and Ankle Surgeons' Clinical Consensus Statement: Risk, Prevention, and Diagnosis of Venous Thromboembolism Disease in Foot and Ankle Surgery and Injuries Requiring Immobilization
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Alcohol Consumption and Risk of Coronary Artery Disease (from the Million Veteran Program)
Moderate alcohol consumption has been associated with a lower risk of coronary artery disease (CAD) in the general population but has not been well studied in US veterans. We obtained self-reported alcohol consumption from Million Veteran Program participants. Using electronic health records, CAD events were defined as 1 inpatient or 2 outpatient diagnosis codes for CAD, or 1 code for a coronary procedure. We excluded participants with prevalent CAD (nâ=â69,995) or incomplete alcohol information (nâ=â8,449). We used a Cox proportional hazards model to estimate hazard ratios and 95% confidence intervals for CAD, adjusting for age, gender, body mass index, race, smoking, education, and exercise. Among 156,728 participants, the mean age was 65.3 years (standard deviationâ=â12.1) and 91% were men. There were 6,153 CAD events during a mean follow-up of 2.9 years. Adjusted hazard ratios (95% confidence intervals) for CAD were 1.00 (reference), 1.02 (0.92 to 1.13), 0.83 (0.74 to 0.93), 0.77 (0.67 to 0.87), 0.71 (0.62 to 0.81), 0.62 (0.51 to 0.76), 0.58 (0.46 to 0.74), and 0.95 (0.85 to 1.06) for categories of never drinker; former drinker; current drinkers of â€0.5 drink/day, >0.5 to 1 drink/day, >1 to 2 drinks/day, >2 to 3 drinks/day, and >3 to 4 drinks/day; and heavy drinkers (>4 drinks/day) or alcohol use disorder, respectively. For a fixed amount of ethanol, intake at â„3 days/week was associated with lower CAD risk compared with â€1 day/week. Beverage preference (beer, wine, or liquor) did not influence the alcohol-CAD relation. Our data show a lower risk of CAD with light-to-moderate alcohol consumption among US veterans, and drinking frequency may provide a further reduction in risk
DASH Score and Subsequent Risk of Coronary Artery Disease: The Findings From Million Veteran Program
While adherence to healthful dietary patterns has been associated with a lower risk of coronary artery disease (CAD) in the general population, limited data are available among US veterans. We tested the hypothesis that adherence to Dietary Approach to Stop Hypertension (DASH) food pattern is associated with a lower risk of developing CAD among veterans. We analyzed data on 153 802 participants of the Million Veteran Program enrolled between 2011 and 2016. Information on dietary habits was obtained using a food frequency questionnaire at enrollment. We used electronic health records to assess the development of CAD during follow-up. Of the 153 802 veterans who provided information on diet and were free of CAD at baseline, the mean age was 64.0 (SD=11.8) years and 90.4% were men. During a mean follow-up of 2.8 years, 5451 CAD cases occurred. The crude incidence rate of CAD was 14.0, 13.1, 12.6, 12.3, and 11.1 cases per 1000 person-years across consecutive quintiles of Dietary Approach to Stop Hypertension score. Hazard ratios (95% confidence interval) for CAD were 1.0 (ref), 0.91 (0.84-0.99), 0.87 (0.80-0.95), 0.86 (0.79-0.94), and 0.80 (0.73-0.87) from the lowest to highest quintile of Dietary Approach to Stop Hypertension score controlling for age, sex, body mass index, race, smoking, exercise, alcohol intake, and statin use (P linear trend, <0.0001). Our data are consistent with an inverse association between Dietary Approach to Stop Hypertension diet score and incidence of CAD among US veterans