The Experts below are selected from a list of 130413 Experts worldwide ranked by ideXlab platform
Enrique G Artero - One of the best experts on this subject based on the ideXlab platform.
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effects of different frequencies 2 3 days week of aquatic therapy Program in adults with chronic low back pain a non randomized comparison trial
Pain Medicine, 2013Co-Authors: Pedro Angel Baenabeato, Manuel Arroyomorales, Manuel Delgadofernandez, Maria Claudia Gattocardia, Enrique G ArteroAbstract:Objective To study the effects of an aquatic therapy Program with different frequencies (2 vs 3 days per week) in chronic low back pain. Desing Non-randomized comparison trial. Setting Sport and spa community health club. Subjects Fifty-four adults with chronic low back pain (48.9 ± 10.0 years). Intervention Eight-week aquatic therapy Program. Outcome Measures Pain (visual analog scale [VAS]), disability (Oswestry Disability Index), and quality of life (Short-Form Health Survey 36), body composition (weight, body mass index, body fat mass, body fat percentage, and skeletal muscle mass), and health-related fitness (sit and reach, handgrip strength, curl-up, Rockport 1-mile test). Results Both experimental groups presented significant improvements in low back pain and disability (P < 0.001) compared with control group. The 3 days/week group showed significantly greater benefits at VAS flexion and disability (P < 0.001) than the 2 days/week group. Regarding quality of life, both intervention groups presented significant differences for Physical Role (P < 0.05), Bodily Pain (P < 0.001), General Health (P = 0.012), and Standardized Physical Component (P < 0.001) compared with control group. Both experimental groups significantly improved all health-related fitness parameters (P < 0.01). The 3 days/week group showed significantly greater benefits at curl-up and heart rate (P < 0.001) than the 2 days/week group. No significant changes between treatment groups and control were found in body composition. Conclusions Eight weeks of aquatic therapy Program decrease levels of back pain and disability, increase quality of life, and improve health-related fitness in adults with chronic low back pain without effects in body composition. A dose–response effect was observed in some parameters, with greater benefits when exercising 3 days per week compared with 2 days.
Wuleta Lemma - One of the best experts on this subject based on the ideXlab platform.
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Out-patient therapeutic feeding Program Outcomes and determinants in treatment of severe acute malnutrition in Tigray, Northern Ethiopia: a retrospective cohort study
2016Co-Authors: Henock Gebremedhin Yebyo, Carl Kendall, Daniel Nigusse, Wuleta LemmaAbstract:Background: Outpatient Therapeutic feeding Program (OTP) brings the services for management of Severe Acute Malnutrition (SAM) closer to the community by making services available at decentralized treatment points within the primary health care settings, through the use of ready-to-use therapeutic foods, community outreach and mobilization. Little is known about the Program Outcomes. This study revealed the levels of Program Outcome indictors and determinant factors to recovery rate. Methods: A retrospective cohort study was conducted on 628 children who had been managed for SAM under OTP from April/2008 to January/2012. The children were selected using systematic random sampling from 12 health posts and 4 health centers. The study relied on information of demographic characteristics, anthropometries, Plumpy’Nut, medical problems and routine medications intakes. The results were estimated using Kaplan-Meier survival curves, log-rank test and Cox-regression. Results: The recovery, defaulter, mortality and weight gain rates were 61.78%, 13.85%, 3.02 % and 5.23 gm/kg/day, respectively. Routine medications were administered partially and children with medical problems were managed inappropriately under the Program. As a child consumed one more sachet of Plumpy’Nut, the recovery rate from SAM increased by 4 % (HR = 1.04, 95%-CI = 1.03, 1.05, P,0.001). The adjusted hazard ratios to recovery of children with diarrhea, appetite loss with Plumpy’Nut and failure to gain weight were 2.20 (HR = 2.20, 95%-CI = 1.31, 3.41, P = 0.001), 4.49 (HR = 1.74
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outpatient therapeutic feeding Program Outcomes and determinants in treatment of severe acute malnutrition in tigray northern ethiopia a retrospective cohort study
PLOS ONE, 2013Co-Authors: Henock Gebremedhin Yebyo, Carl Kendall, Daniel Nigusse, Wuleta LemmaAbstract:Background: Outpatient Therapeutic feeding Program (OTP) brings the services for management of Severe Acute Malnutrition (SAM) closer to the community by making services available at decentralized treatment points within the primary health care settings, through the use of ready-to-use therapeutic foods, community outreach and mobilization. Little is known about the Program Outcomes. This study revealed the levels of Program Outcome indictors and determinant factors to recovery rate. Methods: A retrospective cohort study was conducted on 628 children who had been managed for SAM under OTP from April/2008 to January/2012. The children were selected using systematic random sampling from 12 health posts and 4 health centers. The study relied on information of demographic characteristics, anthropometries, Plumpy’Nut, medical problems and routine medications intakes. The results were estimated using Kaplan-Meier survival curves, log-rank test and Cox-regression. Results: The recovery, defaulter, mortality and weight gain rates were 61.78%, 13.85%, 3.02% and 5.23 gm/kg/day, respectively. Routine medications were administered partially and children with medical problems were managed inappropriately under the Program. As a child consumed one more sachet of Plumpy’Nut, the recovery rate from SAM increased by 4% (HR=1.04, 95%-CI=1.03, 1.05, P,0.001). The adjusted hazard ratios to recovery of children with diarrhea, appetite loss with Plumpy’Nut and failure to gain weight were 2.20 (HR=2.20, 95%-CI=1.31, 3.41, P=0.001), 4.49 (HR=1.74, 95%-CI=1.07, 2.83, P=0.046) and 3.88 (HR=1.95, 95%-CI=1.17, 3.23, P,0.001), respectively. Children who took amoxicillin and de-worming had 95% (HR=1.95, 95%-CI=1.17, 3.23) and 74% (HR=1.74, 95%-CI=1.07, 2.83) more probability to recover from SAM as compared to those who didn’t take them. Conclusions: The OTP was partially successful. Management of children with comorbidities under the Program and partial administration of routine drugs were major threats for the Program effectiveness. The stakeholders should focus on creating the capacity of the OTP providers on proper management of SAM to achieve fully effective Program.
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Outpatient Therapeutic Feeding Program Outcomes and Determinants in Treatment of Severe Acute Malnutrition in Tigray, Northern Ethiopia: A Retrospective Cohort Study
2013Co-Authors: Henock Gebremedhin Yebyo, Carl Kendall, Daniel Nigusse, Wuleta LemmaAbstract:BackgroundOutpatient Therapeutic feeding Program (OTP) brings the services for management of Severe Acute Malnutrition (SAM) closer to the community by making services available at decentralized treatment points within the primary health care settings, through the use of ready-to-use therapeutic foods, community outreach and mobilization. Little is known about the Program Outcomes. This study revealed the levels of Program Outcome indictors and determinant factors to recovery rate.MethodsA retrospective cohort study was conducted on 628 children who had been managed for SAM under OTP from April/2008 to January/2012. The children were selected using systematic random sampling from 12 health posts and 4 health centers. The study relied on information of demographic characteristics, anthropometries, Plumpy'Nut, medical problems and routine medications intakes. The results were estimated using Kaplan-Meier survival curves, log-rank test and Cox-regression.ResultsThe recovery, defaulter, mortality and weight gain rates were 61.78%, 13.85%, 3.02% and 5.23 gm/kg/day, respectively. Routine medications were administered partially and children with medical problems were managed inappropriately under the Program. As a child consumed one more sachet of Plumpy'Nut, the recovery rate from SAM increased by 4% (HR = 1.04, 95%-CI = 1.03, 1.05, P
Denise Campbellscherer - One of the best experts on this subject based on the ideXlab platform.
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the better wise protocol building on existing tools to improve cancer and chronic disease prevention and screening in primary care for wellness of cancer survivors and patients a cluster randomized controlled trial embedded in a mixed methods design
BMC Cancer, 2018Co-Authors: Donna Manca, Carolina Fernandes, Eva Grunfeld, Kris Aubreybassler, Melissa Sheabudgell, Aisha Lofters, Denise CampbellschererAbstract:There is a pressing need to reduce the burden of chronic disease and improve healthcare system sustainability through improved cancer and chronic disease prevention and screening (CCDPS) in primary care. We aim to create an integrated approach that addresses the needs of the general population and the special concerns of cancer survivors. Building on previous research, we will develop, implement, and test the effectiveness of an approach that proactively targets patients to attend an individualized CCDPS intervention delivered by a Prevention Practitioner (PP). The objective is to determine if patients randomized to receive an individualized PP visit (vs standard care) have improved cancer surveillance and CCDPS Outcomes. Implementation frameworks will help identify and address facilitators and barriers to the approach and inform future dissemination and uptake. The BETTER WISE project is a pragmatic two-arm cluster randomized controlled trial embedded in a mixed methods design, including a qualitative evaluation and an economic assessment. The intervention, informed by the expanded chronic care model and previous research, will be refined by engaging researchers, practitioners, policy makers, and patients. The BETTER WISE tool kit includes blended care pathways for cancer survivors (breast, colorectal, prostate) and CCDPS including lifestyle risk factors and screening for poverty. Patients aged 40–65, including both cancer survivors and general population patients, will be randomized at the physician level to an intervention group or to a wait-list control group. Once the intervention is completed, patients randomized to wait-list control will be invited to receive a prevention visit. The main Outcome, calculated at 12-months follow-up, will be an individual patient-level summary composite index, defined as the proportion of CCDPS actions achieved relative to those for which the patient was eligible at baseline. A qualitative evaluation will capture information related to Program Outcome, implementation (facilitators and barriers), and sustainability. An economic assessment will examine the projected cost-benefit impact of investing in the BETTER WISE approach. This project builds on existing work and engages end users throughout the process to develop, implement, and determine the effectiveness of a multi-faceted intervention that addresses CCDPS and cancer survivorship in primary care settings. ISRCTN21333761 . Registered on December 19, 2016
Henock Gebremedhin Yebyo - One of the best experts on this subject based on the ideXlab platform.
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Out-patient therapeutic feeding Program Outcomes and determinants in treatment of severe acute malnutrition in Tigray, Northern Ethiopia: a retrospective cohort study
2016Co-Authors: Henock Gebremedhin Yebyo, Carl Kendall, Daniel Nigusse, Wuleta LemmaAbstract:Background: Outpatient Therapeutic feeding Program (OTP) brings the services for management of Severe Acute Malnutrition (SAM) closer to the community by making services available at decentralized treatment points within the primary health care settings, through the use of ready-to-use therapeutic foods, community outreach and mobilization. Little is known about the Program Outcomes. This study revealed the levels of Program Outcome indictors and determinant factors to recovery rate. Methods: A retrospective cohort study was conducted on 628 children who had been managed for SAM under OTP from April/2008 to January/2012. The children were selected using systematic random sampling from 12 health posts and 4 health centers. The study relied on information of demographic characteristics, anthropometries, Plumpy’Nut, medical problems and routine medications intakes. The results were estimated using Kaplan-Meier survival curves, log-rank test and Cox-regression. Results: The recovery, defaulter, mortality and weight gain rates were 61.78%, 13.85%, 3.02 % and 5.23 gm/kg/day, respectively. Routine medications were administered partially and children with medical problems were managed inappropriately under the Program. As a child consumed one more sachet of Plumpy’Nut, the recovery rate from SAM increased by 4 % (HR = 1.04, 95%-CI = 1.03, 1.05, P,0.001). The adjusted hazard ratios to recovery of children with diarrhea, appetite loss with Plumpy’Nut and failure to gain weight were 2.20 (HR = 2.20, 95%-CI = 1.31, 3.41, P = 0.001), 4.49 (HR = 1.74
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outpatient therapeutic feeding Program Outcomes and determinants in treatment of severe acute malnutrition in tigray northern ethiopia a retrospective cohort study
PLOS ONE, 2013Co-Authors: Henock Gebremedhin Yebyo, Carl Kendall, Daniel Nigusse, Wuleta LemmaAbstract:Background: Outpatient Therapeutic feeding Program (OTP) brings the services for management of Severe Acute Malnutrition (SAM) closer to the community by making services available at decentralized treatment points within the primary health care settings, through the use of ready-to-use therapeutic foods, community outreach and mobilization. Little is known about the Program Outcomes. This study revealed the levels of Program Outcome indictors and determinant factors to recovery rate. Methods: A retrospective cohort study was conducted on 628 children who had been managed for SAM under OTP from April/2008 to January/2012. The children were selected using systematic random sampling from 12 health posts and 4 health centers. The study relied on information of demographic characteristics, anthropometries, Plumpy’Nut, medical problems and routine medications intakes. The results were estimated using Kaplan-Meier survival curves, log-rank test and Cox-regression. Results: The recovery, defaulter, mortality and weight gain rates were 61.78%, 13.85%, 3.02% and 5.23 gm/kg/day, respectively. Routine medications were administered partially and children with medical problems were managed inappropriately under the Program. As a child consumed one more sachet of Plumpy’Nut, the recovery rate from SAM increased by 4% (HR=1.04, 95%-CI=1.03, 1.05, P,0.001). The adjusted hazard ratios to recovery of children with diarrhea, appetite loss with Plumpy’Nut and failure to gain weight were 2.20 (HR=2.20, 95%-CI=1.31, 3.41, P=0.001), 4.49 (HR=1.74, 95%-CI=1.07, 2.83, P=0.046) and 3.88 (HR=1.95, 95%-CI=1.17, 3.23, P,0.001), respectively. Children who took amoxicillin and de-worming had 95% (HR=1.95, 95%-CI=1.17, 3.23) and 74% (HR=1.74, 95%-CI=1.07, 2.83) more probability to recover from SAM as compared to those who didn’t take them. Conclusions: The OTP was partially successful. Management of children with comorbidities under the Program and partial administration of routine drugs were major threats for the Program effectiveness. The stakeholders should focus on creating the capacity of the OTP providers on proper management of SAM to achieve fully effective Program.
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Outpatient Therapeutic Feeding Program Outcomes and Determinants in Treatment of Severe Acute Malnutrition in Tigray, Northern Ethiopia: A Retrospective Cohort Study
2013Co-Authors: Henock Gebremedhin Yebyo, Carl Kendall, Daniel Nigusse, Wuleta LemmaAbstract:BackgroundOutpatient Therapeutic feeding Program (OTP) brings the services for management of Severe Acute Malnutrition (SAM) closer to the community by making services available at decentralized treatment points within the primary health care settings, through the use of ready-to-use therapeutic foods, community outreach and mobilization. Little is known about the Program Outcomes. This study revealed the levels of Program Outcome indictors and determinant factors to recovery rate.MethodsA retrospective cohort study was conducted on 628 children who had been managed for SAM under OTP from April/2008 to January/2012. The children were selected using systematic random sampling from 12 health posts and 4 health centers. The study relied on information of demographic characteristics, anthropometries, Plumpy'Nut, medical problems and routine medications intakes. The results were estimated using Kaplan-Meier survival curves, log-rank test and Cox-regression.ResultsThe recovery, defaulter, mortality and weight gain rates were 61.78%, 13.85%, 3.02% and 5.23 gm/kg/day, respectively. Routine medications were administered partially and children with medical problems were managed inappropriately under the Program. As a child consumed one more sachet of Plumpy'Nut, the recovery rate from SAM increased by 4% (HR = 1.04, 95%-CI = 1.03, 1.05, P
Debra K Weiner - One of the best experts on this subject based on the ideXlab platform.
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a mind body Program for older adults with chronic low back pain results of a pilot study
Pain Medicine, 2009Co-Authors: Natalia E Morone, Bruce L Rollman, Charity G Moore, Qin Li, Debra K WeinerAbstract:Objectives. Determine the impact of an 8-week mindfulness meditation Program on disability, psychological function, and pain severity in community-dwelling older adults with chronic low back pain, and to test the education control Program for feasibility. Design. Randomized controlled trial. Participants. Forty community-dwelling older adults with moderate low back pain or greater for at least the previous 3 months. Intervention. Participants were randomized to an 8-week meditation Program or an 8-week education control Program. Outcome Measures. Disability, psychological function, and pain severity were assessed. The same measures were obtained for both groups at baseline, at the end of the Program, and 4 months after Program completion. Results. Sixteen participants (80%) completed the meditation Program and 19 (95%) completed the education Program. Both the meditation and control group improved on measures of disability, pain, and psychological function, both at Program completion and 4-month follow-up. The differences between the two groups did not reach statistical significance. The meditation group practiced mindfulness meditation a mean of 5 days/week (range 1–7) and mean of 31 minutes/session (range 22–48). At 4 months follow-up 14/16 (88%) participants continued to meditate. Conclusion. Both the intervention group and the education control group improved on Outcome measures suggesting both Programs had a beneficial effect. Participants continued to meditate on 4-month follow-up. The control Program was feasible but not inert. Piloting the control Program in mind–body research can inform the design of larger clinical trials.