Artigos de revistas: "Personal Follow-Up"

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Taylor, John R. "Article Commentary: Breast Implant Follow-Up: A Personal Opinion". Canadian Journal of Plastic Surgery 1, n.º 2 (junho de 1993): 74. http://dx.doi.org/10.1177/229255039300100202.

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Callinan, Catherine E., Brianna Kenney, Lisa A. Hark, Ann P. Murchison, Yang Dai, Benjamin E. Leiby, Eileen L. Mayro, Joseph Bilson e Julia A. Haller. "Improving Follow-Up Adherence in a Primary Eye Care Setting". American Journal of Medical Quality 32, n.º 1 (10 de julho de 2016): 73–79. http://dx.doi.org/10.1177/1062860615616860.

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Lack of patient adherence with eye appointments can decrease ocular outcomes. This prospective, randomized, single-blinded controlled study assessed the effectiveness of multiple interventions in improving follow-up adherence to recommended eye appointments. Patients due for follow-up appointments were randomly assigned to usual care, automated intervention, or personal intervention. Automated-intervention patients and personal-intervention patients received a call one month prior to the recommended follow-up date, and a mailed appointment reminder letter. The call was automated for automated-intervention patients and personalized for personal-intervention patients. The primary outcome was adherence to the follow-up appointment. The secondary outcome was rate of appointment scheduling. Patients in the personal-intervention group had greater adherence to follow-up recommendations (38%) than patients in the usual care group (28%) and the automated-intervention group (30%). Personal intervention significantly increased appointment scheduling (51%) over usual care (32%) and automated intervention (36%). These results support systems-level changes to improve patient follow-up adherence in urban primary eye care settings.

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Rachlin, Stephen, e Barbara Prach. "Personal Accounts: A 35-Year Follow-up of Completed Psychotherapy". Psychiatric Services 59, n.º 6 (junho de 2008): 609–10. http://dx.doi.org/10.1176/ps.2008.59.6.609.

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Niiranen, Samuli, e Heikki Lamminen. "Feasibility of personal prothrombin time measurement in anticoagulant treatment follow-up". Journal of Telemedicine and Telecare 8, n.º 6 (1 de dezembro de 2002): 359–60. http://dx.doi.org/10.1258/135763302320939266.

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Fukuda, T. "Atypical psychoses versus schizophrenia: A long-term personal follow-up results". Biological Psychiatry 42, n.º 1 (julho de 1997): 196S. http://dx.doi.org/10.1016/s0006-3223(97)87729-3.

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Storm-Mathisen, A., e P. Vaglum. "Conduct disorder patients 20 years later: a personal follow-up study". Acta Psychiatrica Scandinavica 89, n.º 6 (junho de 1994): 416–20. http://dx.doi.org/10.1111/j.1600-0447.1994.tb01539.x.

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Tin, S. Tin, A. Woodward e S. Ameratunga. "TAUPO BICYCLE STUDY: FOLLOW UP RESPONSE, PERSONAL CHARACTERISTICS AND INJURY OUTCOME". Injury Prevention 18, Suppl 1 (outubro de 2012): A225.1—A225. http://dx.doi.org/10.1136/injuryprev-2012-040590w.1.

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Oliveira, Elenilda Farias de, Climene Laura de Camargo, Nadirlene Pereira Gomes, Telmara Menezes Couto, Luana Moura Campos e Patricia Santos de Oliveira. "Factors related to quilombola attendance to child follow-up appointments". Revista Brasileira de Enfermagem 72, suppl 3 (dezembro de 2019): 9–16. http://dx.doi.org/10.1590/0034-7167-2017-0605.

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ABSTRACT Objective: To understand factors interfering with the attendance of quilombola children to growth and development follow-up appointments. Method: It is a qualitative research based on Symbolic interactionism, during which 14 mothers of children bellow 1 year-old were interviewed, who attended to the Family Health Unit at Ilha de Maré, Bahia, Brazil. Results: Appointment attendance is affected by factors intrinsic to mothers (meaning of child health follow-up; association between appointments and children falling ill; personal issues) and extrinsic factors, related to the service (availability, long waiting time for appointments and its quality). Final considerations: An administration prioritizing the service’s organization is required, which can prioritize attendances and the reduction of waiting time, specially given the personal issues that compromise going to the unit.

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Saajanaho, Milla, Anne Viljanen, Sanna Read, Merja Rantakokko, Li-Tang Tsai, Jaakko Kaprio, Marja Jylhä e Taina Rantanen. "Older Women’s Personal Goals and Exercise Activity: An 8-Year Follow-Up". Journal of Aging and Physical Activity 22, n.º 3 (julho de 2014): 386–92. http://dx.doi.org/10.1123/japa.2012-0339.

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This study investigated the associations of personal goals with exercise activity, as well as the relationships between exercise-related and other personal goals, among older women. Both cross-sectional and longitudinal designs were used with a sample of 308 women ages 66–79 at baseline. Women who reported exercise-related personal goals were 4 times as likely to report high exercise activity at baseline than those who did not report exercise-related goals. Longitudinal results were parallel. Goals related to cultural activities, as well as to busying oneself around the home, coincided with exercise-related goals, whereas goals related to own and other people’s health and independent living lowered the odds of having exercise-related goals. Helping older adults to set realistic exercise-related goals that are compatible with their other life goals may yield an increase in their exercise activity, but this should be evaluated in a controlled trial.

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Saajanaho, Milla, Anne Viljanen, Sanna Read, Merja Rantakokko, Li-Tang Tsai, Jaakko Kaprio, Marja Jylhä e Taina Rantanen. "Older Women’s Personal Goals and Exercise Activity: An 8-Year Follow-Up". Journal of Aging and Physical Activity 22, n.º 3 (julho de 2014): 386–92. http://dx.doi.org/10.1123/japa.22.3.386.

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Beiser, Helen R. "A fifty-year follow-up of an abandoned child: A personal commentary". Child Psychiatry and Human Development 26, n.º 4 (junho de 1996): 211–20. http://dx.doi.org/10.1007/bf02353238.

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Li Destri, Giovanni, Calogero Rinzivillo, Giuseppe Craxi, Gaetano La Greca, Antonio Di Cataldo, Stefano Puleo e Antonio Licata. "Colorectal Follow-Up Planning Modified on the Basis of Our Personal Experience". Digestive Surgery 15, n.º 1 (1998): 64–68. http://dx.doi.org/10.1159/000018589.

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Assad, Hadeel, Maliha Naseer e Samira Ahsan. "Follow-up decisions and care after BRCA testing." Journal of Clinical Oncology 32, n.º 26_suppl (10 de setembro de 2014): 52. http://dx.doi.org/10.1200/jco.2014.32.26_suppl.52.

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52 Background: Women with a deleterious mutation in BRCA 1/2 genes have an increased lifetime risk of developing breast and ovarian cancer. A spectrum of risk reducing and early detection strategies exist including clinical and radiographic surveillance, hormonal therapy, and prophylactic surgery. Methods: We studied the pattern of clinicopreventive inclination among patients undergoing BRCA testing in our genetics center via a telephone based questionnaire. Differences in sociodemographic and clinical characteristics were identified using independent sample t-test and Fisher exact test. Results: A total of 320 individuals were seen at the genetics center between October 2007 and February 2013. Twenty-nine were eligible of which 25 agreed to participate; 20 were found to be BRCA positive and 5 were true negatives. Most participants (> 75%) informed family members they were undergoing BRCA testing and all women shared the result of their deleterious mutation. An average of 2.2 (SD: 1.28) subsequent family members were tested which led to the discovery of 1.33 (SD: 1.15) new deleterious BRCA mutation carriers. Of the 20 BRCA positive patients, 13 opted for prophylactic surgery of which 5 underwent prophylactic oophorectomy (PO), 4 had prophylactic mastectomy (PM), and another 4 combined PO with PM. The remaining chose increased surveillance. Hormonal therapy was used as a preventive program in 6 women, 4 combined it with prophylactic surgery. Data subanalysis revealed BRCA carriers who opted for prophylactic surgery were more likely to be white (> 75%), younger, multiparous, live in Detroit suburbs, and have a personal history of cancer (92% versus 83%, respectively). Screening and surveillance practices were variable in timing and modality. Conclusions: 65 % of women with deleterious BRCA mutation underwent prophylactic surgery as their cancer risk reducing method. Decisions regarding adopting least to most aggressive measures remain highly influenced by personal history of cancer as well as individual socioeconomic characteristics. Understanding factors that affect women’s decisions to adopt various risk reduction strategies will aid both mutation carriers and clinicians to decide on optimal management.

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Riaz, Sara Sarwar, e Samira Ahsan. "Assessment of follow-up decisions and care after BRCA testing." Journal of Clinical Oncology 30, n.º 34_suppl (1 de dezembro de 2012): 22. http://dx.doi.org/10.1200/jco.2012.30.34_suppl.22.

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22 Background: Inherited mutations in BRCA1/2 genes render high risk of development of breast and ovarian cancers in affected individuals. A spectrum of risk reducing strategies exists inclusive of preventive measures as clinical and radiographic surveillance, hormonal therapies and prophylactic surgeries. Baseline prognostic parameters direct decisions regarding adoption of each approach. Methods: We aimed to study the pattern of clinico-preventive inclination among deleterious mutation carriers, with and without personal history of malignancies. Our mode of intervention was a phone survey conducted to elicit pertinent information from individuals with high risk penetrance mutations and to assess their choice and bias toward each strategy, primarily designed to abate the oncogenic potential inherent to these mutations. Results: Analysis of subjective and sequential data revealed that 5 out of the 7 mutation carriers had a personal history of breast or ovarian cancer. All 5 of these subjects opted for prophylactic mastectomy while 4 of them underwent prophylactic oophorectomy, detecting one additional cancer. 2 of the individuals preferred surveillance as their preventive program while none of the subjects chose hormonal therapy. In terms of demographics and lifestyle, 3 patients claimed to had increased their level of physical activity, 4 modified their dietary habits and 2 incorporated vitamins and herbal supplements into their regimen. 6 of the subjects felt adequately supported while 1 individual relayed concerns regarding inadequate insurance coverage. None of the subjects felt their follow up decisions were influenced by their annual income or coverage plans. Conclusions: Decisions regarding adopting least to most aggressive measures are highly influenced by personal history of cancer shifting the focus from quality to quantity of life. Prophylactic mastectomy reduces the risk of contralateral breast cancer by 90% and oophorectomy by 50%. Estrogen and progestrogen receptors are infrequently expressed in BRCA related tumors rendering hormonal therapy less effective. Lifestyle modification and stringent surveillance are evolving areas of preventive oncology, however, their effectiveness remains to be elucidated.

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Akbaba, Bilge Esin, Elif Akpınarlı, Fatih Sarısoy, Büşra Yılmaz, Ömer Şenel e Mehmet Günay. "Personalized special training follow-up application Cardiofit2". Journal of Computer & Electrical and Electronics Engineering Sciences 2, n.º 1 (27 de abril de 2024): 25–30. http://dx.doi.org/10.51271/jceees-0014.

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Mobile applications are preferred by many people due to the convenience they provide to users and their low cost. Mobile applications, which are widely used in many fields, also appear in many different forms in the field of fitness and health. Mobile application experts, who closely follow technological developments, update these applications periodically. Thus, with new training and nutrition recommendations provided to users, users are provided with easy access to technological developments as well as developments in sports. Mobile applications also aim to create a fitness and health routine for their users in daily life with the feedback they provide based on user preferences and motivating warnings to users. The fitness and health application we have developed called "Cardiofit2" also allows users to save their personal information and access personalized exercise programs created using this information. The application is designed to enable users to easily achieve their fitness goals with weekly exercise programs in the short and long term. It also aims to provide more comprehensive support to users with features such as exercise history, daily water consumption warnings, pedometer and smart watch integration. Cardiofit2 is an improvable platform that helps users gain healthy lifestyle habits with its aesthetic design and strong technical infrastructure. The application aims to guide users in achieving their fitness goals with its user-friendly interface, personalized exercise programs and health tracking features. It supports users' transition from a sedentary lifestyle to a healthier lifestyle with regular feedback and motivational alerts.

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Devroey, D., P. Coigniez, J. Vandevoorde, J. Kartounian e W. Betz. "Prevention and follow-up of cardiovascular disease among patients without a personal GP". Family Practice 20, n.º 4 (agosto de 2003): 420–24. http://dx.doi.org/10.1093/fampra/cmg415.

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Watel, M., C. Rigaut, J. Da Silva, B. Sivery e R. Baccouch. "Setting up of pharmaceutical consultations on oral anticoagulants: A personal session supplemented by a patient follow-up". Archives of Cardiovascular Diseases Supplements 11, n.º 1 (janeiro de 2019): 75. http://dx.doi.org/10.1016/j.acvdsp.2018.10.164.

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Zelmer, Amy E., e Neil A. Johnson. "International Students in Higher Education: A Follow-up Study of University Graduates". Canadian Journal of Higher Education 18, n.º 3 (31 de dezembro de 1988): 31–50. http://dx.doi.org/10.47678/cjhe.v18i3.183044.

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Despite current concern about declining foreign student enrolments in Canadian post-secondary institutions, there remains a paucity of information regarding international students' perceptions and performance after returning to their own countries. To assist in overcoming this deficiency, this paper reports about methodological procedures, results and research and policy implications from an investigation of CIDA graduates who had studied at the University of Alberta between 1972 and 1984. A range of substantive outcomes are presented: educational attainments and characteristics of students; marital and family circumstances; preferred programs of study; use of and satisfaction with university facilities; academic and personal interaction; prior and subsequent employment; adjustments to Canada; advantages and disadvantages accruing from studying in Canada; as well as comments about the experience and advice for prospective international students. The findings had policy implications relating to correction of imbalances according to gender, nationality and employment background of students, as well as to provision for academic, personal, recreational and financial needs of international students. Suggestions are also made about data collection emphases, strategies for establishing and maintaining contact with informants, and productive avenues for future inquiry.

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Lewis, W. W. "The Role of Ecological Variables in Residential Treatment". Behavioral Disorders 13, n.º 2 (fevereiro de 1988): 98–107. http://dx.doi.org/10.1177/019874298801300209.

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The importance of a supportive ecology after a child returns from residential treatment has been documented in a number of follow-up studies. This study used ratings by liaison staff in a residential treatment program to measure both personal and ecological variables at admission and discharge and investigate the relationship of those ratings to adjustment status of students 6 months after discharge. It was found that some ecological data gathered at admission were predictive of follow-up status while most personal characteristics of the student were not. Unlike earlier follow-up studies, ratings of improvement, both of the student's behavior and his ecological support, were significantly related to follow-up ratings, possibly because liaison staff had worked directly with members of students' ecologies and were aware of support and problems to be faced on return to the community. These findings seem to support the proposition that personal change and ecological change must occur together for residential treatment to be successful.

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Pennings, Ronald. "Cholesteatoma treated by mastoid obliteration, recommendations from a personal follow-up of surgical results". Journal of Laryngology & Otology 130, S3 (maio de 2016): S219. http://dx.doi.org/10.1017/s0022215116006629.

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Kellens, Pieter-Jan, An De Hauwere, Tim Gossye, Sven Peire, Ingrid Tournicourt, Luc Strubbe, Jan De Pooter e Klaus Bacher. "INTEGRITY OF PERSONAL RADIATION PROTECTIVE EQUIPMENT (PRPE): A 4-YEAR LONGITUDINAL FOLLOW-UP STUDY". Physica Medica 104 (dezembro de 2022): S15—S16. http://dx.doi.org/10.1016/s1120-1797(22)02149-4.

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Mori, Westley S., Neil Houston, Jacqueline F. Moreau, Noel Prevost, Robin P. Gehris, Laura Korb Ferris e Timothy J. Patton. "Personal Burden of Isotretinoin Therapy and Willingness to Pay for Electronic Follow-up Visits". JAMA Dermatology 152, n.º 3 (1 de março de 2016): 338. http://dx.doi.org/10.1001/jamadermatol.2015.4763.

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Torres, Alejandra Suyapa Becerra, Otávio Prado Alabarse, Ândria Cléia Alves, Ana Luiza Teixeira, Renata Cruz Soares de Azevedo e Arlete Fernandes. "Adolescent Female Victims of Sexual Violence: Analysis of Loss of Follow-up after Emergency Care and Outpatient Follow-up". Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 45, n.º 11 (novembro de 2023): e661-e675. http://dx.doi.org/10.1055/s-0043-1772594.

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Abstract Objective To assess the loss to follow-up after emergency care and during 6-months of outpatient follow-up, and the associated variables, among adolescent sexual violence survivors. Methods This is a retrospective study with review of the medical records of 521 females, aged 10 to 18 years, who received emergency care in a referral service in São Paulo, Brazil. The variables were sociodemographic; personal history; characteristics of abuse, disclosure, and reactions triggered after abuse (physical and mental disorders as well as social changes), psychotropic prescription needs, and moment of abandonment: after emergency care and before completing 6 months of outpatient follow-up. To compare groups of patients lost to follow-up at each time point, we used the Chi-square and Fisher exact tests followed by multiple logistic regression with stepwise criterion for selection of associated variables. We calculated the odds ratio with confidence interval (OR, CI 95%). The level of significance adopted was 5%. Results A total of 249/521 (47.7%) adolescents discontinued follow-up, 184 (35.3%) after emergency care and 65 (12.4%) before completing outpatient follow-up. The variables of living with a partner (OR = 5.94 [CI 95%; 2.49–14.20]); not having a religion (OR = 2.38 [CI 95%;1.29–4.38)]), having a Catholic religion [OR = 2.11 (CI 95%; 1.17–3.78)]; and not disclosing the abuse [OR = 2.07 (CI 95%; 1.25–3.44)] were associated with loss to follow-up after emergency care. Not needing mental disorder care (OR = 2.72 [CI 95%; 1.36–5.46]) or social support (OR = 2.33 [CI 95%; 1.09–4.99]) were directly associated with loss to outpatient follow-up. Conclusion Measures to improve adherence to follow-up should be aimed at adolescents who live with a partner and those who do not tell anyone about the violence.

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Rathod, Nehkant H., W. Mary Addenbrooke e Alan F. Rosenbach. "Heroin dependence in an English town: 33-year follow-up". British Journal of Psychiatry 187, n.º 5 (novembro de 2005): 421–25. http://dx.doi.org/10.1192/bjp.187.5.421.

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BackgroundThere has been no long-term study of people addicted to injected heroin who have been treated without the prescribing of substitute opioids.AimsTo investigate the outcome for patients treated for injected heroin addiction 33 years after they were first seen, and 26 years after they were first followed up, in terms of sustained abstinence, continuing maintenance on methadone and deaths.MethodEighty-six people with heroin addiction first seen in 1966–1967 in a small town in the south-east of England were located and their clinical state assessed using multiple sources, including personal interviews with a proportion of the cohort.ResultsForty-two per cent of the cohort had been abstinent for at least 10 years; 10% were taking methadone and were classified as addicted; and 22% had died. Eight per cent of the cohort could not be located.ConclusionsResults proved favourable in the above three parameters compared with other long-term studies.

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Vincent-Höper, Sylvie, Maie Stein, Albert Nienhaus e Anja Schablon. "Workplace Aggression and Burnout in Nursing—The Moderating Role of Follow-Up Counseling". International Journal of Environmental Research and Public Health 17, n.º 9 (1 de maio de 2020): 3152. http://dx.doi.org/10.3390/ijerph17093152.

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The aim of this study is to obtain a better understanding of the association between the frequency of nurses’ exposure to workplace aggression from patients and their levels of burnout. In particular, we seek to shed light on the role of the availability of follow-up counseling in organizations after critical incidents in mitigating the adverse relationships between physical and verbal aggression and nurses’ burnout. A total of 582 nurses reported how frequently they had experienced physical and verbal aggression from patients in the last 12 months and whether they had the opportunity to receive follow-up counseling in their organization. In addition, nurses rated the extent to which they experienced each of the three dimensions of burnout (i.e., emotional exhaustion, depersonalization, and personal accomplishment). The results showed that both physical and verbal aggression were substantially related to the burnout dimensions. Furthermore, we found that the availability of follow-up counseling in organizations attenuated the relationships between physical aggression and all three burnout dimensions. While we found that the availability of follow-up counseling moderated the relationship between verbal aggression depersonalization, the moderating effects were not significant for emotional exhaustion and personal accomplishment. The findings indicate that the availability of follow-up counseling might help minimize the adverse impact of exposure to aggression from patients on nurses’ mental health.

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Stake, Jayne E., e Suzanna Rose. "The Long-Term Impact Of Women's Studies on Students' Personal Lives and Political Activism". Psychology of Women Quarterly 18, n.º 3 (setembro de 1994): 403–12. http://dx.doi.org/10.1111/j.1471-6402.1994.tb00463.x.

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Stake, Roades, Rose, Ellis, and West (1994) reported that women's studies classes led to more feminist activism and greater personal course-related changes than nonwomen's studies classes. The present study tested the durability of the positive changes observed in women studies students 9 months following the last week of class. Comparisons between students who participated at follow-up (26.3%) and students who did not participate indicated that the follow-up participants were representative of all students who completed the courses. In the follow-up sample, class impact reported in the last week of class was sustained at follow-up. Women's studies students continued to report substantial changes in their interactions with others and willingness to adopt new roles and behaviors. Ratings of positive effects were significantly higher than ratings of negative effects ( p < .0001). Students' responses indicated they were using their women's studies learning as a framework for understanding their experiences and making lifestyle changes.

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Broggini, P., G. P. Puricelli, A. Goddi, L. Belli, E. Pozzi, G. M. Malvestiti, O. Leoni, P. Marandola, A. Roggia e M. Jallous. "Percutaneous Sclerotherapy of Varicocele: Personal Experience". Urologia Journal 60, n.º 2 (abril de 1993): 185–88. http://dx.doi.org/10.1177/039156039306000212.

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The Authors describe their experience regarding 80 cases of selective phlebography of the spermatic vein in men with varicocele. Percutaneous transvenous retrograde sclerotherapy of the internal spermatic vein was performed in 78 patients (type 1 and type 3 according to Coolsaet). Follow-up colour-doppler 1 month after sclerotherapy revealed a persistent varicocele in only 3% of cases. The Authors present the advantages of percutaneous sclerotherapy.

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Appireddy, Ramana, Sana Khan, Chad Leaver, Cally Martin, Albert Jin, Bryce A. Durafourt e Stephen L. Archer. "Home Virtual Visits for Outpatient Follow-Up Stroke Care: Cross-Sectional Study". Journal of Medical Internet Research 21, n.º 10 (7 de outubro de 2019): e13734. http://dx.doi.org/10.2196/13734.

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Background Timely, in-person access to health care is a challenge for people living with conditions such as stroke that result in frailty, loss of independence, restrictions in driving and mobility, and physical and cognitive decline. In Southeastern Ontario, access is further complicated by rurality and the long travel distances to visit physician clinics. There is a need to make health care more accessible and convenient. Home virtual visits (electronic visits, eVisits) can conveniently connect physicians to patients. Physicians use a secure personal videoconferencing tool to connect to patients in their homes. Patients use their device of choice (smartphone, tablet, laptop, or desktop) for the visit. Objective This study aimed to assess the feasibility and logistics of implementing eVisits in a stroke prevention clinic for seniors. Methods A 6-month eVisit pilot study was initiated in the Kingston Health Sciences Centre stroke prevention clinic in August 2018. eVisits were used only for follow-up patient encounters. An integrated evaluation was used to test the impact of the program on clinic workflow and patient satisfaction. Patient satisfaction was evaluated by telephone interviews, using a brief questionnaire. Access and patient satisfaction metrics were compared with concurrent standard of care (patients’ prior personal experience with in-person visits). Values are presented as median (interquartile range). Results There were 75 subjects in the pilot. The patients were aged 65 (56-73.5) years, and 39% (29/75) resided in rural areas. There was a shorter wait for an appointment by eVisit versus in-person (mean 59.98 [SD 48.36] days vs mean 78.36 [SD 50.54] days; P<.001). The eVisit was also shorter, taking on an average of only 10 min to deliver follow-up care with a high degree of patient satisfaction versus 90 (60-112) min for in-person care. The total time saved by patients per eVisit was 80 (50-102) min, 44 (21-69) min of which was travel time. Travel distance avoided by the patients was 30.1 km (11.2-82.2). The estimated total out-of-pocket cost savings for patients per eVisit was Can $52.83 (31.26-94.53). The estimated savings (opportunity cost for in-person outpatient care) for our eVisit pilot project was Can $23,832-$28,584. The patient satisfaction with eVisits was very good compared with their prior personal experience with in-person outpatient care. Conclusions The eVisit program was well received by patients, deemed to be safe by physicians, and avoided unnecessary patient travel and expense. It also has the potential to reduce health care costs. We plan to scale the project within the department and the institution.

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Hay, John, Carolyn Byrne, Gerry Cohen e Mary Lou Schmuck. "An 18 Month Follow-up of an Interdisciplinary Human Sexuality Workshop". Canadian Journal of Occupational Therapy 63, n.º 2 (junho de 1996): 129–32. http://dx.doi.org/10.1177/000841749606300205.

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This study reports the results of an 18 month follow-up of students involved in a successful interdisciplinary workshop in human sexuality for undergraduate health profession programmes. This workshop was designed to explore personal attitudes and to develop increased comfort when discussing sexual issues with clients. The long term effects of formal educational events in human sexuality (such as workshops) are not known. Thirty occupational therapy and physiotherapy students completed questionnaires measuring attitudes, comfort, and knowledge around issues in sexuality. These forms were identical to those used in the original investigation of the workshop. Results demonstrated that the statistically significant gains resulting from the workshop had been maintained and that small (non-significant) gains had been made. This evidence suggests that workshops in human sexuality can produce stable improvements in attitudes, comfort, and knowledge.

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Bandlamudi, Suryanarayana. "Review and Follow up of Open Pre-rectus Mesh Repair in the Management of Midline Incisional Hernias". New Indian Journal of Surgery 13, n.º 2 (15 de junho de 2022): 81–87. http://dx.doi.org/10.21088/nijs.0976.4747.13222.5.

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Repair of incisional hernia with prosthetic mesh provides tension free closure of the abdominal wall with improved results. Different methods of fixation of mesh have been described with varying results. Mesh fixation to the fascia is the most important part of a hernia repair. Anterior rectus sheaths are tough aponeurotic structures and so are ideal for mesh fixation. This study reports the long-term results of placement of prosthetic mesh in pre-rectus position and fixation to anterior rectus sheaths along with linea alba by open technique, for incisional hernias occurring in the midline. The primary end point was hernia recurrence. Patients and Methods: A total of 126 consecutive patients with incisional hernias occurring in the midline were operated from July 2009 to October2020. After dissection of the plane between rectus muscles and anterior rectus sheath, a polypropylene mesh of suitable size was placed in front of the rectus muscles and fixed to the posterior surfaces of anterior rectus sheaths and the linea alba. In 2013, cases were reviewed and the study continued. The patients were followed on phone or by personal visits up to March 2021. Results: The average period of follow up was 60 months. There were five recurrences. Wound infection was noted in 16 patients with complete healing in all cases with antibiotics and dressings. There were 4 cases of seroma, 5 cases of skin edge necrosis and two cases of suture sinus. There was no mortality, mesh infection or extrusion. Conclusion: Open ‘pre-rectus’ technique for repair of midline incisional hernias is effective with a low recurrence rate.

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Itasaka, Hidetoshi, Takashi Matsumata, Akinobu Taketomi, Kazuharu Yamamoto, Katsuhiko Yanaga, Kenji Takenaka, Kouhei Akazawa e Keizo Sugimachi. "Outpatient follow-up system using a personal computer for patients with hepatocellular carcinoma after surgery". Journal of Medical Systems 18, n.º 6 (dezembro de 1994): 329–33. http://dx.doi.org/10.1007/bf00999274.

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Amirthanayagam, Anumithra, Louise Boulter, Nessa Millet, Hilary J. McDermott, Jo Morrison, Alexandra Taylor, Tracie Miles, Lorna Coton e Esther L. Moss. "Risk Stratified Follow-Up for Endometrial Cancer: The Clinicians’ Perspective". Current Oncology 30, n.º 2 (13 de fevereiro de 2023): 2237–48. http://dx.doi.org/10.3390/curroncol30020173.

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Risk-stratified follow-up for endometrial cancer (EC) is being introduced in many cancer centres; however, there appears to be diversity in the structure and availability of schemes across the UK. This study aimed to investigate clinicians’ and clinical specialist nurses’ (CNS) experiences of follow-up schemes for EC, including patient-initiated follow-up (PIFU), telephone follow-up (TFU) and clinician-led hospital follow-up (HFU). A mixed-methods study was conducted, consisting of an online questionnaire to CNSs, an audience survey of participants attending a national “Personalising Endometrial Cancer Follow-up” educational meeting, and qualitative semi-structured telephone interviews with clinicians involved in the follow-up of EC. Thematic analysis identified three main themes to describe clinicians’ views: appropriate patient selection; changing from HFU to PIFU schemes; and the future of EC follow-up schemes. Many participants reported that the COVID-19 pandemic impacted EC follow-up by accelerating the transition to PIFU/TFU. Overall, there was increasing support for non-HFU schemes for patients who have completed primary treatment of EC; however, barriers were identified for non-English-speaking patients and those who had communication challenges. Given the good long-term outcome associated with EC, greater focus is needed to develop resources to support patients post-treatment and individualise follow-up according to patients’ personal needs and preferences.

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Guazzoni, G., F. Bergamaschi, F. Montorsi, P. Consonni, P. Bellinzoni e P. Rigatti. "Prostatic urolume in high-operative-risk patients: Personal experience". Urologia Journal 59, n.º 1_suppl (janeiro de 1992): 291–93. http://dx.doi.org/10.1177/039156039205901s95.

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The increase in high-operative-risk patients with obstructive prostatic hypertrophy has prompted research over the last ten years into alternative therapeutic methods, one of which is the prostatic Urolume. This study reports the positioning of the prostatic Urolume in 37 such patients who were divided into two groups: 18 without catheters (group 1) and 19 with indwelling catheters (group 2). At follow up, both groups were found to have no obstruction according to flow nomograph values. At follow up after six months the average maximum flow value in the first group was 16.7 ml/s while in the second group it was 12.8 ml/s. In this study the prostatic Urolume proved to be a safe and effective system for high-operative-risk patients with prostatic hypertrophy.

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Goodness Ujong Obeten, Edim Eka James e Samuel Etim Ndem. "Personal selling and the marketing of industrial products in Nigeria". Open Access Research Journal of Multidisciplinary Studies 6, n.º 2 (30 de dezembro de 2023): 049–63. http://dx.doi.org/10.53022/oarjms.2023.6.2.0047.

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This study centered on personal selling and the marketing of industrial products. It sought to determine the effects of salesperson's product presentation of products, knowledge of products, relationship with customers, and follow-up efforts on the marketing of industrial products in Nigeria. The study adopted cross-sectional survey research design. Using a structured questionnaire, the study obtained primary data from 278 employees of an industrial product manufacturer in Cross River State, Nigeria. With the aid of descriptive statistics, the data obtained from respondents were analyzed, while multiple linear regression was applied for hypotheses testing. The findings of the study revealed that salesperson's product presentation of products, knowledge of products, relationship with customers, and follow-up efforts had significant positive effects on the marketing of industrial products in Nigeria. Based on the findings made, the following recommendations, among others, were suggested: Salespersons in industrial marketing companies should consistently be trained in interpersonal and presentation skills in order to equip them to confidently and persuasive communicate key details of products to customers and close sales successfully; manufacturers and dealers of industrial products should improve the product knowledge of their salespeople; and marketers of industrial products can further enhance their effectiveness by assigning specialized salespeople to periodically follow up with customers in order to encourage repeat patronage.

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Brower, Jamie, Heather Symecko, Jada G. Hamilton, Tricia Harstad, Margaret Merrill, Judith Balmaña, Michael Francis Walsh et al. "Prospective Registry of Multiplex Testing (PROMPT): Follow-up." Journal of Clinical Oncology 37, n.º 15_suppl (20 de maio de 2019): 1527. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.1527.

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1527 Background: Prospective Registry of Multiplex Testing (PROMPT) is an online registry for individuals who have had multiplex panel testing for cancer susceptibility. The main objective of this registry is to ascertain families to allow penetrance calculations for mutations in less well characterized genes. Methods: Since September 2014, health care providers and commercial laboratories have given PROMPT information with the test results to eligible individuals. Participants with pathogenic mutations or variants of unknown significance in cancer susceptibility genes have self-enrolled in PROMPT. We have sent annual follow-up surveys to participants to capture updated personal and family histories, additional genetic testing in the family, and changes in cancer screening patterns. Results: To date, 5800 participants have enrolled in PROMPT and 2321 follow-up surveys are completed. Of those eligible for follow-up, 1980 (44%) have completed at least one survey. 134 (5.8%) reported a new cancer diagnosis since baseline. Breast cancer (37, 27.6%) and non-Melanoma skin cancer (35, 26.2%) were the most commonly reported new diagnoses. 5.7% of participants with an ATM variant, 5.2% of those with a BRCA2 variant, and 4.3% of those with a CHEK2 variant and at least one follow-up survey have reported a new primary cancer diagnosis (excluding non-Melanoma skin cancer). In addition, 70 (3%) participants reported a cancer recurrence since time of last follow-up. Bone (9, 12.9%) and liver (8, 11.4%) were the most common recurrence sites. 12.7% of those with a TP53 variant, 7.1% of those with a BARD1 variant, and 3.3% of those with an ATM variant and at least one follow-up survey have reported a recurrence. 59 (2.5%) participants had additional clinical genetic testing, and 555 (24%) participants reported clinical genetic testing of family members. Conclusions: PROMPT collects updated health information from participants to achieve the primary goal of determining cancer incidence among carriers of different mutations. Moreover, PROMPT has increased participant contacts through use of annual follow-up surveys and gene-specific surveys with subsets of participants. Ongoing efforts include obtaining pathology reports of new and recurrent cancer diagnoses on study.

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Jones, Steven H., Gina Smith, Lee D. Mulligan, Fiona Lobban, Heather Law, Graham Dunn, Mary Welford, James Kelly, John Mulligan e Anthony P. Morrison. "Recovery-focused cognitive–behavioural therapy for recent-onset bipolar disorder: Randomised controlled pilot trial". British Journal of Psychiatry 206, n.º 1 (janeiro de 2015): 58–66. http://dx.doi.org/10.1192/bjp.bp.113.141259.

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BackgroundDespite evidence for the effectiveness of structured psychological therapies for bipolar disorder no psychological interventions have been specifically designed to enhance personal recovery for individuals with recent-onset bipolar disorder.AimsA pilot study to assess the feasibility and effectiveness of a new intervention, recovery-focused cognitive–behavioural therapy (CBT), designed in collaboration with individuals with recent-onset bipolar disorder intended to improve clinical and personal recovery outcomes.MethodA single, blind randomised controlled trial compared treatment as usual (TAU) with recovery-focused CBT plus TAU (n = 67).ResultsRecruitment and follow-up rates within 10% of pre-planned targets to 12-month follow-up were achieved. An average of 14.15 h (s.d. = 4.21) of recovery-focused CBT were attended out of a potential maximum of 18 h. Compared with TAU, recovery-focused CBT significantly improved personal recovery up to 12-month follow-up (Bipolar Recovery Questionnaire mean score 310.87, 95% CI 75.00–546.74 (s.e. = 120.34), P = 0.010, d=0.62) and increased time to any mood relapse during up to 15 months follow-up (χ2 = 7.64, P<0.006, estimated hazard ratio (HR) = 0.38, 95% CI 0.18–0.78). Groups did not differ with respect to medication adherence.ConclusionsRecovery-focused CBT seems promising with respect to feasibility and potential clinical effectiveness. Clinical- and cost-effectiveness now need to be reliably estimated in a definitive trial.

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Alvarez-Subiela, Xavier, Carmina Castellano-Tejedor, Mireia Verge-Muñoz, Kike Esnaola-Letemendia, Diego Palao-Vidal e Francisco Villar-Cabeza. "Predictors of Suicide Re-Attempt in a Spanish Adolescent Population after 12 Months’ Follow-Up". International Journal of Environmental Research and Public Health 19, n.º 13 (21 de junho de 2022): 7566. http://dx.doi.org/10.3390/ijerph19137566.

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Background: This study aims to identify the main predictive factors that allow for the recognition of adolescents with a higher risk of re-attempting suicide. Method: A longitudinal 12-month follow-up design was carried out in a sample of 533 Spanish adolescents between 12 and 17 years old. The data collection period comprised September 2013 to November 2016, including a one-year follow-up after hospital discharge. Results: A statistically significant regression model was obtained to predict suicide re-attempt at 12-months’ follow-up (χ2 = 34.843; p < 0.001; Nagelkerke R2 = 0.105), including personal history of self-injury (OR = 2.721, p < 0.001, 95% CI [1.706, 4.340]) and age (OR = 0.541, p = 0.009, 95% CI [0.340, 0.860]), correctly classifying 82.6% of the sample. Our results show that having a personal history of self-injury and being younger than 14 years old were predictors of suicide re-attempt during the first year after an adolescent’s first admission to emergency services. Conclusions: Considering these factors could contribute to the design of more tailored and effective interventions to prevent suicidal behavior in adolescents at high risk of re-attempting suicide.

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Batten, Timothy J., Gabriel Fieraru, Helen Williams, Jenny Wingham, Iain Findlay e Daniel H. Williams. "Virtual clinic follow-up of hip and knee joint replacement patients". British Journal of Healthcare Management 25, n.º 9 (2 de setembro de 2019): 270–74. http://dx.doi.org/10.12968/bjhc.2018.0011.

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The Royal Cornwall Hospital virtual clinic service was implemented to follow up hip and knee joint replacement patients in line with national guidelines. In total, 300 patients were followed up via a virtual clinic during the first 11 months, and another 520 patients, who were already undergoing conventional face-to-face follow-up, were recruited to the new service for future follow up after consenting and registering with a web-based system for collecting patient reported outcome measures. There were high levels of patient satisfaction: patients found it effective, quick and easy. However, they missed the personal interaction, which occurs during face-to-face appointments. Only 21% of slots were filled and use of the service varied by surgical teams from 6–54%. Further improvements are planned to fulfil a potential productivity gain that converts two face-to-face appointments into five virtual clinic appointments. Following implementation, our local Clinical Commissioning Group awarded a Commissioning for Quality and Innovation grant of £216 000 to sustain the service beyond its first year.

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Friis, Svein, Edvard Hanff, Thor Kristian Island, Steinar Lorentzen, Ingrid Melle e Per Vaglum. "The Ullevål Acute Ward Follow-Up Study: A Personal 7-Year Follow-Up of Patients with Functional Psychosis Admitted to the Acute Ward of a Catchment Area". Psychopathology 24, n.º 5 (1991): 316–27. http://dx.doi.org/10.1159/000284732.

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Ni'mah, Iffatun, e Kurniawati Meylianingrum. "Strategi Personal Selling di BMT UGT Nusantara Cabang Pembantu Mumbulsari Jember". Jurnal Ilmiah Ekonomi Islam 8, n.º 3 (31 de outubro de 2022): 3009. http://dx.doi.org/10.29040/jiei.v8i3.5355.

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This study aims to determine the implementation and constraints on the personal selling strategy carried out by BMT UGT Nusantara Sub-Branch Mumbulsari Jember. This study uses a qualititative method with a descriptive approach. Data collection techniques used in this study in 3 ways, namely observation, interviews and documentation. The results of this study indicate that the implementation of the personal selling strategy carried out by BMT UGT Nusantara Sub-Branch Mumbulsari Jember was carried out in 5 steps, namely Looking for Prospective Customers (Prospecting), Approach (Approach), Presentation (Presentation), Closing (Clossing) and Follow Up (Follow-up) as a particular way to increase the number of members. Moreover, the obstacles that occur in the application of personal selling are 2 factors, namely competitor factors and the lack of public understanding of Baitul Mal Wat Tamwil.

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Yamane, David, Kimia Zarabian, Kyle Devine, Ivy Benjenk, Katherine Farrar, Owen Lee Park, Justin Kim, Danielle Davison e Eric Heinz. "Hospital-Based Healthcare Worker Perceptions of Personal Risk Related to COVID-19: One Year Follow-Up". Journal of the American Board of Family Medicine 35, n.º 2 (março de 2022): 284–94. http://dx.doi.org/10.3122/jabfm.2022.02.210272.

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Levin, Barbara B., Ye He e Melony Holyfield Allen. "Teacher Beliefs in Action: A Cross-Sectional, Longitudinal Follow-Up Study of Teachers' Personal Practical Theories". Teacher Educator 48, n.º 3 (julho de 2013): 201–17. http://dx.doi.org/10.1080/08878730.2013.796029.

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McGill, Stuart, e Susan Brown. "Personal and psychosocial variables in workers with a previous history of LBP: 16-month follow-up". Ergonomics 48, n.º 2 (fevereiro de 2005): 200–206. http://dx.doi.org/10.1080/00140130412331290952.

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An, Chi, Yen-Yen Yu, Bee-Chin Chou, Li-Yun Szu e Lee-Ing Tsao. "Empowering self-care ability - a follow-up study of clinical-based perimenopausal women personal health counselling". Journal of Clinical Nursing 25, n.º 19-20 (27 de junho de 2016): 2979–88. http://dx.doi.org/10.1111/jocn.13406.

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Nilsson, Annika, Per Lindberg e Eva Denison. "Predicting of pain, disability, and sick leave regarding a non-clinical sample among Swedish nurses". Scandinavian Journal of Pain 1, n.º 3 (1 de julho de 2010): 160–66. http://dx.doi.org/10.1016/j.sjpain.2010.05.029.

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AbstractObjectiveHealth care providers, especially registered nurses (RNs), are a professional group with a high risk of musculoskeletal pain (MSP). This longitudinal study contributes to the literature by describing the prevalence and change in MSP, work-related factors, personal factors, self-reported pain, disability and sick leave (>7 days) among RNs working in a Swedish hospital over a 3-year period. Further, results concerning prediction of pain, disability and sick leave from baseline to a 3-year follow-up are reported.MethodIn 2003, a convenience sample of 278 RNs (97.5% women, mean age 43 years) completed a questionnaire. In 2006, 244 RNs (88% of the original sample) were located, and 200 (82%) of these completed a second questionnaire.ResultsLogistic regression analyses revealed that pain, disability and sick leave at baseline best predicted pain, disability, and sick leave at follow-up. The personal factors self-rated health and sleep quality during the last week predicted pain at follow-up, while age, self-rated health, and considering yourself as optimist or pessimist predicted disability at follow-up, however weakly. None of the work-related factors contributed significantly to the regression solution.ConclusionsThe results support earlier studies showing that a history of pain and disability is predictive of future pain and disability. Attention to individual factors such as personal values may be needed in further research.

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Engdahl, Bo, e Lisa Aarhus. "Personal Music Players and Hearing Loss: The HUNT Cohort Study". Trends in Hearing 25 (janeiro de 2021): 233121652110158. http://dx.doi.org/10.1177/23312165211015881.

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It is unclear whether the current average use of personal music players (PMPs) including mobile phones has affected hearing in the general population. The association between the use of PMPs and hearing loss was assessed in a large population cross-sectional and follow-up study with the following distribution: cross-sectional (2018): n = 26,606, 56% women, mean age 54 years and 20-year follow-up (baseline 1998): n = 12,115, 57% women, mean age at baseline 43 years. Hearing threshold was determined as pure-tone average over the frequencies 3, 4, and 6 kHz. We used linear regression to assess relationships between hearing threshold and PMP use (yes), duration (1–2/2–6/>6 h per week), or sound volume (low/medium/high), with nonuse as reference. The PMP use increased from 8% in 1998 to 30% in 2018. Compared with nonusers, neither use nor duration was related to hearing threshold. As to sound volume, listening at low levels was associated with better thresholds (−2.5 dB [−4.1 to −0.8]), while listening at high levels was associated with worse thresholds (1.4 dB [0.1 to 2.8]). We adjusted for age, sex, baseline hearing threshold, education, noise exposure, ear infections, head injury, and daily smoking. The association with sound volume was nearly twice as strong when adjusting for hearing threshold at baseline. Accordingly, the possibility of reverse causality was reduced although not eliminated by the follow-up design. This large population study showed no association between normal PMP use and 20-year progression in hearing; however users listening to high levels increased their hearing threshold.

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Huang, Andi, Lili Liu, Xiayong Wang, Xueguo Li, Jiahong Li, Cong Luo, Jianbin Chen e Jingbo Zhao. "Trajectories of Job Burnout among Bus Drivers in China: A Three-Year Follow-Up Study". International Journal of Environmental Research and Public Health 19, n.º 24 (19 de dezembro de 2022): 17098. http://dx.doi.org/10.3390/ijerph192417098.

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This study aimed to characterize job burnout in longitudinal trajectories among bus drivers and examine the impact of variables related to job burnout for trajectories. A longitudinal study was conducted in 12,793 bus drivers in Guangdong province, China, at 3-year follow-up assessments. Growth mixture modeling (GMM) was used to estimate latent classes of burnout trajectories and multinomial logistic regression models were applied to predict membership in the trajectory classes. In general, there was a decrease in job burnout in 3 years [slope = −0.29, 95%CI = (−0.32, −0.27)]. Among those sub-dimensions, reduced personal accomplishment accounted for the largest proportion. GMM analysis identified five trajectory groups: (1) moderate-decreased (n = 2870, 23%), (2) low-stable (n = 5062, 39%), (3) rapid-decreased (n = 141, 1%), (4) moderate-increased (n = 1504, 12%), and (5) high-stable (n = 3216, 25%). Multinomial logistic regression estimates showed that depression symptoms, anxiety symptoms, and insomnia were significant negative predictors, while daily physical exercise was a significantly positive predictor. We found an overall downward trend in bus drivers’ burnout, particularly in the sub-dimension of personal accomplishment. Mentally healthier drivers and those who were usually exercising were more resilient to occupational stress and less likely to suffer burnout.

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Thompson, Elaine A., Leona L. Eggert e Jerald R. Herting. "Mediating Effects of an Indicated Prevention Program for Reducing Youth Depression and Suicide Risk Behaviors". Suicide and Life-Threatening Behavior 30, n.º 3 (setembro de 2000): 252–71. http://dx.doi.org/10.1111/j.1943-278x.2000.tb00990.x.

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This study explored the intervention processes of an indicated prevention program for high‐risk youth. It was hypothesized that intervention effects would be influenced by the direct and mediating effects of teacher social support on both peer group support and perceived personal control. In turn, personal control was hypothesized to mediate between teacher and peer group support, contributing to reductions in depression and suicide risk behaviors. The hypotheses were tested using a three‐wave, longitudinal design incorporating data from preintervention, 5‐month follow‐up, and 10‐month follow‐up assessments of 106 high‐risk youth divided into three comparison groups: two experimental, one control. For the two intervention groups, there were direct and/or indirect effects of teacher and peer group support on personal control, depression, and suicide risk behaviors. The general hypothesis that personal control mediates between support resources and reductions in depression and suicide risk behaviors received partial support across the study groups.

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Angel, Sanne, Lone Donbæk Jensen, Thomas Maribo, Birgitte Krøis Gonge e Niels Buus. "Narratives of life with long-term low back pain: A follow up interview study". Scandinavian Journal of Pain 17, n.º 1 (1 de outubro de 2017): 382–89. http://dx.doi.org/10.1016/j.sjpain.2017.09.018.

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AbstractBackgroundLong-term low back pain is associated with multiple challenges to a person’s identity and social position. Despite efforts to understand the challenges of low back pain, recovery remains a major problem both personally and socially. This indicate a need for a different approach. Although personal stories have been used to extend knowledge of issues that relate to low back pain, they also make i possible to learn about how people understand themselves and their lives. As such, analysis of narrative: may provide further insights into people’s coping processes and novel insights about how best to support them.ObjectiveThe aim of the study was to analyse personal recovery narratives to gain an insight into how people understand themselves and cope with long-term low back pain 2-4 years after a bio-psycho-social counselling intervention.Study designUsing a Ricoeurian phenomenological-hermeneutic perspective, qualitative in-depth interviews were undertaken and interpreted to explore people’s narratives of long-term recovery after an intervention.MethodsWe interviewed 25 informants 2-4 years after participating in a counselling intervention for low back pain where they were advised to exercise regularly; they were part of the intervention group in a randomised clinical trial. The sample included both informants who had benefited from the intervention and some who had not. Analysis was informed by Ricoeur’s interpretation theory.FindingsThe informants’ stories revealed two main narratives regarding themselves and their lives: (1) getting on with life without pain, (2) life with continual pain and variations of the emplotment. The first included Recovering from low back pain and returning to prior lifestyle if possible, Keeping low back pain in check by strict regimes, or Developing strategies when low back pain recurs. The second related to Finding a way to a functioning everyday life with continual pain while narratives of being stuck with low back pain and finding no way out highlight the significance of being able to configure a narrative that can support an understanding of the pain and how to deal with it to have a functioning life. Furthermore, the health professional has a significant role to play in the configuration of narratives.ConclusionsThe challenge for people with low back pain was to find ways of getting on with life, and this included their ability to configure an understandable narrative that opened up for a future, implying new understandings of the self and how life could be lived. When healthcare professionals offered personal and realistic suggestions to the informants’ configuration of narratives of life with low back pain, they supported a positive change in the informants’ ways of coping with their situation.ImplicationsHealth professionals can play an important role in low back pain sufferers’ configuration of meaningful narratives that help in coping with pain and learning about the relationship between pain and everyday life.

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Schougaard, L., L. Knudsen, B. Grove, N. H. Hjøllund, E. M. Hauge e A. De Thurah. "OP0181-HPR SOCIO-ECONOMIC, DISEASE-RELATED, AND PERSONAL FACTORS ASSOCIATED WITH PARTICIPATION IN REMOTE FOLLOW-UP IN RHEUMATOID ARTHRITIS – A CROSS-SECTIONAL STUDY". Annals of the Rheumatic Diseases 82, Suppl 1 (30 de maio de 2023): 119.2–120. http://dx.doi.org/10.1136/annrheumdis-2023-eular.2005.

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BackgroundRemote follow-up by collecting patient-reported outcome (PRO) measures allows for new opportunities such as real-time monitoring of symptoms and flexible scheduling of hospital visits based on patient needs[1]. In Denmark, a remote PRO-based follow-up intervention has been implemented among outpatients with rheuamtoid arthritis (RA), and today, 35% of the outpatient population attends remote care. However, no study has explored factors associated with participation in remote care.ObjectivesTo identify socio-economic, disease-related, and personal factors associated with participation in remote follow-up in RA patients.MethodsWe conducted a cross-sectional study among 775 prevalent RA patients from Aarhus University Hospital. In January 2019, eligible RA patients received an electronic questionnaire, covering health literacy and patient experience regarding involvement and confidence with remote care. In addition, we collected data from nationwide registers regarding socio-economic status, labor market affiliation, and co-morbidity. Associations between register and questionnaire-based factors and remote follow-up were analyzed using multiple logistic regression.ResultsA total of 775 patients were included in the register-based analyses. Since 129 patients did not have a digital mailbox, 646 patients received the electronic questionnaire which was completed by 394 (61%) patients. No labor market attachment and low household income was associated with lower odds for remote follow-up participation (OR 0.53 (95% CI 0.34 – 0.83)) and (OR 0.69 (95% CI 0.48 – 1.00)). Further, a high level of co-morbidity was associated with lower odds for remote follow-up participation compared to a low/medium level of co-morbidity (OR 0.53 (95% CI 0.34 – 0.81)). No association was found between health literacy and remote follow-up. Remote follow-up attendees reported more confidence in remote care (OR 1.33 (95% CI 1.20 – 1.47)).ConclusionPatients participating in remote follow-up were more likely attached to the labor market, had higher income levels, had a lower level of comorbidity, and expressed higher confidence in remote care. Future research should focus on how to support RA patients in conventional follow-up to achieve confidence in remote follow-up, as well as increased focus on vulnerable patient groups and the need for differential use of healthcare services.Reference[1] de Thurah A, Bosch P, Marques A, Dejaco C, et al. 2022 EULAR points to consider for remote care in rheumatic and musculoskeletal diseases. Ann Rheum Dis. 2022 Aug;81(8):1065-1071.Acknowledgements:NIL.Disclosure of InterestsLiv Schougaard: None declared, Line Knudsen Speakers bureau: Phizer, Eli Lily, Novartis, Birgith Grove: None declared, Niels-Henrik Hjøllund: None declared, Ellen-Margrethe Hauge Speakers bureau: Novartis, AbbVie, Sanofi, Sobi, Grant/research support from: AbbVie, Novartis, Novo Nordisk, Sanofi., Annette de Thurah Speakers bureau: Phiezer, Lily, Grant/research support from: Yes, unrestricted grant, Novartis.

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