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Chronic obstructive pulmonary disease, exacerbation and self-management: a literature review.

Br J Community Nurs

September 2021

Community matron, the Rotherham Foundation Trust, Woodside; PhD student, Sheffield Hallam University.

Chronic obstructive pulmonary disease (COPD) is being increasingly diagnosed in the UKs on the rise, and is expected to continue to rise due to an ageing population with multiple co-morbidities and exposure to risk factors, such as cigarette smoke, noxious gases and air pollutants. The prevalence of this disease is high is areas of socioeconomic deprivation and among high industrial areas. The use of self-management plans in COPD is recommended by the National Institute for Health and Care Excellence (NICE), to enable to patients with this disease to be competent and confident in taking part in managing their own health condition and recognising signs and symptoms of an exacerbation.

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[Perception of "Chile Crece Contigo" stakeholders on its implementation in the Commune of Concepción, Chile].

Rev Salud Publica (Bogota)

January 2019

PV: MD. Especialista en Medicina Familiar. Programa de Salud y Medicina Familiar, Facultad de Medicina, Universidad de Concepción. Concepción, Chile.

Objective: To explore the perception of stakeholders on the implementation policy of the childhood protection subsystem "Chile Crece Contigo" in the Commune of Concepción, Chile.

Materials And Methods: Qualitative study. Semi-structured interviews and a focus group were used as information gathering techniques.

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Article Synopsis
  • - Somatostatin analogues (SSA) are commonly used to treat neuroendocrine tumors (NETs), but patients often experience various side effects that can increase their nutritional needs.
  • - An online survey was conducted to gather worldwide feedback from patients on the severity of side effects associated with SSAs, revealing that 85% reported constipation, with some rating its severity as extreme (10/10).
  • - The survey results indicated that many self-reported side effects were more frequent than previously documented in clinical studies or patient materials; however, the findings are limited by the self-selected nature of the sample and potential duplicate responses.
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Background: The insulin resistance syndrome is one of the major contributors of metabolic syndrome, diabetes Type 2 and atherosclerotic cardiovascular disease. A common mutation (677C to T; Ala to Val) in the methylenetetrahydrofolate reductase (MTHFR) gene is associated with decreased specific MTHFR activity and elevation of the homocysteine. The aim of this study is investigation of association between MTHFR 677C > T polymorphism with insulin resistance by using HOMA (Homeostasis Model Assessment) index in nurses who are potentially prone to develop insulin resistance because of unfavorable effects of shift work.

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The aim of this study was to examine the feasibility and impact of a group intervention by Community Matrons to support those living with multiple long-terms conditions. Little evidence exists as to how the role of the Community Matron (CM) should be delivered to effectively enhance disease self-management and levels of self-efficacy for the service users. This qualitative participatory action research study explored the use of group work as a method of intervention by CMs.

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