Objective: To evaluate the efficacy of an active-participative educational intervention on the average arterial pressure, index of corporal mass and level of knowledge in hypertensive patients.
Methods: A quasi-experimental open study was carried out. An active-participative educational intervention 4 h daily during a period of 5 days twice monthly for 3 months focused on themes related to arterial hypertension in patients with high blood pressure. No control subjects were included. Subject to acceptance and after informed consent, 48 patients (25-60 years of age) were included with slight and moderate arterial hypertension. Patients with evidence of severe organ damage or with chronic underlying disease were excluded. The impact of the educational intervention was evaluated based on the increase of knowledge, improvement of weight (IMC), and average arterial pressure, taking into consideration 2, 4, and 6 months of the educational strategy. Descriptive statistics were utilized for analyzing results using Student's ttest.
Results: The level of knowledge increased 31.30 points in the population studied and there was a decrease of the IMC of 2.75 points after educational intervention (p < 0.05). The decrease in weight, as well as the arterial pressure, showed statistically significant differences with respect to the initial measurements, with a difference of the PAM of 13.69 mm Hg at the conclusion of the study (p < 0.05).
Conclusions: An active-participative educational strategy is useful in the control of the PAM and IMC in the hypertensive patient.
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Cancer
January 2025
Fox Chase Cancer Center, Temple University Health System, Philadelphia, Pennsylvania, USA.
Background: Little is known about the role that charitable copay assistance (CPA) plays in addressing access to care and financial distress. The study sought to evaluate financial distress and experience with CPA among patients with cancer and autoimmune disease.
Methods: This is a national cross-sectional self-administered anonymous electronic survey conducted among recipients of CPA to cover the costs of a drug for cancer or autoimmune disease.
JMIR Form Res
January 2025
Department of Computer Science, University Hospital of Geneva, Geneva, Switzerland.
Background: Mobile health apps have shown promising results in improving self-management of several chronic diseases in patients. We have developed a mobile health app (Cardiomeds) dedicated to patients with heart failure (HF). This app includes an interactive medication list; daily self-monitoring of symptoms, weight, blood pressure, and heart rate; and educational information on HF delivered through various formats.
View Article and Find Full Text PDFOper Neurosurg (Hagerstown)
July 2024
Neurosurgical Simulation and Artificial Intelligence Learning Centre, Department of Neurology and Neurosurgery, Montreal Neurological Institute, McGill University, Montreal , Quebec , Canada.
Background And Objectives: Subpial corticectomy involving complete lesion resection while preserving pial membranes and avoiding injury to adjacent normal tissues is an essential bimanual task necessary for neurosurgical trainees to master. We sought to develop an ex vivo calf brain corticectomy simulation model with continuous assessment of surgical instrument movement during the simulation. A case series study of skilled participants was performed to assess face and content validity to gain insights into the utility of this training platform, along with determining if skilled and less skilled participants had statistical differences in validity assessment.
View Article and Find Full Text PDFImportance: Routine preoperative blood tests and electrocardiograms before low-risk surgery do not prevent adverse events or change management but waste resources and can cause patient harm. Given this, multispecialty organizations recommend against routine testing before low-risk surgery.
Objective: To determine whether a multicomponent deimplementation strategy (the intervention) would reduce low-value preoperative testing before low-risk general surgery operations.
JAMA
January 2025
Department of Emergency Medicine, Henry Ford Health, Detroit, Michigan.
Importance: The emergency department (ED) offers an opportunity to initiate palliative care for older adults with serious, life-limiting illness.
Objective: To assess the effect of a multicomponent intervention to initiate palliative care in the ED on hospital admission, subsequent health care use, and survival in older adults with serious, life-limiting illness.
Design, Setting, And Participants: Cluster randomized, stepped-wedge, clinical trial including patients aged 66 years or older who visited 1 of 29 EDs across the US between May 1, 2018, and December 31, 2022, had 12 months of prior Medicare enrollment, and a Gagne comorbidity score greater than 6, representing a risk of short-term mortality greater than 30%.
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