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1.
Rev. Méd. Inst. Mex. Seguro Soc ; 60(1): 1-3, 17-feb-2022.
Article in Spanish | LILACS | ID: biblio-1358333

ABSTRACT

La pandemia por COVID-19 ocasionó diversas afectaciones en el mundo, entre ellas la saturación de información en los medios de comunicación tradicionales y en los de divulgación científica, debido a la producción acelerada de material informativo. En el Instituto Mexicano del Seguro Social, el personal bibliotecario ha contribuido a la selección cuidadosa de documentos, ya que brinda servicios de información especializada al personal de salud para apoyarlo en actividades académicas, educativas, docentes y de investigación. En el contexto del distanciamiento fìsico, la necesidad de contar con información actualizada y veraz sobre el nuevo coronavirus se convirtió en una prioridad. En este sentido, el personal bibliotecario enfocó sus esfuerzos en llevar a cabo estrategias que permitieran brindar servicios de información especializada vía remota al reforzar los servicios de referencia, como la alerta bibliográfica y la Diseminación Selectiva de Información, a fin de hacer llegar a los usuarios, de forma oportuna, sencilla y ágil, información actualizada, confiable y de calidad sobre la COVID-19. Estos servicios han sido bien recibidos por los usuarios, pero aún es necesario sistematizar el otorgamiento de servicios de información para identificar cuáles documentos son de mayor interés y utilidad.


The COVID-19 pandemic caused various effects in the world, among them the saturation of information in the traditional media, as well as in those of scientific dissemination, due to the accelerated production of informative material. At the Mexican Institute for Social Security (Instituto Mexicano del Seguro Social), librarians have contributed to the careful selection of documents as they are in charge of providing specialized information services to health personnel in order to support them in academic, educational, teaching and research activities. In the context of physical distancing, the need for up-to-date and accurate information on the new coronavirus became a priority. In this sense, librarians have focused their efforts to carry out strategies that would allow to provide specialized information services remotely, reinforcing reference services such as bibliographic alert and Selective Information Dissemination, to reach users in a timely manner, simple and agile, updated, reliable and quality information on COVID-19. These services have been well received by users, but it is still necessary to systematize the provision of information services to identify which documents are of greatest interest and usefulness.


Subject(s)
Humans , Librarians , Information Dissemination , Selective Dissemination of Information , Information , COVID-19 , Information Services , Teaching , Health Strategies , Communications Media
2.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 13: 510-516, jan.-dez. 2021. tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1222553

ABSTRACT

Objetivo: Investigar a percepção dos profissionais de saúde e gestores acerca da estruturação das redes de atenção à saúde às pessoas com anemia falciforme. Método: Estudo exploratório, descritivo e transversal. A abordagem utilizada foi à triangulação de métodos. Foi realizado com 15 profissionais de saúde e gestores. Os dados foram coletados no período de março a junho de 2016 por meio de entrevistas semiestruturadas. Foi realizada a estatística descritiva com os dados quantitativos, já os qualitativos foram interpretados por meio de leitura e processo de categorização. Resultados: Falta de compreensão dos participantes sobre a rede de atenção as pessoas com anemia falciforme, bem como o desconhecimento sobre as políticas e demais aspectos, influenciando diretamente na qualidade e eficiência da assistência prestada. Conclusão: É necessário que os gestores proporcionem oportunidades de qualificações e os profissionais se capacitem para prestarem uma assistência eficaz a pessoa com anemia falciforme


Objective: To investigate the perception of health professionals and managers about the structuring of the health care networks for people with sickle cell anemia. Method: Exploratory, descriptive and cross-sectional study. The approach used was the triangulation of methods. It was performed with 15 health professionals and managers. Data were collected from March to June 2016 through semi-structured interviews. We performed descriptive statistics with the quantitative data, since the qualitative ones were interpreted through reading and categorization process. Results: Lack of understanding on the part of the participants about the care network for people with sickle cell anemia, as well as ignorance about the policies and other aspects, which was directly influencing the quality and efficiency of the assistance offered. Conclusion:It is necessary that managers provide opportunities for qualifications, and professionals are able to offer an effective assistance to the person with sickle cell anemia


Objetivo: Investigar la percepción de profesionales de la salud y gestores sobre la estructuración de las redes de atención de salud a las personas con anemia falciforme. Método: Estudio exploratorio, descriptivo y transversal. El planteamiento empleado fue la triangulación de métodos. Se realizó con 15 profesionales de la salud y gestores. Los datos se recopilaron de marzo a junio de 2016 mediante entrevistas semiestructuradas. Se realizó estadística descriptiva con los datos cuantitativos, pues los cualitativos se interpretaron mediante lectura y proceso de categorización. Resultados: La falta de entendimiento de los participantes sobre la red de atención a las personas con anemia falciforme, así como la ignorancia sobre las políticas y otros aspectos, influyendo directamente en la calidad y eficiencia de la asistencia ofrecida. Conclusión: Se hace necesario que los gestores proporcionen oportunidades para cualificaciones, y los profesionales sean capaces de ofrecer asistencia efectiva a la persona con anemia falciforme


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Patient Care Team , Health Services Accessibility , Anemia, Sickle Cell , Professional Training , Quality Improvement , Integrality in Health , Information Services
3.
Rev. cub. inf. cienc. salud ; 31(3): e1716, tab, fig
Article in Spanish | LILACS, CUMED | ID: biblio-1138868

ABSTRACT

La rápida propagación del SARS-CoV-2 ha ocasionado grandes desafíos, algunos de ellos relacionados con la gestión y la visibilidad de la información. Los profesionales de las instituciones de información enfrentaron el reto de tener que reorganizar sus servicios en un breve tiempo, con un componente tecnológico esencial para lograr la virtualidad ante el imperativo indiscutible del distanciamiento físico. Como parte del Plan de enfrentamiento desplegado por Cuba durante esta crisis sanitaria, el Centro Nacional de Información de Ciencias Médicas (CNICM/Infomed) desempeña un rol fundamental, al actuar como proveedor y facilitador de las fuentes, herramientas y servicios de información científica especializada, además de garantizar la plataforma tecnológica para todo el sistema nacional de salud y la población. El presente documento se propone describir el flujo de trabajo concebido por esta institución, los espacios y modos empleados para la producción y difusión de la información científica durante la epidemia, así como los aportes realizados (elaboración de productos y desarrollo e implementación de herramientas y servicios( para apoyar las investigaciones científicas y la toma de decisiones en salud durante la pandemia de la COVID-19(AU)


The fast spread of SARS-CoV-2 has posed big challenges, some of which are related to information management and visibility. Professionals from information institutions have been faced with having to reorganize their services in a short time, with an essential technological component to achieve virtuality in face of the unavoidable imperative of physical distancing. The National Medical Sciences Information Center (CNICM/Infomed) plays a fundamental role in the response plan implemented by Cuba during this health crisis, serving as facilitator and provider of specialized scientific information services, sources and tools, and supplying the required technological platform for the entire national health system and the population. The present document is aimed at describing the workflow devised by this institution, the spaces and modes used for the production and dissemination of scientific information during the epidemic, and the contributions made to the creation of products and the development and implementation of tools and services to support health scientific research and decision making during the COVID-19 pandemic(AU)


Subject(s)
Humans , Information Management , Information Dissemination , Workflow , Epidemics , Information Centers , Information Services
4.
RECIIS (Online) ; 14(3): 798-802, jul.-set. 2020. ilus
Article in Portuguese | LILACS | ID: biblio-1122136

ABSTRACT

O livro do Trevor Owens expõe uma importante visão sobre a preservação digital contemporânea onde ele discute abordagens teóricas e práticas e apresenta-os com conceitos e conexões inovadores. Este resumo discute 10 dos 16 axiomas que são lançados como o ponto de partido do livro. Estes axiomas são curtos, mas profundos em importância como pensamento base para a elaboração de programas de preservação digital.


Trevor Owens' book exposes important insights into contemporary digital preservation where he discusses theoretical and practical approaches and presents these with innovative concepts and connections. This summary discusses 10 of the 16 axioms that are launched as the starting point of this book. These axioms are short, but deep in importance as the basis for the development of digital preservation programs.


El libro de Trevor Owens expone una visión importante de la preservación digital contemporánea, donde analiza enfoques teóricos y prácticos y les presenta como conceptos y conexiones innovadores. Este resumen analiza 10 de los 16 axiomas que se lanzan como punto de partida del libro. Estos axiomas son cortos, pero de gran importancia como base para el desarrollo de programas de preservación digital.


Subject(s)
Humans , Information Management , Book Review , Books , Information Systems , Comment , Copying Processes , Data Curation , Information Services
5.
Article in English | WPRIM | ID: wpr-810963

ABSTRACT

BACKGROUND: Lack of sunlight exposure is the primary reason for the worldwide epidemic of vitamin D deficiency. Although recommended sunlight exposure guidelines exist, there is no evidence regarding whether current guidelines are optimal for increasing vitamin D levels among individuals with vitamin D deficiency.METHODS: Sixty Korean adults aged 20–49 years with serum 25-hydroxyvitamin D (25[OH]D) levels of < 20 ng/mL were randomly assigned to three groups: sunlight exposure (n = 20), vitamin D supplementation groups (n = 20), and daily living (n = 20) for 1 month. The sunlight exposure group had sunlight exposure on 20% to 30% of their body surface areas for 30–60 minutes per day, 3 times a week during the summer season. Vitamin D supplementation was prescribed with 800 IU/day of vitamin D. The serum levels of 25(OH)D were measured at baseline and at 1-month follow-up examinations.RESULTS: The largest change in serum 25(OH)D was observed among the vitamin D supplementation group (+3.5 ng/mL, P < 0.001). The sunlight exposure group showed a slight increase in serum 25(OH)D level, but the absolute increase was less than one-third that of the vitamin D supplementation group (+0.9 ng/mL, P = 0.043). Only two participants in the sunlight exposure reached serum concentrations of 25(OH)D ≥ 20 ng/mL at follow-up. The daily living group showed no difference in vitamin D levels (−0.7 ng/mL, P = 0.516).CONCLUSION: Sunlight exposure was not sufficient to overcome vitamin D insufficiency or deficiency in the current study subjects. Effectiveness of current sunlight exposure guidelines among various populations should be reassessed in larger clinical studies.TRIAL REGISTRATION: Clinical Research Information Service Identifier: KCT0002671


Subject(s)
Adult , Body Surface Area , Follow-Up Studies , Humans , Information Services , Seasons , Solar System , Sunlight , Vitamin D Deficiency , Vitamin D , Vitamins
10.
Article in English | WPRIM | ID: wpr-785548

ABSTRACT

Robots are being used to assist the recovery of walking ability for patients with neurologic disorders. This study aimed to evaluate the feasibility and functional improvement of training with robot-assisted gait training (RAGT) using the Morning Walk®, an end-effector type robot using footplates and saddle seat support. A total of 189 individuals (65.1% men, 34.9% women; mean age, 53.2 years; age range: 5–87 years) with brain lesions, spinal cord injuries, Parkinson's disease, peripheral neuropathies, and pediatric patients were involved in this retrospectively registered clinical trial. Each participant performed 30 minutes of RAGT, five times a week, for a total of 24 sessions. Failure was defined as an inability to complete all 24 sessions, and the reasons for discontinuation were analyzed. Parameters of Medical Research Council scales and Functional Ambulation Categories were analyzed before and after RAGT training. Among the 189 patients, 22 (11.6%) failed to complete the RAGT. The reasons included decreased cooperation, musculoskeletal pain, saddle seat discomfort, excessive body-weight support, joint spasticity or restricted joint motion, urinary incontinence from an indwelling urinary catheter, and fatigue. Comparison between the pre- and post-training motor and ambulatory functions showed significant improvement. The result of the study indicates that the Morning Walk® is feasible and safe and useful for functional improvement in patients with various neurologic disordersTRIAL REGISTRATION: Clinical Research Information Service Identifier: KCT0003627


Subject(s)
Brain , Fatigue , Female , Gait , Humans , Information Services , Joints , Male , Muscle Spasticity , Musculoskeletal Pain , Nervous System Diseases , Parkinson Disease , Peripheral Nervous System Diseases , Retrospective Studies , Spinal Cord Injuries , Urinary Catheters , Urinary Incontinence , Walking , Weights and Measures
12.
Rev. fac. cienc. méd. (Impr.) ; 16(2): 46-54, jul.- dic. 2019. ilus
Article in Spanish | LILACS | ID: biblio-1140259

ABSTRACT

Durante 19 años, la Biblioteca Nacional de Medicina de los Estados Unidos, ha ayudado a crear y coordinar una red de centros de información sobre desastres y salud en 15 países de América Latina, esto nació de un esfuerzo conjunto con la Organización Panamericana de la Salud, para ayudar a reconstruir la infraestructura de información en salud, en países azotados por el Huracán Mitch. Se destaca la participación de la Biblioteca Médica Nacional de Honduras, que hapermanecidodesde el inicio. El proyecto creció para convertirse en un trabajo colaborativo multiinstitucional, logrando sistematizar ydiseminar información producida en Latinoamérica, y apoyar la toma de decisiones en preparativos y respuesta a desastres, principalmente en salud. La iniciativa ha apoyado esfuerzos de la Organización Panamericana de la Salud, para "crear una cultura de prevención de desastres" en la región y contribuido a mejorar la visibilidad, capacidades y auto-sostenibilidad de bibliotecas y centros de información; incluyendo también comunidades autóctonas tradicionalmentesub-servidas...(AU)


Subject(s)
Humans , Disasters , Information Services , Information Management , Information Centers
13.
Arch. Health Sci. (Online) ; 26(2): http://www.cienciasdasaude.famerp.br/index.php/racs/article/view/1589, abri-set.2019.
Article in Portuguese | LILACS | ID: biblio-1045946

ABSTRACT

Introdução: Os Centros de Referência de Imunobiológicos Especiais (CRIE) são destinados a pessoas alérgicas à algum componente das vacinas tradicionais, que apresentaram eventos adversos ou portadores de quadros clínicos especiais que não podem receber vacinas do calendário básico. Sua liberação é baseada no preenchimento de uma ficha de solicitação e da indicação médica referente à patologia indicada. Apesar da importância desses Centros, existe uma lacuna de informação, desde o desempenho institucional até o perfil dos usuários atendidos. Objetivo: descrever as informações disponíveis no SI-CRIE do município de Divinópolis-MG, Brasil, em 2018. Métodos: pesquisa descritiva, de abordagem quantitativa com base em dados secundários. O estudo aconteceu no período de fevereiro a dezembro de 2018. A coleta de dados ocorreu de forma periódica a partir da análise de fichas de solicitação na Secretaria Municipal de Saúde. Resultados: Foram analisadas 646 fichas de solicitação referentes aos anos de 2010 a 2017. Houve predominância do sexo feminino (55%), raça/etnia branca (52%), profissão de aposentado (16,87%), faixa etária acima de 60 anos de idade (45,82%). A indicação de maior frequência foi Doença Pulmonar Crônica (21,52%) e o Diabetes Mellitus Tipo 2 a doença de base de maior ocorrência (18,57%). O imunobiológico mais solicitado foi a vacina PN23 (60,07%) e 78,49% pacientes receberam todo esquema solicitado. Conclusão: O estudo demonstrou que as informações disponíveis no SI-CRIE do município estavam organizadas e de análise factível, embora haja algumas limitações. Sugere-se fomentar a educação permanente como forma de qualificação da informação em saúde.


Introduction: Special Immunobiological Reference Centers (CRIEs) are intended for people who are allergic to any component of traditional vaccines, who have experienced adverse events or have special clinical conditions that cannot receive basic calendar vaccines. Its release is based on the completion of a request form and the medical indication referring to the pathology indicated. Despite the importance of these Centers, there is a gap of information from the institutional performance to the profile of the users served. Objective: To describe the information available in the SI-CRIE of the municipality of Divinópolis, Minas Gerais State, Brazil, in 2018. Methods: This is a descriptive research, with a quantitative approach based on secondary data. The study was carried out from February to December 2018. Data were collected periodically from the analysis of request forms at the Municipal Health Department. Results:A total of 646 application forms were analyzed for the years 2010 to 2017. There was a predominance of female (55%), race / ethnicity white (52%), retired profession (16.87%), age group over 60 years old (45.82%). The most frequent indication was Chronic Lung Disease (21.52%) and Type 2 Diabetes Mellitus was the most frequent base disease (18.57%). The most requested immunobiological was the PN23 vaccine (60.07%) and 78.49% patients received all the requested regimen. Conclusion: The study demonstrated that the information available in the SI-CRIE of the municipality was organized and feasible, although there are some limitations. It is suggested to promote permanent education as a form of qualification of health information.


Subject(s)
Humans , Male , Female , Immunization Programs , Vaccines , Data Collection , Allergy and Immunology , Information Services
14.
Gac. méd. espirit ; 21(2): 65-86, mayo.-ago. 2019. graf
Article in Spanish | LILACS | ID: biblio-1090429

ABSTRACT

RESUMEN Fundamento: La determinación de las necesidades de información de los usuarios puede influir en los servicios y recursos informativos de la biblioteca universitaria. Objetivo: Aplicar la metodología para el estudio de las necesidades de información, conocimiento y aprendizaje en las bibliotecas y centros de documentación de salud a los usuarios de la biblioteca de la Universidad de Ciencias Médicas en Cienfuegos. Metodología: Se utilizaron los métodos descriptivos, analítico-sintético e inductivo deductivo. Resultados: Se describieron los nueve 9 procesos de la metodología: diagnóstico de la organización y de su entorno, identificación y registro de los usuarios, determinación de segmentos y grupos de usuarios, determinación de las prioridades entre los grupos para la gestión del aprendizaje, definición de la política diferencial de la oferta, determinación de necesidades (y disponibilidades) de aprendizaje, diseño de las ofertas, sistematización de la tecnología de gestión del aprendizaje y evaluación de la calidad y de la utilidad de los procesos de la gestión del aprendizaje. Conclusiones: La aplicación de la metodología permitió realizar el estudio y determinar las necesidades de los usuarios de la biblioteca universitaria y dar prioridades en los servicios para una mayor satisfacción.


ABSTRACT Background: The determination of the users´ information needs can influence on the services and information resources of the university library. Objective: To apply the methodology for the study of information, knowledge and learning needs in libraries and health documentation centers to the library users at the University of Medical Sciences in Cienfuegos. Methodology: Descriptive, analytical-synthetic and deductive- inductive methods were used. Results: The nine processes of the methodology were described: diagnosis of the organization and its environment, identification and users registration, determination of segments and users groups, determination of priorities among the groups for learning management, definition of the differential policy of the offer, determination of learning needs (and availability), design of offers, systematization of learning management technology and evaluation of the quality and usefulness of learning management processes. Conclusions: The application of the methodology allowed carrying out the study and determining the needs of the users of the university library and prioritizing the services for greater satisfaction.


Subject(s)
Information Services , Libraries, Medical , Library Services
15.
E-Cienc. inf ; 9(1): 1-19, ene.-jun. 2019. tab, graf
Article in Spanish | LILACS, SaludCR | ID: biblio-1089854

ABSTRACT

Resumen El objetivo del estudio es explorar la relación escalante entre el grado de centralidad de los países y el impacto de sus publicaciones sobre dirección estratégica. Los resultados muestran que el impacto de los artículos sobre Dirección Estratégica de los países ¿Cuáles países? ¿Europa? ¿América? se relaciona con su grado de centralidad, acorde a una ley potencial con un exponente 1,28 ( 0,07, lo cual sugiere que cada vez que un país duplica su grado de centralidad en la estructura de la red de colaboración en la que participa su impacto se incrementa 21,28 o 2,42 veces. Además, sugieren que el fomento de las redes de colaboración internacional es una estrategia positiva para incrementar la visibilidad y el impacto de los resultados de la investigación sobre dirección estratégica de los países.


Abstract: The aim of this study is to explore the scaling relationship between degree centrality and citation-based performance of countries articles on Strategic Management. The results show a scaling relationship between Impact and degree centrality with scaling exponent of 1,28 ( 0,07. This result suggests that the Impact of a countries' articles on strategic management increases non-linearly with degree centrality 21,28 o 2,42 times when the country doubles its degree centrality. The results suggest that the increase of the participation of countries in international collaborative networks on strategic management research is a positive strategy to foster the international visibility and impact on strategic management research.


Subject(s)
Organization and Administration , Strategic Planning , Bibliometrics , Bibliometric Indicators , Impact Factor , Scientific Publication Indicators , Information Services
16.
Article in English | WPRIM | ID: wpr-740714

ABSTRACT

OBJECTIVES: In the Republic of Korea (ROK), the notified incidence of tuberculosis in foreign-born individuals (NITFBI) has increased recently, as has the rate of multidrug-resistant (MDR) and rifampicin-resistant (RR) tuberculosis in foreigners staying in the ROK. As Jeju Province in ROK has a no-visa entry policy, control programs for NITFBI should be consolidated. The aim was to evaluate the status of NITFBI, with a focus on the distribution of MDR/RR tuberculosis by nationality. METHODS: Data on tuberculosis incidence in individuals born in Jeju Province and in foreign-born individuals were extracted from the Korean Statistical Information Service of Statistics Korea, and the Infectious Disease Surveillance Web Statistics of the Korea Centers for Disease Control and Prevention, respectively. RESULTS: Among all notified incident cases of tuberculosis, the proportion of NITFBI increased from 1.46% in 2011 to 6.84% in 2017. China- and Vietnam-born individuals accounted for the greatest proportion of the 95 cases of NITFBI. Seven cases of MDR/RR tuberculosis were found, all involving patients born in China. CONCLUSIONS: In Jeju Province, ROK, NITFBI might become more common in the near future. Countermeasures for controlling active tuberculosis in immigrants born in high-risk nations for tuberculosis should be prepared in Jeju Province, since it is a popular tourist destination.


Subject(s)
Antitubercular Agents , China , Communicable Diseases , Disease Management , Drug Resistance , Emigrants and Immigrants , Ethnic Groups , Humans , Incidence , Information Services , Internationality , Korea , Mycobacterium tuberculosis , Republic of Korea , Tuberculosis
18.
Article in English | WPRIM | ID: wpr-763493

ABSTRACT

Diet-related behavioral modification for healthy eating and lifestyle is required to improve childhood obesity. The present study aimed to develop customized nutritional intervention protocol and education program to find barriers to adhere healthy diet and lifestyle for moderate to severe obese children and adolescents and their families. Theoretical framework approaches can be used to change behavior and achieve goals. Previous studies that described the relationship between behavioral modification and nutrition education theory were reviewed. The social cognitive theory and transtheoretical model were employed with behavioral changes to target a healthful diet and lifestyle. The nutrition care process (NCP) model was adopted to customize nutrition care for the participants. Customized nutritional intervention protocol was developed following as the four steps of the NCP. Firstly, nutrition status of the participants was assessed by the nutrition expert. Nutrition problems were described as “inadequate energy intake,” “overweight/obesity,” or “food and nutrition-related knowledge deficit.” All nutrition sessions were designed for nutrition intervention to give nutritional knowledge and a practical mission in real life for individual goal setting and self-control. Meal planning, portion control, healthy snack selection and cooking with fruits and vegetables were consisted of five components of the nutrition education session. During each session, the participants and their families were interviewed by a nutrition expert for monitoring and evaluating diet-related goal setting and achievement. A theoretical and evidence-based nutritional intervention was developed for the secondary to tertiary prevention of childhood obesity. This nutrition intervention protocol and program might be helpful for the further research on childhood obesity. TRIAL REGISTRATION: Clinical Research Information Service Identifier: KCT0002111


Subject(s)
Adolescent , Behavior Therapy , Child , Cooking , Diet , Eating , Education , Fruit , Humans , Information Services , Life Style , Meals , Nutrition Assessment , Nutritional Status , Pediatric Obesity , Self-Control , Snacks , Tertiary Prevention , Vegetables
19.
Asia Pacific Allergy ; (4): e31-2019.
Article in English | WPRIM | ID: wpr-762878

ABSTRACT

BACKGROUND: Occurrence of cough during swallowing is common among asthma patients, but has not been investigated in detail. OBJECTIVE: We conducted an observational study to determine the prevalence of swallowing-related cough (SRC) and its characteristics in asthma patients. METHODS: Asthma patients attending our outpatient department between May 2005 and April 2007 were interviewed to investigate if they had ever experienced SRC, as well as postnasal drip or heartburn and cough related to these conditions. RESULTS: Among 417 patients who completed the questionnaire, 121 patients (29.0%) had experienced SRC. Spicy and sour foods were the most frequent tussigenic foods, causing cough in 76.0% and 53.7% of the 121 patients, respectively. In patients without SRC, the prevalence rates of postnasal drip and postnasal drip-induced cough were 35.8% (106 of 296) and 7.8% (23 of 296), respectively. The corresponding prevalence rates in patients with SRC were 50.4% (61 of 121) and 37.2% (45 of 121), which were both significantly higher than in patients without cough (p = 0.006 and p < 0.001 respectively). In patients without SRC, the prevalence rates of heartburn and heartburn-induced cough were 22.2% (66 of 296) and 2.4% (7 of 296), respectively. The corresponding prevalence rates in patients with SRC were 45.5% (55 of 121) and 16.5% (20 of 121), with both being significantly higher than in patients without cough (p = 0.002 and p < 0.001, respectively). CONCLUSION: SRC was frequent in asthma patients, and was closely related to postnasal drip and heartburn. Irritable larynx is one of the possible underlying mechanisms of SRC. This study was registered with the University Hospital Medical Information Network clinical trials registry (registration number: UMIN000017426).


Subject(s)
Asthma , Cough , Deglutition , Gastroesophageal Reflux , Heartburn , Humans , Information Services , Larynx , Observational Study , Outpatients , Prevalence
20.
Article in English | WPRIM | ID: wpr-765106

ABSTRACT

BACKGROUND: We evaluated the effects of neurofeedback as an augmentation treatment on depressive symptoms and functional recovery in patients with treatment-resistant depression (TRD). METHODS: We included 24 adult patients with TRD and 12 healthy adults. 24 TRD patients were assigned to the neurofeedback augmentation group (n = 12) and the medication-only (treatment as usual [TAU]) group (n = 12). The neurofeedback augmentation group underwent combined therapy comprising medication and 12–24 sessions of neurofeedback training for 12 weeks. To assess the serum levels of brain-derived neurotrophic factor (BDNF) in both groups, pre- and post-treatment blood samples were obtained. Patients were evaluated using the Hamilton Depression Rating Scale (HAM-D), Beck Depression Inventory (BDI), Clinical Global Impression-Severity (CGI-S), 5-level version of European Quality of Life Questionnaire 5-Dimensional Classification (EQ-5D-5L), and Sheehan Disability Scale (SDS) at baseline, and at the 1-, 4-, and 12-week. RESULTS: From baseline to week 12, neurofeedback training reduced mean scores on HAM-D, BDI-II, CGI-S, and SDS, and increased mean EQ-5D-5L tariff score. In the neurofeedback augmentation group, the response and remission rates were 58.3% and 50.0%, respectively, at week 12. Changes in HAM-D, EQ-5D-5L tariff score, and SDS were significantly larger in the neurofeedback group than in the medication-only (TAU) group. No significant difference in BDNF level was found pre- vs. post-treatment in any of the groups. CONCLUSION: Despite the small sample size, these results suggest that neurofeedback treatment may be effective as an augmentation treatment, not only for depressive symptoms, but also for functional recovery, in patients with TRD. TRIAL REGISTRATION: Clinical Research Information Service Identifier: KCT0004183 ClinicalTrials.gov Identifier: NCT04078438


Subject(s)
Adult , Brain-Derived Neurotrophic Factor , Classification , Depression , Depressive Disorder, Major , Humans , Information Services , Neurofeedback , Pilot Projects , Quality of Life , Sample Size
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