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The effect of weight reduction on the diabetes foot: A scoping review and clinical implications
Get PDFBackground:
This scoping review aims to explore the literature available on rapid weight reduction (either via diet/exercise or bariatric surgery) on the diabetes foot.
Methods:
A search strategy was developed using Population, Intervention, Comparison, Outcome (PICO). A search using all identified keywords and index terms was performed on Cumulated Index in Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica Database (EMBASE), PubMed, International Clinical Trials Registry Platform (ICTRP) and Web of Science (WoS) databases as well as Proquest, and Cochrane systematic reviews. A search of grey literature was also performed on Google Scholar and Internet explorer. No restrictions were placed on the date of publication.
Results:
There were few studies that explored the effects of weight reduction on the diabetes foot. Only 2 articles met the scoping review's inclusion criteria. These were a case study where the intervention was bariatric surgery and a case series study where the interventions were bariatric surgery or diet and exercise.
Conclusion:
This scoping review has highlighted the lack of research in this area, raising opportunities for further research that focus on the effects of rapid weight reduction (either following bariatric surgery or weight reduction and diet) on the diabetes foot. Patients with diabetes mellitus should receive individualised pre and post weight reduction care to their feet, either by a podiatrist or multidisciplinary care team.https://doi.org/10.1016/j.obpill.2024.100152aheadofprintaheadofprin
Predictors of Food Waste Behaviour: The Case of Young Malaysian Consumers
Get PDFThe increase in global food waste has raised considerable concern for the environment. Over 820 million people worldwide are undernourished, while nearly a quarter of the global edible food is wasted by people. Malaysian consumers waste an estimated 16,668 tonnes of edible food daily, which has exacerbated food waste issues. Although households are the major contributors in generating food waste, it has been indicated that young consumers tend to waste more food compared to the elderly as they tend to eat outside or order takeaway food rather than eat at home or cook themselves. Therefore, the present quantitative study aims to develop a conceptual model to predict the factors that influence food waste behaviour among young Malaysians. A total of 222 useful data were collected through the Online Survey. The findings showed that environmentally conscious purchase, impulsive food purchasing, personal attitude, financial attitude, and social influence could impact food waste intention and consequently, actual food waste behaviour among young Malaysians. The findings provide implications for the food and beverage sector and the government to mitigate the food waste behaviour among the younger generation.https://journal-of-marketing-management-and-consumer-behavior.com/index.php/JMMCB/article/view/2364pubpub
Developing a best-practice agenda for music therapy research to support informal carers of terminally ill patients pre- and post-death bereavement: a world café approach
Get PDFFrom Springer Nature via Jisc Publications RouterHistory: received 2023-04-26, registration 2024-01-26, accepted 2024-01-26, epub 2024-02-07, online 2024-02-07, collection 2024-12Acknowledgements: We would like to thank all those who took part in the World Café workshop, some of whom joined during unsociable hours, due to different time zones, in order to share their expertise. Those who agreed to be named in person include Dr Imogen Clark, Faculty of Fine Arts and Music, University of Melbourne, Australia; Clare O’Callaghan, Clinical Associate Professor. Department of Medicine, St Vincent’s Hospital, The University of Melbourne, Australia; Adrienne Pringle, MMT, RP, MTA, Beyond the Studio, Burlington, Ontario, Canada; Anna Ludwig, Music Therapist, Kilbryde Hospice, East Kilbride, Scotland, United Kingdom.Publication status: PublishedFunder: Music Therapy Charity; Grant(s): 2021-2022Giorgos Tsiris - ORCID: 0000-0001-9421-412X
https://orcid.org/0000-0001-9421-412XBackground: Informal carers of terminally ill patients play a vital role in providing palliative care at home, which impacts on their pre- and post-death bereavement experience and presents an up to 50% greater risk for mental-health problems. However, developing and implementing effective bereavement support remains challenging. There is a need to build the evidence base for music therapy as a potentially promising bereavement support for this vulnerable population. This study aimed to co-design an international best practice agenda for research into music therapy for informal carers of patients pre- and post-death bereavement. Methods: Online half day workshop using a World Café approach; an innovative method for harnessing group intelligence within a group of international expert stakeholders (music therapy clinicians and academics with experience of music therapy with informal carers at end-of-life). Demographics, experience, key priorities and methodological challenges were gathered during a pre-workshop survey to inform workshop discussions. The online workshop involved four rounds of rotating, 25-minute, small group parallel discussions using Padlet. One final large group discussion involved a consensus building activity. All data were analysed thematically to identify patterns to inform priorities and recommendations. Results: Twenty-two consented and completed the pre-event survey (response rate 44%), from countries representing 10 different time zones. Sixteen participated in the workshop and developed the following best practice agenda. The effectiveness of music therapy in supporting informal carers across the bereavement continuum should be prioritised. This should be done using a mixed methods design to draw on the strengths of different methodological approaches to building the evidence base. It should involve service users throughout and should use a core outcome set to guide the choice of clinically important bereavement outcome measures in efficacy/effectiveness research. Conclusions: Findings should inform future pre- and post-death bereavement support research for informal caregivers of terminally ill patients. This is an important step in building the evidence base for commissioners and service providers on how to incorporate more innovative approaches in palliative care bereavement services.Funder: Music Therapy Charity; Grant(s): 2021-2022pubpu
Measurement properties of the falls efficacy scale in patients on hemodialysis
Get PDFFrom Springer Nature via Jisc Publications RouterHistory: received 2023-12-08, accepted 2024-03-06, registration 2024-03-07, epub 2024-03-18, online 2024-03-18, collection 2024-12Acknowledgements: The authors thank the nursing and medical staff at the Nephrology Unit for their friendly support.Publication status: PublishedFunder: Fundação de Amparo à Pesquisa do Estado de Minas Gerais - FAPEMIG; Grant(s): APQ 02229, 2018Funder: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES; Grant(s): 001, 2020Funder: National Council for Scientific and Technological Development - CNPqPelagia Koufaki - ORCID: 0000-0002-1406-3729 https://orcid.org/0000-0002-1406-3729Background: The measurement properties of the falls efficacy scale have not been evaluated in patients on hemodialysis. This study determined the inter- and intrarater reliability, standard error of measurement, minimal detectable change, and limits of agreements of the falls efficacy scale in patients on hemodialysis. Methods: A cross-sectional study was conducted with 65 patients (57.5 ± 13.9 years, 63.1% male) on hemodialysis. The fear of falling was assessed by two previously trained raters using the falls efficacy scale. The intraclass correlation coefficient, standard error of measurement, minimal detectable change, and Bland–Altman plot were calculated to assess the inter- and intrarater reliability of the falls efficacy scale. Results: The interrater intraclass correlation coefficient was 0.91, and the intrarater intraclass correlation coefficient was 0.78, representing excellent interrater and good intrarater reliability. The standard error of measurement for inter- and intrarater assessments were 2.99 and 4.46, and the minimal detectable change for inter- and intrarater assessments were 9.26 and 12.33, respectively. The interrater mean difference score was 0.26 (95% limits of agreement: − 8.01 to 8.53), and the intrarater mean difference score was − 1.06 (95% limits of agreement: − 13.39 to 11.27). Conclusion: In patients on hemodialysis, the falls efficacy scale showed excellent and good inter- and intrarater reliability, respectively. Additionally, standard error of measurement, minimal detectable change, and limits of agreements of the falls efficacy scale score were satisfactory.pubpu
A brief neuro-affirming resource to support school absences for autistic learners: development and program description
Get PDFDonald Maciver - ORCID: 0000-0002-6173-429X
https://orcid.org/0000-0002-6173-429XMarion Rutherford - ORCID: 0000-0002-2283-6736
https://orcid.org/0000-0002-2283-6736Eleanor Curnow - ORCID: 0000-0001-9332-8248
https://orcid.org/0000-0001-9332-8248Izy Utley - ORCID: 0009-0002-2937-1887
https://orcid.org/0009-0002-2937-1887Background: Education should be inclusive, nurturing each individual’s potential, talents, and creativity. However, criticisms have emerged regarding support for autistic learners, particularly in addressing disproportionately high absence levels within this group. The demand for accessible, person-centered, neuro-affirming approaches is evident. This paper provides a program description of a structured absence support framework, developed and implemented during and following the Covid-19 pandemic. We detail creation, content, and implementation.
Methods: We collaborated with stakeholders, reviewed literature and drew on existing theoretical frameworks to understand absence in autistic learners, and produced draft guidance detailing practical approaches and strategies for supporting their return to school. The final resource was disseminated nationally and made freely available online with a supporting program of work around inclusive practices.
Results: The resource is rooted in neuro-affirming perspectives, rejecting reward-based systems and deficit models of autism. It includes key messages, case studies and a planning framework. It aims to cultivate inclusive practices with an autism-informed lens. The principles promoted include recognizing the child’s 24-hour presentation, parental partnership, prioritizing environmental modifications, and providing predictable, desirable and meaningful experiences at school. Feedback to date has been positive in terms of feasibility, face validity, and utility.
Conclusion: This novel, freely available resource provides a concise, practical framework for addressing absence in autistic learners by cultivating a more inclusive, equitable, and supportive educational system in which autistic individuals can thrive.https://doi.org/10.3389/feduc.2024.13583549pubpu
The role of exercise training on cardiovascular risk factors and heart disease in patients with chronic kidney disease G3-G5 and G5D: A Clinical Consensus Statement of the European Association of Preventive Cardiology (EAPC) of the ESC and the European Association of Rehabilitation in Chronic Kidney Disease (EURORECKD)
Get PDFFrom Crossref journal articles via Jisc Publications RouterHistory: epub 2024-04-09, issued 2024-04-09Publication status: PublishedPelagia Koufaki - ORCID: 0000-0002-1406-3729
https://orcid.org/0000-0002-1406-3729Item is not available in this repository.Cardiovascular (CV) morbidity and mortality is high in patients with chronic kidney disease (CKD). Most patients reveal a high prevalence of CV risk factors such as diabetes or arterial hypertension and many have manifest cardiovascular disease (CVD), such as coronary artery disease and chronic heart failure with an increased risk of clinical events including sudden cardiac death. Diabetes mellitus and hypertension contribute to the development of CKD and the prevalence of CKD is in the range of 20%-65% in diabetic and 30%-50% in hypertensive patients. Therefore, prevention and optimal treatment of CV risk factors and comorbidities are key strategies to reduce CV risk and improve survival in CKD. Beyond common CV risk factors, patients with CKD are often physically inactive and have low physical function leading to subsequent frailty with muscle fatigue and weakness, sarcopenia and increased risk of falling. Consequently, the economic health burden of CKD is high, requiring feasible strategies to counteract this vicious cycle. Regular physical activity and exercise training have been shown to be effective in improving risk factors, reducing CVD and reducing frailty and falls. Nonetheless, combining exercise training and a healthy lifestyle with pharmacological treatment is not frequently applied in clinical practice. For that reason, this Clinical Consensus Statement reviews the current literature and provides evidence-based data regarding the role of exercise training in reducing CV and overall burden in patients with CKD. The aim is to increase awareness among cardiologists, nephrologists, and health care professionals of the potential of exercise therapy in order to encourage implementation of exercise training in clinical practice, eventually reducing CV risk and disease, as well as reducing frailty in patients with CKD G3 to G5D.31pubpub1
Decision-making accuracy of soccer referees in relation to markers of internal and external load
Get PDFRosie Arthur - ORCID: 0000-0003-0651-4056 https://orcid.org/0000-0003-0651-4056Supplementary data for this paper is available at: https://eresearch.qmu.ac.uk/handle/20.500.12289/13683 .AM replaced with VoR 2024-03-18.This study examined the relationships between the decision-making performances of soccer referees and markers of physiological load. Following baseline measurements and habituation procedures, 13 national-level male referees completed a novel Soccer Referee Simulation (SRS) whilst simultaneously adjudicating on a series of video-based decision-making clips. The correctness of each decision was assessed in relation to the mean heart rate (HR), respiratory rate (RR), minute ventilation (V̇E), perceptions of breathlessness (RPE-B) and local muscular (RPE-M) exertion, and running speeds recorded in the 10-s and 60-s preceding decisions. There was a significant association between decision-making accuracy and the mean HR (P=0.042; VC=0.272) and RR (P=0.024, VC=0.239) in the 10-s preceding decisions, with significantly more errors observed when HR ≥90% of HRmax (OR, 5.39) and RR ≥80% of RRpeak (OR, 3.34). Decision-making accuracy was also significantly associated with the mean running speeds performed in the 10-s (P=0.003; VC=0.320) and 60-s (P=0.016; VC=0.253) preceding decisions, with workloads of ≥250 m·min-1 associated with an increased occurrence of decisional errors (OR, 3.84). Finally, there was a significant association between decision-making accuracy and RPE-B (P=0.021; VC=0.287), with a disproportionate number of errors occurring when RPE-B was rated as “very strong” to “maximal” (OR, 7.19). Collectively, the current data offer novel insights into the detrimental effects that high workloads may have upon the decision-making performances of soccer referees. Such information may be useful in designing combined physical and decision-making training programmes that prepare soccer referees for the periods of match play that prove most problematic to their decision-making.24pubpub
Developing a Connection to Nature: The Role of Pet Ownership in Childhood
Get PDFAlexia Barrable - ORCID: 0000-0002-5352-8330
https://orcid.org/0000-0002-5352-83307pubpub
Patient perspectives on the unwanted effects of multidisciplinary pain management programmes: A qualitative study
No full textFrom Crossref journal articles via Jisc Publications RouterHistory: epub 2024-05-15, issued 2024-05-15Publication status: PublishedFunder: National Institute for Health and Care Research; FundRef: https://doi.org/10.13039/10.13039/501100000272; Grant(s): NIHR303240Item is not available in this repository.Objective This study aimed to understand the impact of pain management programmes, focusing on the unwanted effects and their influence on patients’ long-term use of self-management strategies. Design Qualitative study. Setting Specialist musculoskeletal hospital in North London, England. Participants Patients with chronic musculoskeletal pain that have completed a pain management programme. Intervention Multidisciplinary pain management programmes. Main measures Data were collected regarding patients’ experiences and unwanted effects from the pain management programme using semi-structured interviews. Data were analysed using thematic analysis. Results Fourteen participant interviews were included in the analysis (median age 54 years, 12 females). Four themes were generated from the data: Benefits and burdens, Pain management programme and real life, Social support and Healthcare interventions. Unwanted effects included heightened anxiety related to negative interactions with peers, being in a new environment, worries about ability to cope with the programme, social anxiety from being in a group, the strain on families due to participants being away from home and a sense of abandonment at end of the programme. Burdens associated with implementing pain management strategies were identified, including the emotional burden of imposing their self-management on close family and competing demands with time and energy spent on self-management at the expense of work or home commitments. Conclusions Pain management programmes have an important role in helping patients to learn how to self-manage chronic pain. Their unwanted effects and the treatment burdens associated with long-term self-management may be an important consideration in improving the longevity of their beneficial effects.38pubpub
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