2,940 research outputs found
Robert J. Staumbaugh and Cindy Hallgren at a Desk at O.H. Carter Company Incorporated, B
No full textA view showing Robert J. Staumbaugh (left) and Cindy Hallgren (right) of the insurance company, O.H. Carter Co. Inc. sitting at a desk.https://digitalcommons.usf.edu/gandy_commercial/3407/thumbnail.jp
Implementing a person centred collaborative health care model : A qualitative study on patient experiences
No full textBackground: Collaborative Health Care (CHC) is a unique model in which ambulance services, home health care, hospital care and the national telephone helpline for healthcare in Sweden – Swedish health care direct (SHD1177) collaborate to provide the fastest possible health care for inhabitants living in eleven municipalities in western region of Sweden. Aim: To explore how patients experience and perceive health care received in the CHC. Method: Qualitative descriptive study using open-ended individual telephone interviews with fifteen community dwelling persons with experiences of care throughthe model CHC were conducted. Results: Two main categories and six subcategories were identified. The category “Thoughts of time in regard to acute health care” include “CHC leads to shorter waiting time for health care”, “Knowledge about the staff working hours” and “To alert or not alert”. The category “Thoughts on unplanned health care from CHC” involved “Receiving health care in my home”, ”Coordination from SHD1177 surprises” and “Accessibility of health care values higher than continuity”. Conclusion: Integrated health care models such as CHC are time saving and highly appreciated by community dwelling persons. The benefits of provision of coherent health care like in CHC, addresses the need to implement innovative integrated healthcare models in today's health care. CC BY 4.0© 2021 The Author(s)Corresponding author: [email protected] (J. Hallgren)</p
Correlates of physical activity among community-dwelling individuals aged 65 years or older with anxiety in six low- and middle-income countries
No full textGiven the important health benefits of physical activity (PA) and the higher risk for physical inactivity in people with anxiety, and the high prevalence of anxiety and low PA among the elderly, there is a need for research to investigate what factors influence PA participation among anxious older individuals. We investigated PA correlates among community-dwelling adults aged ≥ 65 years with anxiety symptoms in six low- and middle-income countries
Managing impressions and forests
No full textSocial interaction is an important—and often forgotten—aspect of conflicts in natural resource management (NRM). Building on the theoretical framework of symbolic interaction, this article explores how the concept of impression management during social interaction can help understand NRM conflicts. A qualitative study was carried out on a Swedish case involving a conflict over clear-cutting of a forest. To explain why the conflict escalated and destructivity increased, we investigated how the involved actors interpreted each other’s actions. For an individual, role confusion occurs when a particular interaction creates a conflict between the presented self and the self expected from the social situation (Goffman 1956). The analysis shows that actors could not use
their established social arenas to address dissatisfaction due to the fear of role confusion. Instead, they avoided informal face-to-face meetings and changed the conditions of the social situation to avoid role confusion
“There are two of us“ : Registered nurses’ experience of teamwork and working alone in the Swedish ambulance service—a qualitative interview study
No full textIntroduction: In ambulance services, personnel often work together in teams. There are two personnel in ambulances, at least one of whom is a registered nurse. Besides leading nursing work, the registered nurse should be able to lead and work in teams. The registered nurse develops an intuitive approach through work experience, enabling them to act without analysing their actions. Aim: This study illuminates registered nurses’ perceptions of factors affecting teamwork and solo work in ambulance care. Method: The sample consisted of ten registered nurses from ambulance stations in western Sweden. Semi-structured individual interviews were analysed using qualitative content analysis, according to Graneheim and Lundman (2004). Results: Ambulance healthcare nurses emphasise continuous teamwork, where clear roles and effective communication are key. Team continuity fosters trust among colleagues for a safer work environment. Striking a balance between new and experienced staff is crucial. Experience and reflection are vital for building professional knowledge, instilling confidence, and fostering an intuitive approach. Conclusion: Secure teamwork and solo work require experience, continuity, distinct roles, communication, and reflection.CC BY 4.0Corresponding author at: School of Health Sciences, University of Skövde, Högskolevägen, Box 408, 541 28 Skövde, Sweden. E-mail address: [email protected] (J. Hallgren).No funding from any organisation or institution was received for this study.</p
Exercise as Medicine for Mental and Substance Use Disorders: A Meta-review of the Benefits for Neuropsychiatric and Cognitive Outcomes
No full textBACKGROUND: Exercise may improve neuropsychiatric and cognitive symptoms in people with mental disorders, but the totality of the evidence is unclear. We conducted a meta-review of exercise in (1) serious mental illness (schizophrenia spectrum, bipolar disorder and major depression (MDD)); (2) anxiety and stress disorders; (3) alcohol and substance use disorders; (4) eating disorders (anorexia nervosa bulimia nervosa, binge eating disorders, and (5) other mental disorders (including ADHD, pre/post-natal depression). METHODS: Systematic searches of major databases from inception until 1/10/2018 were undertaken to identify meta-analyses of randomised controlled trials (RCTs) of exercise in people with clinically diagnosed mental disorders. In the absence of available meta-analyses for a mental disorder, we identified systematic reviews of exercise interventions in people with elevated mental health symptoms that included non-RCTs. Meta-analysis quality was assessed with the AMSTAR/+. RESULTS: Overall, we identified 27 systematic reviews (including 16 meta-analyses representing 152 RCTs). Among those with MDD, we found consistent evidence (meta-analyses = 8) that exercise reduced depression in children, adults and older adults. Evidence also indicates that exercise was more effective than control conditions in reducing anxiety symptoms (meta-analyses = 3), and as an adjunctive treatment for reducing positive and negative symptoms of schizophrenia (meta-analyses = 2). Regarding neurocognitive effects, exercise improved global cognition in schizophrenia (meta-analyses = 1), children with ADHD (meta-analyses = 1), but not in MDD (meta-analyses = 1). Among those with elevated symptoms, positive mental health benefits were observed for exercise in people with pre/post-natal depression, anorexia nervosa/bulimia nervosa, binge eating disorder, post-traumatic stress disorder and alcohol use disorders/substance use disorders. Adverse events were sparsely reported. CONCLUSION: Our panoramic meta-overview suggests that exercise can be an effective adjunctive treatment for improving symptoms across a broad range of mental disorders.sponsorship: Brendon Stubbs holds a Clinical Lectureship supported by Health Education England and the NIHR Integrated Clinical Academic (ICA) Programme (ICA-CL-2017-03-001). Brendon Stubbs is also part supported by the Maudsley Charity and the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London at King's College Hospital NHS Foundation Trust. The views expressed are those of the author[s] and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care. John Firth is supported by a Blackmores Institute Fellowship. Rebekah Carney is funded by the Research Capability Fund via Greater Manchester West Mental Health NHS Foundation Trust. Garcia Ashdown-Franks is funded by a Mitacs Globalink Research Award. (Health Education England, NIHR Integrated Clinical Academic (ICA) Programme|ICA-CL-2017-03-001, Maudsley Charity, National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London at King's College Hospital NHS Foundation Trust, Blackmores Institute Fellowship, Research Capability Fund via Greater Manchester West Mental Health NHS Foundation Trust, Mitacs Globalink Research Award)status: Publishe
Innemiljö i HSB Living Lab – En studie av innemiljön under en fastighets första år B
No full textMänniskor tillbringar huvuddelen, upp till 90 %, av sina liv inomhus. Därför har inomhusmiljön stor betydelse för människors hälsa. Till det svenska miljömålet ”God bebyggd miljö” finns en indikator som handlar om hur stor andel av den vuxna befolkningen som upplever besvär av inomhusmiljön. HSB Living Lab är en fastighet som byggts för att fungera både som student- och forskarbostäder och som ett levande laboratorium för test och utvärdering av bland annat innemiljö men även olika byggnadstekniska lösningar mm. Under fastighetens första år, har en studie gjorts av innemiljön. Resultatet redovisas i denna rapport. Undersökningen har omfattat uppmätt och upplevd luftkvalitet inomhus under mer än ett år i två lägenheter i HSB Living Lab. Målet med projektet var att följa upp och dokumentera luftkvaliteten och att bedöma påverkan av byggnaden, inredningen och mänskliga aktiviteterna på den. Mätningarna har utförts i ett oinrett och oventilerat rum med rester av byggmaterial och ouppackade möbler, i ett gemensamt utrymme med köksinredning, i ett studentrum och i en bebodd trerumslägenhet. I mätningarna ingick parametrar för inneklimat som temperatur och relativ luftfuktighet, halter av gasformiga luftföroreningar koldioxid, kvävedioxid, ozon, flyktiga organiska ämnen och formaldehyd samt partikelhalter PM10 och PM2.5. Dessutom undersöktes upplevd luftkvalitet och termisk komfort med en enkät. Resultaten av mätningarna jämfördes med rekommenderade riktvärden för god luftkvalitet inomhus. Med undantag för det oinredda och oventilerade rummet var luftkvaliteten bra och halterna under de rekommenderade riktvärdena. Den upplevda luftkvaliteten var betydligt bättre i de möblerade, bebodda och ventilerade bostäderna än i det oinredda rummet. När ventilationen startades efter avslutade byggarbeten, hade det en positiv inverkan på luftkvalitet i byggnaden, vilket är vad som kan förväntas. Andra parametrar som påverkade innemiljö var mänskliga aktiviteter som vädring/öppnade fönster som påverkade temperaturen och matlagning som påverkade partikelhalten.HSB Living Lab är en fastighet som byggts för att fungera både som student- och forskarbostäder och som ett levande laboratorium för test och utvärdering av bland annat innemiljö men även olika byggnadstekniska lösningar mm. Under fastighetens första år, har en studie av innemiljön gjorts, vilket redovisas i denna rapport
Association Between Muscular Strength and Cognition in People With Major Depression or Bipolar Disorder and Healthy Controls
No full textImportance Objective physical fitness measures, such as handgrip strength, are associated with physical, mental, and cognitive outcomes in the general population. Although people with mental illness experience reduced physical fitness and cognitive impairment, the association between muscular strength and cognition has not been examined to date. Objective To determine associations between maximal handgrip strength and cognitive performance in people with major depression or bipolar disorder and in healthy controls. Design, Setting, and Participants In a multicenter, population-based study conducted between February 13, 2005, and October 1, 2010, in the United Kingdom, cross-sectional analysis was conducted of baseline data from 110 067 participants in the UK Biobank. Data analysis was performed between August 3 and August 18, 2017. Invitations were mailed to approximately 9.2 million UK homes, recruiting 502 664 adults, all aged 37 to 73 years. Clinically validated measures were used to identify individuals with major recurrent depression (moderate or severe) or bipolar disorder (type I or type II) and healthy controls (those with no indication of present or previous mood disorders). Main Outcomes and Measures Handgrip dynamometry was used to measure muscular function. Cognitive functioning was assessed using computerized tasks of reaction time, visual memory, number memory, reasoning, and prospective memory. Generalized linear mixed models assessed the association between handgrip strength and cognitive performance, controlling for age, educational level, sex, body weight, and geographic region. Results Of the 110 067 participants, analyses included 22 699 individuals with major depression (mean [95% range] age, 55.5 [41-68] years; 7936 [35.0%] men), 1475 with bipolar disorder (age, 54.4 [41-68] years; 748 [50.7%] men), and 85 893 healthy controls (age, 53.7 [41-69] years; 43 000 [50.0%] men). In those with major depression, significant positive associations (P < .001) between maximal handgrip strength and improved performance on all 5 cognitive tasks were found, including visual memory (coefficient, −0.146; SE, 0.014), reaction time (coefficient, −0.036; SE, 0.002), reasoning (coefficient, 0.213; SE, 0.02), number memory (coefficient, 0.160; SE, 0.023), and prospective memory (coefficient, 0.341; SE, 0.024). Similar results were found in healthy controls. Among participants with bipolar disorder, handgrip strength was positively associated with improved visual memory (coefficient, −0.129; SE, 0.052; P = .01), reaction time (coefficient, −0.047; SE, 0.007; P < .001), prospective memory (coefficient, 0.262; SE, 0.088; P = .003), and reasoning (coefficient, 0.354; SE, 0.08; P < .001). Conclusions and Relevance Grip strength may provide a useful indicator of cognitive impairment in people with major depression and bipolar disorder. Future research should investigate causality, assess the functional implications of handgrip strength in psychiatric populations, and examine how interventions to improve muscular fitness affect neurocognitive status and socio-occupational functioning
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