Healthcare

Corroborating evidence-based medicine
Proponents of evidence-based medicine (EBM) have argued convincingly for applying this scientific method to medicine. However, the current methodological framework of the EBM movement has recently been called into question, especially in epidemiology and the philosophy of science. The debate has focused on whether the methodology of randomized controlled trials provides the best evidence availa...


Prise en charge de la douleur aux urgences : mise au point
Les données récentes de la littérature montrent que la douleur reste insuffisamment prise en charge dans nos services d’urgence, quel que soit l’âge des consultants. Chez la personne âgée, la difficulté est accrue en raison du manque d’études prospectives, ce qui complique l’évaluation de leurs besoins spécifiques. L’utilisation des morphiniques est toujours aussi faible, ma...
Development and Validation of the Hypertension Self-care Profile: A Practical Tool to Measure Hypertension Self-care
Adequate self-care is crucial for blood pressure control. A number of hypertension (HBP) self-care instruments are available, but existing tools do not capture all the critical domains of HBP self-care and have limited evidence of reliability and validity. The purpose of this study was to develop and validate a new tool—the HBP Self-Care Profile (HBP SCP)—in a sample of inner-city residents...


Hyperglycemia Is Associated With Corrected QT Prolongation and Mortality in Acutely Ill Patients
The QT interval on an electrocardiogram represents ventricular repolarization time. Increased length of this interval, known as corrected QT (QTc) prolongation, can be a precursor to torsade de pointes, a potentially life-threatening ventricular dysrhythmia. An association exists between blood glucose and QTc interval in ambulatory populations. Because both hyperglycemia and QTc prolongation ar...
Managing Uncertainty in Couples Living With Atrial Fibrillation
Living with a chronic disease such as atrial fibrillation (AF) not only affects the patient but also has implications for the partner. There is a lack of research on couples living with AF and, in particular, how they experience and deal with the disease. The aim of this study was to explore couples’ main concerns when one of the spouses is afflicted with AF and how they continually handle it...


Discharge Clinical Characteristics and 60-Day Readmission in Patients Hospitalized With Heart Failure
Heart failure is a clinical syndrome that incurs a high prevalence, mortality, morbidity, and economic burden in our society. Patients with heart failure may experience hospitalization because of an acute exacerbation of their condition. Recurrent hospitalizations soon after discharge are an unfortunate occurrence in this patient population. The purpose of this study was to explore the clinical...
Development and Psychometric Evaluation of a Cardiovascular Risk and Disease Management Knowledge Assessment Tool
This article describes the systematic construction and psychometric analysis of a knowledge assessment instrument for phase II cardiac rehabilitation (CR) patients measuring risk modification disease management knowledge and behavioral outcomes derived from national standards relevant to secondary prevention and management of cardiovascular disease. First, using adult curriculum based on diseas...

Psychometric Properties of the Perceived Therapeutic Efficacy Scale for Adhering to a Cholesterol-Lowering Diet
Outcome expectancy may play an important role in behavior change. Previous studies tested the validity and the reliability of the Perceived Therapeutic Efficacy Scale (PTES), a scale that measures outcome expectancy related to adhering to a cholesterol-lowering diet. Further study was needed to examine its psychometric properties in a larger sample. The aim of this study was to test the psychom...
Using Growth Mixture Modeling to Identify Classes of Sodium Adherence in Adults With Heart Failure
The prevention of fluid retention is important to reduce hospitalizations in patients with heart failure (HF). Following a low-sodium diet helps to reduce fluid retention. The primary objective of this study was to use growth mixture modeling to identify distinct classes of sodium adherence—characterized by shared growth trajectories of objectively measured dietary sodium. The secondary objec...

Daily Physical Activity in Stable Heart Failure Patients
Physical activity is the only nonpharmacological therapy that is proven to be effective in heart failure (HF) patients in reducing morbidity. To date, little is known about the levels of daily physical activity in HF patients and about related factors. The objectives of this study were to (a) describe performance-based daily physical activity in HF patients, (b) compare it with physical activit...
Limited Association Between Perceived Control and Health-Related Quality of Life in Patients With Heart Failure
Perceived control has been suggested as a modifiable factor associated with health-related quality of life (HRQOL). However, the relationship between perceived control and HRQOL has not been evaluated in patients with heart failure (HF). The purpose of this study was to determine whether perceived control independently predicts HRQOL in HF patients. A total of 423 HF patients were included. Hie...

Non-Hermitian systems of Euclidean Lie algebraic type with real energy spectra
We study several classes of non-Hermitian Hamiltonian systems, which can be expressed in terms of bilinear combinations of Euclidean Lie algebraic generators. The classes are distinguished by different versions of antilinear (PT)-symmetries exhibiting various types of qualitative behaviour. On the basis of explicitly computed non-perturbative Dyson maps we construct metric operators, isospectra...
Self-determination among frail older persons – a desirable goal Older persons´ conceptions of self-determination
Self-determination is governed by ethical and legal rights in western society. In spite of that, older people are still restricted by others in their decision-making processes. The purpose was to explore older persons´ different conceptions of self-determination. A qualitative phenomenographic interview study on frail older persons (n=15). Three categories emerged, showing the variations of co...
Economics of Ageing: Research Area and Perspectives
The central aim of this paper was to analyse the the latest findings on the economic potential of ageing and compare them primarily from a consumables perspective. The relevant question relating to this research was: What are the economic consequences of the demographic development in relation to consumer demand for products and services in old age? Narrative systematic publications were thorou...
Mother’s knowledge of warning signs of pregnancy, labour and puerperium
Although the birth of a child is one of the happiest event in all over the world, yet pregnancy and child birth are associated with the health risks to many women during their reproductive years. & The main objective of this study is to assess the mother’s knowledge of warning signs of pregnancy, labour and puerperium. : Data was collected from 50 antenatal mothers by purposive sampling techn...