ACT NOW in diabetes and foot assessments: an essential service

2020 ◽  
Vol 31 (12) ◽  
pp. 516-519
Author(s):  
Anne Phillips ◽  
Michael Edmonds ◽  
Patrick Holmes ◽  
Jayne Robbie ◽  
Charles Odiase ◽  
...  

Due to concerns around foot assessments during the COVID-19 pandemic, the iDEAL group have recommended an acronym – ACT NOW – to help health professionals and people with diabetes to recognise the warning signs that might lead to amputation

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Thomas Park ◽  
Amy A. Eyler ◽  
Rachel G. Tabak ◽  
Cheryl Valko ◽  
Ross C. Brownson

Purpose. Physical activity (PA) has well-established health benefits, but most Americans do not meet national guidelines. In southeastern Missouri, trails have been developed to increase rates of PA. Although this has had success, broad-scale interventions will be needed to improve rates further. In this study, we surveyed residents of southeastern Missouri to identify ways to improve rates of PA. Methods. We conducted a telephone survey in 2015 of adults (n=524) from eight rural Missouri towns that had walking trails, regarding their activities and interests. Findings. Forty percent of respondents reported both walking and meeting PA recommendations, 29% reported walking but not meeting PA recommendations, and the remainder did not walk or did not answer. Respondents who used the trails were significantly more likely to meet PA recommendations (odds ratio = 2.7; 95% confidence interval = 1.7, 4.5). Certain values and interests that may encourage PA or draw people to trails were common. Conclusions. The group that walked but did not meet PA recommendations would be the ideal group to target for intervention, which could focus on their reported values and interests (e.g., personal relationships, being outdoors). Use of walking trails was associated with meeting PA recommendations.


HortScience ◽  
2020 ◽  
Vol 55 (6) ◽  
pp. 795-803
Author(s):  
Ariana Torres ◽  
Petrus Langenhoven ◽  
Bridget K. Behe

The domestic market for melons, Cucumis melo L., has not been well characterized. The 2011 cantaloupe-related foodborne illness outbreak reduced melon production by 32%, and per capita consumption of cantaloupe and honeydew melons has not recovered. Our objective was to profile and characterize consumer segments of individuals who purchased melons in the 3 months before the survey. Responses from 1718 participants were analyzed by consumption volume and subjected to cluster analysis based on importance of melon attributes. Heavy and moderate consumers preferred local melons over imported. The top four melon attributes were flavor, freshness, ripeness, and sweetness. As consumption increased, consumers placed more importance for their diets. The heaviest consumption group accounted for 22% of the market, and consumed nearly three times the melon servings per month compared with the moderate consumer, and nearly 10 times the servings of the light consumption group. Cluster analysis produced three distinct clusters. Cluster 1 was the most promelon in attitudes and consumption, as well as general health interest, craving sweet food, food pleasure, and variety seeking in foods. The largest segment was cluster 3 and was the ideal group for future targeting of marketing and advertising campaigns for increasing the melon market share with their intermediate consumption and promelon attitudes. Last, members of cluster 2 consumed the lowest amount of melons, spent the least on melons, and traveled the fewest number of miles to purchase them, relative to the other two segments.


Author(s):  
Beth Broussard ◽  
Michael T. Compton

This chapter explains early warning signs, which are mild symptoms that occur before another episode of illness, or a relapse. To help prevent a relapse, young people can stick with treatment, watch for early warning signs, and work with their mental health professional to intervene promptly. Young people can identify their unique warning signs by thinking back to the time just before the first episode to identify the two or three early warning signs that they should watch for. Family, friends, and mental health professionals can help identify the changes they observed as well. Open communication between the young person and his or her family, friends, and mental health professionals is important when early warning signs start to occur. By carefully monitoring early warning signs, young people, their families, and their mental health professionals can work together to help lessen the severity of any future episode of psychosis that a person may have—or prevent a relapse altogether.


2016 ◽  
Vol 14 (4) ◽  
pp. 444-460 ◽  
Author(s):  
Ingrid Pramling Samuelsson ◽  
Pia Williams ◽  
Sonja Sheridan ◽  
Annette Hellman

In Sweden, preschool has been noted as being of a high quality compared to many other countries. However, dramatic changes in the preschool sector are taking place. A recent law states that it is a child’s right to get a preschool place within a few months. As a consequence, the number of children in preschool has increased, which could influence group sizes since there is no state regulation of the number of children in a group. This article based on the project The impact of group size on children’s affordances in preschool aims to describe and analyse preschool teachers’ ideas of what an ideal preschool group is. It is a qualitative study based on a questionnaire with mainly open-ended questions, answered by preschool teachers. The results show that preschool teachers define a well-functioning group as having a balance between gender, age and ethnicity. The preschool teachers stress that they prefer a group with fewer children than they have today. A key aspect of having a well-functioning group is also the preschool teachers’ competence and the preschool environment. Preschool teachers’ ideas of what constitute an ideal group of children may contribute to why they perceive the group size too large.


2014 ◽  
Vol 13 (03) ◽  
pp. 497-519 ◽  
Author(s):  
Meimei Xia ◽  
Zeshui Xu

To determine the weight vector and to aggregate the individual opinions are necessary steps in the classical methods for multi-criteria group decision-making problems in which the weight vectors of the decision makers and the criteria are incompletely known. In this paper, we propose a simple but efficient approach which can avoid these steps by establishing some optimal models. To get the optimal group decision matrix, we first propose two kinds of models among which the former focuses on minimizing the deviations between individual decision matrix and the ideal group one, while the latter aims at minimizing the deviations between the estimated group opinion and the ideal group one. To get the overall performances of alternatives, another two types of models are further established, one of which is to minimize the distance between the evaluation value under each criterion and the ideal overall value for each alternative, and the other is to minimize the distance between the estimated overall value and the ideal overall one. The proposed models can be used to deal with group decision-making under intuitionistic fuzzy, interval-valued fuzzy or other fuzzy environments, and can also provide the decision makers more choices by containing the parameter which can be assigned different values according to different actual situations. Several examples illustrate the practicability of the proposed methods.


Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 1020
Author(s):  
Kate Furness ◽  
Catherine Huggins ◽  
Daniel Croagh ◽  
Terry Haines

Background: People with upper gastrointestinal cancer are at high risk for malnutrition without universal access to early nutrition interventions. Very little data exist on the attitudes and views of health professionals on providing nutrition care to this patient cohort delivered by electronic health methods. COVID-19 has fast-tracked the adoption of digital health care provision, so it is more important than ever to understand the needs of health professionals in providing health care via these modes. This study aimed to explore the perspectives of health professionals on providing nutrition care to upper gastrointestinal cancer patients by electronic methods to allow the future scaling-up of acceptable delivery methods. Methods: Semi-structured qualitative interviews were conducted face-to-face or by telephone and recorded, de-identified and transcribed. Thematic analysis was facilitated by NVivo Pro 12. Results: Interviews were conducted on 13 health professionals from a range of disciplines across several public and private health institutions. Thematic analysis revealed three main themes: (1) the ideal model, (2) barriers to the ideal model and (3) how to implement and translate the ideal model. Health professionals viewed the provision of nutrition interventions as an essential part of an upper gastrointestinal cancer patient’s treatment with synchronous, telephone-based internal health service models of nutrition care overwhelmingly seen as the most acceptable model of delivery. Mobile application-based delivery methods were deemed too challenging for the current population serviced by these clinicians. Conclusion: The use of novel technology for delivering nutrition care to people receiving treatment for upper gastrointestinal cancers was not widely accepted as the preferred method of delivery by health professionals. There is an opportunity, given the rapid uptake of digital health care delivery, to ensure that the views and attitudes of health professionals are understood and applied to develop acceptable, efficacious and sustainable technologies in our health care systems.


2021 ◽  
Vol 10 (6) ◽  
pp. 217
Author(s):  
José Manuel Rivera Otero ◽  
Nieves Lagares Díez ◽  
María Pereira López ◽  
Paulo Carlos López-López

Over the last few years, European public broadcasters have promoted the concept of public service media as one of their main values. To this end, transparency policies have been implemented as a mechanism of corporate projection by strengthening their role as an essential service. The objective of this article is to ascertain the existence of this type of policies among European public broadcasters. To this end, a nominal group was made with 24 experts who were surveyed, thus generating new indicators of transparency and accountability strategies around sustainability and digitalization. The contents of the websites of RTVE (Spain), RTP (Portugal), France TV (France), RAI (Italy), BBC (UK), RTÉ (Ireland), ZDF (Germany), VRT (Belgium), and SVT (Sweden) were also analyzed, paying attention to such indicators and strategies. The main results include the identification of differences on the basis of the ideal models described by Hallin and Mancini; a commitment to credibility (fact-checking) to the detriment of diversity of opinions; and a connection between the political system and the media system, which, preliminarily, determines the level of transparency of these public entities.


Author(s):  
Beth Broussard ◽  
Michael T. Compton

Understanding the various symptoms of psychosis, and the treatments that are most effective for them, is key to engaging in treatment and recovery. Symptoms of psychosis can be very scary for those experiencing them and for their families. Help is available. Symptoms, whether in the past or present, are important to discuss with your mental health professional. An individual’s early symptoms are important to remember because they usually are the same ones that occur before another episode and are therefore early warning signs. Family and friends can provide information to mental health professionals about symptoms and behaviors, as well as report how symptoms are changing over time, including when they are improving or getting worse. Sharing information and making shared treatment decisions are key to successful treatment.


Author(s):  
Max Watson ◽  
Caroline Lucas ◽  
Andrew Hoy ◽  
Jo Wells

This chapter covers self-care for health professionals, and focuses on the impact of caring for dying people, including sources of stress, warning signs of prolonged stress, and strategies for dealing with stress.


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