Subjects -> HEALTH AND SAFETY (Total: 1556 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (728 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (390 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (115 journals)
    - PHYSICAL FITNESS AND HYGIENE (133 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (728 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 4)
ACM Transactions on Computing for Healthcare     Hybrid Journal   (Followers: 5)
Acta Informatica Medica     Open Access   (Followers: 3)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 3)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 13)
Advances in Public Health     Open Access   (Followers: 33)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 4)
African Health Sciences     Open Access   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 7)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 48)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 9)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 4)
Akademika     Open Access   (Followers: 1)
American Journal of Family Therapy     Hybrid Journal   (Followers: 9)
American Journal of Health Economics     Full-text available via subscription   (Followers: 22)
American Journal of Health Education     Hybrid Journal   (Followers: 39)
American Journal of Health Promotion     Hybrid Journal   (Followers: 35)
American Journal of Health Sciences     Open Access   (Followers: 13)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 31)
American Journal of Public Health     Full-text available via subscription   (Followers: 300)
American Journal of Public Health Research     Open Access   (Followers: 32)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 9)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 16)
Annals of Health Law     Open Access   (Followers: 6)
Applied Biosafety     Hybrid Journal   (Followers: 1)
Applied Ergonomics     Hybrid Journal   (Followers: 18)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Community Medicine and Public Health     Open Access   (Followers: 3)
Archives of Medicine and Health Sciences     Open Access   (Followers: 7)
Archives of Suicide Research     Hybrid Journal   (Followers: 12)
Archivos de Prevención de Riesgos Laborales     Open Access  
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 11)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 6)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 15)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 5)
Asian Journal of Medicine and Health     Open Access   (Followers: 2)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 7)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 5)
Autism & Developmental Language Impairments     Open Access   (Followers: 17)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 7)
Biosafety and Health     Open Access   (Followers: 1)
Biosalud     Open Access   (Followers: 1)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 24)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 13)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 53)
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 23)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos de Saúde     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 16)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 14)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 28)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 2)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
CASUS : Revista de Investigación y Casos en Salud     Open Access   (Followers: 1)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access  
Child and Adolescent Obesity     Open Access   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 12)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 3)
Christian Journal for Global Health     Open Access   (Followers: 1)
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia & Salud     Open Access   (Followers: 1)
Ciencia & Trabajo     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud     Open Access   (Followers: 3)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Cities & Health     Hybrid Journal   (Followers: 4)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 6)
Conflict and Health     Open Access   (Followers: 8)
Contact (CTC)     Open Access  
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access   (Followers: 3)
Cuadernos de la Escuela de Salud Pública     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 11)
Current Opinion in Environmental Science & Health     Hybrid Journal   (Followers: 1)
Das österreichische Gesundheitswesen ÖKZ     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal  
Digital Health     Open Access   (Followers: 10)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 16)
Diversity and Equality in Health and Care     Open Access   (Followers: 9)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 3)
Drogues, santé et société     Open Access   (Followers: 2)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 29)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 26)
EcoHealth     Hybrid Journal   (Followers: 6)
Education for Health     Open Access   (Followers: 9)
ElectronicHealthcare     Full-text available via subscription   (Followers: 4)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emerging Trends in Drugs, Addictions, and Health     Open Access   (Followers: 1)
Ensaios e Ciência : Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 4)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 6)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 7)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 24)
EsSEX : Revista Científica     Open Access   (Followers: 1)
Estudios sociales : Revista de alimentación contemporánea y desarrollo regional     Open Access   (Followers: 1)
Ethics & Human Research     Hybrid Journal   (Followers: 4)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 8)
Ethiopian Journal of Health Development     Open Access   (Followers: 8)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 16)
Eurasian Journal of Health Technology Assessment     Open Access   (Followers: 1)
EUREKA : Health Sciences     Open Access   (Followers: 3)
European Journal of Health Communication     Open Access   (Followers: 2)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 6)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 3)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 11)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
F&S Reports     Open Access   (Followers: 1)
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 10)
Family & Community Health     Hybrid Journal   (Followers: 15)
Family Medicine and Community Health     Open Access   (Followers: 10)
Family Relations     Partially Free   (Followers: 15)
FASEB BioAdvances     Open Access  
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 19)
Food Hydrocolloids for Health     Open Access  
Food Quality and Safety     Open Access   (Followers: 2)
Frontiers in Digital Health     Open Access   (Followers: 3)
Frontiers in Neuroergonomics     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 9)
Frontiers of Health Services Management     Partially Free   (Followers: 9)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Gestão e Desenvolvimento     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 9)
Global Health Annual Review     Open Access   (Followers: 3)
Global Health Journal     Open Access   (Followers: 3)
Global Health Promotion     Hybrid Journal   (Followers: 19)
Global Journal of Health Science     Open Access   (Followers: 12)
Global Journal of Public Health     Open Access   (Followers: 17)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 11)
Global Reproductive Health     Open Access   (Followers: 1)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Global Transitions Proceedings     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 9)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 7)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 20)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 18)
Health and Human Rights     Open Access   (Followers: 10)
Health and Research Journal     Open Access   (Followers: 2)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 11)
Health and Social Work     Hybrid Journal   (Followers: 72)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 5)

        1 2 3 4 | Last

Similar Journals
Journal Cover
Global Advances in Health and Medicine
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2164-9561 - ISSN (Online) 2164-9561
Published by Sage Publications Homepage  [1166 journals]
  • What Is Wholeness' The Consciousness View

    • Authors: Deepak Chopra
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.

      Citation: Global Advances in Health and Medicine
      PubDate: 2021-09-03T06:07:17Z
      DOI: 10.1177/21649561211043794
      Issue No: Vol. 10 (2021)
       
  • Bridging Intention and Action for Employee Well-Being Using the
           Intentional Action (InAct) Process: Workshop-Lecture Series

    • Authors: Adam I Perlman, Heidi McLeod, Manisha G Salinas, Julie L Schafer, Joseph Ventenilla, Abd Moain Abu Dabrh
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundEmployee wellness programs can help manage stress and alleviate burnout.ObjectiveTo pilot and disseminate the Intentional Action(InAct) concept for employee wellbeing.MethodsFive independent interactive workshop-lectures with an automated audience response system. Descriptive analysis of participant response data.ResultsParticipants (n = 275): rated spirituality, physical environment and nutrition the most highly in contributing to their present well-being. Ninety-eight percent (n = 269) of participants identified a focus area to work on. The well-being area most selected was Exercise, (35% n = 95), however, other non-traditional areas, including Personal and Professional Development (18% n = 48), Relationships and Communication (17% n = 47), were selected, along with mind-body connection and mindful awareness (6% n = 15 and n = 16).ConclusionThe pilot engaged employees to reflect and set goals for their future well-being. Healthcare institutions implementing programs should consider a broad range of whole person strategies addressing employee well-being, which go beyond the traditional focus on exercise and nutrition.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-09-02T03:57:16Z
      DOI: 10.1177/21649561211015653
      Issue No: Vol. 10 (2021)
       
  • Incorporating Acupuncture Into American Healthcare: Initiating a
           Discussion on Implementation Science, the Status of the Field, and
           Stakeholder Considerations

    • Authors: David W. Miller, Eric J. Roseen, Jennifer A.M. Stone, Paula Gardiner, Juli Olson, Shellie Rosen, Peter Wayne, Robert Davis, Remy Coeytaux
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      IntroductionThe field of implementation science is the study of methods that promote the uptake of evidence-based interventions into healthcare policy and practice. While acupuncture has gained significant traction in the American healthcare landscape, its journey has been somewhat haphazard and non-linear.MethodsIn June 2019, a group of thirty diverse stakeholders was convened by the Society for Acupuncture Research with the support of a Patient Centered Outcomes Research Institute, Eugene Washington Engagement Award. This group of stakeholders represented a diverse mix of patients, providers, academicians, researchers, funders, allied health professionals, insurers, association leaders, certification experts, and military program developers. The collective engaged in discussion that explored acupuncture’s status in healthcare, including reflections on its safety, effectiveness, best practices, and the actual implementation of acupuncture as seen from diverse stakeholder viewpoints.ObjectivesA primary goal was to consider how to utilize knowledge from the field of implementation science more systematically and intentionally to disseminate information about acupuncture and its research base, through application of methods known to implementation science. The group also considered novel challenges that acupuncture may present to known implementation processes.FindingsThis article summarizes the initial findings of this in-person meeting of stakeholders and the ongoing discussion among the subject matter experts who authored this report. The goal of this report is to catalyze greater conversation about how the field of implementation science might intersect with practice, access, research, and policymaking pertaining to acupuncture. Core concepts of implementation science and its relationship to acupuncture are introduced, and the case for acupuncture as an Evidence Based Practice (EBP) is established. The status of the field and current environment of acupuncture is examined, and the perspectives of four stakeholder groups––patients, two types of professional practitioners, and researchers––are explored in more detail.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-08-26T04:32:33Z
      DOI: 10.1177/21649561211042574
      Issue No: Vol. 10 (2021)
       
  • Pain and Opioid Use: Evidence for Integrating Acupuncture Into Treatment
           Planning

    • Authors: Elizabeth Sommers, Sivarama Prasad Vinjamury, Jennifer Noborikawa
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      The epidemics of pain and opioid use pose unique challenges. Comprehensive approaches are required to address minds, bodies and spirits of individuals who live with pain and/or opioid use. The lack of an effective “quick fix” for either condition necessitates developing effective, innovative and multi-disciplinary avenues for treatment. This analytic article reviews epidemiological and demographic factors associated with pain and with opioid use and additional challenges posed by the Covid-19 epidemic. Several large-scale studies and meta-analyses have examined the role of acupuncture as a nonpharmacological approach to pain management as well as a component of comprehensive strategies to address opioid use disorder. We review and describe these in the context of safety, effectiveness, access and cost-related factors. With one in four U.S. hospitals as well as 88% of Veterans Health Administration facilities incorporating acupuncture, the feasibility of mobilizing and scaling up these treatment resources is being developed and demonstrated. We also identify potential facilitators and barriers to implementing acupuncture treatment. As part of a multi-disciplinary approach to pain management and/or opioid use disorder, we suggest that integrating acupuncture into treatment protocols may represent a viable strategy that is based on and consistent with public health principles.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-08-25T04:13:35Z
      DOI: 10.1177/21649561211042571
      Issue No: Vol. 10 (2021)
       
  • Developing the Process and Tracking the Implementation and Evaluation of
           the National Institutes of Health Strategic Plan for Women’s Health
           Research

    • Authors: Samia Noursi, Janine Austin Clayton, Ching-yi Shieh, Laura Sharon, Dawnkimberly Hopkins, Dana Simms, Amber Sinclair
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundThe National Institutes of Health (NIH) released Advancing Science for the Health of Women: The Trans-NIH Strategic Plan for Women’s Health Research, 2019–2023 (Strategic Plan) in February 2019. The NIH Office of Research on Women’s Health (ORWH) engaged staff members from across NIH to develop recommendations on the implementation and evaluation of the Strategic Plan. Objective: This paper describes the process used to develop recommendations for tools and approaches that NIH Institutes, Centers, and Offices (ICOs) could apply when implementing and evaluating the Strategic Plan. Methods: A Trans-NIH Strategic Plan Implementation and Evaluation Guidance Development Team conducted meetings and individual interviews with 69 NIH staff members knowledgeable about research on the health of women and sex and gender differences and met with 11 Advisory Committee on Research on Women’s Health Strategic Plan Evaluation Working Group members. The purpose of these stakeholder meetings and interviews was to obtain recommendations for implementing the Strategic Plan and identify measures for evaluating implementation success. A thematic analysis was performed to synthesize and map the recommendations to the Strategic Plan goals and objectives. Results: The process resulted in the Guide for Implementing and Evaluating the 2019–2023 Trans-NIH Strategic Plan for Women’s Health Research Across NIH Institutes, Centers, and Offices (the Guide), which includes both a conceptual and logic model for implementation and evaluation. Conclusions: The Guide offers methods, tools, and suggestions that ICO planning and evaluation staff, as well as national and international entities, can choose from when determining how to implement the Strategic Plan through ICO activities, programs, and research initiatives and how to evaluate their efforts in the context of their unique mission.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-08-25T04:13:34Z
      DOI: 10.1177/21649561211042583
      Issue No: Vol. 10 (2021)
       
  • The Role of the Health Coach in a Global Pandemic

    • Authors: Meg A Jordan
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundWhile medical teams were perplexed about the novel SARS-CoV-2 infection, transmission and impairment of organ systems and immune function, viral infections spread worldwide. Complex intersectional issues of co-morbidities coupled with marginalized, diverse ethnic/racial populations emerged as significant risks to contracting severe COVID-19.ObjectiveSince a healthy lifestyle is fundamental for lowering risk to chronic diseases, public health initiatives to manage this and future pandemics should include strategies that assist individuals to improve health status through targeted behavior changes. This conceptual paper builds a case for certified professional health coaches as primary actors in future preventive strategies, with expanded skills in addressing social determinants of health and “next generational” cultural competencies.MethodsThis concept paper primarily synthesizes fast-tracked research in 2020 regarding the demographic impact of COVID-19, specifically those groups suffering the highest morbidity and mortality rates. Exploring these intersectional issues through a conceptual lens provides strategies for certified health coaches to contribute their expertise in behavioral change within the larger contextual settings of racial/ethnic disparities and social inequities.ResultsAs the co-morbidities and other chronic conditions related to COVID-19 among individuals and families in low-income communities are worsened by dual forces (lifestyle/behavioral choices and ingrained structural inequities), adding the support of certified health coaches to build trust, provide more convenient access to address vaccine hesitancy, and dispell falsehoods, is an effective means for advancing health and wellbeing. Group coaching and one-on-one coaching can work in tandem with public health initiatives for reducing chronic disease burden and addressing social determinants of health (SDoH). Skills are identified in coaching SDoH with expanded cultural competencies for health coaches.ConclusionCertified professional health coaches can make a positive impact on general risk reduction of chronic diseases within ethnic/racial minorities, thereby supporting population health in facing future contagions with greater health resilience.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-08-10T06:18:41Z
      DOI: 10.1177/21649561211039456
      Issue No: Vol. 10 (2021)
       
  • Is Water-Only Fasting Safe'

    • Authors: Ewa Ogłodek, Wiesław Pilis; Prof.
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundWater-only fasting (WF) is a practice used to improve and maintain health.ObjectiveThe aim of the study was to show whether WF performed for 8 days may be a threat to the health and/or life of people undergoing this practice.MethodsTwelve middle-aged men participated in the study. During the 8-day WF, the subjects ate no food except for drinking mineral water. Before and after WF, all subjects had a series of tests performed, beginning with the level of perceived stress and somatic measurements. The concentrations of creatinine, sodium (Na+), potassium (K+), total calcium (Ca), magnesium (Mg++), urea (U), uric acid (UA) and total protein were determined in this urine and in the serum. For these substances, the values ​​of clearance, renal filtration and fractional excretion were calculated. The osmotic clearance and free water clearance as well as the amount of daily urinary excretion of creatinine, Na+, K+, Ca, Mg++, U and UA were also calculated. Moreover, the concentration of glucose in the serum and the concentration of β-hydroxybutyrate in the plasma were determined. In urine, specific gravity, pH and osmolality were also measured.ResultsAfter 8 days of WF, the study showed a significant reduction in the level of perceived stress, weight loss, changes in body composition, dehydration, increased ketogenesis, hyperuricemia, decreased serum glucose concentration, and hyponatremia. These changes were accompanied by Na+, K+ and protein sparing, decreased serum Ca and Mg++ concentrations, and reduced daily volume of more acidic urine with elevated specific gravity.ConclusionsAfter 8 days of WF, all subjects were found to remain safe and feel the sense of well-being. However, the appearance of the above-mentioned adverse metabolic effects, despite partially effective renal compensations, suggests that the further continuation of fasting intervention by the subjects would be detrimental to their body.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-08-06T03:46:51Z
      DOI: 10.1177/21649561211031178
      Issue No: Vol. 10 (2021)
       
  • Integrative Medicine in General Practice in Australia: A Mixed-Methods
           Study Exploring Education Pathways and Training Needs

    • Authors: Carolyn Ee, Kate Templeman, Amy Forth, Vicki Kotsirilos, Gillian Singleton, Gary Deed, Shamieka Dubois, Marie Pirotta, Joanna Harnett, Stephen Myers, Jennifer Hunter
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundGlobally, a substantial proportion of general practitioners (GPs) incorporate integrative medicine (IM) into their clinical practice.ObjectiveThis study aimed to map the IM education and training pathways and needs of a cohort of Australian GPs who are members of the Royal Australian College of General Practitioners’ IM Specific Interest Network, which is a group of GPs with interest in IM.MethodsWe conducted a mixed-methods study comprising of an online, cross-sectional survey supplemented with in-depth semi-structured interviews. Data from the survey and interviews were initially analysed separately and then combined.ResultsEighty-three (83) of 505 eligible GPs/GPs in training (16.4%) participated in the survey, and 15 GPs were interviewed. Results from the two datasets either converged or were complementary. Almost half (47%) of survey respondents had undertaken formal undergraduate or postgraduate IM education, a short course (63%), informal education (71%) or self-education (54%), in at least one of 20 IM modalities listed. Interviewees affirmed there was no single education pathway in IM. Survey respondents who identified as practicing IM were significantly more likely to have IM education, positive attitudes towards IM, particularly natural products, and higher self-rated IM knowledge and competencies. However, knowledge gaps were identified in professional skills domains of population health and context, and organisational and legal dimensions of applied IM practice. Interviewees also highlighted a range of professional and systemic barriers to the practice of IM, education, and training. There was broad support for recognition of IM as a sub-specialty through formalised post-graduate training and accreditation. Most survey respondents (62%) expressed interest in post-fellowship recognition of GPs with advanced skills in IM.ConclusionOur findings demonstrate that it is important to define best practice in IM for GPs in Australia and provide a standardised pathway towards recognition of advanced skills in IM.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-08-05T05:29:36Z
      DOI: 10.1177/21649561211037594
      Issue No: Vol. 10 (2021)
       
  • Klamath Tribal Response to the Pandemic of COVID-19 Among Klamath Tribal
           Community in Oregon, USA

    • Authors: Obinna Oleribe, Rachel Miller, Misty Wadzeck, Nikowa Mendez, Joseph Tibay, Timothy Langford, Anjanette Devine, Simon D Taylor-Robinson
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      Introduction Socially-disadvantaged populations are more at risk of contracting COVID-19 than those with access to better medical facilities. We looked at responses of Klamath Tribes in Oregon, USA to mitigate spread of COVID-19 in a community with a higher incidence of obesity, diabetes and coronary heart disease, compared to the general US population. This study reports on Klamath Tribes response to COVID-19 March -September 2020.MethodsKlamath Tribes Tribal Health and Family Services established a COVID-19 Incident Management Team (IMT), instituting creative programs including a Walk-In Testing Center, implementing strict infection control protocols and regular sharing of information on the pandemic and prevalence of COVID-19 amongst Klamath Tribes. All COVID-19 tests were documented with positive cases isolated and people with high risk exposures quarantined and provided with wrap-around medical and social services until recovered or past quarantine time period.ResultsA total of 888 (12%) tribal members were tested for COVID1-19 between March to September 2020; 50 were found positive for COVID-19, giving a test positivity rate of 5.6% (Male – 6.3%; Female – 5.2%). No deaths have been reported amongst the local Klamath Tribes and other American Indians/Alaska Native (AI/AN) population served by the tribe.ConclusionDespite the fact that structural inequities including income disparities have shaped racial and ethnic impact of epidemics around the world, the timely response, establishment of partnerships and proactive control of the epidemic resulted in minimal impact among the Klamath Tribal and other AI/AN populations served by the tribal facilities.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-07-16T06:50:40Z
      DOI: 10.1177/21649561211034470
      Issue No: Vol. 10 (2021)
       
  • A Whole Other Story: Interpreting Narrative Medicine

    • Authors: Kristen Salana, Shauna Maty, Robert Hage
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      The practice of conventional medicine is rooted in the ability of a patient to effectively communicate with their physician, and for the physician to comprehend the patient’s story and perceive it through the lens of evidence-based practice. In reality, the differences in environmental backgrounds hinders this exchange of information and prevents a shared understanding and strategy. Narrative medicine provides a framework in which this divide can be bridged by encouraging the clinician to develop an appreciation of cultural nuances that drive a patient’s decision making. The importance of this practice is highlighted with four stories in which the only path to competent patient management was through the utilization of narrative medicine.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-07-07T04:35:10Z
      DOI: 10.1177/21649561211031880
      Issue No: Vol. 10 (2021)
       
  • Complementary and Integrative Health Knowledge and Practice in Primary
           Care Settings: A Survey of Primary Care Providers in the Northwestern
           United States

    • Authors: Malaika R Schwartz, Allison M Cole, Gina A Keppel, Ryan Gilles, John Holmes, Cynthia Price
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundThe demand for complementary and integrative health (CIH) is increasing by patients who want to receive more CIH referrals, in-clinic services, and overall care delivery. To promote CIH within the context of primary care, it is critical that providers have sufficient knowledge of CIH, access to CIH-trained providers for referral purposes, and are comfortable either providing services or co-managing patients who favor a CIH approach to their healthcare.ObjectiveThe main objective was to gather primary care providers’ perspectives across the northwestern region of the United States on their CIH familiarity and knowledge, clinic barriers and opportunities, and education and training needs.MethodsWe conducted an online, quantitative survey through an email invitation to all primary care providers (n = 483) at 11 primary care organizations from the WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region Practice and Research Network (WPRN). The survey questions covered talking about CIH with patients, co-managing care with CIH providers, familiarity with and training in CIH modalities, clinic barriers to CIH integration, and interest in learning more about CIH modalities.Results218 primary care providers completed the survey (45% response rate). Familiarity with individual CIH methods ranged from 73% (chiropracty) to 8% (curanderismo). Most respondents discussed CIH with their patients (88%), and many thought that their patients could benefit from CIH (41%). The majority (89%) were willing to co-manage a patient with a CIH provider. Approximately one-third of respondents had some expertise in at least one CIH modality. Over 78% were interested in learning more about the safety and efficacy of at least one CIH modality.ConclusionPrimary care providers in the Northwestern United States are generally familiar with CIH modalities, are interested in referring and co-managing care with CIH providers, and would like to have more learning opportunities to increase knowledge of CIH.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-06-25T04:58:16Z
      DOI: 10.1177/21649561211023377
      Issue No: Vol. 10 (2021)
       
  • Sleep Disturbances in Individuals Quarantined Due to SARS-CoV-2 Pandemic
           in Poland: A Mixed Methods Design Study

    • Authors: Sabina Krupa, Witt Paweł, Wioletta Mędrzycka-Dąbrowska, Agnieszka Lintowska, Dorota Ozga
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      ObjectivesThe study aimed to assess sleep disturbances in patients subjected to home quarantine due to suspected SARS-CoV-2 infection. The study used a mixed methods design study as a research methodology.MethodsA semi-structured interview and the scale for Insomnia Severity Index (ISI) were used to achieve the aim of the study. The survey was conducted from 16 to 20 April 2020 and 1 to 2 September 2020 in Poland, at the during of SARS-CoV-2 epidemic in this country. The data were coded and cross-processed. The (COREQ) checklist was followed.ResultsInterviews with patients and a thorough analysis of recordings revealed commonly used phrases in the following categories: “anxiety”, “Am I going crazy'”, “Sleep problems”. 10 out of 11 respondents reported sleep disorders of varying severity according to the Insomnia Severity Index scale. Patients presented a fear related to the return to society and normal functioning after quarantine. Additionally, some study participants voiced concerns related to their mental health; some cases of hallucinations were reported.ConclusionsFurther global population studies should be conducted to analyse this phenomenon. Acute Stress Disorder should be understood as a threat to life and health of an isolated society in quarantine. Further research in this area should be promoted and the need for global guidelines for the entire population should be developed.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-06-07T02:35:52Z
      DOI: 10.1177/21649561211020707
      Issue No: Vol. 10 (2021)
       
  • Body Composition and Selected Nutritional Indicators in Healthy
           Adults—A Cross-Sectional Study

    • Authors: Paweł Więch, Zdzisława Chmiel, Dariusz Bazaliński, Marek Sobolewski, Izabela Sałacińska
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundBody mass composition is subject to constant change and is multifactorially determined. Its analysis in different age groups allows a better understanding of the determinants of the human organism in health and disease.AimThe study was aimed to conduct cross-sectional assessment of body composition and selected nutritional indicators in healthy adults.MethodsThe cross-sectional study carried out from March 2016 to April 2018 was preceded by a monthly pilot study. All 1333 adults (women 795, 59.6%) aged 20–59 included in the study were from the urban and rural area of the Podkarpackie Province (Poland). These adults were classified into four 10-year age bands. To obtain reliable assessment, selected screening (anthropometry) and in-depth (bioelectrical impedance including phase angle and bioelectrical impedance vector analysis) methods were used.ResultsIn women, the proportion of individuals affected by overweight and obesity increases significantly with age, with a less pronounced trend in men, as reflected in the observed differences in individual body composition components. A slight (0.45–0.60) correlation was also observed between body mass index (BMI) and percentage of fat mass (FM %) among men with an increasing strength of the association with age, decreasing in the 50–59 years group. In the female group, the correlations described are at a much higher level (0.80 or higher). The described changes in body composition were reflected in body type from athletic to obese, measured by means of the bioelectrical impedance vector analysis (BIVA) method.ConclusionsAge and gender significantly differentiate body composition of the adult human body. The body composition analysis should be considered as complement screening assessment method, especially as a support for the assessment of nutritional status expressed by BMI.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-06-04T06:37:07Z
      DOI: 10.1177/21649561211021794
      Issue No: Vol. 10 (2021)
       
  • Teaching the Science of Human Flourishing, Unlocking Connection,
           Positivity, and Resilience for the Greater Good

    • Authors: Eve Ekman, Emiliana Simon-Thomas
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundHuman flourishing is a long sought-after aspiration historically considered and espoused through religious, philosophical, and creative avenues. Only recently has western science began to investigate the meaning, underlying foundations of, and effective strategies for promoting flourishing in life.ObjectiveHere, we present a framework for teaching the science and practice of human flourishing grounded in connection, positivity, and resilience (CPR) based on a synthesis of theoretical frameworks and observations and input from a global sample of learners enrolled in an online course.MethodsThe CPR framework is distilled from empirical research in psychology and neuroscience and an applied pedagogy of flourishing delivered through a massive open online course (MOOC) that has reached over 650,000 people worldwide.ResultsBuilding knowledge and skills tied to three pillars of CPR: connection, positivity, and resilience intrinsically and measurably reinforces the experiences and behaviors that foster flourishing, mainly through prosocial human connection.ConclusionHuman flourishing is malleable and the CPR framework is a promising method for teaching people the key ideas, spaces of opportunity for change, and behaviors, activities, exercises, and practices that strengthen flourishing in life.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-06-02T05:35:24Z
      DOI: 10.1177/21649561211023097
      Issue No: Vol. 10 (2021)
       
  • Veterans Health Administration’s Whole Health System of Care: Supporting
           the Health, Well-Being, and Resiliency of Employees

    • Authors: Kavitha P Reddy, Tamara M Schult, Alison M Whitehead, Barbara G Bokhour
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      The Veterans Health Administration (VHA) is implementing a Whole Health System (WHS) of care that empowers and equips Veterans to take charge of their health and well-being and live their lives to the fullest, and increasingly leaders recognize the need and value in implementing a similar approach to support the health and well-being of employees. The purpose of this paper is to do the following: 1) provide an overview of the WHS of care in VHA and applicability in addressing employee resiliency; 2) provide a brief history of employee well-being efforts in VHA to date; 3) share new priorities from VHA leadership as they relate to Employee Whole Health strategy and implementation; and 4) provide a summary of the impacts of WHS of care delivery on employees. The WHS of care utilizes all therapeutic, evidence-based approaches to support self-care goals and personal health planning. Extending these approaches to employees builds upon 10 years of foundational work supporting employee health and well-being in VHA. In 2017, one facility in each of the 18 Veterans Integrated Service Networks (VISNs) in VHA was selected to participate in piloting the WHS of care with subsequent evaluation by VA’s Center for Evaluating Patient-Centered Care (EPCC). Early outcomes, from an employee perspective, suggest involvement in the delivery of the WHS of care and personal use of the whole health approach have a meaningful impact on the well-being of employees and how they experience the workplace. During the COVID-19 pandemic, VHA has continued to support employees through virtual resources to support well-being and resiliency. VHA's shift to this patient-centered model is supporting not only Veteran care but also employee health and well-being at a time when increased support is needed.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-30T10:09:02Z
      DOI: 10.1177/21649561211022698
      Issue No: Vol. 10 (2021)
       
  • Leaning Into Whole Health: Sustaining System Transformation While
           Supporting Patients and Employees During COVID-19

    • Authors: Eileen M Dryden, Rendelle E Bolton, Barbara G Bokhour, Juliet Wu, Kelly Dvorin, Lauri Phillips, Justeen K Hyde
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundThe US Veterans Health Administration (VA) is transforming its healthcare system to create a Whole Health System (WHS) of care. Akin to such reorganization efforts as creating patient-centered medical homes and primary care behavioral health integration, the WHS goes beyond by transforming the entire system to one that takes a proactive approach to support patient and employee health and wellness. The SARS-CoV-2 pandemic disrupted the VA’s healthcare system and added stress for staff and patients, creating an exogenous shock for this transformation towards a WHS.ObjectiveWe examined the relationship between VA’s WHS transformation and the pandemic to understand if transformation was sustained during crisis and contributed to VA’s response.MethodsQualitative interviews were conducted as part of a multi-year study of WHS transformation. A single multi-person interview was conducted with 61 WHS leaders at 18 VA Medical Centers, examining WH transformation and use during the pandemic. Data were analyzed using rapid directed content analysis.ResultsWhile the pandemic initially slowed transformation efforts, sites intentionally embraced a WH approach to support patients and employees during this crisis. Efforts included conducting patient wellness calls, and, for patients and employees, promoting complementary and integrative health therapies, self-care, and WH concepts to combat stress and support wellbeing. A surge in virtual technology use facilitated innovative delivery of complementary and integrative therapies and promoted continued use of WH activities.ConclusionThe pandemic called attention to the need for healthcare systems to address the wellbeing of both patients and providers to sustain high quality care delivery. At a time of crisis, VA sites sustained WH transformation efforts, recognizing WH as one strategy to support patients and employees. This response indicates cultural transformation is taking hold, with WH serving as a promising approach for promoting wellbeing among patients and employees alike.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-27T04:37:59Z
      DOI: 10.1177/21649561211021047
      Issue No: Vol. 10 (2021)
       
  • A Patient-Centered Integrative Approach Improves Visual Field Defect: A
           Case Report

    • Authors: Lan Kao, Ka-Kit Hui, Edward Hui
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      We present a case involving a patient with a complicated visual field defect preventing her from renewing her driver license. It highlights the underappreciated role of chronic stress in the genesis and perpetuation of ill health and the potential of Chinese medicine (CM) to complement biomedicine in the treatment of an intractable visual disorder. The patient experienced impaired vision from age 15, and ophthalmologists considered various diagnoses including optic neuritis and acute zonal occult outer retinopathy (AZOOR)-complex disorder with acute macular neuroretinopathy. She was treated with an integrative East-West medical approach incorporating acupuncture, cupping, trigger point injections, guidance on self-care and lifestyle modification. Although the eye disorder was not cured, there was visual improvement as demonstrated by various objective ophthalmologic tests, and the patient was able to renew her driver license. Visual improvement remained stable upon follow-up examination three years after the treatment intervention. Other concomitant health issues reported by the patient also improved including amelioration of neck pain, a more regular menstrual cycle, and decreased anxiety. This case demonstrates how a patient with an intractable complex eye disorder can have objective visual improvement when treated with an integrative patient-centered approach.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-27T04:37:59Z
      DOI: 10.1177/21649561211021081
      Issue No: Vol. 10 (2021)
       
  • Acupuncture Intervention Protocol: Consensus Process for a Pragmatic
           Randomized Controlled Trial of Acupuncture for Management of Chronic Low
           Back Pain in Older Adults: An NIH HEAL Initiative Funded Project

    • Authors: Arya Nielsen, Laura Ocker, Iman Majd, Jeff A Draisin, Katherine Taromina, Marjorie T Maggenti, Jaimie Long, Mark Nolting, Karen J Sherman
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      ObjectiveThe aim of this article is to describe the consensus process used to develop an acupuncture intervention protocol for an NIH-funded pragmatic randomized controlled trial (PRCT) of acupuncture for the management of chronic low back (cLBP) in older adults (BackInAction).BackgroundCLBP is among leading causes of disability worldwide: almost 33% of US adults 65 and older experience LBP. Acupuncture is effective for cLBP but there is no specific data on older adults. The National Institutes for Health (NIH) funded a PRCT of acupuncture needling for this population. An essential trial milestone was development of a consensus intervention protocol.MethodsAn Acupuncture Advisory Panel (AAP) was formed with nine members: two physician-acupuncturists, six licensed acupuncturists representing diverse work backgrounds, and an acupuncture researcher. We used a modified Delphi process that included provision of acupuncture trial data, survey data describing how each expert treats cLBP, three conference calls, and between-call email discussion.ResultsLively and professional discussions led to a consensus intervention protocol for the BackInAction trial that included steps/staging of care, recommendations for parameters of care session length, number of needle insertion sites, insertion depths, needle retention times, recommended types of needles, both local and distal areas of the body to be treated, acupuncture point options, auricular point options, self-care options, and minimum number of sessions considered ideal.ConclusionUsing a modified Delphi process, an expert AAP created a consensus intervention protocol for the PRCT of acupuncture needling for cLBP in patients 65 and older.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-26T09:32:36Z
      DOI: 10.1177/21649561211007091
      Issue No: Vol. 10 (2021)
       
  • The Intersection of Dissemination Research and Acupuncture: Applications
           for Chronic Low Back Pain

    • Authors: Eric J Roseen, Jonathan Purtle, Weijun Zhang, David W Miller, Andrea Wershof Schwartz, Shoba Ramanadhan, Karen J Sherman
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundDissemination research is the study of distributing information and intervention materials to a specific clinical practice or public health audience. Acupuncture, a healthcare practice involving the stimulation of certain body points, often with thin needles, is considered an evidence-based treatment for low back pain (LBP), but is underutilized in the United States.Body: We will use the example of acupuncture for LBP to identify opportunities to leverage dissemination research to increase utilization of acupuncture. Deficits in the awareness or knowledge of acupuncture may limit its adoption by patients and other stakeholders. Thus, we summarize methods to gather data on stakeholder awareness and knowledge of acupuncture for LBP, i.e., audience research. Engaging multiple stakeholder audiences (e.g., health system leaders, primary care providers, patients), is needed to generate knowledge on promising dissemination strategies for each audience. Audience segmentation is important for identifying population subgroups for whom adoption of acupuncture may require a more intensive or tailored dissemination strategy. To illustrate potential audience ‘segments’, our research discussion focused on developing dissemination strategies by age (i.e., older adults – those age 65 years or older, and younger adults – those under age 65 ). This decision was prompted by Medicare’s recent policy covering acupuncture for chronic LBP. We leverage current knowledge of barriers and facilitators of acupuncture use to discuss how further tailoring of dissemination strategies might optimize adoption of acupuncture in both groups of adults. Experimental study designs could then be used to compare the effectiveness of such strategies to increase awareness, knowledge, or adoption of acupuncture.Conclusions: Conducting dissemination research may improve awareness and knowledge of acupuncture, and ultimately the adoption of acupuncture in biomedical settings. We anticipate that the concepts highlighted in this manuscript will also be helpful for those disseminating information about other complementary and integrative health approaches.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-24T07:07:13Z
      DOI: 10.1177/2164956120980694
      Issue No: Vol. 10 (2021)
       
  • Side Plank Pose Exercises for Adolescent Idiopathic Scoliosis
           Patients—Some Concerns About a Randomized Controlled Trial

    • Authors: Loren M Fishman
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      In their recent article, Side Plank Pose Exercises for Adolescent Idiopathic Scoliosis Patients, Sarkisova, et. al. found no beneficial effect using the simple poses that Drs. Groessl, Sherman and I found successful in reversing adolescent idiopathic scoliosis (AIS) and degenerative scoliosis (DS). Although they tried to follow our protocol exactly, they did not. They did not distinguish thoracic from lumbar or thoracolumbar from complex (both thoracic and lumbar) curves, affecting the randomization. See Figure 2 in their study. The side plank is only intended to reverse lumbar and thoracolumbar curves, and actually exaggerates thoracic curves, and the thoracic component of complex curves. The vicissitudes of randomization placed 25 lumbar and thoracolumbar curves in the control and non-compliant groups, but no lumbar and only one thoracolumbar in the intervention group that did the side plank. This trial did not prove that the side plank does not reduce lumbar curves: none were tested.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-22T08:06:45Z
      DOI: 10.1177/21649561211019372
      Issue No: Vol. 10 (2021)
       
  • Seeking Help in the “Perfect Storm”: Why Residents and Faculty Access
           an On-Site Wellness Program

    • Authors: Sydney Ey, Benjamin Ladd, Marie Soller, Mary Moffit
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundIn the face of significant distress among physicians, access to counseling is critical.ObjectiveAn on-site wellness program for physicians-in-training and faculty was assessed by examining (a) were participants representative of those eligible for services and (b) demographic and trainee vs. faculty differences in burnout, distress, suicide risk, and presenting concerns of participants who utilized services.MethodsFrom 2013–2018, 73% (N = 468; 316 residents/fellows, 152 faculty) of individuals seeking services also consented to research. At intake, participants completed a distress measure (ACORN) and two items from the Maslach Burnout Inventory (MBI), and clinicians categorized presenting concerns and suicide risk. Using Chi-square analyses, participants’ characteristics were compared to physicians eligible for treatment. The association between demographics, faculty vs. trainee status, specialty, and distress, burnout, suicide risk, and presenting concerns was evaluated with ANOVAs and logistic regressions.ResultsWomen, trainees, and primary care physicians were more likely to access services. On the ACORN, 63% were in the clinical range (M =1.7, SD =0.6). On the MBI, 36% scored in the clinical range. Clinicians rated 9% of participants with suicide risk. Neither gender, racial/ethnic minority status, nor specialty were associated with distress, burnout or suicide risk. Trainees reported greater distress than faculty (F (1,447) = 8.42, P = .004, [math] = .018). Participants reported multiple presenting concerns (M = 3.0, SD = 1.18) with faculty more commonly endorsing work-related issues. Trainees more commonly reported new or worsening psychological symptoms, performance and family concerns.ConclusionsTwo physician groups which often report higher levels of burnout and distress when surveyed, women physicians and residents/fellows, were the most likely to get professional help in an on-site wellness program. Physician wellness programs need to be prepared to address work and personal stressors and different levels of distress and risk.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-22T07:59:51Z
      DOI: 10.1177/21649561211017471
      Issue No: Vol. 10 (2021)
       
  • Physician Monitoring of FitBit Use for Patient Health

    • Authors: Anna Shannahan, Aditya Shah, Katherine Wright, Deborah S Clements
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundPhysical activity is a critical component of health.ObjectiveWe implemented a pilot project to determine feasibility of embedding activity tracker data within routine primary care visits among family medicine residency patients. This study also examined whether physician monitoring of and feedback concerning tracker improves exercise compliance and overall health.MethodsTwenty-six participants received the FitBit Charge HR and were randomized into the self-monitoring (control) or intervention group for 12 weeks. The intervention group received weekly electronic health record (EHR) messages from their physician with feedback. The control group self-monitored activity.ResultsData demonstrates patient interest in sharing exercise data with primary providers, patient-generated exercise data can be embedded within visits to personalize recommendations, and patient-physician data sharing is logistically feasible via the EHR.ConclusionPhysicians can utilize activity trackers to potentially positively influence patients’ exercise. This research supports the shift toward personalized medicine by facilitating conversations and additional studies about fitness data.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-21T11:18:31Z
      DOI: 10.1177/21649561211018999
      Issue No: Vol. 10 (2021)
       
  • Overweight/Obesity and Associated Factors Among Second Cycle Primary
           School Children in Kirkos Sub-City, Addis Ababa, Ethiopia

    • Authors: Kidus Fitsum, Gudina Egata, Melake Demena, Berhe Gebremichael
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundAlthough overweight/obesity is becoming a public health issue in low income countries, there is a paucity of evidence concerning overweight/obesity in Ethiopia. The aim of the study was to assess the magnitude of overweight/obesity and associated factors among second cycle primary school children in Kirkos Sub-City, Addis Ababa, Ethiopia.MethodsA school based cross-sectional study was conducted among 482 children from May to June, 2019. Data were collected using a questionnaire and checklist. Data were entered using EpiData version 3.1 and exported into SPSS version 22.0. Bivariable and multivariable logistic regression analyses were done to identify factors associated with overweight/obesity. Level of statistical significance was declared at p ≤ 0.05.ResultsThe overall magnitude of overweight/obesity was 21.2%. The magnitude of overweight was 13.7% while obesity was 7.5%. Vehicle availability, being from private school, not having friend(s), preferring sweet foods, eating breakfast irregularly, watching movies/Television while eating and physical inactivity were the factors significantly associated with overweight/obesity among second cycle primary school children.ConclusionsThe magnitude of overweight/obesity was high in the study area. Therefore, health and education sectors should promote healthy lifestyle to curb child overweight/obesity.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-18T04:19:19Z
      DOI: 10.1177/21649561211017883
      Issue No: Vol. 10 (2021)
       
  • Interprofessional Communication—A Call for More Education to Ensure
           Cultural Competency in the Context of Traditional, Complementary, and
           Integrative Medicine

    • Authors: Jennifer Hunter, Iman Majd, Matthew Kowalski, Joanna E Harnett
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      Culturally appropriate communication between healthcare professionals and with patients is widely recognised as a cornerstone of high quality, patient-centred care. The widespread use of traditional, complementary, and integrative medicine (TCIM) necessitates that patient-centre communication and cultural competency in healthcare extends beyond race, ethnicity, and languages spoken to also include an awareness of, and respect for the diverse range of healthcare practices, paradigms, and lexicons that patients and practitioners use. Education can equip practitioners with the necessary communication skills and expand their knowledge about the therapies and practices that patients are accessing. In this viewpoint essay, we aim to 1) emphasise the importance of respectful, culturally competent interprofessional communication and collaboration that mutually supports patients’ care needs; 2) note the impact of a political agenda that perpetuates medical hegemony and has discriminated against, and marginalised TCIM practitioners and the people who use these services; and 3) highlight the importance of educational initiatives that support inclusive, culturally competent, interprofessional communication and collaboration between conventional and TCIM healthcare practitioners.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-04T04:02:09Z
      DOI: 10.1177/21649561211014107
      Issue No: Vol. 10 (2021)
       
  • Preventing a Post-Pandemic Double Burden of Disease in the COVID-19
           Pandemic

    • Authors: Amy Hai Yan Chan, Rob Horne
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      As the world focuses on containing the spread of the coronavirus disease 2019 (COVID-19) and limiting the effects of the pandemic on the global population, care must be taken not to lose sight of existing individual health issues. There is a real risk of creating a ‘post-pandemic double burden of disease’– where the pressures of having to manage acute COVID-19-related impacts on the health system are added to the existing burden of chronic non-communicable diseases or long-term conditions in developed countries. This could create a post-pandemic health crisis by devoting less attention to existing health conditions. A growing evidence base from other epidemics and health emergencies highlight the potential negative impact of short-term health crises on long-term public health. The significant disruptions to the usual healthcare systems and society can lead to increased morbidity and mortality in the long-term if not managed appropriately. This viewpoint provides an overview of the evidence to support the management of long-term conditions during, and after, health emergencies, to limit the impact of COVID-19 on public health in the short- and long-term.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-05-03T09:14:13Z
      DOI: 10.1177/21649561211010137
      Issue No: Vol. 10 (2021)
       
  • Complementary and Alternative Medicine Use by Patients From the Gulf
           Region Seen in the International Practice of a Tertiary Care Medical
           Center

    • Authors: Esayas B Kebede, Judy Tan, Salma Iftikhar, Haitham S. Abu Lebdeh, Murali K Duggirala, Amit K Ghosh, Ivana T Croghan, Sarah M Jenkins, Saswati Mahapatra, Brent A Bauer, Dietlind L Wahner-Roedler
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundPatients from various countries may have unique patterns of using complementary and alternative medicine (CAM) and unique reasons for using it.ObjectiveOur objective was to assess the use of CAM among patients from the Gulf region attending the Executive and International Health Program of the Department of General Internal Medicine at Mayo Clinic in Rochester, Minnesota.MethodsThis cross-sectional survey was administered to all patients who were from the Gulf region and were undergoing outpatient evaluation in the Executive and International Health Program. After their initial medical evaluation by a physician, the patients were invited to anonymously complete the modified International Complementary and Alternative Medicine Questionnaire.ResultsThe survey was completed by 69 patients (41 women, 27 men; mean age, 45.4 years). The most frequently seen providers for CAM treatments were physicians (71.0% of patients), spiritual healers (29.0%), and chiropractors (20.3%). CAM treatments most frequently received from a physician were massage therapy (51.0%), hijama (38.8%), spiritual healing (24.5%), and acupuncture or herbs (16.3%). The most frequently used dietary supplements were ginger (42.0%), bee products (30.4%), and garlic (27.5%). The most common self-help therapies were prayers for health (68.1%), meditation (15.9%), and relaxation techniques (11.6%). CAM therapy, including visits to CAM providers, was used by 92.8% of patients. CAM was mainly used to improve well-being and long-term health conditions rather than for acute illnesses.ConclusionThe use of CAM was high among our patients from the Gulf region, and the CAM therapies used by this population differed from the ones used by US patients. Physicians providing care to patients from the Gulf region should be aware of how the use of CAM may affect the care needs of these patients.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-04-22T04:01:16Z
      DOI: 10.1177/21649561211010129
      Issue No: Vol. 10 (2021)
       
  • Misunderstanding of Physics and Chemistry in a Health Care Context

    • Authors: Les Rose, Edzard Ernst, Richard Rasker
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.

      Citation: Global Advances in Health and Medicine
      PubDate: 2021-04-21T10:19:25Z
      DOI: 10.1177/21649561211011791
      Issue No: Vol. 10 (2021)
       
  • Corrigendum to “Impact of a Yogic Breathing Technique on the Well-Being
           of Healthcare Professionals During the COVID-19 Pandemic”

    • Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.

      Citation: Global Advances in Health and Medicine
      PubDate: 2021-04-17T02:43:59Z
      DOI: 10.1177/21649561211012195
      Issue No: Vol. 10 (2021)
       
  • Retraction of Energy Medicine: Current Status and Future Perspectives

    • Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.

      Citation: Global Advances in Health and Medicine
      PubDate: 2021-04-14T03:20:51Z
      DOI: 10.1177/21649561211012196
      Issue No: Vol. 10 (2021)
       
  • 2021 Integrative Medicine & Health Symposium Abstracts

    • Authors: Zixin Shu, Kai Chang, Yana Zhou, Chaoan Peng, Xugui Li, Wei Cai, Li Wei, Boli Zhang, Xiaolin Tong, Baoyan Liu, Xuezhong Zhou, Kam Wa Chan, Xiaodong Li
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.

      Citation: Global Advances in Health and Medicine
      PubDate: 2021-04-13T10:12:32Z
      DOI: 10.1177/21649561211003689
      Issue No: Vol. 10 (2021)
       
  • Institutional Resilience: The Foundation for Individual Resilience,
           Especially During COVID-19

    • Authors: Helen Riess
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      In the protracted healthcare crisis that the COVID-19 pandemic has become, healthcare professional wellness and resilience are a national concern. Physicians, nurses and medical staff have been profoundly negatively affected due to the inability of institutions to prepare for this pandemic. Institutional fixed point standards such as Eudaemonics, Inherent Value, and Amplifying Assumptions are essential to make it possible to steer an organizational course during a crisis. Fixed point standards must be embedded in hospitals and systems so they are positioned to do the most good. Employees must feel safe, valued and cared for always, so they can be resilient when crises strike. The best way to do that is by viewing the healthcare professionals through the lens of empathy. Institutional values of safety, access to accurate and caring information, human connection, and emphasis on mental health, are hallmarks of resilient organizations and will result in resilient individuals.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-04-07T04:04:07Z
      DOI: 10.1177/21649561211006728
      Issue No: Vol. 10 (2021)
       
  • The Relationship Between Market Environment Dimensions and Availability of
           Malaria Pills in Uganda

    • Authors: Pross Nagitta Oluka, Marcia Mkansi, George William Kajjumba
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      IntroductionThis study sought to examine the contribution of relationship building (in terms of collaboration, information sharing and supply chain interdependence) on the availability of malaria treatment pills in public hospitals in Sub-Saharan Africa using data from Uganda.MethodsBy means of a cross-sectional survey research design, the study used a questionnaire strategy to collect quantitative data. Out of the 320 questionnaires that were distributed in 40 public hospitals, 283 were answered and returned, which yielded an 88% response rate. Structural equation modelling (SEM) was used to establish the relationship between measured variables and latent constructs.ResultsDrawing on the survey results, the confirmatory factor analysist and the Structural Equation Modelling clearly demonstrate that relationship building (in terms of collaboration, information sharing and supply chain interdependence) significantly influences the availability of Artemisinin-based combination therapies in public general hospitals in Uganda.ConclusionPolicy-makers should focus on developing cheaper information technology tools to exchange information regarding stock levels, forecasting, quantification, orders, and dispensing. This study developed a measurement model for an inter-hospital relationship, using relational view theory, and it employs dimensions in terms of information sharing and supply chain interdependence to predict and explain the availability of malaria pills in government hospitals.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-03-30T04:19:55Z
      DOI: 10.1177/21649561211002126
      Issue No: Vol. 10 (2021)
       
  • A Comprehensive Resiliency Framework: Theoretical Model, Treatment, and
           Evaluation

    • Authors: Elyse R Park, Christina M Luberto, Emma Chad-Friedman, Lara Traeger, Daniel L Hall, Giselle K Perez, Brett Goshe, Ana-Maria Vranceanu, Margaret Baim, John W Denninger, Gregory Fricchione, Herbert Benson, Suzanne C Lechner
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundThere is heterogeneity in conceptualizations of resiliency, and there is, to date, no established theoretically driven resiliency assessment measure that aligns with a targeted resiliency intervention. We operationalize resiliency as one’s ability to maintain adaptive functioning in response to the ongoing, chronic stress of daily living, and we use a novel resiliency measure that assesses the target components of an evidence based resiliency intervention. We present our resiliency theory, treatment model, and corresponding assessment measure (Current Experience Scale; CES).MethodsTo establish the psychometric properties of the CES, we report the factor structure and internal consistency reliability (N = 273). Among participants in our resiliency intervention (N = 151), we explored construct validity in terms of associations with theoretical model constructs, a validated resiliency measure, and sensitivity to change from before to after the intervention.ResultsResults indicated that a 23-item, 6-factor solution was a good fit to the data (RMSEA = .08, CFI = .97; TLI =.96) and internal consistency was good (α = .81 to .95). The CES showed correlations in the expected direction with resiliency model constructs (all p’s 
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-03-25T04:11:18Z
      DOI: 10.1177/21649561211000306
      Issue No: Vol. 10 (2021)
       
  • Awareness and Attitudes of Art Students and Lecturers on Health Hazards
           Associated With Fine and Applied Arts Making in Nigeria

    • Authors: Christopher Ifeanyi Ibenegbu, RitaDoris Ubah, Queendaline Obiajulu Ibenegbu
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundArt-making can pose significant risks to the health and safety of artists. Some art materials and equipment are hazardous.ObjectiveThis article highlights the various hazards caused by the use of these materials in art-making and actions that could be taken to prevent it.MethodsWe used documentary research approaches to find out and study the relevant literature sources and to analyze and synthesize the information got.ResultThe results showed that art students and lecturers are not aware of the health hazards of art materials they use in their art practice, and they have a nonchalant attitude towards taking appropriate health precautions in the use of these art materials. We also observed that changing the attitudes of university art students, and lecturers on the health hazards involved in art-making would require several actions.ConclusionThe awareness of health hazards associated with art-making/studio practice is useful to help art students and lecturers to increase their health precautions in using art materials.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-03-19T07:34:33Z
      DOI: 10.1177/2164956121998277
      Issue No: Vol. 10 (2021)
       
  • Online Mindfulness May Target Psychological Distress and Mental Health
           during COVID-19

    • Authors: Suzan R Farris, Licia Grazzi, Miya Holley, Anna Dorsett, Kelly Xing, Charles R Pierce, Paige M Estave, Nathaniel O’Connell, Rebecca Erwin Wells
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundThe COVID-19 pandemic has dramatically affected mental health, creating an urgent need for convenient and safe interventions to improve well-being. Online mindfulness interventions show promise for improving depression, anxiety, and general well-being.ObjectiveTo assess: 1) the impact of online mindfulness on psychological distress, 2) altruistic efforts, and 3) the quantity, quality, and availability of online mindfulness resources during the COVID-19 pandemic.Methods233 participants (203 U.S.; 20 international; 10 unknown) participated in this prospective, single-arm, non-randomized clinical trial of a single online mindfulness meditation session with pre- and post-surveys.Main Outcome Measures(a) Mindfulness session helpfulness, online platform effectiveness, and immediate pre- to post-session changes in momentary stress, anxiety, and COVID-19 concern; (b) qualitative themes representing how people are helping others during the pandemic; (c) absolute changes in quantity of mindfulness-oriented web content and free online mindfulness resource availability from May to August 2020.ResultsMost participants felt the online mindfulness session was helpful and the electronic platform effective for practicing mindfulness (89%, 95% CI: [82 to 93%]), with decreased momentary anxiety (76%; 95% CI: [69 to 83%]), stress (80%; [72 to 86%]), and COVID-19 concern (55%; [46 to 63%]), (p 
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-03-18T04:49:03Z
      DOI: 10.1177/21649561211002461
      Issue No: Vol. 10 (2021)
       
  • Evaluation of a Yoga-Based Mind-Body Intervention for Resident Physicians:
           A Randomized Clinical Trial

    • Authors: Julia Loewenthal, Natalie L Dyer, Marla Lipsyc-Sharf, Sara Borden, Darshan H Mehta, Jeffery A Dusek, Sat Bir S Khalsa
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      Background and ObjectiveMind-body interventions (MBIs) have been shown to be effective individual-level interventions for mitigating physician burnout, but there are no controlled studies of yoga-based MBIs in resident physicians. We assessed the feasibility of a yoga-based MBI called RISE (resilience, integration, self-awareness, engagement) for residents among multiple specialties and academic medical centers.MethodsWe conducted a waitlist controlled randomized clinical trial of the RISE program with residents from multiple specialty departments at three academic medical centers. The RISE program consisted of six weekly sessions with suggested home practice. Feasibility was assessed across six domains: demand, implementation, practicality, acceptability, adaptation, and integration. Self-reported measures of psychological health were collected at baseline, post-program, and two-month follow-up.ResultsAmong 2,000 residents contacted, 75 were assessed for eligibility and 56 were enrolled. Forty-four participants completed the study and were included in analysis. On average, participants attended two of six sessions. Feasibility of in-person attendance was rated as 28.9 (SD 25.6) on a 100-point visual analogue scale. Participants rated feasibility as 69.2 (SD 26.0) if the program was offered virtually. Those who received RISE reported improvements in mindfulness, stress, burnout, and physician well-being from baseline to post-program, which were sustained at two-month follow-up.ConclusionThis is the first controlled study of a yoga-based MBI in residents. While the program was not feasible as delivered in this pilot study, initial analyses showed improvement in multiple measures of psychological health. Residents reported that virtual delivery would increase feasibility.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-03-10T07:04:00Z
      DOI: 10.1177/21649561211001038
      Issue No: Vol. 10 (2021)
       
  • Lifestyle Risk Factors, Quality of Life, and Intervention Preferences of
           Barrett’s Esophagus Patients: A Prospective Cohort Study

    • Authors: Xiaotao Zhang, Sharmila Anandasabapathy, Julian Abrams, Mohamed Othman, Hoda J Badr
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      Background and AimsLifestyle counseling to achieve a healthy weight, quit smoking, and reduce alcohol is a cornerstone in the management of Barrett’s Esophagus (BE). However, little is known about whether patients make these recommended lifestyle changes or the impact of non-adherence on their quality of life (QOL). This study characterized the lifestyle risk factors, QOL, and intervention preferences of BE patients as a first step toward developing lifestyle change interventions for this population.MethodsPatients with a confirmed BE diagnosis (N = 106) completed surveys at a surveillance endoscopy visit (baseline) and at 3- and 6-month follow-ups. Patients reported on lifestyle risk factors, adherence determinants (e.g., perceived benefits/barriers, risk, intentions), QOL, and intervention preferences.ResultsMost patients (56%) had uncontrolled reflux, were overweight/obese (65.1%), and had low dietary fiber intake (91%). Many (45%) reported poor QOL. Patients’ perceived risk of developing esophageal cancer was high, but their behavior change intentions were low. Despite receiving lifestyle counseling from physicians, there were no significant changes in patients’ QOL or lifestyle risk factors over time. Nonetheless, patients indicated strong interest in internet (62.6%) and multimedia programs (57.9%) addressing acid reflux and weight control.ConclusionBE patients reported uncontrolled reflux, poor QOL, and multiple lifestyle risk factors that did not change over time. Despite low levels of intention for making lifestyle changes, patients were interested receiving more information about controlling acid reflux, suggesting a potential teachable moment and opportunity for web-based and multimedia multiple behavior interventions that seek to control acid reflux symptoms through weight loss and a high fiber diet.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-03-09T04:11:38Z
      DOI: 10.1177/21649561211001346
      Issue No: Vol. 10 (2021)
       
  • How VA Whole Health Coaching Can Impact Veterans’ Health and Quality of
           Life: A Mixed-Methods Pilot Program Evaluation

    • Authors: Natalie Purcell, Kara Zamora, Daniel Bertenthal, Linda Abadjian, Jennifer Tighe, Karen H Seal
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      PurposeTo examine the impact of a pilot VA Whole Health Coaching program, including whether and how the program helps veterans improve their health and quality of life.InterventionWhole Health Coaching is a structured program to support veterans in making healthy behavior changes to promote holistic well-being.DesignThis mixed-methods quality-improvement evaluation combined surveys (pre- and post-coaching) with follow-up qualitative interviews.SettingThe setting was a large VA healthcare system, encompassing a medical center and six community-based clinics in Northern California.Participants65 veterans completed surveys at both time points; 42 completed qualitative interviews.MethodTelephone surveys administered at baseline and 3 months assessed global health (PROMIS-10), perceived stress (PSS-4), and perceived health competency (PHCS-2). Pre- and post-scores were compared using t-tests. A subsample of participants completed a qualitative interview evaluating program experience, goal attainment, and the coaching relationship.ResultsSurveys showed significant improvements over baseline in mental health (p = 0.006; d = 0.36), stress (p = 0.003; d = –0.38), and perceived health competence (p = 0.01; d = 0.35). Interviewees were highly satisfied with their coaching experience, describing both effective program components and improvement opportunities.ConclusionWhole Health Coaching can help participants make meaningful progress toward health goals, reduce stress, and improve quality of life. The Whole Health model’s emphasis on holistic self-assessment; patient-driven goal-setting; supportive, non-judgmental inquiry; and mindful awareness contributed to program success and enhanced participants’ experience.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-03-05T07:16:37Z
      DOI: 10.1177/2164956121998283
      Issue No: Vol. 10 (2021)
       
  • Implementing the Mindfulness-Based Interventions; Teaching Assessment
           Criteria (MBI:TAC) in Mindfulness-Based Teacher Training

    • Authors: GM Griffith, RS Crane, R Baer, E Fernandez, F Giommi, G Herbette, L Koerbel
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      The Mindfulness-Based Interventions: Teaching Assessment Criteria (MBI:TAC) was originally developed as a tool to assess the teaching competence of mindfulness-based program (MBP) teachers. The tool was made freely available and has since been used by mindfulness-based teacher training organisations internationally. During this time the MBI:TAC has evolved in its usage, from an assessment tool to one which informally supports how MBP teachers are trained. In this article, we first examine the rationale for implementing the MBI:TAC in MBP teacher training; second, we offer practical guidance on ways of integrating the tool into teacher training pathways with awareness of its potential and possible pitfalls; and third, we offer guidance on using the tool as a framework for giving effective feedback to trainees on their teaching practice. Implementing the MBI:TAC in teacher training may support the quality and integrity of MBP teacher training, and thus ensure high quality MBP teachers graduating. In turn this may help avoid the ‘implementation cliff’ – that is, the quality of an intervention delivery is delivered in optimal conditions when it is being researched, and drops in quality when delivered in sub-optimal, ‘real world’ conditions.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-02-25T06:09:49Z
      DOI: 10.1177/2164956121998340
      Issue No: Vol. 10 (2021)
       
  • Isometric Yoga-Like Maneuvers Improve Adolescent Idiopathic Scoliosis—A
           Nonrandomized Control Trial

    • Authors: Loren M Fishman
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      ObjectiveAssess therapeutic value of specific yoga poses for thoracic and lumbar adolescent idiopathic scoliosis (AIS) taught in office or Internet.Study DesignNonrandomized control trial: Fifty-six adolescents (mean age 14.0 years; mean Risser 3.0) were recruited from our clinic; 41 did the side-plank, the half-moon and elevated side plank poses as appropriate (treatment group) and 15 did not (controls). Thirty curves were treated in office, 30 via Internet. Curve change was evaluated by blinded serial Cobb angles, and analyzed using Mann-Whitney U, paired t-tests and χ2.ResultsMean lumbar and thoracolumbar Cobb angle change was −9.2 (95% CI = −11.8, −6.6) in the treatment group and 5.4 (95% CI = 1.7, 9.0) in controls. Both treatment group improvement and deterioration in controls were significant (treatment group: paired t-test t = −7.1, df = 40, p = .000; controls: t = 3.2, df = 12, p = .008). Mean thoracic Cobb angle change was −7.1 (95% CI = −13.1, −1.2) in the treatment group and 9.3 (95% CI = 4.5, 14.6) in controls. Both changes were significant (paired t-test t = −3.3, df = 21, p = .022 for treatment group; t = 4.5, df = 5, p = .006 for controls). Nine Internet patients were non-compliant vs. 6 office patients. Office patients improved 1.6 degrees/month or 5.5%/month; Internet patients improved .72 degrees/month or 3.3%/month.ConclusionThese yoga poses show promise for reversing adolescent idiopathic scoliosis. Telemedicine had greater non-compliance and lower efficacy but still produced patient improvement.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-02-25T05:10:56Z
      DOI: 10.1177/2164956120988259
      Issue No: Vol. 10 (2021)
       
  • Sustaining Workforce Well-being: A Model for Supporting System Resilience
           During the COVID-19 Pandemic

    • Authors: Ellen Morrow, Megan Call, Mari Ransco, Kim Mahoney Hofmann, Amy Locke
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      Professional well-being in health care is critical to the success of academic medical centers inpatient care, educating trainees, serving communities, and pursuing research missions. The COVID-19 pandemic, caused by SARS-COV-2, has stretched health care teams and individuals in unique ways, leading to high levels of persistent stress with concern for longer term mental health implications. The pandemic is a catalyst to grow and strengthen support for those who work in health professions. Using one academic health center as a model, this paper reviews how professional well-being can be approached comprehensively at a system level while considering the needs of diverse employees during a time of increased need. This ramping up of services has the opportunity to build community and support a trajectory of post traumatic growth.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-02-24T11:47:36Z
      DOI: 10.1177/2164956121991816
      Issue No: Vol. 10 (2021)
       
  • Preference for Telehealth Sustained Over Three Months at an Outpatient
           Center for Integrative Medicine

    • Authors: Michael T. M. Finn, Hannah R. Brown, Emily R. Friedman, A. Grace Kelly, Kathryn Hansen
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundIntegrative medicine is a key framework for the treatment of chronic medical conditions, particularly chronic pain conditions. The COVID-19 pandemic prompted rapid implementation of telehealth services.ObjectiveWe present outcomes of a complete and rapid transition to telehealth visits at an outpatient integrative medicine center in the Southeastern United States.MethodPatients and administrative staff took surveys comparing telehealth to in-person visits within four weeks of our clinic's transition to telehealth and three months later. Beginning four weeks after the clinic’s telehealth conversion in March 2020, patients who had a telehealth visit at the center completed a survey about their telehealth experience and another survey three months later.ResultsPatient quality judgements significantly favored telehealth at baseline, B = .77 [0.29 – 1.25], SE = .25, t(712) = 3.15, p = .002, and increased at three months, B = .27 [–0.03 – 0.57], SE = .15, t(712) = 1.76, p = .079. Telehealth technology usability and distance from the center predicted patient ratings of telehealth favorability. Providers favored in-person visits more than patients, B = –1.00 [–1.56 – –0.44], SE = .29, t(799) = –3.48, p 
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-02-22T07:21:49Z
      DOI: 10.1177/2164956121997361
      Issue No: Vol. 10 (2021)
       
  • Can We All Speak the Same ‘Language’ for Our Patients’ Sake'
           Feedback on Interprofessional Communication and Related Resources

    • Authors: Janet Nguyen, Jennifer Hunter, Lorraine Smith, Joanna E Harnett
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundThe Australasian Integrative Medicine Association (AIMA) established a working group to develop the AIMA Guiding Principles for Letter Writing and Letter Writing Templates. The guiding principles were developed to promote effective communication between the diverse range of healthcare practitioners (HCPs) that patients choose to consult. Following the development of the Interprofessional Communication (IPC) resources, AIMA undertook a public consultation as part of a quality assurance process to evaluate the relevance and utility of the resource.AimThis study reports stakeholder feedback on AIMA’s draft guiding principles document. It explores stakeholder attitudes towards IPC and HCPs letter-writing, and interest in ongoing continuing professional development (CPD).MethodsA cross-sectional survey involving 1) an online public consultation survey and 2) a paper survey collected following IPC CPD activities. Quantitative data were analysed using Chi square and Fisher-Freeman-Halton Test. Responses to open ended questions were coded and subject to a thematic analysis.ResultsThe 64 survey participants and 55 CPD participants represented the Australian healthcare sectors and lay community. Most thought IPC is important (n = 112/117; 96%) and the resources were informative (n = 112/119; 94%), understandable (n = 111/119; 93%), and clinically relevant (n = 105/117; 90%). HCP reported wide variations in their frequency of correspondence with other practitioner types, with rates often concerningly low. Key IPC themes identified were the importance of continuity of care, clarity of communication, and professional practice. CPD participants were most interested in further IPC training (p = 0.001).ConclusionsThe IPC resources affirm the role of formal communication pathways, such as letters of correspondence to support coordinated, patient-centred and multidisciplinary care. Challenges with letter writing and IPC signal the need for more student and professional education on the subject to promote continuity of patient care and the delivery of high quality, integrative medicine and health care services.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-02-12T04:59:22Z
      DOI: 10.1177/2164956121992338
      Issue No: Vol. 10 (2021)
       
  • Impact of a Yogic Breathing Technique on the Well-Being of Healthcare
           Professionals During the COVID-19 Pandemic

    • Authors: Kanchibhotla Divya, Saisudha Bharathi, Ramrakhyani Somya, Mehta H Darshan
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundThe COVID-19 pandemic has created unprecedented challenges for healthcare globally, the brunt of which has been borne by the health care providers (HCPs). These challenges are felt more keenly in India, as they stretch an insufficiently resourced healthcare system. The long hours, cross over of responsibilities, lack of resources to adequately care for patients, and concerns around safety of self and loves ones, have led to a spike in anxiety, depression, insomnia and other stress – related disorders in healthcare providers. Sudarshan Kriya Yoga (SKY) is a mind-body intervention that has been studied in multiple clinical populations. Prior to this study, there has been no exploration of the impact of SKY on healthcare providers, specifically the impact of a mind-body intervention like SKY on HCPs during a pandemic.ObjectiveThis study aims to investigate the impact of SKY on the well-being of HCPs during the COVID-19 pandemic.MethodsWe conducted a pilot feasibility study with a single arm pre-post design. SKY was taught to participants in a 4-day online breath and meditation workshop. We measured outcomes related to depression, anxiety, resilience, life satisfaction, and quality of sleep.ResultsNinety-two subjects completed the study survey before and after the intervention. A significant reduction was observed in the levels of stress, anxiety and depression immediately after the program. In addition, the participants reported sig1nificant improvement in life satisfaction, resilience, and the quality of their sleep.ConclusionThe results indicate that SKY breathing technique had a positive impact on the well-being of healthcare professionals during the pandemic. Participants experienced improved quality of sleep, enhanced satisfaction with life, and increased resilience after SKY. This pilot study provides important data for future multi-site randomized controlled trials to study the impact of yogic techniques on well-being of the HCPs.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-02-09T09:00:03Z
      DOI: 10.1177/2164956120982956
      Issue No: Vol. 10 (2021)
       
  • Using the Mindfulness-Based Interventions: Teaching Assessment Criteria
           (MBI:TAC) in Supervision

    • Authors: Alison Evans, Gemma M Griffith, Rebecca S Crane, Sophie A Sansom
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      The Mindfulness-Based Interventions: Teaching Assessment Criteria (MBI:TAC) is a useful framework for supporting teacher development in the context of mindfulness-based supervision (MBS). It offers a framework that enhances clarity, develops reflexive practice, gives a structure for feedback, and supports learning. MBS is a key component of Mindfulness-Based Program (MBP) teacher training and ongoing good practice. Integrating the MBI:TAC within the MBS process adds value in a number of ways including: offering a shared language around MBP teaching skills and processes; framing the core pedagogical features of MBP teaching; enabling assessment of developmental stage; and empowering supervisees to be proactive in their own development. The paper lays out principles for integrating the MBI:TAC framework into MBS. The supervisor needs awareness of the ways in which the tool can add value, and the ways it can inadvertently interrupt learning. The tool enables skills clarification, but the learning process needs to remain open to spontaneous experiential discovery; it can enable structured feedback but space is also needed for open reflective feedback; and it can enable conceptual engagement with the teaching process but space is needed for the supervisee to experientially sense the teaching process. The tool needs to be introduced in a carefully staged way to create optimal conditions for learning at the various stages of the MBP teacher-training journey. Practical guidance is presented to consolidate and develop current practice. The principles and processes discussed can be generalized to other forms of reflective dialogue such as mentoring, tutoring and peer reflection groups.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-02-05T10:11:14Z
      DOI: 10.1177/2164956121989949
      Issue No: Vol. 10 (2021)
       
  • Patterns of Admission and Clinical Outcomes Among Patients Admitted to
           Medical Intensive Care Unit of a Teaching and Referral Hospital, Northwest
           Ethiopia

    • Authors: Hailemariam Getachew Tesema, Girmay Fitiwi Lema, Nebiyu Mesfin, Demeke Yilkal Fentie, Nurhussien Rezik Arefayne
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundThe intensive care unit (ICU) is a health care delivery service for patients who are in critical condition with potentially recoverable diseases. Patients can benefit from more detailed observation, monitoring and advanced treatment than other wards or department. The care is advancing but in resource-limited settings, it is lagging far behind and mortality is still higher due to various reasons. Therefore, we aimed to determine the admission patterns, clinical outcomes and associated factors among patients admitted medical intensive care unit (MICU).MethodsA retrospective cross-sectional study was conducted based on a record review of logbook and charts of patients admitted from September, 2015 to April, 2019. Data were entered and analysed using SPSS version 20. Both bivariate and multivariate logistic regression analyses were used and a P-value 
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-02-02T10:27:24Z
      DOI: 10.1177/2164956121989258
      Issue No: Vol. 10 (2021)
       
  • Considerations on Conducting Research on Wellness in the Context of the
           Learning Environment

    • Authors: Larry D Gruppen, Miklos C Fogarasi
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      The learning environment (LE) provides a context for many educational phenomena, of which wellness and burnout are particularly important. The LE can be thought of as consisting of a psychosocial dimension of personal, social, and organizational factors and a sociomaterial dimension that consists of spatial and technical factors. The interplay between elements of the LE and wellness of the participants is complex and only partially understood, requiring further research. Using this multidimensional model to describe and to plan to deliberately modify the learning environment can foster more rigorous and meaningful research evidence about the interaction of wellness and the LE. This article highlights four key considerations that scholars of wellness should consider when exploring the impact of the LE or designing interventions to modify the environment. These include 1) a thoughtful definition and theoretical conceptualization of the LE, 2) clarity about the study variables that are essential to the study question(s), 3) thoughtful and appropriate measurement of those variables, and 4) a study design that balances quality with feasibility. We provide a practical illustration of how these considerations can be applied in studies exploring the intersection of wellness and the LE.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-02-02T10:22:56Z
      DOI: 10.1177/2164956121989708
      Issue No: Vol. 10 (2021)
       
  • EXPRESSION OF CONCERN: “Energy Medicine: Current Status and Future
           Perspectives”

    • Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.

      Citation: Global Advances in Health and Medicine
      PubDate: 2021-02-01T07:11:50Z
      DOI: 10.1177/2164956121992227
      Issue No: Vol. 10 (2021)
       
  • Prevalence of Goiter Among School-Aged Children in Ethiopia: Update of
           Systematic Review and Meta-analysis

    • Authors: Yohannes Tekalegn, Kebebe Bekele, Biniyam Sahiledengle, Demelash Woldeyohannes
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundIodine deficiency is a major public health concern throughout the world. Goiter is the most visible sign of iodine deficiency. In Ethiopia, a study finding regarding the prevalence of goiter among school-age children is inconsistent and highly variable.ObjectivesTo estimate the pooled prevalence of goiter among school-age children in Ethiopia.MethodsThree international databases (MEDLINE/Pub-Med, Google Scholar and Science Direct) were systematically searched. Besides, the reference sections of identified articles were searched to increase the chance of detecting missed articles in gray literature. STATA Version 14 statistical software was used to conduct a meta-analysis. The pooled prevalence with a 95% confidence interval was displayed using the forest plot. A random-effect meta-analysis model was used to compute the pooled prevalence, and The Cochrane Q test statistics and I2 test were used to assess the heterogeneity of the studies.ResultsA total of 14 studies fulfilled the inclusion criteria and included in this systematic review and Meta-analysis, with a total sample size of 26,282. The finding of this systematic review revealed that the pooled prevalence of goiter among school-age children was 42.9% (95% CI: 38.8–46.9). The highest prevalence of goiter (46.7%) was observed in Oromia region and the lowest (26.3%) was observed in Benishangul-Gumuz region.ConclusionsThis review finding revealed that more than two in five of the school children in Ethiopia suffer from iodine deficiency disorder as manifested by the goiter rate.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-01-28T07:38:49Z
      DOI: 10.1177/2164956120988660
      Issue No: Vol. 10 (2021)
       
  • Development of a Positive Psychology Program (LAVENDER) for Preserving
           Medical Student Well-being: A Single-Arm Pilot Study

    • Authors: Elaine O Cheung, Ian Kwok, Allison B Ludwig, William Burton, Xinzi Wang, Neha Basti, Elizabeth L Addington, Carly Maletich, Judith T Moskowitz
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundMental health tends to worsen over the course of medical school, with steep declines in well-being in students’ clerkship year (M3). Positive emotion promotes adaptive coping to stress and may help preserve medical student well-being.ObjectiveThis study describes the development of LAVENDER (Leveraging Affect and Valuing Empathy for Nurturing Doctors’ Emotional Resilience), a program aimed at increasing positive emotion to preserve well-being in medical students.MethodsWe conducted a single-arm pilot of LAVENDER, a positive psychology intervention developed for medical students delivered in an interactive classroom format to a cohort of 157 third-year medical students at the Albert Einstein College of Medicine. Our primary outcome was the acceptability of LAVENDER. We also examined preliminary efficacy using measures of emotion, stress and burnout collected at each intervention session.ResultsLAVENDER showed good acceptability: 76% of participants agreed that the LAVENDER skills were useful and 72% agreed that they would recommend the LAVENDER program to others. Qualitative feedback suggested that medical students enjoyed the program and found the skills to be useful for coping with stress, but also reported the following barriers to engagement: lack of time to practice the skills, resistance to the mandatory nature of the wellness sessions, and difficulty integrating the skills in daily life. We did not find support for the preliminary efficacy of LAVENDER for improving medical student well-being in students’ clerkship year. Participants showed decreases in positive emotion and increases in symptoms of burnout over the intervention period (ps 
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-01-28T07:36:49Z
      DOI: 10.1177/2164956120988481
      Issue No: Vol. 10 (2021)
       
  • Auricular Point Acupressure Smartphone Application to Manage Chronic
           Musculoskeletal Pain: A Longitudinal, One-Group, Open Pilot Trial

    • Authors: Jennifer Kawi, Chao Hsing Yeh, Mengchi Li, Keenan Caswell, Maurice Mazraani, Nada Lukkahatai, Sylvanus Mensah, Janiece Taylor, Chakra Budhathoki, Paul Christo
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      BackgroundChronic musculoskeletal pain (CMP) is the most common self-reported chronic pain condition. Current treatment for CMP is limited.MethodsThis was a two-phase study. In Phase 1, three auricular point acupressure (APA)-naïve participants were recruited to explore their experiences of APA and a smartphone app was developed based on their feedback. In Phase 2, a prospective longitudinal study was used to examine the effectiveness of the smartphone app to self-manage CMP.ResultsPhase 1 resulted in the successful development of the APA smartphone app. In Phase 2, after four weeks of APA, participants reported reduced pain intensity (30%), pain interference (35%), and disability (40%), as well as improved physical function (47%). The mean score for the participants’ perception of treatment efficacy was 4.94 (SD = 2.08, scale of 0–7) indicating that approximately 70% of participants rated global improvements with noticeable changes. The majority (88%, n = 22) of the participants were satisfied with the treatment: 32% [8] were very satisfied and 56% [n = 14] were somewhat satisfied. The average frequency of pressing APA seeds per day was 2.93 times (SD = 2.27, range 0–10) and 1.60 minutes per time (SD = 2.64, range 0–10); the participants were able to adhere to the suggested pressing time per day, although they only pressed the ear points about 53% of the suggested time.ConclusionIt is feasible for individuals to learn APA from the smartphone app and successfully self-administer APA to manage their pain. Participants found the app useful and were satisfied with the information provided through the app.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-01-22T11:26:17Z
      DOI: 10.1177/2164956120987531
      Issue No: Vol. 10 (2021)
       
  • The Impact of Tai Chi Exercise on Health Care Utilization and Imputed Cost
           in Residents of Low-Income Senior Housing

    • Authors: Jennifer Perloff, Cindy Parks Thomas, Eric Macklin, Peggy Gagnon, Timothy Tsai, Ilean Isaza, Peter M Wayne, Lewis Lipsitz
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      Background/ObjectivesThis study was designed to test the impact of Tai Chi (TC) on healthcare utilization and cost in older adults living in low-income senior housing. We hypothesized that TC would improve overall health enough to reduce the use of emergency department (ED) and inpatient services.DesignCluster randomized controlled trial with randomization at the housing site level.SettingGreater Boston, Massachusetts.ParticipantsThe study includes 6 sites with 75 individuals in the TC treatment condition and 6 sites with 67 individuals in the health education control condition.InterventionMembers of the treatment group received up to a year-long intervention with twice weekly, in-person TC exercise sessions along with video-directed exercises that could be done independently at home. The comparison group received monthly, in-person healthy aging education classes (HE). Study recruitment took place between August, 2015 and October, 2017. Key outcomes included acute care utilization (inpatient stays, observation stays and emergency department visits). In addition, the cost of utilization was estimated using the age, sex and race adjusted allowed amount from Medicare claims for a geographically similar population aged ≥ 65.ResultsThe results suggested a possible reduction in the rate of ED visits in the TC group vs. controls (rate ratio = 0.476, p-value = 0.06), but no findings achieved statistical significance. Adjusted estimates of imputed costs of ED and hospital care were similar between TC and HE, averaging approximately $3,000 in each group.ConclusionED utilization tended to be lower over 6 to 12 months of TC exercises compared to HE in older adults living in low-income housing, although estimated costs of care were similar.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-01-22T01:15:37Z
      DOI: 10.1177/2164956120985479
      Issue No: Vol. 10 (2021)
       
  • Precision Medicine for Breath-Focused Mind-Body Therapies for Stress and
           Anxiety: Are We Ready Yet'

    • Authors: Helen Lavretsky, Jack L Feldman
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      In this viewpoint, we present an argument for transdisciplinary “precision medicine” approaches that combine studies of basic neurobiology of breathing in animal and human models of stress that can help characterize physiological and neural biomarkers and mechanisms of breathing control and emotion regulation in humans. Such mechanistic research is fundamental for the development of more effective and mechanism-based mind-body therapies. The potential for this research to positively impact public health is high, as breathing techniques are inexpensive, accessible, and cross-culturally accepted, with fewer complications then observed with other standard therapies for stress-related disorders.
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-01-13T04:58:33Z
      DOI: 10.1177/2164956120986129
      Issue No: Vol. 10 (2021)
       
  • Real-World Experiences With Yoga on Cancer-Related Symptoms in Women With
           Breast Cancer

    • Authors: Shruti R Patel, Jacqueline Zayas, Jose R Medina-Inojosa, Charles Loprinzi, Elizabeth J Cathcart-Rake, Anjali Bhagra, Janet E Olson, Fergus J Couch, Kathryn J Ruddy
      Abstract: Global Advances in Health and Medicine, Volume 10, Issue , January-December 2021.
      PurposeIntegrative therapies such as yoga are potential treatments for many psychological and physical symptoms that occur during and/or after treatment for cancer. The purpose of the current study was to evaluate the patient-perceived benefit of yoga for symptoms commonly experienced by breast cancer survivors.Methods1,049 breast cancer survivors who had self-reported use of yoga on a follow up survey, in an ongoing prospective Mayo Clinic Breast Disease Registry (MCBDR), received an additional mailed yoga-focused survey asking about the impact of yoga on a variety of symptoms. Differences between pre- and post- scores were assessed using Wilcoxon Signed Rank Test.Results802/1,049 (76%) of women who were approached to participate, consented and returned the survey. 507/802 (63%) reported use of yoga during and/or after their cancer diagnosis. The vast majority of respondents (89.4%) reported some symptomatic benefit from yoga. The most common symptoms that prompted the use of yoga were breast/chest wall pain, lymphedema, and anxiety. Only 9% of patients reported that they had been referred to yoga by a medical professional. While the greatest symptom improvement was reported with breast/chest wall pain and anxiety, significant improvement was also perceived in joint pain, muscle pain, fatigue, headache, quality of life, hot flashes, nausea/vomiting, depression, insomnia, lymphedema, and peripheral neuropathy, (all p-values
      Citation: Global Advances in Health and Medicine
      PubDate: 2021-01-08T10:26:22Z
      DOI: 10.1177/2164956120984140
      Issue No: Vol. 10 (2021)
       
 
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