Patient Prefer Adher
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Patient Prefer Adher · Jan 2016
Effectiveness of the Health Complex Model in Iranian primary health care reform: the study protocol.
Iranian traditional primary health care (PHC) system, although proven to be successful in some areas in rural populations, suffers major pitfalls in providing PHC services in urban areas especially the slum urban areas. The new government of Iran announced a health reform movement including the health reform in PHC system of Iran. The Health Complex Model (HCM) was chosen as the preferred health reform model for this purpose. ⋯ Assessing the effectiveness of the HCM, as the Iranian PHC reform initiative, could help health system policy makers for future decisions on its continuation or modification.
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Patient Prefer Adher · Jan 2016
Impact of overweight and obesity on the musculoskeletal system using lumbosacral angles.
Overweight and obesity have been identified as independent risk factors for musculoskeletal disorders. However, the association between obesity and low back pain remains controversial. Little is known about the effects of overweight and obesity on the angles of the lumbosacral spine. The objective of this study was to evaluate the effects of body mass index (BMI) and waist-hip ratio (WHR) on lumbosacral angles. ⋯ There was an increase in lumbosacral angles in individuals with raised BMI and WHR. This may result in biomechanical changes in the lumbosacral spine, which increase the incidence of low back pain.
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Patient Prefer Adher · Jan 2016
Development and validation of a predictive model of failed stepping-down of inhaled corticosteroids in adult asthmatics.
Asthma guidelines suggest stepping-down of inhaled corticosteroids (ICSs) when asthma is stable. ⋯ Our results suggest that comorbidity with rhinitis/rhinosinusitis and phlegm grade are imperative to predict failed stepping-down of ICSs in controlled patients with adult asthma.
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Patient Prefer Adher · Jan 2016
Prediction of pain in orthodontic patients based on preoperative pain assessment.
To investigate whether pretreatment assessment of experimental pain can predict the level of pain after archwire placement. ⋯ A simple and noninvasive preoperative sensory test (the cold pressor test) was useful in predicting the risk of developing unbearable pain in patients after archwire placement. Self-reported pain after archwire placement decreased as individual pain tolerance increased.
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Patient Prefer Adher · Jan 2016
The association between cognitive function and objective adherence to dietary sodium guidelines in patients with heart failure.
Although cognitive impairment is common in heart failure (HF) patients, its effects on sodium adherence recommendations are unknown. ⋯ Adherence to urine sodium collection was poor, especially among those with poorer cognitive function. Sodium consumption exceeded recommended amounts and was unrelated to cognitive function. Interventions for improving sodium adherence should focus on at-risk groups (high SES and BMI) and at improving knowledge of recommended salt intake.