Improving mental health in health care practitioners: Randomized controlled trial of a gratitude intervention.

Chronic occupational #stress is common among health care practitioners, with potential impacts on personal mental health and staff turnover. This study investigated whether directing practitioners’ attention to #thankful events in work could reduce stress and depressive symptoms ..One hundred two practitioners were randomly assigned into 3 conditions: gratitude, hassle, and nil-treatment. Those with scheduled long leaves were excluded. Participants in the gratitude and hassle group … Continue reading Improving mental health in health care practitioners: Randomized controlled trial of a gratitude intervention.

The influence of #personality traits on the #placebo/nocebo response: A systematic review

Some people might be more prone to placebo and nocebo responses than others depending on their personality traits.. After screening 407 references, we identified 24 studies. The Big Five (i.e., neuroticism, extraversion, openness to experience, agreeableness and conscientiousness) and optimism were the most frequently investigated personality traits. Several studies found a positive association between optimism and the placebo response. Furthermore, we found that higher anxiety … Continue reading The influence of #personality traits on the #placebo/nocebo response: A systematic review

Psychological Function, Iyengar #Yoga, and Coherent #Breathing A Randomized Controlled Dosing Study

Evidence suggests that yoga may be an effective treatment for major depressive disorder (MDD).. ..Thirty-two participants (18 to 65 y of age) diagnosed with MDD were randomized to a high-dose group (HDG) or a low-dose group (LDG) of yoga and coherent breathing for 12 weeks. The HDG (n=15) involved three 90-minute yoga classes and four 30-minute homework sessions per week. The LDG (n=15) involved two 90-minute … Continue reading Psychological Function, Iyengar #Yoga, and Coherent #Breathing A Randomized Controlled Dosing Study

Playing analog #games is associated with reduced declines in #cognitive function: a 68 year longitudinal cohort study

..Our goal was to examine the association between playing games and change in cognitive function from age 11 to age 70, and from age 70 to 79.. Higher frequency of playing games was associated with higher cognitive function at age 70, controlling for age 11 cognitive function, and the majority of this association could not be explained by control variables. Playing more games was also … Continue reading Playing analog #games is associated with reduced declines in #cognitive function: a 68 year longitudinal cohort study

#Illiteracy, #dementia risk, and cognitive trajectories among older adults with low education

..Analyses included 983 adults (≥65 years old, ≤4 years of schooling) who participated in a longitudinal community aging study. Literacy was self-reported (“Did you ever learn to read or write?”).. ..Illiterate participants were almost 3 times as likely to have dementia at baseline compared to literate participants. Among those who did not have dementia at baseline, illiterate participants were twice as likely to develop dementia. … Continue reading #Illiteracy, #dementia risk, and cognitive trajectories among older adults with low education

Association between Dietary #Selenium Intake and the Prevalence of #Osteoporosis: A Cross-Sectional Study

To examine the correlation between dietary selenium (Se) intake and the prevalence of osteoporosis (OP) in the general middle-aged and older population in China ..Compared with the lowest quartile, the energy intake, age, gender and body mass index (BMI)-adjusted odds ratios of OP were 0.72 (95% confidence interval CI 0.55-0.94), 0.72 (95% CI 0.51-1.01) and 0.47 (95% CI 0.31-0.73) for the second, third and fourth … Continue reading Association between Dietary #Selenium Intake and the Prevalence of #Osteoporosis: A Cross-Sectional Study

#Dapagliflozin in Patients with Heart Failure and Reduced #Ejection Fraction

In patients with type 2 diabetes, inhibitors of sodium–glucose cotransporter 2 (SGLT2) reduce the risk of a first hospitalization for heart failure, possibly through glucose-independent mechanisms.. A first worsening heart failure event occurred in 237 patients (10.0%) in the dapagliflozin group and in 326 patients (13.7%) in the placebo group (hazard ratio, 0.70; 95% CI, 0.59 to 0.83). Death from cardiovascular causes occurred in 227 … Continue reading #Dapagliflozin in Patients with Heart Failure and Reduced #Ejection Fraction

Altered Risk for #cardiovascular Events With Changes in the #Metabolic Syndrome Status: A Nationwide Population-Based Study of Approximately 10 Million Persons

Population-scale evidence for the association between dynamic changes in metabolic syndrome (MetS) status and alterations in the risk for major adverse cardiovascular events (MACE) is lacking ..At a median follow-up of 3.54 years, the MetS-recovery group (incidence rate, 4.55 per 1000 person-years) had a significantly lower MACE risk (adjusted IRR, 0.85 [95% CI, 0.83 to 0.87]) than that of the MetS-chronic group (incidence rate, 8.52 … Continue reading Altered Risk for #cardiovascular Events With Changes in the #Metabolic Syndrome Status: A Nationwide Population-Based Study of Approximately 10 Million Persons

Underuse of Clinical Decision Rules and d-#Dimer in Suspected Pulmonary #Embolism: A Nationwide Survey of the Veterans Administration Health Care System

The diagnosis of pulmonary embolism (PE) remains a challenge. CT pulmonary angiography (CTPA) for suspected PE has become the primary imaging modality, but concerns regarding overutilization, overdiagnosis, radiation, and costs have led to algorithms that combine a clinical decision rule (CDR) and highly sensitive d-dimer to identify patients in whom PE can be safely excluded without further studies. ..The overwhelming majority of respondents (85%) did … Continue reading Underuse of Clinical Decision Rules and d-#Dimer in Suspected Pulmonary #Embolism: A Nationwide Survey of the Veterans Administration Health Care System

Family history of #cancer and subsequent risk of cancer: A large‐scale population‐based prospective study in Japan

Family history (FH) of cancer is an important factor of increased risk of several cancers.. During 1,802,581 person‐years of follow‐up, a total of 16,336 newly diagnosed cancers were identified. Any site (Hazard ratios = 1.11 (95% confidence interval = 1.07–1.15]), esophagus (2.11 [1.00–4.45]), stomach (1.36 [1.19–1.55]), liver (1.69 [1.10–2.61]), pancreas (2.63 [1.45–4.79]), lung (1.51 [1.14–2.00]), uterus (1.93 [1.06–3.51]) and bladder cancers (6.06 [2.49–14.74]) with FH … Continue reading Family history of #cancer and subsequent risk of cancer: A large‐scale population‐based prospective study in Japan

Adjunctive #Rifampin Therapy For Diabetic Foot #Osteomyelitis in the Veterans Health Administration

Among patients diagnosed with diabetes, the lifetime incidence of foot ulcers is 15%. Infection is a common complication of foot ulcers, and 20% to 60% of infections result in diabetic foot osteomyelitis (DFO). ..Patients initiating rifampin therapy within 6 weeks of the DFO diagnosis and receiving the drug for at least 14 days within 90 days of diagnosis were considered treated with rifampin. Patients not … Continue reading Adjunctive #Rifampin Therapy For Diabetic Foot #Osteomyelitis in the Veterans Health Administration

Effects of total #sleep deprivation on procedural placekeeping: More than just lapses of attention

Total sleep deprivation (TSD) impairs attention as well as higher-order cognitive processes. Because attention is a core component of many tasks, it may fully mediate the effect of sleep deprivation on higher-order processes… A large sample of participants (N = 138 contributing data) performed the Psychomotor Vigilance Task and UNRAVEL under rested or sleep-deprived conditions. TSD impaired placekeeping generally and memory maintenance processes specifically, above … Continue reading Effects of total #sleep deprivation on procedural placekeeping: More than just lapses of attention