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Categorizing health websites

Categorizing health websites.

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This article presents three types of health website categories (e-knowledge, e-business and e-professional) which are currently being used to disseminate health-related information, services and medical literature to the health consumer and professional. Moreover, criteria which have been used to establish a health website’s category is demonstrated throughout this article and specific screen captures are used to illustrate each. At present, literature surrounding the categorization and evaluation of health websites is limited; therefore, much of the criteria generated have been developed from an extensive review and critique of current health websites. The presented criteria checklist forms the guiding framework for this article and assists in giving understanding to the categorization and evaluation process. Furthermore, this article further presents how health consumers and professionals, through the application of such a checklist, may determine and evaluate a health website’s level of appropriateness for their specific needs (knowledge, business and professional). The criteria checklist assists the health consumer and professional to determine the levels of e-health literacy, evaluation tools and interactivity and usability components associated with each health website category.

Re-visit to the school nurse and adolescents’ medicine use

Re-visit to the school nurse and adolescents’ medicine use.

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Abstract

 

Objective: To examine if students who re-visit the school nurse use medicines differently than other students when exposed to aches and psychological problems.

 

Methods: The study includes all 11-, 13- and 15-year-old students from a random sample of schools in Denmark, response rate 87 per cent, n = 5,205. The data collection followed the internationally standardized HBSC questionnaire. This study includes an item about students’ re-visits to the school nurse, items about frequency of four complaints (headache, stomach-ache, difficulties in getting to sleep, and nervousness) and medicine use in the past month for these four complaints.

 

Results: In total, 8.6 per cent of the students had re-visited the school nurse. There was a strong and graded association between frequency of complaints and medicine use for the relevant complaint. Students who re-visited the school nurse had higher odds for medicine use than other students. The association between frequency of complaints and medicine use was stronger among students who had not re-visited the school nurse as compared to the students who had re-visited the school nurse. One example is the OR (95 per cent CI) for medicine use for headache among students who experienced headache monthly vs. seldom/never and at least weekly vs. seldom/never. Among students who did not re-visit the school nurse, the OR estimates were 5.32 (4.61–6.14) and 13.6 (10.5–17.6) and among students who did, OR estimates were 3.65 (2.32–5.75) and 7.07 (3.58–14.0).

 

Conclusion: The school nurse may reduce the students’ proneness to use medicine when they experience complaints.

 

The effect of housing on the mental health of older people: the impact of lifetime housing history in Whitehall II

Abstract | The effect of housing on the mental health of older people: the impact of lifetime housing history in Whitehall II.

Abstract (provisional)

 

Background

This study describes differences in trajectories of self-reported mental health in an ageing cohort, according to their housing, while controlling for confounders.

Methods

The General Health Questionnaire was measured on six occasions as part of Whitehall II cohort study of office-based British civil servants (1985-2009); 10,308 men and women aged 35-55 at baseline.

Results

Home-ownership was the predominant tenure at baseline and increased over the life-course, but the social gradient remained. In the bivariate analysis, by phase nine, renters had higher (poorer mental health) GHQ scores (55.48) than owner occupiers (51.98). Those who reported difficulty paying bills or problems with housing had higher GHQ scores at baseline (financial difficulties 57.70 vs 54.34; house problems 58.06 vs 53.99) and this relative difference increased by phase nine (financial difficulties 59.64 vs 51.67; house problems 56.68 vs 51.22). In multivariate models, the relative differences in GHQ scores by tenure increased with age, but were no longer significant after adjusting for confounders. Whereas GHQ scores for those with housing problems and financial difficulties were still significantly higher as participants grew older.

Conclusion

The social gradient in the effect of home ownership on mental health, which is evident at baseline, diminishes as people get older, whereas housing quality and financial problems become relatively more important in explaining older people’s health. Inequalities in housing quality and ability to deal with household financial problems will become increasingly important mental health issues as the population ages.

Evaluation of smoking prevention television messages based on the elaboration likelihood model

Evaluation of smoking prevention television messages based on the elaboration likelihood model.

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Abstract

Progress in reducing youth smoking may depend on developing improved methods to communicate with higher risk youth. This study explored the potential of smoking prevention messages based on the Elaboration Likelihood Model (ELM) to address these needs. Structured evaluations of 12 smoking prevention messages based on three strategies derived from the ELM were conducted in classroom settings among a diverse sample of non-smoking middle school students in three states (n = 1771). Students categorized as likely to have higher involvement in a decision to initiate cigarette smoking reported relatively high ratings on a cognitive processing indicator for messages focused on factual arguments about negative consequences of smoking than for messages with fewer or no direct arguments. Message appeal ratings did not show greater preference for this message type among higher involved versus lower involved students. Ratings from students reporting lower academic achievement suggested difficulty processing factual information presented in these messages. The ELM may provide a useful strategy for reaching adolescents at risk for smoking initiation, but particular attention should be focused on lower academic achievers to ensure that messages are appropriate for them. This approach should be explored further before similar strategies could be recommended for large-scale implementation.

The contribution of parent–child interactions to smoking experimentation in adolescence: implications for prevention

The contribution of parent–child interactions to smoking experimentation in adolescence: implications for prevention.

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Abstract

Because few prospective studies have examined the independent influence of mothers and fathers on smoking experimentation, we tested the association between a set of parent-specific, familial and peer interactions with smoking experimentation in early adolescence. Data come from two cohorts in the British Youth Panel Survey (N = 1736; mean age at baseline, 11.26; SD = 0.65), a study of children resident with members of the British Household Panel Survey. Baseline data showed 8.2% of participants had smoked which increased to 40.3% after a 3-year follow-up. Multivariate logistic regression models showed risk factors for the onset of experimentation included frequent time spent with peers (P < 0.001), maternal smoking (P = 0.001), female gender and older participant age (P < 0.001). Parent–child quarrels, mother–child conversations, family meal frequency and household income were not significantly associated with experimentation. Frequent father–child conversations, about things which mattered to children, were the only type of parent–child contact associated with a reduced risk of experimentation (P < 0.001), and a significant interaction suggested that maternal smoking increased the likelihood of girls but not boys experimentation (P = 0.01). This study suggests that familial risk and protective factors operate independently and that more attention should be paid to the role of fathers in smoking prevention.

Parents as educators of sex and relationship education

Parents as educators of sex and relationship education.

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Abstract

Objective: To identify how British families discuss sexual matters and to determine if the use of a multimedia computer program increases knowledge to promote communication about sexual topics.

Design: A mixed-method approach in which families were interviewed within the family environment.

Method: Twenty families from the north east of England were recruited through purposive sampling. The first element of the research involved semi-structured interviews to identify how sexual matters were discussed within families. Interviews were recorded, transcribed verbatim and analyzed using the modified grounded theory approach of Strauss and Corbin.1 The second part of the research involved families exploring a sex and relationship education resource to determine if knowledge and confidence in knowledge enhanced communication about sexual matters within families.

Results: The majority of parents and their children were found to discuss sexual matters openly within families. The resource was found to affect communication of sexual topics and increased knowledge and confidence in knowledge of parents and their children.

Conclusion: The results highlight the feasibility of using multimedia computer programs to educate and increase communication about sexual matters within families. Future research needs to focus on more diverse populations to assess the accuracy of this research and the possibility of developing parent programmes with the aim of educating parents so they can provide effective sex education to their children.

Brain circuitry model for mental illness will transform management, NIH mental health director says

via Brain circuitry model for mental illness will transform management, NIH mental health director says — White 343 — bmj.com.

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The field of mental health is on the cusp of a revolution, which is set to transform the diagnosis and treatment of mental illness and reverse the lack of major progress made in curbing associated ill health and death over the past 100 years, the director of the US National Institute of Mental Health, has claimed.

 

Yoghurt ‘soothes depressed mice’

Yoghurt ‘soothes depressed mice’ – Health News – NHS Choices.

NHS Choices examines the science behind the newspaper headlines.

Links to the headlines

Probiotic yoghurt could help treat depression, scientists say. Daily Mail, September 2011

Links to the science

Bravo JA, Forsythe P, Chew MV et al. Ingestion of Lactobacillus strain regulates emotional behavior and central GABA receptor expression in a mouse via the vagus nerve. PNAS 2011 ; published ahead of print August 29, 2011

Cost-effectiveness comparison of breast cancer screening and vascular event primary prevention with aspirin in Wales

Cost-effectiveness comparison of breast cancer screening and vascular event primary prevention with aspirin in Wales.

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Abstract

Aim: For the first time, this article presents a cost-effectiveness comparison of a breast cancer screening programme with a possible health education programme with aspirin for vascular event primary prevention.

Background: Breast cancer screening is a well established part of cancer control programmes yet recent evidence on this intervention has raised questions about harms. Aspirin prophylaxis for the primary prevention of vascular events, such as heart attack, is controversial based on debates about the benefit versus risk balance of the medicine.

Methods: A health economic analysis was undertaken using a cost-effectiveness methodology. The comparison offered a methodological challenge given that breast cancer screening and aspirin prophylaxis are very different interventions. One single end-point of comparison was therefore used, namely number of lives saved. The entire study was set in the context of the country of Wales, given the availability of pertinent previous Welsh research which underpinned some of the key calculations.

Results: The estimated cost per life saved by breast cancer screening was £6,000–£130,000, while for aspirin primary prevention against vascular events, the respective estimation was £50,000–£100,000. These results overlap and suggest the two interventions are comparable in terms of their cost-effectiveness of lives saved.

Conclusions: Based on this analysis, perhaps policy makers might begin to consider the possibility of a health education campaign which clearly presents the benefits and risks of aspirin. As part of this consideration, further studies would appear to be warranted, such as economic and health impact studies on the existing use of aspirin in the community.

Cull hospital and consultant numbers – Crisp

via Cull hospital and consultant numbers – Crisp | News | Health Service Journal.

This article is solely the work of the HSJ. For a full copy of the article please contact the library.

The NHS needs a new “vision” if it is to improve and should cut the number of hospitals and consultants to do so, one of its former chief executives has said

 

Cameron’s flagship cancer treatments fund ‘could prove insufficient’

via Cameron’s flagship cancer treatments fund ‘could prove insufficient’ | News | Health Service Journal.

This article is solely the work of the HSJ. For a full copy of the article please contact the library.

The value of David Cameron’s pledge to fund pioneering treatments for cancer – a showpiece of the Conservatives’ general election campaign – has come under fire from oncologists, HSJ has discovered

 

Vaccines rarely cause adverse events, Institute of Medicine finds

via Vaccines rarely cause adverse events, Institute of Medicine finds — Roehr 343 — bmj.com.

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Vaccines are safe to use and only rarely seem to result in adverse events, a committee of the US Institute of Medicine has concluded after an extensive review of the literature.

 

Health unions unite to warn government over pensions

via Health unions unite to warn government over pensions | News | Health Service Journal.

This article is solely the work of the HSJ. For a full copy of the article please contact the library.

Unions representing workers across the health service have warned they could stage coordinated industrial action if agreement cannot be reached on the future of the NHS pension scheme

 

Two thirds of trusts in England fail to meet new accident and emergency target

via Two thirds of trusts in England fail to meet new accident and emergency target — Mooney 343 — bmj.com.

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Nearly 70% of trusts in England failed to meet the government’s new target on assessing patients in accident and emergency (A&E) departments, show figures published on 26 August.

 

Further Health Bill amendments to include new ‘failure’ rules

via Further Health Bill amendments to include new ‘failure’ rules | News | Health Service Journal.

This article is solely the work of the HSJ. For a full copy of the article please contact the library.

Ministers will table a new set of amendments to the Health Bill next week, including setting out the failure regime for care providers.

 

Can chocolate really protect the heart?

Can chocolate really protect the heart? – Health News – NHS Choices.

Links to the headlines

Chocolate may protect the brain and heart. BBC News, August 30 2011

Chocolate is good for you, declares study (well, sort of). The Guardian, August 30 2011

Chocolate ‘cuts heart risk by a third’. The Daily Telegraph, August 30 2011

Links to the science

Buitrago-Lopez A, Sanderson J, Johnson L et al. Chocolate consumption and cardiometabolic disorders: systematic review and meta-analysis. BMJ 2011; 343:d4488

New strain of bird flu found

New strain of bird flu found – Health News – NHS Choices.

NHS Choices examines the science behind the newspaper headlines.

Links to the headlines

Mutation of H5N1 virus could revive bird flu threat, says UN. The Guardian, August 29 2011

Mutant strain of bird flu is spreading… and it’s resistant to existing vaccines, warns UN. Daily Mail, August 29 2011

Avian flu’s back, warns UN – and new strain is resistant to vaccines. The Independent, August 30 2011

Deadly new strain of bird flu set to cause havoc in Europe this winter. Metro, August 30 2011

Bird flu fear as mutant strain hits China and Vietnam. BBC News, August 30 2011

Q&A: Bird flu. BBC News, August 30 2011

Further reading

Food and Agriculture Organization of the United Nations: Bird Flu rears its head again. August 29 2011

Food and Agriculture Organization of the United Nations: Avian Flu

Health secretary will no longer be obliged to provide health service under new bill, says legal opinion

via Health secretary will no longer be obliged to provide health service under new bill, says legal opinion — Hawkes 343 — bmj.com.

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The health secretary for England would no longer be obliged to provide a health service under the Health and Social Care Bill currently going through parliament, legal opinions obtained by members of a campaigning group, 38 Degrees, have confirmed.

 

Gaddafi’s forces attacked hospitals, patients, and health professionals, report confirms

via Gaddafi’s forces attacked hospitals, patients, and health professionals, report confirms — Arie 343 — bmj.com.

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Forces of Muammar Gaddafi’s regime attacked hospitals, ambulances, patients, and doctors in Libya over the past six months, concludes a report from Physicians for Human Rights.

 

Severe influenza cases in paediatric intensive care units in Germany during the pre-pandemic seasons 2005 to 2008

Abstract | Severe influenza cases in paediatric intensive care units in Germany during the pre-pandemic seasons 2005 to 2008.

This article is available freely via Open Access. Please click on the above link to view it fully.

 

Abstract (provisional)

 

Background

Data on complications in children with seasonal influenza virus infection are limited. We initiated a nation-wide three-year surveillance of children who were admitted to a paediatric intensive care unit (PICU) with severe seasonal influenza.

Methods

From October 2005 to July 2008, active surveillance was performed using an established reporting system for rare diseases (ESPED) including all paediatric hospitals in Germany. Cases to be reported were hospitalized children <17 years of age with laboratory-confirmed influenza treated in a PICU or dying in hospital.

Results

Twenty severe influenza-associated cases were reported from 14 PICUs during three pre-pandemic influenza seasons (2005-2008). The median age of the patients (12 males / 8 females) was 7.5 years (range 0.1-15 years). None had received vaccination against influenza. In 14 (70%) patients, the infection had been caused by influenza A and in five (25%) by influenza B; in one child (5%) the influenza type was not reported. Patients spent a median of 19 (IQR 12-38) days in the hospital and a median of 11 days (IQR 6-18 days) in the PICU; 10 (50%) needed mechanical ventilation. Most frequent diagnoses were influenza-associated pneumonia (60%), bronchitis / bronchiolitis (30%), encephalitis / encephalopathy (25%), secondary bacterial pneumonia (25%), and ARDS (25%). Eleven (55%) children had chronic underlying medical conditions, including 8 (40%) with chronic pulmonary diseases. Two influenza A- associated deaths were reported: i) an 8-year old boy with pneumococcal encephalopathy following influenza infection died from cerebral edema, ii) a 14-year-old boy with asthma bronchiale, cardiac malformation and Addison’s disease died from cardiac and respiratory failure. For nine (45%) patients, possibly permanent sequelae were reported (3 neurological, 3 pulmonary, 3 other sequelae).

Conclusions

Influenza-associated pneumonia and secondary bacterial infections are relevant complications of seasonal influenza in Germany. The incidence of severe influenza cases in PICUs was relatively low. This may be either due to the weak to moderate seasonal influenza activity during the years 2005 to 2008 or due to under-diagnosis of influenza by physicians. Fifty % of the observed severe cases might have been prevented by following the recommendations for vaccination of risk groups in Germany.

Poor sleep studied for high blood pressure risk in older men

Poor sleep studied for high blood pressure risk in older men – Health News – NHS Choices.

Links to the headlines

Bad sleep ups blood pressure risk. BBC News, August 30 2011

Poor sleep sends older men’s blood pressure through the roof. Daily Mirror, August 30 2011

Having a poor night’s sleep can be bad for a man’s heart. Daily Mail, August 30 2011

Links to the science

Fung MM, Peters K, Redline S, et al. Decreased Slow Wave Sleep Increases Risk of Developing Hypertension in Elderly Men. Hypertension 2011, Published online before print August 29

‘Half of UK obese by 2030′

‘Half of UK obese by 2030′ – Health News – NHS Choices.

NHS Choices examines the science behind the newspaper headlines.

Links to the headlines

Tougher action on obesity urged. BBC News, August 26 2011

‘Tax unhealthy foods or half will be obese by 2030′. The Daily Telegraph, August 26 2011

UK fat alert: 26 million will be obese by 2030. The Independent, August 26 2011

Half of UK men could be obese by 2030. The Guardian, August 26 2011

Nearly half of UK men ‘will be obese by 2030’ and women won’t be far behind. Daily Mail, August 26 2011

Half of Britons will be obese in under 20 years. Daily Express, August 26 2011

Links to the science

Series on Obesity. The Lancet 2011, published August 26

Wang YC, McPherson K, Marsh T, et al. Health and economic burden of the projected obesity trends in the USA and the UK. The Lancet 2011; 378: 815 – 825