Non-adherence is a major problem in the treatment of schizophrenia. Its high prevalence, potentially severe consequences and associated costs make the study of this phenomenon a priority issue. In this article, basic non-adherence concepts of prevalence, consequences, evaluation methods, methodological restrictions of available studies, risk factors and intervention strategies, are reviewed. Studying non-adherence risk factors is a necessary step toward designing adequately oriented intervention strategies. An operative definition of adherence and good knowledge of its evaluation methods are essential to study this phenomenon. Unfortunately, most available studies contain methodological restrictions, especially concerning the evaluation methods, and an agreed operative definition of adherence has only very recently been reached. Knowing non-adherence risk factors, intervention strategies and available evidence on their effectiveness is essential in making treatment decisions in daily clinical practice.
Background: Colombia has one of the largest populations of internally displaced individuals by an armed conflict. However, there is no data demonstrating its effect on health, particularly in adolescents. Purpose: To describe the prevalence and associations of mental illness in the adolescent population displaced by violence in Colombia. Methods: We conducted a secondary analysis of the 2015 National Mental Health Survey (NMHS), which provides data of mental health issues (SRQ), mental health disorders (CIDI-CAPI) and sociodemographic characteristics. Results: Of the 1754 adolescents interviewed 5.3% (95% CI 4.1 to 6.9) mentioned a change in residence due to violence. Among them 38.5% lived in poverty compared to 23.6% of those non-displaced by the conflict. Suicidal thoughts and suicide attempt were present in 19.8% and 9.1% of displaced adolescents respectively, compared to 5.8% and 2.1% of non-displaced adolescents. The prevalence of post-traumatic stress disorder (PTSD) and any mental health disorder (measured with the CIDI-CAPI) was higher in the displaced population 12.3%, 11% respectively, in contrast to 2.1% and 7% of those non-displaced. Finally, anxiety and depressive disorders were more common among displaced adolescents. Conclusion: A higher prevalence of mental health conditions and disorders is observed among displaced adolescents.
This study evaluated the characteristics of suicide news articles in the digital press, their adherence to World Health Organization (WHO) recommendations, and the effectiveness of interventions. We assessed adherence, avoidability, frequency and typology of suicide news over a six-month period in the four main digital media outlets of the Canary Islands (Spain). A brief training and information package intervention to the Canary Islands media outlets was carried out. We compared the quality of media reporting at both the pre-intervention and post-intervention timepoints, and compared the quality of reporting at the post-intervention timepoint in Victoria (Australia), where media interventions have been well-resourced and running for several years. We evaluated 339 suicide news articles: 38 from the pre-intervention period, 64 from the post-intervention period, and 237 from Victoria. News articles showed a very low degree of adherence to WHO recommendations, especially to those recommendations thought to have a protective effect. Post-intervention news articles showed better adherence than pre-intervention ones, but lower than those of Victoria, where constant interventions have been developed for years. We conclude that adherence to WHO recommendations is low. Simple interventions aimed at media professionals can improve adherence. However, constant and complex interventions seem to be more effective.
ABSTRACT. Introduction: the goal of this study was to establish the association of social and biological risk factors with early childhood caries (ECC) in children from community homes of Instituto Colombiano de Bienestar Familiar (ICBF)
ASOCIACIÓN DE CARIES DE INFANCIA TEMPRANA CON FACTORES DE RIESGO EN HOGARES COMUNITARIOS DEL INSTITUTO COLOMBIANO DE BIENESTAR FAMILIAR EN ZIPAQUIRÁ, COLOMBIA ASSOCIATION OF EARLY CHILDHOOD CARIES WITH RISK FACTORS AT COMMUNITY HOMES OF INSTITUTO COLOMBIANO DE BIENESTAR FAMILIAR
Findings provide further evidence of poor medication adherence among youth with BP, and highlight the limits of subjective report of adherence. Providers should give careful attention to adherence when making decisions regarding treatment response and changes to medication regimen when working with youth with BP.
Isokinetic and functional jump tests are frequently performed for assessing the physical qualities of soccer players during preseason. The purpose of this investigation was to explore, in an elite soccer players population, the relationships between isokinetic strength and functional jump performances. Thirtyeight professional soccer players were evaluated as follows: isokinetic knee assessment in concentric (CON) mode (60, 240°/s) for quadriceps and hamstrings, and in eccentric (ECC) mode for the hamstrings only (30°/s); one-leg hop tests for distance (single hop (SH), triple hop (TH) and triple crossover hop (TCH)); one-leg vertical jump tests (countermovement jump, drop jump). Players with a low bodyweight normalised (BWN) quadriceps (Q) strength (<2.71 Nm/kg) performed, for a majority of the measured variables, significantly reduced jump performances compared to the players with high BWN Q strength (>3.14 Nm/kg; p < 0.05). Greater bilateral differences between uninjured and past injured lower limbs were found with isokinetics (Q CON 60°/s (mean bilateral difference (MBD): 10.3%; p < 0.01), Q CON 240°/s (MBD: 9.9%; p < 0.05), H ECC 30°/s (MBD: 16.1%; p < 0.001) than with functional tests (MBD: 2 to 9%; p > 0.05. In conclusion, due to their complementary role and implications for performance, functional and isokinetic tests should be associated in a preseason soccer players assessment.
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