INTRODUCTION Patients with chronic rheumatoid arthritis (RA) need advice in order to face the problems of everyday life, as well as suffering associated with the disease. Health professionals should attempt to raise the level of resourcefulness and independence of the patient. OBJECTIVE To assess the relationship between the deficit of knowledge about RA and the degree of pain, fatigue, morni...

Key messages n Case management is an established tool in integrating services around the needs of individuals with long-term conditions. n It is a targeted, community-based and pro-active approach to care that involves case-finding, assessment, care planning, and care co-ordination. n The evidence for case management is mixed. However, where it is implemented effectively it has improved the exp...

Principles imply fundamental truths upon which rest knowledge, learning, and teaching. Knowledge and principles are memorialized by and disseminated through words. The denotative word meanings must be agreed upon in order that principles and knowledge can be formally written and spoken so that, the structure of scientific information can be built. The terms selfconcept, self-care, self-manageme...

The complexity of natural resource management is increasingly recognized and requires adaptive governance at multiple levels. It is particularly significant to explore the impacts of government interventions on the management practices of local communities and on target social-ecological systems. The Inner Mongolian rangeland was traditionally managed by indigenous people using their own instit...

BACKGROUND Interventions that target cancer patients and their caregivers have been shown to improve patient-caregiver communication, support, and emotional well-being. OBJECTIVE To adapt an in-person communication intervention for cancer patients and caregivers to a web-based format, and to examine the usability and acceptability of the web-based program among representative users. METHODS...

Crop productivity is improved by ecosystem services, including pollination, but this should be set in the context of trade-offs among multiple management practices. We investigated the impact of pollination services on coffee production, considering variation in fertilization, irrigation, shade cover, and environmental variables such as rainfall (which stimulates coffee flowering across all pla...

Codes of medical practice forbid a doctor to have sex with a patient. Still, practice and attitudes turn out to be unruly, so there is a need for (public) discussion and education. Moreover, other professional limitations in the doctor-patient relationship (e.g., 'non-medical' physical contact, dating a patient, accepting gifts from a patient, and treating partners, family-members and friends) ...

Every child reaches a point somewhere between infancy and young adulthood when he or she takes a step toward independence by caring for himself or herself for a period of time when no adult is present. Family decisions to allow their children to care for themselves vary widely, depending among other things on the family’s view of the risks associated with self-care, the child’s readiness for se...

BACKGROUND Low back pain (LBP) is a common cause of disability and is ranked as the most burdensome health condition globally. Self-management, including components on increased knowledge, monitoring of symptoms, and physical activity, are consistently recommended in clinical guidelines as cost-effective strategies for LBP management and there is increasing interest in the potential role of dig...

OBJECTIVES This study aims to analyze the profile and relevance of pharmaceutical interventions (PIs) in the management of tuberculosis (TB) at inpatient settings. PATIENTS AND METHODS Cross-sectional descriptive study conducted from March to December 2014 within the inpatient unit of pneumophtisiology department, Ivory Coast. Information collected was based on the classification of drug-rela...