Supporting nurse mentors to reduce the barriers to implementing alcohol Interventions and Brief Advice (IBA) in primary care

Conclusion This project indicates that by supporting nurse mentors in leading on the implementation of IBA there is potential for reducing alcohol-related harm within the existing resources of the surgery. This could support primary care in the practical implementation of an evidence based cost effective intervention which has experienced patchy uptake. References 1 Her Majesty’s Government (2012) The Government’s Alcohol Strategy -2012 2 House of Commons Health Committee, 29012, Government’s Alcohol Strategy 3 National Institute for Health and Care Excellence (2012) Alcohol-use disorders: prevention Guideline PH24 4 Thom B. et al (2014) Delivering alcohol IBA: broadening the base from health to non-health contexts Alcohol insight number 116 Alcohol Research UK 5 PHE Alcohol Learning Resources 6 Event hosted jointly by the Royal College of GPs Foundation, the Committee of General Practice Education Directors (COGPED) and Health 6 6Education Wessex (HEW) November 2013 Nursing in Primary Care – ‘a roadmap to excellence’
Source: Alcohol Research UK - Category: Addiction Authors: Tags: Alcohol Insights Source Type: news

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This study suggests that while access to care was increased, reducing risk factors attributed to health risky behaviour and diabetes cannot be sufficiently done simply by extending health insurance coverage and the provision of preventive services. This suggests that more targeted interventions are required.
Source: Social Science and Medicine - Category: Psychiatry & Psychology Source Type: research
Physical activity, healthy nutrition and lack of stress are the three most important components of health. Inadequate levels of physical activity, obesity, unhealthy diet and chronic stress (e.g. tobacco, excessive alcohol and other harmful physical, chemical, biological, psychological and social stress) can induce an unhealthy and unhappy life that leads to chronic diseases such as hypertension, diabetes and cardiovascular disease, cancer and Alzheimer's and to premature death. The mechanisms are generally thought to involve increased oxidative stress, inflammation, epigenetic changes and metabolic changes.
Source: Nutrition - Category: Nutrition Authors: Source Type: research
Advanced liver cirrhosis is characterised by the development of clinical complications of portal hypertension or liver insufficiency [1]. It is a growing international public health problem due to increases in alcohol consumption, rates of obesity and viral hepatitis [2 –5]. It often affects people of working age [2,6] and is the third most common cause of premature death in the United Kingdom (UK) [7].
Source: Journal of Hepatology - Category: Gastroenterology Authors: Source Type: research
ABSTRACT OBJECTIVE To estimate the prevalence of smoking and associated factors among rural residents. METHODS This is a population-based, cross-sectional study of 1,519 individuals carried out in 2016. We randomly selected 24 of the 50 census tracts that make up the eight rural districts of the city of Pelotas, State of Rio Grande do Sul, Brazil. All individuals aged 18 years or more living in the randomly selected households were eligible. Smokers were all those who smoked ≥ 1 cigarette/day for at least one month or declared that they had stopped smoking for less than one month. The independent variables included soci...
Source: Revista de Saude Publica - Category: International Medicine & Public Health Source Type: research
CONCLUSIONS The previous detailed recognition of the research environment was crucial for decision making as the maps and territory had geographical inconsistencies. The strategies and techniques used in studies for the urban area are not applicable to the rural area given the outcomes observed in Pelotas. The decisions taken, keeping the methodological rigor, were essential to ensure the timely execution of the study with the financial resources available.RESUMO OBJETIVO Descrever o planejamento, a amostragem, os aspectos operacionais do campo e a amostra obtida durante pesquisa realizada na zona rural, especificando e di...
Source: Revista de Saude Publica - Category: International Medicine & Public Health Source Type: research
CONCLUSIONS: Isolated EU was found to be associated with snoring, an elongated uvula and having suffered from previous episodes of EU. Associations among groups of EU patients and gender, obesity, smoking, alcohol consumption, personal and family atopy or obstructive sleep apnea, were not demonstrated. Allergy to A. simplex was the most commonly recorded cause. PMID: 30222112 [PubMed - as supplied by publisher]
Source: Journal of Investigational Allergology and Clinical Immunology - Category: Allergy & Immunology Authors: Tags: J Investig Allergol Clin Immunol Source Type: research
Sitagliptin reduces insulin resistance and improves rat liver steatosis via the SIRT1/AMPKα pathway. Exp Ther Med. 2018 Oct;16(4):3121-3128 Authors: Shen T, Xu B, Lei T, Chen L, Zhang C, Ni Z Abstract Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease. It is asymptomatic at presentation and is frequently identified among individuals with metabolic dysfunction, including obesity and diabetes. NAFLD is primarily characterized by the accumulation of triacylglycerol in the liver. Since insulin resistance and fat metabolism dysregulation are major causes of type 2 diabetes and ...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
Source: Obesity Surgery - Category: Surgery Source Type: research
Anti-obesity and fatty liver-preventing activities of Lonicera caerulea in high-fat diet-fed mice. Int J Mol Med. 2018 Sep 14;: Authors: Kim JW, Lee YS, Seol DJ, Cho IJ, Ku SK, Choi JS, Lee HJ Abstract Blue honeysuckle (BH, Lonicera caerulea) is used as a traditional medicine in Russia, Japan and China, but is not commonly considered as an edible berry in Europe, USA or Korea. BH has been revealed to decrease serum cholesterol and triacylglycerol (triglyceride or TG) levels through the activation of AMP‑activated protein kinase (AMPK), thus it is expected to be a health functional food and...
Source: International Journal of Molecular Medicine - Category: Molecular Biology Authors: Tags: Int J Mol Med Source Type: research
This report aims to track progress against targets set by the European policy framework, Health 2020. It indicates an increase in life expectancy and reductions in premature mortality, but warns that smoking, alcohol, obesity and under-vaccination are hindering progress.
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news
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