Central mechanisms related to referred muscle pain and temporal summation of muscular nociceptive activity are facilitated in fibromyalgia syndrome (FMS) patients. The present study assessed the effects an NMDA-antagonist (ketamine) on these central mechanisms. FMS patients received either i.v. placebo or ketamine (0.3 mg/kg, Ketalar®) given over 30 min two separate occasions. Habitual intensity was a visual analogue scale (VAS). Initially, 29 isotonic saline determine which were responders...

Background Patient and public involvement (PPI) is a prerequisite for many funding bodies NHS research ethics approval. PPI in defined as carried out with or by the rather than to, about them. While benefits of have been widely discussed, there lack evidence on impact outcomes research. Objectives To determine types funded research, describe key processes, analyse contextual temporal dynamics explore experience all those involved. Mechanisms contributing to routine incorporation process were...

Aims. This paper reports the development of a tool to measure parenting self‐efficacy as an aid evaluating programmes. Background. Whilst there has been increasing interest in programmes from parents, government and professionals, is lack rigorous evaluation studies their effectiveness, particularly longer‐term outcomes. Equally, little research evidence views experiences parents themselves. It important develop robust outcome measures which draw on well‐developed theoretical constructs...

To explore whether changes in parenting self-efficacy after attending a programme are related to stress and child behaviour.Adverse is risk factor the development of range health behavioural problems childhood predictive poor adult outcomes. Strategies for supporting parents recognised as an effective way improve health, well-being children. Parenting influenced by many factors including behaviour characteristics child, psychological parent contextual influences support. difficulties major...

The paper reports a study to develop and test tool for assessing range of factors influencing the development evidence-based practice among clinical nurses.Achieving is goal in nursing frequently cited by profession government health policy directives. Assessing achievement this goal, however, complex. Consideration needs be given factors, including different types evidence used inform practice, barriers achieving skills required nurses implement care.Measurement scales currently available...

Self-care is seen as a key element in managing resource demand chronic disease and also perceived an empowering right for patients. The Chronic Disease Self-Management Programme developed the USA has been adopted number of countries UK adapted Expert Patients Programme. However, despite its potential lay-led initiative, criticised perpetuating medical model failing to reach those most need. This paper revisits critique Programme, drawing upon qualitative study seeks explore whether enables...

To determine perception and pain thresholds in patients with fibromyalgia syndrome healthy controls, to investigate whether can be grouped respect thermal hyperalgesia these subgroups differ from controls clinical appearance.The authors conducted a quasi-experimental study.Twenty-nine women 21 pain-free age-matched participated the study.Quantitative sensory testing using Thermotest instrument was performed on dorsum of left hand. Sleep intensity were rated visual analog scales.Cold heat but...

Fibromyalgia is currently classified as chronic widespread pain with allodynia to pressure pain. There are few data describing characteristics, quality of life, consequences for daily living, and psychosocial status in patients who meet the classification criteria fibromyalgia proposed by American College Rheumatology compared but not allodynia. This study used a randomly selected sample from general population. A postal questionnaire mannequin were sent 9952 people. The response rate was...

Abstract Objective A previous study demonstrated an association between self‐reported widespread body pain and increased mortality. The aim of this was to analyze whether fibromyalgia (FM) FM‐like symptoms are related Methods From hospital records, we identified 1,361 patients referred during the period 1984–1999 because suspicion FM. cases were reviewed by reviewers who blinded outcome. cohort followed up for a total 5,295 person‐years at risk linked Danish Mortality Register. Using number...

Information and communication technologies are used increasingly to facilitate social networks support women during the perinatal period. This paper presents data on how technology use affects association between women’s and, (i) mental wellbeing (ii) self-efficacy in antenatal Data were collected as part of an ongoing study - BaBBLeS exploring effect a pregnancy maternity software application (app) maternal self-efficacy. Between September 2016 February 2017, we aimed recruit first-time...

Patient and public involvement (PPI) in research is very important, funders the NHS all expect this to happen. What means practice, how make it really successful, therefore an important question. This article analyses experience of a team using PPI, makes recommendations on strengthening PPI research. There were different roles our study – some people part team: advisory group; there patient groups who gave specific feedback work better for their needs. We used minutes, other written...

The aim of this study was to evaluate the use computerized cuff pressure algometry (CPA) in fibromyalgia (FM) and correlate deep-tissue sensitivity assessed by CPA with other disease markers FM. Forty-eight women FM 16 healthy age-matched were included. A computer-controlled, pneumatic tourniquet placed over gastrocnemius muscle. inflated, subject rated pain intensity continuously on an electronic Visual Analogue Scale (VAS). stopped inflation at pressure-pain tolerance corresponding...

Breastfeeding is a key determinant in promoting public health and reducing inequality. Low-income women have significantly lower level of breastfeeding. Midwives the UK been encouraged to implement World Health Organization/United Nations Children's Fund's Ten Steps Successful Breastfeeding, but date, there has no evaluation impact training initiative on breastfeeding behaviours low-income women. As part wider study, this qualitative component was designed answer question - what are views...

The concept for this special section of the journal arose from Second International Symposium on Health Assets in a Global Context: Theory Methods Action, London (2011), two day event designe...

The study examined the impact of easy access to ambulatory services for patients with bipolar disorder in a clinic-based program at Veterans Affairs medical center. Core components included medication administration based on treatment algorithms, standardized psychoeducation, and single primary nurse provider enhance continuity care. had no community outreach or extensive rehabilitation components. used mirror-image design compare patients' data from year before entry when received standard...

This paper is a report of study to measure changes in parenting self-efficacy after attending programme and determine if these are maintained over time.A need for the evaluation programmes from perspective parents who take part has led development Tool Measure Parenting Self-Efficacy. Self-efficacy, self-perception one's ability perform competently effectively particular task or setting, provided framework tool.A total 356 took 53 UK 2004-2005. Parents completed tool as pre- post-course at...