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Postoperative risks associated with alcohol screening depend on documented drinking at the time of surgery
Background Both AUDIT-C alcohol screening scores up to a year before surgery and clinical documentation of drinking over 2 drinks per day immediately prior to surgery (“documented drinking >2 d/d”) are associated with increased postoperative complications and health care utilization. The purpose of this study was to evaluate whether documented drinking >2 d/d contributed additional information abo
Effectiveness of the gold standard programmes (GSP) for smoking cessation in pregnant and non-pregnant women
Smoking is considered the most important preventable risk factor in relation to the development of complications during pregnancy and delivery. The aim of this study was to evaluate the effectiveness of an intensive 6-week gold standard programme (GSP) on pregnant women in real life.
Review: Experiences and preferences of counselling about living habits in healthcare – a systematic review of studies on the patient perspective
Background Recent policy in Sweden states that patients in every part of health care are to be presented with health counselling concerning living habits: tobacco, alcohol, an inactive lifestyle and eating habits. This review aims to investigate experiences and preferences of counselling about living habits from the patient’s perspective. Method A literature review of six major databases using a
Can hospitals and health services do more for public health?
Implementation of health promotion in the clinical daily work
Health Promotion for mentally ill patients - start now!
Influence of acute alcohol intoxication on certain immune reactions
Background Long-term alcohol abuse is a potent immunomodulator, and alcohol abusers have increased risk of bacterial infections after surgery. In experiments, acute alcohol intoxication suppresses certain immune reactions and may co-act with trauma to increase risk of post-trauma infectious complications. The aim was to evaluate immune reactions during, an evening of social drinking. Methods We s
Review: Web-based brief interventions for young adolescent alcohol and drug abusers - a systematic review
BackgroundAdolescents’ use of alcohol, cannabis and other psychoactive substances has significantly increased in European countries. Parallel to this web-based screening and brief intervention have been disseminated. An important question is if it is based on evidence for effect? Therefore, the aim of this review is to evaluate the evidence for effect. MethodA systematic literature search was perf
Smoking cessation intervention in emergency neurology - introduction of a new practice
Introduction Emergency neurological patients are rarely given opportunities for smoking and alcohol intervention. How-ever, both are relevant in the acute phase as well as in future rehabilitation.Objectives The aim of this study was primarily to illustrate the implementation of motivational counselling in an acute neurological department and also to predict factors influencing this motivation.Met
Handling Clinical Health Promotion in the HPH DATA MODEL: Basic Documentation of Health Determinants in Medical Records of tobacco, malnutrition, overweight, physical inactivity & alcohol
BackgroundClinical Health Promotion activities contribute to the reduction of disease and treatment, and improve outcomes and prognosis. Accordingly, major health determinants such as smoking, physical inactivity, risk of malnutrition, overweight and hazardous drinking should be easily identified in the medical records. To that end, this study evaluates a simple 9 question health documentation mod
Smoking cessation intervention activities and outcomes before, during and after the national Healthcare Reform in Denmark
BackgroundMany countries and regions undergo structural changes that intent to improve the effectiveness and quality of care. Until 2007, the municipalities, counties, hospitals and pharmacies shared the smoking cessation activities almost equally in Denmark. Among others, the Danish Healthcare Reform 2007 intended to add responsibility for smoking cessation intervention at county level to the mun
Prevalence of alcohol misuse among men and women undergoing major noncardiac surgery in the Veterans Affairs health care system
Background Patients who screen positive for alcohol misuse on the Alcohol Use Disorder Identification Test Consumption Questionnaire (AUDIT-C ≥5 points) have significantly increased postoperative complications. Severe alcohol misuse (AUDIT-C ≥9 points) is associated with increased postoperative health care use; however, little is known about the prevalence of alcohol misuse in demographic and clin
Impact of compliance on quit rates in a smoking cessation intervention: population study in Denmark
Promoting a healthy workplace
Reduced wound healing capacity in alcohol abusers - reversibility after withdrawal
BackgroundAlcohol abusers have increased risk of wound complications following surgical procedures, however the development of complications is reduced after preoperative withdrawal from alcohol. Therefore the aim of the study was to evaluate wound healing at alcohol abuse and after withdrawal. MethodsIn total 16 alcohol abusers were included and tested. Nine abusers were able to abstain from alco
The global financial crisis increases the need for clinical health promotion
Where can I get the best help to quit smoking?
Hazardous drinkers in Norwegian hospitals - a cross-sectional study of prevalence and drinking patterns among somatic patients
Background: High alcohol intake has been associated with increased risk of hospital admission, increased complication rates, and prolonged hospital stay. Thus, hospital admission may present a relevant opportunity for alcohol intervention. To understand the potential of alcohol interventions we need knowledge about patients’ drinking patterns. The aim of this study was therefore to determine the d