New England Journal of Medicine, Volume 391, Issue 15, Page 1454-1455, October 17, 2024.
Risultati per: Standard Italiani per la cura del diabete mellito
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Effects of dim-evening lighting optimised for geographical orientation versus standard lighting on mental health: protocol paper for a quasiexperimental study in a psychiatric hospital
Introduction
Research has provided novel insights into how light stimulates circadian rhythms through specialised retinal ganglion cells to the suprachiasmatic nucleus. In addition, there has been a revolution in light-emitting diode (LED) technology, leading to tunable LED light sources and lighting systems, enabling 24-hour dynamic light scenarios with bright blue-enriched short wavelength light during the day and dim evening light, stimulating the circadian system. These dynamic LED lighting systems are now being implemented at hospitals without adequate understanding of how it may affect the health and well-being of patients and staff.
Methods and analysis
An optimised dynamic LED lighting scenario is investigated at a newly built psychiatric hospital in Copenhagen. In the 12 months baseline period, a standard lighting scenario with dynamic colour temperature and fixed light intensity is investigated. In the following 12-month intervention period, a new DEL scenario is investigated, having dynamic colour temperature as well as dynamic light intensity with a higher daytime and lower evening-time melanopic daylight equivalent illuminance. This setting is furthermore adjusted for geographical orientation to compensate for differences in sunlight access in wintertime. The study uses a quasiexperimental design comparing patients admitted in the two study periods. Prior to each of the study periods, daylight and the contribution from the LED-lighting scenarios was measured. Patient sociodemographic and mental health data will be retrieved retrospectively from electronic medical records and by questionnaires administered in the two periods, evaluating lighting, noise, sleep quality and quality of life. Primary outcome is the proportion of patients receiving pro re nata medications. Secondary outcomes are the length of stay, sleep onset latency, sleep quality and quality of life.
Ethics and dissemination
No ethical issues are expected. The results will be disseminated through peer-reviewed international journal, lectures, posters and interviews.
Trial registration number
NCT05868291.
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Fino a -25% peso per pazienti con altri fattori rischio
Artride reaumatoide: la cura passa dalle terapie innovative e da una legge ad hoc
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High-Dose or Standard-Dose Influenza Vaccine: Which Is Better for Older Adults?
In a retrospective cohort study in France, high-dose influenza vaccine was associated with 23% lower hospitalization rates among those aged ≥65.
Standard or Extended Lymphadenectomy for Muscle-Invasive Bladder Cancer
New England Journal of Medicine, Volume 391, Issue 13, Page 1206-1216, October 3, 2024.
Corsie vuote? Così 300 rifugiati e migranti si formano per lavorare negli ospedali italiani
Previsto il placement presso strutture attive nel settore socio-sanitario, inclusi ospedali, cliniche ed Rsa
In persistent uncontrolled asthma, adding azithromycin to standard therapy increased clinical remission rates at 1 y
Annals of Internal Medicine, Ahead of Print.
In persistent uncontrolled asthma, adding azithromycin to standard therapy increased clinical remission rates at 1 y
Annals of Internal Medicine, Ahead of Print.
In adults with hypertension and high CV risk, intensive vs. standard BP-lowering therapy reduced major vascular events
Annals of Internal Medicine, Ahead of Print.
In adults with hypertension and high CV risk, intensive vs. standard BP-lowering therapy reduced major vascular events
Annals of Internal Medicine, Ahead of Print.
Low-Dose Triple-Pill vs Standard-Care Protocols for Hypertension Treatment in Nigeria
This randomized clinical trial compares the effectiveness and safety of a novel low-dose triple-pill protocol, compared with a standard-care protocol, for blood pressure lowering among Black African adults in Nigeria.
Un trapianto di staminali fa regredire il diabete, è il primo caso al mondo
In una donna di 25 anni, ora produce insulina autonomamente
Un trapianto di staminali fa regredire il diabete, è il primo caso al mondo
In una donna di 25 anni, ora produce insulina autonomamente
Un trapianto di staminali fa regredire il diabete, è il primo caso al mondo
In una donna di 25 anni, ora produce insulina autonomamente