Introduction: From the patient and staff perspective, care delivery for patients experiencing a mental health problem in ambulance and emergency department (ED) settings is challenging. There is no uniform and internationally accepted concept to reflect people with a mental health problem who require emergency care, be it for, or as a result of, a mental health or physical health problem. On initial presentation to the emergency service provider (ambulance or ED), the cause of their healthcare condition/s (mental health and/or physical health) is often initially unknown. Due to this (1) the prevalence and range of underlying causes (mental and/or physical) of the patients presenting condition is unknown; (2) misattribution of physical symptoms to a mental health problem can occur and (3) diagnosis and treatment of the initial somatic complaint and cause(s) of the mental/physical health problem may be hindered.This study will name and define a new concept: 'mental dysregulation' in the context of ambulance and ED settings. Methods and analysis: A Delphi study, informed by a rapid literature review, will be undertaken. For the literature review, a steering group (ie, persons with lived experience, ED and mental health clinicians, academics) will systematically search the literature to provide a working definition of the concept: mental dysregulation. Based on this review, statements will be generated regarding (1) the definition of the concept; (2) possible causes of mental dysregulation and (3) observable behaviours associated with mental dysregulation. These statements will be rated in three Delphi rounds to achieve consensus by an international expert panel (comprising persons with lived experience, clinicians and academics). Ethics and dissemination: This study has been approved by the Medical Ethical Committee of the University of Applied Sciences Utrecht (reference number: 258-000-2023_Geurt van der Glind). Results will be disseminated via peer-reviewed journal publication(s), scientific conference(s) and to key stakeholders.
Talloze studies tonen aan dat een fysiek actieve leefstijl bloeddruk, cholesterol en gewicht verlaagt, botten en spieren versterkt en het risico van hart- en vaatziekten, darmkanker en diabetes type II vermindert. Bewegen kan dus worden gezien als een medicijn wat voor iedereen toegankelijk is.
Although many publications have documented the use of complementary and alternative medicine (CAM) in children and adolescents, the recent review showed that there are only few well-controlled studies that support the efficacy of CAM in the treatment and clinical improvement of children with asthma. However, some evidence has been found that specific CAM techniques are differentially associated with psychosocial outcomes, indicating the importance of examining CAM modalities individually, as well as within culturally specific contexts. Based on the previous study of Traditional Chinese Medicine (TCM) treatment in children’s asthma, this study examined the efficacy of TCM in areas with differing air pollution. This study is based on a longitudinal qualitative data and observations of families of children with asthma collected between 2009 and 2012 in Amsterdam, The Netherlands. The study results indicate that while TCM treatment of children can be beneficial to treatment of asthma, environmental pollution renders positive effects of alternative treatment largely ineffective. https://www.linkedin.com/in/helenkopnina/
