Prevention and Management of Chronic Diseases

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Preventive Medicine".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 3754

Special Issue Editors


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Guest Editor
Department of Occupational Diseases and Environmental Health, Nofer Institute of Occupational Medicine, 91-348 Łódź, Poland
Interests: occupational health; public health; occupational medicine

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Guest Editor Assistant
Department of Public Health, Medical University of Warsaw, 02-091 Warsaw, Poland
Interests: public health; health promotion; health education; health behaviours; prophylaxis

Special Issue Information

Dear Colleagues,

The prevention and management of chronic diseases is one of the most important areas of public health. When civilization diseases are added, there appears to be a field for planning health promotion strategies and building a public health policy. It demonstrates the importance of public health and the value of experience-building. It also justifies the need to exchange experiences among specialists. This Special Issue provides an ideal possibility for exchanging views and concepts to improve public health policies. Preventive examinations can detect many serious diseases, which is why they are so important not only for the population, but also for politicians who deal with the health policy of the country. For this reason, we decided to create a Special Issue titled “Prevention and Management of Chronic Diseases”, where we plan to publish an overview of the most recent advances in this field.

This Special Issue aims to:

  • Create new solutions in the area of public health policy relating to chronic diseases;
  • Create new ways of effective prophylaxis for chronic diseases;
  • Find ways of improving the quality of life of patients with chronic diseases;
  • Become a platform for exchanging the experiences of specialists.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • Health promotion;
  • Public health strategies;
  • Prevention of civilization diseases;
  • Prevention of chronic diseases;
  • Health management;
  • Quality of life with chronic diseases.

I look forward to receiving your contributions.

Prof. Dr. Jolanta Magdalena Walusiak-Skorupa
Guest Editor

Dr. Dominik Olejniczak
Guest Editor Assistant

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Keywords

  • chronic diseases
  • civilization diseases
  • health promotion
  • public health
  • prophylaxis
  • health management
  • quality of life

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Published Papers (3 papers)

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11 pages, 1830 KiB  
Article
Myxoid Liposarcomas of the Thigh: Pre-Operative Presentation, Clinical Outcomes, and Functional Results of Surgical Treatment
by Edoardo Ipponi, Elena Bechini, Martina Cordoni, Fabrizia Gentili, Fabio Cosseddu, Antonio D’Arienzo and Lorenzo Andreani
Healthcare 2024, 12(17), 1718; https://doi.org/10.3390/healthcare12171718 - 28 Aug 2024
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Abstract
Myxoid liposarcomas are malignant soft-tissue sarcomas whose treatment represents a challenge, even for the most experienced surgeon. In this study, we report on our experience with the treatment of myxoid liposarcomas of the thigh. Our retrospective analysis included myxoid liposarcomas of the thigh [...] Read more.
Myxoid liposarcomas are malignant soft-tissue sarcomas whose treatment represents a challenge, even for the most experienced surgeon. In this study, we report on our experience with the treatment of myxoid liposarcomas of the thigh. Our retrospective analysis included myxoid liposarcomas of the thigh treated with surgical resection between 2016 and 2022. Resection margins, complications, local recurrences, and metastases were recorded. The oncological outcome of each case was evaluated at their latest follow-up. Adjuvant therapies were administered according to the ESMO guidelines. Functionality was assessed with the MSTS score before surgery and at the patients’ latest follow-up. Thirty cases (ten high-grade and 20 low-grade) were included. The mean diameter was 11.8 cm. Twenty-four cases had wide margins (80%) and six (20%) were marginal. Five cases (60% marginal) had local recurrences (17%). Marginal resection was associated with a higher risk of local recurrence (p = 0.041). Three cases with high-grade tumors (10%) developed metastases. At the patients’ latest follow-up, their mean MSTS score had risen from 22.9 to 27.3. While tumor grade influences the risk of metastases, the quality of resection margins can determine the local recurrence rate. An adequate surgery can lead to good post-operative functional outcomes. Full article
(This article belongs to the Special Issue Prevention and Management of Chronic Diseases)
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51 pages, 3581 KiB  
Systematic Review
The Effect of Lifestyle Interventions on Anxiety, Depression and Stress: A Systematic Review and Meta-Analysis of Randomized Clinical Trials
by Sohrab Amiri, Nailah Mahmood, Syed Fahad Javaid and Moien AB Khan
Healthcare 2024, 12(22), 2263; https://doi.org/10.3390/healthcare12222263 - 13 Nov 2024
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Abstract
Background/Objectives: Depression, anxiety, and stress are common mental health issues that affect individuals worldwide. This systematic review and meta-analysis examined the effectiveness of various lifestyle interventions including physical activity, dietary changes, and sleep hygiene in reducing the symptoms of depression, anxiety, and stress. [...] Read more.
Background/Objectives: Depression, anxiety, and stress are common mental health issues that affect individuals worldwide. This systematic review and meta-analysis examined the effectiveness of various lifestyle interventions including physical activity, dietary changes, and sleep hygiene in reducing the symptoms of depression, anxiety, and stress. Using stress as an outcome and conducting detailed subgroup analyses, this study provides novel insights into the differential effects of lifestyle interventions across diverse populations. Methods: Five databases were systematically searched: PubMed, Web of Science, Scopus, Cochrane Library, and Google Scholar, for gray literature searches. Keywords were used to search each database. The search period was from the conception of the databases until August 2023 and was conducted in English. For each analysis, Hedges’ g was reported with a 95% confidence interval (CI) based on the random-effects method. Subgroups were analyzed and heterogeneity and publication bias were examined. Results: Ninety-six randomized clinical trial studies were included in this meta-analysis. Lifestyle interventions reduced depression (Hedges g −0.21, 95% confidence interval −0.26, −0.15; p < 0.001; I2 = 56.57), anxiety (Hedges g −0.24, 95% confidence interval −0.32, −0.15; p < 0.001; I2 = 59.25), and stress (−0.34, −0.11; p < 0.001; I2 = 61.40). Conclusions: Lifestyle interventions offer a more accessible and cost-effective alternative to traditional treatments and provide targeted benefits for different psychological symptoms. Full article
(This article belongs to the Special Issue Prevention and Management of Chronic Diseases)
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15 pages, 5231 KiB  
Systematic Review
The Effect of Self-Management on Patients with Chronic Diseases: A Systematic Review and Meta-Analysis
by Yanfang Huang, Sijia Li, Xiuli Lu, Weiqiang Chen and Yun Zhang
Healthcare 2024, 12(21), 2151; https://doi.org/10.3390/healthcare12212151 - 29 Oct 2024
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Abstract
Background: Chronic diseases significantly impact global morbidity and mortality, affecting millions. Self-management interventions are crucial for improving patient health outcomes. This study explores the effects of self-management interventions on the quality of life (QOL), self-efficacy, depression, and anxiety of patients with chronic diseases. [...] Read more.
Background: Chronic diseases significantly impact global morbidity and mortality, affecting millions. Self-management interventions are crucial for improving patient health outcomes. This study explores the effects of self-management interventions on the quality of life (QOL), self-efficacy, depression, and anxiety of patients with chronic diseases. Methods: Relevant studies were searched from PubMed, EMBASE, and Web of Science. Two reviewers independently screened the literature, evaluated the risk of bias assessment, and extracted characteristics and outcomes among patients with chronic diseases. For each included study, we calculated the standardized mean difference (SMD) and 95% confidence interval (CI) of the main outcomes. When deemed feasible, the heterogeneity of the study was explored by meta-analysis and subgroup analysis. Results: Thirty-four studies involving a total of 7603 patients with chronic diseases were included. Self-management interventions significantly improved quality of life (Higher-better QOL and Lower-better QOL), self-efficacy, and reduced depression symptoms compared to usual care (95%CI 0.01 to 0.15, p = 0.03; 95%CI −0.49 to −0.08, p = 0.006; 95%CI 0.19 to 0.62, p < 0.001; 95%CI −0.23 to −0.07, p < 0.001). However, no significant effect was found for anxiety (95%CI −0.18 to 0.03, p = 0.18). In the heterogeneity analysis, Lower-better QOL and self-efficacy were all higher than 50% (I2 = 80%, 87%). After the subgroup analysis, the heterogeneity of Lower-better QOL and self-efficacy was less than 50% (I2 = 0%, 16.1%). Subgroup analyses revealed that studies with mean age greater than 60 years old and follow-up times greater than 6 months were more effective in improving patients’ Lower-better QOL (p = 0.03, p = 0.004), whereas follow-up times less than 6 months were better at reducing patients’ anxiety symptoms (p = 0.03). Conclusions: Self-management interventions are more effective than routine care in managing chronic diseases, significantly improving patients’ quality of life, self-efficacy, and reducing depressive symptoms, but they did not show significant improvements in anxiety symptoms. Overall, self-management interventions for chronic diseases can help patients adapt to the changes brought about by the disease and self-manage diseases to prevent disease progression. Full article
(This article belongs to the Special Issue Prevention and Management of Chronic Diseases)
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