Background: Traditional thinking and scholarship has indicated that marriage is a life saver - extends life. Marriage’s functionality contributes to the reduction of poor physiological health outcomes. Since women are not homogeneous in making marital decisions or social experiences, it was time to revisit the issue of the relationship of marriage and health.

Methods: From the 2015 National Health interview survey, we extracted a sample of women who were a parent of one or more minor children (n=4,899); experienced psychological distress and chronic conditions; by marital status.

Significant Data and Major Findings: The overall prevalence of psychological distress was 3.5%. Women with disruptive marriage had double (OR=2.18, 95% CI=1.24, 3.86) the likelihood of having psychological distress compared to married women, adjusting for socio-demographics (age, race/ethnicity, work status, family income, number of children and number of elderly in the household).There was significant interaction effect of marital status and race/ethnicity on the risks of having psychological distress. The difference between marriedwomen and those with disrupted marriage in the risk of having psychological distress was greater among Whites than that for African Americans and Latinas. Although 34.3% of the women had at least one chronic condition, there was no significant association between marital status and the likelihood of having chronic conditions after adjusting for socio-demographics.

Conclusion: Our findings indicate that White women experience the most psychological distress when their marriages are disrupted. On the contrary, African American and Hispanic women fared better psychologically when they experienced disrupted marriages, although they reported more socioeconomic hardships. More research is needed on disrupted marriages and women’s health as well as the role of reliance.

Study Background: The efficacy of Cupping Glass Massage (CGM) in patients with back pain has not yet been sufficiently proven [1,2]. In view of the increasing incidence and high prevalence of this disease, research into treatment options is of great importance. In the Clinic for True Naturopathy in Hattingen, Germany, cupping glass massage is subjectively successfully applied in patients with back pain. A randomized, controlled non-inferiority study was conducted to objectify the treatment successes.

Methods: The efficacy of CGM (n = 66) was compared with acupuncture therapy (ACU, n = 70) in in-patients with chronic non-specific low back pain. Primary objective was the non-inferiority of CGM compared to ACU with regard to functional ability in everyday life, operationalized by the Hannover-Functional-Ability-Questionnaire (HFAQ).

Results: In the per-protocol-Analysis the CGM responder-rate of 71,4 % is significantly higher than the ACU of 44,4 % (? = 27%; 95% : 7,3-46, 6%; p = 0,008). In the Intention-to-Treat analysis CGM is not inferior to ACU.

Conclusion: Results show that CGM is at least not inferior to ACU.

Type 2 Diabetes Mellitus is a medical condition characterized by an elevation of blood glucose level, this metabolic disorder will taken place as a result of either insulin resistance and/or insulin deficiency. It is the most prevalent chronic metabolic disorder worldwide. Type 2 Diabetes Mellitus is the significant cause of premature morbidity and mortality imposing enormous socioeconomic burden globally. As per the current prevalence and trend of T2DM, International Diabetes Federation (IDF) predicted 592 million people will have T2DM by 2035 worldwide. Prevalence of T2DM is escalating at rapid pace in India due to westernization of lifestyle. As per IDF report, the prevalence of T2DM will increase to 101.2 million by 2030 among Indians. Type 2 diabetes mellitus is typically a chronic disease associated with a ten-year-shorter life expectancy. This is partly due to a number of complications with which it is associated, including two to four times the risk of cardiovascular disease, including ischemic heart disease and stroke; a 20-fold increase in lower limb amputations, and increased rates of hospitalizations. In the developed world, and increasingly elsewhere, type 2 diabetes mellitus is the largest cause of non-traumatic blindness and kidney failure. It has also been associated with an increased risk of cognitive dysfunction and dementia through disease processes such as Alzheimer’s disease and vascular dementia. The contemporary associations of type 2 diabetes mellitus with a wide range of incident cardiovascular diseases have been compared in this study. Results showed that Type 2 diabetes mellitus was positively associated with peripheral arterial disease, ischaemic stroke, heart failure, and non-fatal myocardial infarction, but was inversely associated with abdominal aortic aneurysm and subarachnoid haemorrhage, and not associated with arrhythmia or sudden cardiac death. Type 2 DM is a metabolic disease that can be prevented through lifestyle modification, diet control, and control of overweight and obesity. Novel drugs are being developed, yet no cure is available in sight for the disease, despite new insight into the pathophysiology of the disease. Management should be tailored to improve the quality of life of individuals with type 2 DM.

Background: Coronary heart disease is the most important cause of death in the world. In Europe, cardiovascular disease represent 40% of total deaths among people aged less than 75 years and sudden cardiac arrest 60% of death in adults with coronary heart disease. Immediate cardiopulmonary resuscitation can double or even triple the survival of cardiac arrest.

Objectives: The main objective of the study was to increase knowledge of first aid among school students. This study also aimed to establish how much influence has variables like sex, parents’ educational background, social and economical factors over learning.

Methods: Two schools, one public in a disadvantaged neighborhood and one private in one of the richest areas of Madrid, Spain were selected. CPR training consisted of theoretical lesson followed by practice on manikins. Multiple choice questionnaires were provided before and after the training. The results were processed using central and dispersion-tendency statistics.

Results: In total, 85 school students aged between 14 and 19 year-old completed the training. Only 10.6 % of the students received previous training. Pre-test score was higher among public school students, but post-test evaluation showed better results among private school students. The parent’s educational background didn’t influence the outcomes.

Introduction: Even though many quality indicators of health care have been announced, those which specify in home care services are limited in that none of them describe the stroke patients’ condition.

Aim: To determine through systematic literature review what methods can be used to assess the quality of home care that patients received and to identify what components can be used as a determinant of the quality of home care services.

Methodology: Google Scholar, EBSCO, ProQuest and PubMed database websites were searched for articles and information.

Results: The method that was used is a qualitative study using a literature review with quantitative analysis of a previously accepted research instrument with a questionnaire that has been widely available and considered reliable. The researchers identified thematic differentiation in grouping the quality indicators used by those articles. The first article stated 23 quality indicators, which are distributed as the following: functional (n=8), clinical (n=10), social and treatment (n=5). The second article discussed two groups of quality indicators based on 21 items: prevalence (n=15), and incidence (n=6), while the last article mentioned 16 quality indicators without any category. Overall quality indicators in home care that are used by the three articles are based on the Home Care Quality Indicators Instrument (HCQIs).

Conclusion: Several studies discussed home care quality indicators but no articles specifically analyze home care provision for stroke patients. Further research is needed to clarify the components indicators for stroke patients and more importantly, these indicators should be valid, and reliable.

Chronic migraine is a severe neurological disorder characterized by the presence of headache for 15 or more days/ month, for more than three months. Pain, on at least eight days/month, has the features of migraine. Pain is often intense, disabling and resistant to the usual treatments. Other disorders such as phonophotophobia, nausea-vomiting, diarrhea, sleep and mood disorders can be found in combination with chronic migraine pain. The long-lasting migraine pain may be favored by the presence of factors such as hormonal changes in the menstrual period, or states of anxiety, stress, mood deflection, or overuse of symptomatic drugs with rebound effect.

We report the case of a 14 year-old female patient, with positive familiarity for migraine, which was brought to our observation for the presence of chronic headache with daily frequency migraine-like attacks, highly disabling and resistant to pharmacotherapy. During the hospitalization, a wash-out of the pharmacotherapy was performed, associated with the autogenous training, muscular relaxation exercises, psychological support and introduction of Lamotrigine for prophylactic therapy. Our patient showed a considerable amelioration with this multidisciplinary approach.