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Gopan H, Rajkumar E, Gopi A, Romate J. Mindfulness-based interventions for body image dissatisfaction among clinical population: A systematic review and meta-analysis. Br J Health Psychol 2024; 29:488-509. [PMID: 38097499 DOI: 10.1111/bjhp.12710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 11/30/2023] [Indexed: 04/09/2024]
Abstract
PURPOSE Mindfulness-based interventions (MBIs) are well-validated interventions to enhance the favourable body image of individuals. Despite their wide application, the efficacy of MBIs in reducing body image dissatisfaction (BID) among various clinical populations remains unclear. This study aims to expand the literature on MBIs for BID and identify effective types of MBIs for reducing BID in diverse clinical populations for future research and practice. METHODS A systematic search for studies published in English on the effectiveness of MBIs for BID among the clinical population was done on APA PsycNet, PubMed, Science Direct, Web of Science and Google Scholar databases in August 2023. Of the 1962 articles initially identified, 17 were found eligible and evaluated based on the JBI checklist. RESULTS Random effects meta-analyses on six MBIs revealed their effectiveness in reducing BID among the clinical population (SMD = -.59 and 95% CI = -1.03 to -.15, p = .009), with Acceptance and Commitment Therapy (ACT) (SMD = -1.29, 95% CI = -2.06 to -.52, p = .001) and My Changed Body (MyCB) (SMD = -.24, 95% CI = -.46 to -.01, p = .04) reporting significant effect sizes. Among the patients with breast cancer, MyCB (SMD = -.24, 95% CI = -.46 to -.01, p = .04) showed a significant effect size. CONCLUSIONS MBIs appear to be promising interventions in reducing BID among the clinical population. However, findings should be considered cautiously due to the possible publication bias, high heterogeneity and fewer available studies.
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Affiliation(s)
- Hrishi Gopan
- Department of Psychology, Central University of Karnataka, Kalaburagi, India
| | - Eslavath Rajkumar
- Department of Liberal Arts, Indian Institute of Technology Bhilai, Durg, Chhattisgarh, India
| | - Aswathy Gopi
- Department of Psychology, Central University of Karnataka, Kalaburagi, India
| | - John Romate
- Department of Psychology, Central University of Karnataka, Kalaburagi, India
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Burnette C, Smithy W, Strock D, Sivesind TE, Dellavalle R. The Importance of Gender-Neutral Terminology in Risk Evaluation and Mitigation Strategy Programs: A Call to Action. JMIR Dermatol 2023; 6:e45329. [PMID: 37632908 PMCID: PMC10335131 DOI: 10.2196/45329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 05/07/2023] [Accepted: 06/06/2023] [Indexed: 08/28/2023] Open
Abstract
The use of risk evaluation and mitigation strategy (REMS) programs is frequently required for prescriptions with potentially teratogenic effects, especially in the field of dermatology. Among these REMS programs, the most well-known example is isotretinoin, an oral retinoid that uses the iPLEDGE system. iPLEDGE has strict regulations and a lengthy approval process, and until recently, patients were grouped into 3 categories: male, female, or female of reproductive potential. This strict grouping has posed problems in the medical community, especially for gender-diverse individuals where their perceived gender conflates with their assigned grouping causing patient-specific distress. The distinction between gender-a multifactorial perception of identity-and biological sex is addressed under new iPLEDGE guidelines. Dermatologists now register patients under one of 2 categories: patients who can become pregnant and those who cannot become pregnant. This change simultaneously improves the accessibility to isotretinoin among gender-diverse individuals, while limiting prescription barriers. Despite initial success being limited due to lengthy system conversions, a registration process based on reproductive potential ultimately enhances iPLEDGE's goal to prevent potential birth defects. We propose that other REMS programs follow the standard set by the iPLEDGE system, including those for the medications thalidomide, acitretin, and mycophenolate mofetil, all of which currently have a similar taxonomy to that of the old iPLEDGE system. Implementing the standardization of gender-neutral terminology can maximize enrollment and minimize distress. Current and ongoing refinement of iPLEDGE and other REMS is needed to build protocols solely around the prevention of birth defects without regard to sex or gender.
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Affiliation(s)
- Colin Burnette
- Nova Southeastern University College of Osteopathic Medicine, Davie, FL, United States
| | - William Smithy
- Nova Southeastern University College of Osteopathic Medicine, Davie, FL, United States
| | - Daniel Strock
- Eastern Virginia Medical School, Norfolk, VA, United States
| | - Torunn E Sivesind
- University of Colorado School of Medicine, Aurora, CO, United States
| | - Robert Dellavalle
- University of Colorado School of Medicine, Aurora, CO, United States
- US Department of Veterans Affairs, University of Colorado, Aurora, CO, United States
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Li Z, Xia T, Shen W, Chen S. Research on Co-Opetition Mechanism between Pharmaceutical Enterprises and Third-Party Logistics in Drug Distribution of Medical Community. Int J Environ Res Public Health 2022; 20:609. [PMID: 36612930 PMCID: PMC9819418 DOI: 10.3390/ijerph20010609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 12/26/2022] [Accepted: 12/27/2022] [Indexed: 06/17/2023]
Abstract
Third-party logistics (3PL) has a relatively perfect distribution system in solving the drug distribution of the medical community and optimizing the distribution efficiency of pharmaceutical enterprises, and it has gradually become an indispensable component of drug distribution. By constructing the co-opetition model of "Pharmaceutical Enterprises-3PL", this paper explores the game strategy choice between pharmaceutical enterprises and 3PL for the solution of drug distribution under the condition of information asymmetry, and it puts forward some suggestions to improve the competition and cooperation mechanism between pharmaceutical enterprises and 3PL in drug distribution in the medical community.
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Affiliation(s)
- Zhao Li
- Correspondence: ; Tel.: +86-15252900925
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Egorysheva IV, Chalova VV. [The section of physician's everyday life at the Pirogov Congresses. Report I. The problems of material and legal status of Russian physicians]. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2020; 28:1023-1026. [PMID: 33161679 DOI: 10.32687/0869-866x-2020-28-5-1023-1026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Accepted: 05/21/2020] [Indexed: 11/06/2022]
Abstract
The article is devoted to the history of organization and functioning of the section of physician everyday life at the sessions of the Congress of the Society of Russian Physicians in memory of N. I. Pirogov (Pirogov Society). The section, going beyond everyday life and occupational problems, considered issues related to economic and legal status of physicians. The section, having no hope in government assistance, tried to organize public organizations protecting interests and rights of physicians and loan-society as well.
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Affiliation(s)
- I V Egorysheva
- N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia,
| | - V V Chalova
- N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia
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Egorysheva IV, Chalova VV. [The section of physician everyday life at the Pirogov Congresses. Report II. The problems of revision of the medical sanitary legislation]. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2020; 28:1386-1390. [PMID: 33338357 DOI: 10.32687/0869-866x-2020-28-6-1386-1390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Accepted: 09/03/2020] [Indexed: 06/12/2023]
Abstract
The section of physician everyday life of the Pirogov congresses discussed not only issues related to economic and legal status of physicians. At its sessions, the need for reforming medical and sanitary legislation and expediency of organization of independent Ministry of health care were considered. Also, various ethical problems of medical activity were brought up (responsibility for non-attendance of patient, court of honor, medical secrecy). The loaded social issues such as abolition of abbacinaire and the death penalty were raised.
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Affiliation(s)
- I V Egorysheva
- N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia,
| | - V V Chalova
- N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russia
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Tang G, Zhou Q. [Construction of Quality Control System for Medical Equipment under the Model of County Medical Service Community]. Zhongguo Yi Liao Qi Xie Za Zhi 2020; 44:85-87. [PMID: 32343075 DOI: 10.3969/j.issn.1671-7104.2020.01.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
The construction of county and district medical community is an important measure for high-quality medical resources to "double sink and improve". In this study, we have initially constructed a medical equipment quality control system for members of the regional medical community. The current situation of lack of professional medical equipment management personnel and quality control equipment in primary medical institutions has been alleviated, the quality control level of medical equipment in primary medical institutions has been improved, and a new management model for quality control of primary medical equipment has been explored.
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Affiliation(s)
- Guoping Tang
- The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, 322000. ##Email#
| | - Qingli Zhou
- The Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, 322000. ##Email#
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Zaręba K, Makara-Studzińska M, Ciebiera M, Gierus J, Jakiel G. Role of Social and Informational Support while Deciding on Pregnancy Termination for Medical Reasons. Int J Environ Res Public Health 2018; 15:ijerph15122854. [PMID: 30558123 PMCID: PMC6313640 DOI: 10.3390/ijerph15122854] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 09/23/2018] [Accepted: 12/10/2018] [Indexed: 12/31/2022]
Abstract
Background: Poland is a country with restrictive laws concerning abortion, which is only allowed if the mother’s life and health are in danger, in case of rape, and severe defects in the fetus. This paper specifies the forms of support expected by women considering termination from their family, people in their surroundings and professional medical personnel. Methods: Between June 2014 and May 2016 patients eligible to terminate a pregnancy for medical reasons were asked to complete an anonymous survey consisting of sixty questions to determine patient profile and forms of support expected from the society, family and professional medical personnel as well as to assess informational support provided. Results: Women do not take into consideration society’s opinion on pregnancy termination (95%). The majority of the respondents think that financial support from the state is not sufficient to provide for sick children (81%). Despite claiming to have a medium standard of life (75%), nearly half of the respondents (45%) say that they do not have the financial resources to take care of a sick child. The women have informed their partner (97%) and closest family members (82%) and a low percentage have informed friends (32%). Nearly one third (31%) have not talked to the attending gynecologist about their decision. Conclusions: The decision to terminate a pregnancy is made by mature women with a stable life situation—supported by their partner and close family. They do not expect systemic support, as they believe it is marginal, and only seek emotional support from their closest family. They appreciate support provided by professional medical personnel if it is personal.
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Affiliation(s)
- Kornelia Zaręba
- First Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 00-416 Warsaw, Poland.
| | - Marta Makara-Studzińska
- Faculty of Clinical Health Psychology, Jagiellonian University Medical College, 31-501 Krakow, Poland.
| | - Michał Ciebiera
- Second Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 01-809 Warsaw, Poland.
| | - Jacek Gierus
- Department of Psychiatry, Department of Health Sciences, Medical University of Warsaw, 05-802 Warsaw, Poland.
| | - Grzegorz Jakiel
- First Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 00-416 Warsaw, Poland.
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Zacharoulis D, Bakalis V, Zachari E, Sioka E, Tsimpida D, Magouliotis D, Tasiopoulou V, Chatedaki C, Tzovaras G. Current knowledge and perception of bariatric surgery among Greek doctors living in Thessaly. Asian J Endosc Surg 2018; 11:138-145. [PMID: 29105338 DOI: 10.1111/ases.12436] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2017] [Revised: 08/29/2017] [Accepted: 09/03/2017] [Indexed: 12/18/2022]
Abstract
INTRODUCTION The purpose of this study was to assess doctors' knowledge, current conceptions, and clinical practice regarding obesity and bariatric surgery. METHODS A self-administered survey was administered to 500 doctors with varying medical specialties in public and private practice. RESULTS The response rate was 60%. Most participants (77.3%) were in private practice. Although almost half of the participants could define morbid obesity and obesity-related comorbidities, only 8.7% felt educated about bariatric surgery. Participants had little knowledge of various types of bariatric procedures. A minority of doctors (24.7%) knew of the existence of a bariatric center in their area. Only 21.3% of doctors had referred a patient to a bariatric center. Reasons for non-referral included lack of interest in bariatric surgery (37.3%), patient refusal (35.3%), increased operative fees (17.3%), lack of confidence in bariatric surgery (6.3%), and lack of access to a nearby bariatric center (3.7%). The majority of doctors were interested in learning more about bariatric surgery and related guidelines, but they remained reluctant to conduct patients' postoperative follow-ups. CONCLUSION The penetration of bariatric surgery in the medical community remains limited, despite its proven effectiveness in facilitating sustained weight loss and resolving several obesity-related comorbidities. A great effort should be made to inform health-care providers about the evolution of bariatric procedures, the potential benefits they offer, and the existence of certified bariatric centers. This will allow doctors to provide optimum health care to patients who could benefit from bariatric surgery.
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Affiliation(s)
- Dimitris Zacharoulis
- Department of Surgery, University Hospital of Larissa, University of Thessaly, Larissa, Greece
| | - Vissarion Bakalis
- Department of Surgery, University Hospital of Larissa, University of Thessaly, Larissa, Greece
| | - Eleni Zachari
- Department of Surgery, University Hospital of Larissa, University of Thessaly, Larissa, Greece
| | - Eleni Sioka
- Department of Surgery, University Hospital of Larissa, University of Thessaly, Larissa, Greece
| | - Dialecthi Tsimpida
- Department of Surgery, University Hospital of Larissa, University of Thessaly, Larissa, Greece
| | - Dimitrios Magouliotis
- Department of Surgery, University Hospital of Larissa, University of Thessaly, Larissa, Greece
| | - Vasiliki Tasiopoulou
- Department of Surgery, University Hospital of Larissa, University of Thessaly, Larissa, Greece
| | - Christina Chatedaki
- Department of Surgery, University Hospital of Larissa, University of Thessaly, Larissa, Greece
| | - George Tzovaras
- Department of Surgery, University Hospital of Larissa, University of Thessaly, Larissa, Greece
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Vaijeyanthi V, Vishnuprasad K, Kumar CS, Ramachandran KI, Gopinath R, Kumar AA, Yadav PK. Towards enhancing the performance of multi-parameter patient monitors. Healthc Technol Lett 2014; 1:19-20. [PMID: 26609370 DOI: 10.1049/htl.2013.0041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2013] [Revised: 02/12/2014] [Accepted: 02/18/2014] [Indexed: 11/19/2022] Open
Abstract
Multi-parameter patient monitors (MPMs) have become increasingly important in providing quality healthcare to patients. It is well known in the medical community that there exists an intrinsic relationship between different vital parameters in a healthy person, these include heart rate, blood pressure, respiration rate and oxygen saturation. For example, an increase in blood pressure would lead to a decrease in the heart rate, and vice versa. Although it is likely to improve the performance of MPM systems, this fact is not explored in engineering research. In this work, experiments show that deriving additional features to capture the intrinsic relationship between the vital parameters, the alarm accuracy (sensitivity), no-alarm accuracy (specificity) and the overall performance of MPMs can be improved. The geometric mean of the product of all the vital parameters taken in pairs of two was used to capture the intrinsic relationship between the different parameters. An improvement of 10.55% for sensitivity, 0.32% for specificity and an overall performance improvement of 1.03% was obtained, compared to the baseline system using classification and regression tree with the four vital parameters.
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Affiliation(s)
- V Vaijeyanthi
- Department of Electronics and Communication Engineering , Machine Intelligence Research Laboratory , Amrita Vishwa Vidyapeetham , Amritanagar , Coimbatore , India
| | - K Vishnuprasad
- Department of Electronics and Communication Engineering , Machine Intelligence Research Laboratory , Amrita Vishwa Vidyapeetham , Amritanagar , Coimbatore , India
| | - C Santhosh Kumar
- Department of Electronics and Communication Engineering , Machine Intelligence Research Laboratory , Amrita Vishwa Vidyapeetham , Amritanagar , Coimbatore , India
| | - K I Ramachandran
- Department of Electronics and Communication Engineering , Machine Intelligence Research Laboratory , Amrita Vishwa Vidyapeetham , Amritanagar , Coimbatore , India
| | - R Gopinath
- Department of Electronics and Communication Engineering , Machine Intelligence Research Laboratory , Amrita Vishwa Vidyapeetham , Amritanagar , Coimbatore , India
| | - A Anand Kumar
- Department of Neurology , Amrita Institute of Medical Sciences , Cochin , India
| | - Praveen Kumar Yadav
- Department of Neurology , Amrita Institute of Medical Sciences , Cochin , India
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