scholarly journals Women and Depression: A Phytotherapist’s Approach

2003 ◽  
Vol 8 (1) ◽  
pp. 25-39
Author(s):  
Aviva Romm
Keyword(s):  
Psychological Factors ◽  
Severe Depression ◽  
Holistic Approach ◽  
Gender Issues ◽  
Support Networks ◽  
Evidence Based ◽  
Social Emotional ◽  
Medical Practitioners ◽  
Wide Range ◽  
Definition Of

Depression, anxiety, and similar disorders are the most commonly encountered women’s health problems in Western countries with women experiencing higher rates of depression than men. Alternative and conventional medical practitioners are consulted for the treatment of mild to moderate and even severe depression perhaps more than any other mood and affective disorder, mood disorders being the primary emotional imbalance encountered in clinical herbal practice. The medical definition of depression provides a narrow parameter against which a wide range of human sadness and grief is measured and categorized. This unfortunately may lead to the inappropriate labeling, medicating, and potential stigmatization of many who appear to fit the diagnosis of depression and the marginalization and exclusion from diagnosis of those who do not necessarily fit neatly into this category, yet who truly suffer from this malady of emotion. The causes of depression are multifactorial. A truly comprehensive holistic approach must consider physical pathologicetiologies (e. g., endocrinologicdysregulation) as well as social, emotional, and psychological factors ranging from availability of support networks to issues of selfesteem, gender issues faced by women in contemporary times, socioeconomic factors, as well as diet, nutrition, and exercise levels. This article addresses many of these multifactorial issues, providing the reader with both evidence-based and traditional information on the use of complementary and herbal the rapeutic approaches to depression in women.

Discussing unproven therapies

2017 ◽  
Author(s):  
Penelope Schofield ◽  
Michael Jefford
Keyword(s):  
Cancer Patients ◽  
Medical Community ◽  
Evidence Based ◽  
Medical Practitioners ◽  
Health Related ◽  
Cam Use ◽  
Essential Contribution ◽  
Definition Of ◽  
Evidence Based Guidelines ◽  
Unproven Therapies

The use of unproven therapies, or complementary and alternative medicine (CAM) continues to evoke strong debate and diverse views within the medical community. Many doctors are concerned about the lack of scientifically credible research to support the claims of CAM proponents. However, a large and growing number of cancer patients use CAM. Evidence indicates that clinicians neglect to appropriately discuss issues surrounding CAM use with their patients. Improving CAM-related communication between clinicians and cancer patients has been widely advocated by researchers, medical practitioners, CAM practitioners, and patients. Assisting clinicians to initiate and engage patients in discussions about CAM is an essential contribution to improving health-related communication. This chapter presents a definition of CAM, explores the rationale supporting the need to improve communication about CAM, and considers evidence-based guidelines about how to discuss CAM in a conventional oncology setting.

scholarly journals Public Information, Education, and Communication (IEC) of Health: Active Participation of Health Practitioners in Urban Radio in a Low Resource Setting

2019 ◽  
Vol 34 (s1) ◽  
pp. s75-s75
Author(s):  
Joseph Bonney ◽  
Lawrence Osei-Tutu ◽  
Richard Selormey ◽  
Bernard Hammond ◽  
Patricia Bonsu
Keyword(s):  
Information Dissemination ◽  
Healthcare Delivery ◽  
Public Information ◽  
Holistic Approach ◽  
Health Impact ◽  
Radio Station ◽  
Medical Practitioners ◽  
Resource Setting ◽  
Wide Range ◽  
The Cost

Introduction:Over the last two decades, Frequency Modulation (FM) radio has been established as the only form of sound broadcasting in Ghana. Radio is the most accessible of mass media. There are more than 40 operational radio stations in the Ashanti region of Ghana. Most stations are commercial, broadcasting in the local language (Asante-Twi). Many urban radio health slots discuss various diseases and their treatments mainly for the benefit of patients. Complementary and Alternative Medicine (CAM) practitioners who are able to pay for airtime dominate as ‘experts’ in most of these shows.Methods:We identified an IEC gap regarding policies governing healthcare delivery, healthcare financing, training, ethics and research, and environmental issues. In June 2015, orthodox medical practitioners collaborated with a private, local, English-speaking radio station to produce and host a weekly health show whose content was aimed at holistically discussing health from the viewpoint of practitioners, clients, policy makers, administrators, and financiers in a simplified language for the general public, including healthcare trainees.Discussion:The show dubbed “Staying Alive” first aired on Tuesday, July 7, 2015, at 20:00 GMT and continues to air to date, appealing to a wide range of active listeners. “Staying Alive” to the best of our knowledge remains the only show with a holistic approach to health. Over the last 23 months, we have experienced challenges in sustaining sponsorship to fund the cost of production and airtime for the show, and the cost of effectively assessing the public health impact of the show. Orthodox medical practitioners can employ mass radio as an effective tool for advocacy, information dissemination, and education of clients or health trainees in low or middle-income urban settings through effective collaboration with media stations.

scholarly journals Chronic Lyme Disease: An Evidence-Based Definition by the ILADS Working Group

Antibiotics ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. 269 ◽  
Author(s):  
Samuel Shor ◽  
Christine Green ◽  
Beatrice Szantyr ◽  
Steven Phillips ◽  
Kenneth Liegner ◽  
...  
Keyword(s):  
Lyme Disease ◽  
Signs And Symptoms ◽  
Borrelia Burgdorferi Sensu Lato ◽  
Future Research ◽  
Evidence Based ◽  
Chronic Lyme Disease ◽  
Disease Definition ◽  
Wide Range ◽  
Relapsing Remitting ◽  
Definition Of

Objective: Chronic Lyme disease has been a poorly defined term and often dismissed as a fictitious entity. In this paper, the International Lyme and Associated Diseases Society (ILADS) provides its evidence-based definition of chronic Lyme disease. Definition: ILADS defines chronic Lyme disease (CLD) as a multisystem illness with a wide range of symptoms and/or signs that are either continuously or intermittently present for a minimum of six months. The illness is the result of an active and ongoing infection by any of several pathogenic members of the Borrelia burgdorferi sensu lato complex (Bbsl). The infection has variable latency periods and signs and symptoms may wax, wane and migrate. CLD has two subcategories, CLD, untreated (CLD-U) and CLD, previously treated (CLD-PT). The latter requires that CLD manifestations persist or recur following treatment and are present continuously or in a relapsing/remitting pattern for a duration of six months or more. Methods: Systematic review of over 250 peer reviewed papers in the international literature to characterize the clinical spectrum of CLD-U and CLD-PT. Conclusion: This evidence-based definition of chronic Lyme disease clarifies the term’s meaning and the literature review validates that chronic and ongoing Bbsl infections can result in chronic disease. Use of this CLD definition will promote a better understanding of the infection and facilitate future research of this infection.

Typologization of security regulation

2020 ◽  
pp. 20-27
Author(s):  
Denis Tikhomirov
Keyword(s):  
Social Relations ◽  
Scientific Literature ◽  
Legal Regulation ◽  
Procedural Understanding ◽  
Limited Ability ◽  
Methodological Basis ◽  
Wide Range ◽  
The Subject ◽  
Definition Of ◽  
Legal Understanding

The purpose of the article is to typologize terminological definitions of security, to find out the general, to identify the originality of their interpretations depending on the subject of legal regulation. The methodological basis of the study is the methods that made it possible to obtain valid conclusions, in particular, the method of comparison, through which it became possible to correlate different interpretations of the term "security"; method of hermeneutics, which allowed to elaborate texts of normative legal acts of Ukraine, method of typologization, which made it possible to create typologization groups of variants of understanding of the term "security". Scientific novelty. The article analyzes the understanding of the term "security" in various regulatory acts in force in Ukraine. Typological groups were understood to understand the term "security". Conclusions. The analysis of the legal material makes it possible to confirm that the issues of security are within the scope of both legislative regulation and various specialized by-laws. However, today there is no single conception on how to interpret security terminology. This is due both to the wide range of social relations that are the subject of legal regulation and to the relativity of the notion of security itself and the lack of coherence of views on its definition in legal acts and in the scientific literature. The multiplicity of definitions is explained by combinations of material and procedural understanding, static - dynamic, and conditioned by the peculiarities of a particular branch of legal regulation, limited ability to use methods of one or another branch, the inter-branch nature of some variations of security, etc. Separation, common and different in the definition of "security" can be used to further standardize, in fact, the regulatory legal understanding of security to more effectively implement the legal regulation of the security direction.

Music after the Fall

2017 ◽  
Author(s):  
Tim Rutherford-Johnson
Keyword(s):  
New Media ◽  
Contemporary Music ◽  
The United States ◽  
Art Music ◽  
Sound Art ◽  
Musical Composition ◽  
Western Art ◽  
Wide Range ◽  
Definition Of ◽  
The Cold War

By the start of the 21st century many of the foundations of postwar culture had disappeared: Europe had been rebuilt and, as the EU, had become one of the world’s largest economies; the United States’ claim to global dominance was threatened; and the postwar social democratic consensus was being replaced by market-led neoliberalism. Most importantly of all, the Cold War was over, and the World Wide Web had been born. Music After The Fall considers contemporary musical composition against this changed backdrop, placing it in the context of globalization, digitization, and new media. Drawing on theories from the other arts, in particular art and architecture, it expands the definition of Western art music to include forms of composition, experimental music, sound art, and crossover work from across the spectrum, inside and beyond the concert hall. Each chapter considers a wide range of composers, performers, works, and institutions are considered critically to build up a broad and rich picture of the new music ecosystem, from North American string quartets to Lebanese improvisers, from South American electroacoustic studios to pianos in the Australian outback. A new approach to the study of contemporary music is developed that relies less on taxonomies of style and technique, and more on the comparison of different responses to common themes, among them permission, fluidity, excess, and loss.

Diagnosing Moral Failures

2017 ◽  
Author(s):  
T.J. Kasperbauer
Keyword(s):  
Moral Psychology ◽  
Psychological Factors ◽  
Critical Discussion ◽  
Self Control ◽  
Psychological Processes ◽  
Moral Change ◽  
Wide Range ◽  
Frequent Failure

This chapter discusses why people often fail to meet their moral goals and identifies the main obstacles in achieving moral change. It shows how psychological processes specific to animals, as outlined in chapters 2–4, interact with broader components of moral psychology. Three main moral psychological factors are discussed: emotions, situational conditions, and self-control. These factors are used to illustrate the frequent failure of reason and higher-level cognition to modify our moral responses, including our treatment of animals. The discussion draws from a wide range of research within empirical moral psychology as well as recent critical discussion of this research among philosophers.

Disorders of Impulse Control and Self-Harm

2010 ◽  
pp. 504-530 ◽  
Author(s):  
Matthew K. Nock ◽  
Christine B. Cha ◽  
Halina J. Dour
Keyword(s):  
Environmental Factors ◽  
Psychological Factors ◽  
Impulse Control ◽  
Clinical Presentation ◽  
Evidence Based ◽  
Comprehensive Review ◽  
Assessment And Treatment ◽  
Self Harm ◽  
Clinical Problems ◽  
Control Spectrum

Disorders of impulse-control and self-harm are dangerous clinical problems that often present significant challenges for scientists and clinicians. In this chapter, we provide a comprehensive review of each disorder on the impulse-control spectrum. We begin by describing the clinical presentation and epidemiology of each disorder. Next, we discuss what is currently known about the etiology of these disorders, summarizing recent research on genetic/neurobiological factors, environmental factors, and psychological factors that appear to influence these disorders. The assessment and treatment of disorders of impulse-control and self-harm is complicated by the relatively low base-rate of these disorders, as well as by their dangerous and sensitive nature. Nevertheless, several evidence-based approaches to assessment and treatment have been developed and also are reviewed here. We conclude with recommendations for future scientific and clinical efforts aimed at better understanding, predicting, and preventing disorders of impulse-control and self-harm.

scholarly journals Size-adjusted aortic valve area: refining the definition of severe aortic stenosis

2020 ◽  
Author(s):  
Branka Vulesevic ◽  
Naozumi Kubota ◽  
Ian G Burwash ◽  
Claire Cimadevilla ◽  
Sarah Tubiana ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Predictive Accuracy ◽  
Severe Aortic Stenosis ◽  
Aortic Valve Area ◽  
Obese Patients ◽  
Derivation Cohort ◽  
Wide Range ◽  
Definition Of ◽  
Diagnostic And Prognostic Value ◽  
Valve Area

Abstract Aims Severe aortic valve stenosis (AS) is defined by an aortic valve area (AVA) <1 cm2 or an AVA indexed to body surface area (BSA) <0.6 cm/m2, despite little evidence supporting the latter approach and important intrinsic limitations of BSA indexation. We hypothesized that AVA indexed to height (H) might be more applicable to a wide range of populations and body morphologies and might provide a better predictive accuracy. Methods and results In 1298 patients with degenerative AS and preserved ejection fraction from three different countries and continents (derivation cohort), we aimed to establish an AVA/H threshold that would be equivalent to 1.0 cm2 for defining severe AS. In a distinct prospective validation cohort of 395 patients, we compared the predictive accuracy of AVA/BSA and AVA/H. Correlations between AVA and AVA/BSA or AVA/H were excellent (all R2 > 0.79) but greater with AVA/H. Regressions lines were markedly different in obese and non-obese patients with AVA/BSA (P < 0.0001) but almost identical with AVA/H (P = 0.16). AVA/BSA values that corresponded to an AVA of 1.0 cm2 were markedly different in obese and non-obese patients (0.48 and 0.59 cm2/m2) but not with AVA/H (0.61 cm2/m for both). Agreement for the diagnosis of severe AS (AVA < 1 cm2) was significantly higher with AVA/H than with AVA/BSA (P < 0.05). Similar results were observed across the three countries. An AVA/H cut-off value of 0.6 cm2/m [HR = 8.2(5.6–12.1)] provided the best predictive value for the occurrence of AS-related events [absolute AVA of 1 cm2: HR = 7.3(5.0–10.7); AVA/BSA of 0.6 cm2/m2 HR = 6.7(4.4–10.0)]. Conclusion In a large multinational/multiracial cohort, AVA/H was better correlated with AVA than AVA/BSA and a cut-off value of 0.6 cm2/m provided a better diagnostic and prognostic value than 0.6 cm2/m2. Our results suggest that severe AS should be defined as an AVA < 1 cm2 or an AVA/H < 0.6 cm2/m rather than a BSA-indexed value of 0.6 cm2/m2.

scholarly journals Protocol Deviations: A Holistic Approach from Defining to Reporting

2021 ◽  
Author(s):  
Laura Galuchie ◽  
Catherine Stewart ◽  
Frank Meloni
Keyword(s):  
Holistic Approach ◽  
Rapid Identification ◽  
Study Program ◽  
Protocol Deviation ◽  
Definition Of ◽  
Investigational Agents ◽  
Or Organization ◽  
Study Designs ◽  
Consistent Application

AbstractImproving interpretation of existing guidelines and management of protocol deviation processes could increase process efficiencies and help reduce noise to support rapid identification of important protocol deviations. Towards this end, TransCelerate identified key principles to build upon and clarify the definition of a protocol deviation and developed a holistic approach to protocol deviation management. The approaches are flexible to suit a variety of indications, study designs, and investigational agents while also supporting consistent application within a study, program or organization.

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