scholarly journals Gender Identity Disorders: Current Medical and Social Paradigm and the ICD-11 Innovations

10.17816/cp68 ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 54-64
Author(s):  
Anton V. Dyachenko ◽  
Alexey Y. Perekhov ◽  
Victor A. Soldatkin ◽  
Olga A. Bukhanovskaya
Keyword(s):  
Gender Identity ◽  
Paradigm Shift ◽  
Current Medical ◽  
Evidence Based ◽  
New Approach ◽  
Academic Literature ◽  
Pathological Conditions ◽  
Gender Identity Disorders ◽  
The Impact ◽  
Social Paradigm

Introduction. This article presents a review of current concepts of gender identity under normal and pathological conditions. Aim. To analyse the impact of the medical and social paradigm shift for clinical practice. Results and discussion. The modern academic literature devoted to gender identity disorders is characterized by a variety of terminology, a shift in emphasis from clinical judgement to a socially beneficial normocentric approach and a relatively few advanced, evidence-based research. There is also a lack of evidence for the gender theory underlying the new approach, which raises serious doubts about the validity of the medical and social paradigm revision. In the same time, the position of Russian psychiatrists remains to be more clinically oriented. Conclusion. Patients who declare the desire to reassign their gender have to be assessed by psychiatrists for differential diagnosis to exclude a mental disorder. In such cases, the destigmatization of mental disorders is more critical than the depathologization of gender identity disorders.

BIM

2012 ◽  
Vol 1 (4) ◽  
pp. 50-68 ◽  
Author(s):  
David E. Morton
Keyword(s):  
Construction Industry ◽  
Paradigm Shift ◽  
New Technology ◽  
Building Design ◽  
Information Modeling ◽  
New Approach ◽  
Building Information ◽  
Considerable Impact ◽  
The Uk ◽  
The Impact

Building Information Modeling (BIM) has made a considerable impact on the construction industry and the way in which building design information can be accessed and interrogated. This impact is now being seen in the Schools of Architecture in the UK. Academia is beginning to see the feasibility and benefits of converting to such a new technology; will this inevitably start to filter into teaching BIM to architecture students? The concern by many in academia is that design will become secondary to pedagogy of building design. This viewpoint is based on the impact of CAD, where the art of hand drawing was feared lost forever. The use of computers in schools of architecture has become the norm, and the creative moving of a pen across paper has been replaced, to a degree, by the cursor across the CAD screen. As academia moved to respond to this change, the need to teach CAD became increasingly important. Therefore, will the paradigm shift of BIM require the inevitable move to a new approach in the design and construction of buildings? There are many misconceptions of BIM and the dilemma is that those teaching within the schools need to understand how BIM can readily interface with the design process and allow interrogation of the design are far earlier stages of the concept. Will academia ensure that BIM is used to enhance the creative process not hinder it?

The Impact of TimeSlips on Undergraduate Students in Service Learning With Older Adults

2020 ◽  
pp. 1-8
Author(s):  
Sabine Heuer
Keyword(s):  
Older Adults ◽  
Service Learning ◽  
Undergraduate Students ◽  
Attitude Scale ◽  
Evidence Based ◽  
Attitudes Toward Older Adults ◽  
Students Attitudes ◽  
Attitude Shift ◽  
The Impact ◽  
Journal Entries

Purpose Future speech-language pathologists are often unprepared in their academic training to serve the communicative and cognitive needs of older adults with dementia. While negative attitudes toward older adults are prevalent among undergraduate students, service learning has been shown to positively affect students' attitudes toward older adults. TimeSlips is an evidence-based approach that has been shown to improve health care students' attitudes toward older adults. The purpose of this study is to explore the change in attitudes in speech-language pathology students toward older adults using TimeSlips in service learning. Method Fifty-one students participated in TimeSlips service learning with older adults and completed the Dementia Attitude Scale (DAS) before and after service learning. In addition, students completed a reflection journal. The DAS data were analyzed using nonparametric statistics, and journal entries were analyzed using a qualitative analysis approach. Results The service learners exhibited a significant increase in positive attitude as indexed on the DAS. The reflective journal entries supported the positive change in attitudes. Conclusions A noticeable attitude shift was indexed in reflective journals and on the DAS. TimeSlips is an evidence-based, patient-centered approach well suited to address challenges in the preparation of Communication Sciences and Disorders students to work with the growing population of older adults.

Innovative approaches to the correction of chronotrope status of pregnant and lactating women

2016 ◽  
pp. 37-40
Author(s):  
S.I. Zhuk ◽  
◽  
K.K. Bondarenko ◽  
Keyword(s):  
Folic Acid ◽  
Neural Tube ◽  
Active Form ◽  
Biologically Active ◽  
Lactating Women ◽  
Pathological Conditions ◽  
Prevention And Treatment ◽  
The Impact ◽  
High Bioavailability ◽  
Key Words Mthfr

Most recent studies show the impact of violations in the metabolism of folate and metin period in the pathogenesis of neural tube defects (NTD) of the fetus. Metafolin has a number of advantages, which primarily includes direct intake of substances in biologically active form and the optimum effect, even in the case when the patient homozygote and/or heterozygote genotype 677С T polymorphism in MTHFR. With the aim of prevention and treatment of various pathological conditions related to folate deficiency during pregnancy, it is advisable to apply vitamin-mineral complexes, containing metafolin - active form of folate with high bioavailability. Key words: MTHFR, metafolin, folic acid, pregnancy.

Systematic review methodology for development: An example from microfinance

2018 ◽  
Vol 43 (1) ◽  
pp. 65-77 ◽  
Author(s):  
Carina Van Rooyen ◽  
Ruth Stewart ◽  
Thea De Wet
Keyword(s):  
Systematic Review ◽  
International Development ◽  
Health Sector ◽  
Evidence Based ◽  
Systematic Review Methodology ◽  
Development Interventions ◽  
The Us ◽  
Sub Saharan ◽  
The Impact ◽  
Evidence Based Decision Making

Big international development donors such as the UK’s Department for International Development and USAID have recently started using systematic review as a methodology to assess the effectiveness of various development interventions to help them decide what is the ‘best’ intervention to spend money on. Such an approach to evidence-based decision-making has long been practiced in the health sector in the US, UK, and elsewhere but it is relatively new in the development field. In this article we use the case of a systematic review of the impact of microfinance on the poor in sub-Saharan African to indicate how systematic review as a methodology can be used to assess the impact of specific development interventions.

Designing preclinical perceptibility measures to evaluate topical vaginal gel formulations relating user sensory perceptions and experiences to formulation properties

2020 ◽  
Author(s):  
Lungwani Muungo
Keyword(s):  
User Experience ◽  
Cognitive Processes ◽  
Paradigm Shift ◽  
Empirical Support ◽  
Preliminary Evidence ◽  
Biomedical Prevention ◽  
Product Effectiveness ◽  
Willingness To Use ◽  
The Impact ◽  
Gel Formulations

The effectiveness of any biomedical prevention technology relies on both biological efficacy and behavioraladherence. Microbicide trials have been hampered by low adherence, limiting the ability to draw meaningfulconclusions about product effectiveness. Central to this problem may be an inadequate conceptualization of howproduct properties themselves impact user experience and adherence. Our goal is to expand the current microbicidedevelopment framework to include product ‘‘perceptibility,’’ the objective measurement of user sensoryperceptions (i.e., sensations) and experiences of formulation performance during use. For vaginal gels, a setof biophysical properties, including rheological properties and measures of spreading and retention, may criticallyimpact user experiences. Project LINK sought to characterize the user experience in this regard, and tovalidate measures of user sensory perceptions and experiences (USPEs) using four prototype topical vaginal gelformulations designed for pericoital use. Perceptibility scales captured a range of USPEs during the productapplication process (five scales), ambulation after product insertion (six scales), and during sexual activity (eightscales). Comparative statistical analyses provided empirical support for hypothesized relationships between gelproperties, spreading performance, and the user experience. Project LINK provides preliminary evidence for theutility of evaluating USPEs, introducing a paradigm shift in the field of microbicide formulation design. Wepropose that these user sensory perceptions and experiences initiate cognitive processes in users resulting inproduct choice and willingness-to-use. By understanding the impact of USPEs on that process, formulationdevelopment can optimize both drug delivery and adherence.

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