scholarly journals Effect of Hypnotic Group Treatment on Distress Psychopathology in Mixed-group Outpatients with Depression and Anxiety

2020 ◽  
Vol 13 (1) ◽  
pp. 264-271
Author(s):  
Roberto Truzoli ◽  
Bruno Renzi ◽  
Marta Romanò ◽  
Ilaria Gremizzi ◽  
Veronica Pirola ◽  
...  
Keyword(s):  
Effect Size ◽  
Group Treatment ◽  
Psychological Symptoms ◽  
Cost Effective ◽  
Total Sample ◽  
The Body ◽  
Depression And Anxiety ◽  
Mixed Group ◽  
Cd Rom

Background: There is evidence of hypnosis being effective in reducing both emotional distress, anxiety, and depression. Hypnosis as a technique promotes enhanced mental mastery over the body. This may result in hypnosis being particularly salient in treating distress associated with somatic and psychological symptoms. Objective: This research aims at verifying the effectiveness of a group treatment, which provides for the use of hypnosis-related techniques in mixed-group outpatients with anxiety or depression. Methods: Participants. 31 outpatients (average age= 49.005; DS =12.1) including 13 with mild-moderate depression (average age= 49.17; DS=12.20) and 18 with mild-moderate anxiety (average age=48.84; DS=13.02). Procedure. The group treatment comprised 8 sessions, during which a hypnotic state was induced, aimed at generating a sensation of profound wellbeing in the participants. They could share their experience in a penultimate group session, and were provided with individualised recommendations on nutrition and lifestyle in the last individual session. Patients were prescribed to practice self-hypnosis every day at home with the support of a CD-ROM. Psychopathological symptomatology (SCL-90R), depression (BDI), and anxiety (STAI-Y1, SAS) were assessed at pre, post, and 3-month follow-up. Statistical analysis. Friedman, Kruskal-Wallis and Mann-Whitey tests were used. The Bonferroni’s correction was applied as needed. The effect size (Cohen’s d) was also measured. Results: For the total sample, for all tests, significant differences were observed in the phases. The effect size was found to vary from “small” at pre to ”medium” at post. A “large” effect size was observed when comparing pre and follow-up phases. An overall reduction in the symptoms of distress measured by the SCL-90 R – with the anxiety group showing better outcomes – alongside with an improvement in the symptoms of depression and anxiety were observed in all participants. Conclusion: The clinical impact appears to be relevant, as shown by the values for d. The treatment is cost-effective for highly prevalent disorders in outpatients. The outcomes of this study support the effectiveness of hypnotic group treatment.

scholarly journals What are the long-term symptoms and complications of COVID-19: a protocol for a living systematic review

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1455
Author(s):  
Melina Michelen ◽  
Louise Sigfrid ◽  
Lakshmi Manoharan ◽  
Natalie Elkheir ◽  
Claire Hastie ◽  
...  
Keyword(s):  
Systematic Review ◽  
Significant Proportion ◽  
The Body ◽  
Depression And Anxiety ◽  
Policy Makers ◽  
Duration Of Symptoms ◽  
Persistent Symptoms ◽  
New Evidence

Although the majority of patients with COVID-19 will experience mild to moderate symptoms and will recover fully, there is now increasing evidence that a significant proportion will experience persistent symptoms for weeks or months after the acute phase of the illness. These symptoms include, among others, fatigue, problems in breathing, lack of smell and taste, headaches, and also depression and anxiety. It has also become clear that the virus has lasting effects not only on the respiratory system but also on other parts of the body, including the heart, liver, and the nervous system. In this paper we present a protocol for a living systematic review that aims to synthesize the evidence on the prevalence and duration of symptoms and clinical features of post-acute COVID-19 and its long-term complications. The living systematic review will be updated regularly, initially monthly with update cycles under continuous review as the pace of new evidence generated develops through the pandemic. We will include studies that follow up with COVID-19 patients who have experienced persistent mild, moderate or severe symptoms, with no restrictions regarding country, setting, or language. We will use descriptive statistics to analyse the data and our findings will be presented as infographics to facilitate transcription to lay audiences. Ultimately, we aim to support the work of policy makers, practitioners, and patients when planning rehabilitation for those recovering from COVID-19. The protocol has been registered with PROSPERO (CRD42020211131, 25/09/2020).

scholarly journals Bariatric Surgery for Severe Obesity

2009 ◽  
Vol 22 (2) ◽  
pp. 319-323
Author(s):  
PK Biswas ◽  
I Mahmood
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Severe Obesity ◽  
Cost Effective ◽  
Organ System ◽  
The Body ◽  
Main Stream ◽  
Surgical Specialty ◽  
Co Morbidity

Obesity is a chronic, relapsing, debilitating, life-long disease. It is defined as a body mass index (BMI) of 30 kg/m2 or more, affects 1.7 billion people world-wide. It is a complex, multifactorial chronic disease. Its medical treatment is not effective, and costly. Obesity is the harbinger of many diseases that affects many organ system of the body. Bariatric surgery is long lasting, cost-effective, and reduces co-morbidity efficiently. The procedures are, adjustable gastric banding, Rou x-en-Y gastric bypass, biliopancreatic diversion with duodenal switch, and vertical banded gastroplasty, of which Roux-en-Y gastric bypass is the gold standard. Indications are BMI >40 kg/m2 or BMI >35 kg/m2 with co-morbidity. Lifelong follow-up is required for appropriate weight loss. Bariatric surgery should be considered as a main stream of surgical specialty and should be practiced in our context.TAJ 2009; 22(1): 319-323

scholarly journals Longitudinal course of behavioural and psychological symptoms of dementia: systematic review

2016 ◽  
Vol 209 (5) ◽  
pp. 366-377 ◽  
Author(s):  
Rianne M. van der Linde ◽  
Tom Dening ◽  
Blossom C. M. Stephan ◽  
A. Matthew Prina ◽  
Elizabeth Evans ◽  
...  
Keyword(s):  
Systematic Review ◽  
Psychological Symptoms ◽  
Psychotic Symptoms ◽  
Depression And Anxiety ◽  
Considerable Heterogeneity ◽  
Longitudinal Course ◽  
Behavioural And Psychological Symptoms ◽  
Low Incidence ◽  
Dementia Onset

BackgroundMore information about the pattern of behavioural and psychological symptoms of dementia (BPSD) in the course of dementia is needed to inform patients and clinicians and to design future interventions.AimsTo determine the persistence and incidence of BPSD and their relation to cognitive function, in individuals with dementia or in cohorts investigated for dementia onset.MethodA systematic literature review analysed the baseline prevalence, persistence and incidence of 11 symptoms. The review was conducted according to established guidelines with the exception that we could not exclude the possibilities of bias in the studies examined.ResultsThe 59 included studies showed considerable heterogeneity in their objectives and methods. The symptoms hyperactivity and apathy showed high persistence and incidence; depression and anxiety low or moderate persistence and moderate incidence; and psychotic symptoms low persistence with moderate or low incidence.ConclusionsDespite heterogeneity across studies in terms of setting, focus and length of follow-up, there were clinically relevant differences in the longitudinal courses of different BPSD. Apathy was the only symptom with high baseline prevalence, persistence and incidence during the course of dementia.

scholarly journals Comparison of Safety, Efficacy, and Cost-Effectiveness of Miconazole 2% Versus Sertaconazole 2% in the Treatment of Tinea Corporis: A Randomized Control Trial

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Gorontla Narayana ◽  
Reddy Somasekhar ◽  
Kamal Raj ◽  
Reddy Kartheek ◽  
Thanveer Thireesha ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Cost Effective ◽  
Selective Inhibitor ◽  
The Body ◽  
Therapeutic Outcomes ◽  
Randomized Control ◽  
Cytochrome P 450 ◽  
Keratin Layer ◽  
Blinded Trial

Tineacorporis is a dermatophytic infection of the body, which involves the keratin layer of the skin. These lesions are present as an annular plaque with an advancing border along with central clearing. Miconazole, a topical antifungal drug and has good efficacy, in anti dermatophyte. Sertaconazole is a highly selective inhibitor of fungal cytochrome P-450 sterol C-14 α-demethylation via the inhibition of the enzyme cytochrome P450 14α-demethylase.It is claimed to be superior to other old topical imidazoles in tineacorporis. .The present study was aimed to compare the safety, efficacy and cost-effectiveness of topical antifungals, where we have compared Miconazole and Sertaconazole 2% creams in the treatment of fungal infection caused by tineacorporis, by assessing the ADR’s and therapeutic outcomes, using comparative, unicentered, randomized, non-blinded trial with 2 parallel treatment arms of one-month duration. In this study 106 patients were randomly assigned into 2 groups of Miconazole 2% cream and Sertaconazole 2% with 54 and 52 patients in each group respectively. Measurement is carried out at baseline, 1st, 2nd and 3rd follow-up for desired effects like itching, erythema, pain and lesions, physician’s global assessment (PGA), safety and cost-effectiveness. The results showed that sertaconazole 2% cream is efficacious and superior to Miconazole 2% cream in the improvement of clinical parameters and PGA. At the end of the follow-up phase, both groups of drugs are effective and well-tolerated in patients with no recurrence of tineacorporis. Effectiveness of SSertaconazole is early and superior with minor side effects. However, Miconazole is cost effective and safe.

scholarly journals P.084 Single-centre follow-up of TYRX Antibiotic Envelope for neuromodulation unit implantation

2017 ◽  
Vol 44 (S2) ◽  
pp. S34-S35
Author(s):  
S Ahmed ◽  
K Waterhouse ◽  
A Vitali
Keyword(s):  
Chart Review ◽  
Retrospective Chart Review ◽  
Cost Effective ◽  
The Body ◽  
Control Group ◽  
Single Centre ◽  
Significant Drop ◽  
Single Center Experience ◽  
Cost Effective Method

Background: Studies have placed the rate of infection associated with neuromodulation units to be up to 20%. We present our experience with the TYRX absorbable antibiotic envelope. Our length of follow-up adds to the body of evidence around the use of antibiotic envelops. Methods: We conducted a retrospective chart review of patients referred to our center for either new implantation or revision of neuromodulation units between July 2014 and September 2016. Consecutive cases were included for analysis. We included a control group of consecutive patients with neuromodulation units placed immediately prior to our experience with the TYRX envelopes for comparison Results: Between July 2014 and September 2016, 76 patients had 81 instances of neuromodulation unit insertion. All patients received the TYRX antibiotic envelope. There were no incidences of infection involving antibiotic envelope-containing implants over an average follow-up period of 11 months. In 77 consecutive cases of neuromodulation unit implantation prior to usage of the antibiotic pouch, there were 4 instances of infection (5.2%). Conclusions: Our single center experience demonstrates a significant drop in the rate of infections with the use of an antibiotic envelope for neuromodulation unit implantation. We consider the routine use of the envelope to be a cost-effective method of infection avoidance.

scholarly journals Ayurvedic Approach for Shwitra- A Case Study

2021 ◽  
pp. 36-39
Author(s):  
Shalini ◽  
Chakraborty Subhrajyoti
Keyword(s):  
Skin Pigmentation ◽  
Pernicious Anaemia ◽  
Cost Effective ◽  
Complete Loss ◽  
The Body ◽  
White Patch ◽  
Addison Disease ◽  
Destruction Of Melanocytes

Skin is one of the most important and visible organ of our body. Skin anomalies create physical as well as psychological problems in an individual. Among different variety of Kustha, Shwitra is considered as one of them in the Ayurvedic classics which occur due to vitiation of Tridoshas and Dhatus like Rakta, Mamsa and Meda. Shwitra can be correlated with vitiligo or leucoderma, where it manifest as white patch on the skin due to partial or complete loss of skin pigmentation and causes cosmetic imbalance of the body. Vitiligo is an autoimmune disease and it may be associated with other autoimmune diseases such as pernicious anaemia, addison disease and diabetes mellitus results in destruction of melanocytes thus causing depigmentation. A female patient, aged 36 years suffering from white patches in left forehead region for last 2 years and she was treated with both Sodhan and Shaman Chikitsa for a period of 3 months. Result was assessed from the changes in the size of patch and photographs. Proper written consent was taken from the patient prior to the study. Follow up was done at 1 month interval and after 3 months there was marked improvement seen in patch and colour. The present study indicates different prospective of treatment for Shwitra kustha and it provides cost effective as well as safe treatment of the disease. This study shows a new dimension in the treatment for Shwitra and could be carried out for statistical significant study.

scholarly journals High education accelerates cognitive decline in dementia: A brief report from the population-based NEDICES cohort

2017 ◽  
Vol 11 (3) ◽  
pp. 297-300 ◽  
Author(s):  
Israel Contador ◽  
Félix Bermejo-Pareja ◽  
D. Lora Pablos ◽  
Alberto Villarejo ◽  
Julián Benito-León
Keyword(s):  
Older Adults ◽  
Cohort Study ◽  
High Education ◽  
Cognitive Decline ◽  
Effect Size ◽  
Educational Level ◽  
Total Sample ◽  
Population Based ◽  
Low Educated

ABSTRACT High education has been associated with faster cognitive decline after diagnosis of Alzheimer's disease (AD), but it is unclear whether these findings extend to other dementia subtypes. OBJECTIVE: We investigated whether educational attainment influences the cognitive trajectories of older adults with different dementia subtypes. METHODS: All participants were selected from NEDICES, a prospective population-based cohort study of Spanish older adults. A total sample of 53 individuals with dementia completed the MMSE-37 at Times 1 and 2 (mean follow-up=2.8±0.5 years) to assess cognitive decline. RESULTS: At follow-up, MMSE-37 scores had decreased by 3.34±4.98 points in low-educated individuals with dementia versus 7.90±4.88 points in high-educated subjects (effect size (r)=0.32, p=0.02). CONCLUSION: Educational level influenced the cognitive trajectories of patients with dementia assessed by the MMSE-37.

Microcirculation of the fingers in Raynaud’s syndrome

2005 ◽  
Vol 44 (01) ◽  
pp. 29-32 ◽  
Author(s):  
I. Garai ◽  
J. Varga ◽  
G. Szücs ◽  
Z. Galajda ◽  
C. András ◽  
...  
Keyword(s):  
Nuclear Medicine ◽  
Quantitative Data ◽  
Cost Effective ◽  
Semiquantitative Analysis ◽  
Perfusion Scintigraphy ◽  
Visual Evaluation ◽  
Raynaud’S Syndrome ◽  
Raynaud's Syndrome ◽  
Primary Form

Summary Aim: We investigated the circulatory characteristics of patients suffering of primary and secondary Raynaud’s syndrome. Patients, methods: We examined 106 patients presenting with the classical symptoms of Raynaud’s syndrom (47 primary, 59 secondary) by hand perfusion scintigraphy developed by our Department of Nuclear Medicine. After visual evaluation we analyzed the images semiquantitatively, using the finger to palm ratio. We statistically compared the patients with primary and those with secondary Raynaud’s syndrome. Results: By visual evaluation we constated regional perfusion disturbances in 42 from 59 patients with secondary Raynaud’s syndrome. However, this was observed in only 3 from 47 patients with the primary form of this disease. This difference was statistically significant (p <0.001). Semiquantitative analysis showed that the finger/palm ratios (FPR) were significantly lower (p <0.05) for the patients with primary Raynaud’s syndrome. No differences in the FPR values concerning sex or right and left side. Conclusion: The hand perfusion scintigraphy with 99mTc-DTPA is a noninvasive, cost effective diagnostic tool, which objectively reflects the global and regional microcirculatory abnormalities of the hands, and provides quantitative data for follow-up.

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