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Metabolic Cardiology
Published in Stephen T. Sinatra, Mark C. Houston, Nutritional and Integrative Strategies in Cardiovascular Medicine, 2022
What is driving even our most conservative patients to look at other forms of therapies? There are many reasons for the increased popularity of alternative medicine, including patient dissatisfaction with ineffective conventional treatments, pharmacologic drug side effects, drug errors and the high price of medications.
Learning points
Published in Peter Davies, Lindsay Moran, Hussain Gandhi, Adrian Roebuck, Clare J Taylor, The New GP′s Handbook, 2022
If a popular doctor leaves a surgery, consultation rates often drop. If a popular doctor joins a surgery, consultation rates go up. Demand for appointments is in part a popularity marker of the doctor. Demand for appointments is only partly explained by the incidence of pathology.
Complementary and alternative medicine in context
Published in Janetta Bensouilah, Pregnancy Loss, 2021
The idea and popularity of ‘patient empowerment’ have arisen in recent years within the context of greater individual health responsibility, the development of the health consumer and moves to involve patients in treatment decision making. Most CAM practices facilitate the active engagement of individuals in their health. Within acupuncture practice, a pattern of individualised patient-centred care based on a therapeutic partnership and close involvement of patients in their treatment has been identified.31 Another element of acupuncture practice that empowers women is the use of explanatory models from Chinese medicine theory, which aid the development of their understanding of their condition. The use of simple, everyday language by CAM practitioners to explain their models of health and understanding of disease can facilitate a more comfortable fit between the patient’s view and that of their practitioner.22 This approach makes it easier to motivate lifestyle changes that reinforce the potential for health and well-being, in contrast to the technical and sometimes bewildering language that is used in conventional medicine.
Dominance and Prestige as Self-Concept Facets
Published in Journal of Personality Assessment, 2023
Robert Körner, Timo Heydasch, Astrid Schütz
Dominance showed the hypothesized links to authoritarianism and rivalry, which is in line with previously observed aggressive attitudes of dominant people (see Maner, 2017). Prestige, on the other hand, was related to admiration. Research has actually reported that people high in prestige value popularity and sometimes prioritize popularity over performance (Case et al., 2018), which supports the notion that these people want to be liked and admired. Prestige was also positively related to authoritarian aggression and submission. Like dominance, prestige is a concept that has evolved in the literature on social hierarchy. People describing themselves as high in prestige likely value status and power, and the fact that authoritarian attitudes are related to valuing hierarchical structures (Beierlein et al., 2014) may explain why the prestige self-concept is also related to authoritarianism.
The usefulness of YouTube videos as a source of information in asthma
Published in Journal of Asthma, 2023
Caroline Skovsgaard Diers, Celine Remvig, Hanieh Meteran, Simon Francis Thomsen, Torben Sigsgaard, Simon Høj, Howraman Meteran
Popularity-driven measures were examined in relation to source categories (Table 2). Videos uploaded by TV shows and YouTube channels accounted for 24.6% of the total amount of uploaded videos, whereas videos uploaded by lung specialists represented 7.7%. TV shows and YouTube channels had higher median values of view count (208,429), number of likes (2556), dislikes (83), and comments (258) in comparison with videos uploaded by specialists. The source category of specialists was observed to obtain a median value of 167,604 views, 951 likes, 32 dislikes, and 40 comments. Of 7.7% of the videos were uploaded by healthcare providers without a medical degree and 8.5% were from non-healthcare providers. The remaining upload categories (associations, companies, universities, and hospitals) ranged from 11.5 to 15.5%.
Impact of Ramadan fasting on disease activity in patients with multiple sclerosis: a multicenter study
Published in Nutritional Neuroscience, 2022
Amr Hassan, Nahla Merghany, Fatima Ouchkat, Wafa Regragui, Hanaa Kedah, Sherif M. Hamdy, Maged Abdel-Naseer, Hatem S. Shehata, Nevin M. Shalaby, Nirmeen A. Kishk, Mona A. F. Nada, Mohamed I. Hegazy, Marwa Farghaly, Sandra M. Ahmed, Mona Hussein
Islamic fasting is reported to have several metabolic and immunomodulatory benefits [5,6]. Therefore, it started to gain popularity in medicine as a non-pharmacological option in the management of some diseases [7]. Nevertheless, it is crucial to emphasize that patients with chronic health problems should consult their physicians, before initiating fasting to avoid any detrimental effects of fasting on their health [8]. Intermittent fasting (IF) is a dietary pattern, through which periods of fasting and feasting occur in a cycle [9]. IF includes either time-restricted feeding (TRF) or alternate-day fasting (ADF). TRF consists of 8 h of calorie intake, while spending the remaining hours fasting [10]. ADF consists of 24 h of fasting and 24 h of feasting [11]. From the physiological perspective, Islamic fasting is similar to both TRF and ADF. Strong evidence suggested that Ramadan fasting and intermittent fasting share the same physiological changes associated with caloric restrictions for extended hours [12]. Ramadan fasting (like IF) was found to exert immune attenuation through the significant decrease of the pro-inflammatory cytokines (Interleukin-1β, Interleukin-6, and tumor necrosis factor-α), the pro-inflammatory chemokines (CXCL1 and CXCL10), and the constitutive chemokine (CXCL12), in addition to the enhanced macrophage activity and improved neutrophil phagocytic activity [13,14].