Background: There is ample evidence of the high mental health burden caused by Inflammatory Bowel... more Background: There is ample evidence of the high mental health burden caused by Inflammatory Bowel Disease (IBD). Several constructs such as experiential avoidance, cognitive fusion, shame, and self-criticism have recently emerged as potential intervention targets to improve mental health in IBD. Psychotherapeutic models such as Acceptance and Commitment Therapy and compassion-based interventions are known to target these constructs. In this protocol, we aim to describe a two-arm Randomized Controlled Trial (RCT) testing the efficacy of an ACT and compassion-focused intervention named Living with Intention, Fullness, and Engagement with Inflammatory Bowel Disease (LIFEwithIBD) intervention + Treatment As Usual (TAU) vs. TAU in improving psychological distress, quality of life, work and social functioning, IBD symptom perception, illness-related shame, psychological flexibility, self-compassion, disease activity, inflammation biomarkers, and gut microbiota diversity.Methods: This tria...
Most medical schools offer medical Spanish education to teach patient-physician communication ski... more Most medical schools offer medical Spanish education to teach patient-physician communication skills with the growing Spanish-speaking population. Medical Spanish courses that lack basic standards of curricular structure, faculty educators, learner assessment, and institutional credit may increase student confidence without sufficiently improving skills, inadvertently exacerbating communication problems with linguistic minority patients. To conduct a national environmental scan of US medical schools’ medical Spanish educational efforts, examine to what extent existing efforts meet basic standards, and identify next steps in improving the quality of medical Spanish education. Data were collected from March to November 2019 using an IRB-exempt online 6-item primary and 14-item secondary survey. All deans of the Association of American Medical Colleges member US medical schools were invited to complete the primary survey. If a medical Spanish educator or leader was identified, that person was sent the secondary survey. The presence of medical Spanish educational programs and, when present, whether the programs met four basic standards: formal curricular structure, faculty educator, learner assessment, and course credit. Seventy-nine percent of medical schools (125 out of 158) responded to either or both the primary and/or secondary surveys. Among participating schools, 78% (98/125) of medical schools offered medical Spanish programming; of those, 21% (21/98) met all basic standards. Likelihood of meeting all basic standards did not significantly differ by location, school size, or funding type. Fifty-four percent (53/98) report formal medical Spanish curricula, 69% (68/98) have faculty instructors, 57% (56/98) include post-course assessment, and 31% (30/98) provide course credit. Recommended next steps for medical schools include formalizing medical Spanish courses as electives or required curricula; hiring and/or training faculty educators; incorporating learner assessment; and granting credit for student course completion. Future studies should evaluate implementation strategies to establish best practice recommendations beyond basic standards.
The high biodiversity of tropical forest streams depends on the strong input of organic matter, y... more The high biodiversity of tropical forest streams depends on the strong input of organic matter, yet the leaf litter decomposition dynamics in these streams are not well understood. We assessed how seasonal litterfall affects leaf litter breakdown, density and biomass of aquatic invertebrates, and the microbial biomass and sporulation of aquatic hyphomycetes in a South American grassland 'vereda' landscape. Although litter production in the riparian area was low, leaf litter breakdown was high compared with other South American systems, with maximum values coinciding with the rainy season. Fungal biomass in decomposing leaves was high, but spore densities in water and sporulation rates were very low. Invertebrates were not abundant in litter bags, suggesting they play a minor role in leaf litter decomposition. Chironomids accounted for~70 percent of all invertebrates; only 10 percent of non-Chironomidae invertebrates were shredders. Therefore, fungi appear to be the drivers of leaf litter decomposition. Our results show that despite low productivity and relatively fast litter decomposition, organic matter accumulated in the stream and riparian area. This pattern was attributed to the wet/dry cycles in which leaves falling in the flat riparian zone remain undecomposed (during the dry period) and are massively transported to the riverbed (rainy season).
Resumo: Introdução: Este estudo objetivou revisar pesquisas que relatam danos decorrentes do uso ... more Resumo: Introdução: Este estudo objetivou revisar pesquisas que relatam danos decorrentes do uso de crack e possíveis fatores protetivos ou de risco para o uso. Método: Foram realizadas buscas no PsycInfo, PubMed e LILACS. Os descritores utilizados foram: (Crack Cocaine) AND (Street Drugs OR Population Characteristics OR Epidemiology). Resultados: A facilidade de acesso do crack, uso frequente de cocaína injetável, cristais de metanfetamina, envolvimento em comércio sexual e variedade de drogas utilizadas nos últimos seis meses foram considerados fatores de risco para o uso. Não usuários de crack percebem o condicionamento vicário, informações fornecidas pela família e o medo de morrer como fatores protetivos para o uso da droga. O uso de crack pode causar danos físicos, problemas psiquiátricos, neurocognitivos e prejuízos sociais. Conclusão: O uso de crack está associado a danos físicos, mentas e sociais. Fatores protetivos e de risco devem ser considerados na elaboração de políticas públicas de saúde.
Background: There is ample evidence of the high mental health burden caused by Inflammatory Bowel... more Background: There is ample evidence of the high mental health burden caused by Inflammatory Bowel Disease (IBD). Several constructs such as experiential avoidance, cognitive fusion, shame, and self-criticism have recently emerged as potential intervention targets to improve mental health in IBD. Psychotherapeutic models such as Acceptance and Commitment Therapy and compassion-based interventions are known to target these constructs. In this protocol, we aim to describe a two-arm Randomized Controlled Trial (RCT) testing the efficacy of an ACT and compassion-focused intervention named Living with Intention, Fullness, and Engagement with Inflammatory Bowel Disease (LIFEwithIBD) intervention + Treatment As Usual (TAU) vs. TAU in improving psychological distress, quality of life, work and social functioning, IBD symptom perception, illness-related shame, psychological flexibility, self-compassion, disease activity, inflammation biomarkers, and gut microbiota diversity.Methods: This tria...
Most medical schools offer medical Spanish education to teach patient-physician communication ski... more Most medical schools offer medical Spanish education to teach patient-physician communication skills with the growing Spanish-speaking population. Medical Spanish courses that lack basic standards of curricular structure, faculty educators, learner assessment, and institutional credit may increase student confidence without sufficiently improving skills, inadvertently exacerbating communication problems with linguistic minority patients. To conduct a national environmental scan of US medical schools’ medical Spanish educational efforts, examine to what extent existing efforts meet basic standards, and identify next steps in improving the quality of medical Spanish education. Data were collected from March to November 2019 using an IRB-exempt online 6-item primary and 14-item secondary survey. All deans of the Association of American Medical Colleges member US medical schools were invited to complete the primary survey. If a medical Spanish educator or leader was identified, that person was sent the secondary survey. The presence of medical Spanish educational programs and, when present, whether the programs met four basic standards: formal curricular structure, faculty educator, learner assessment, and course credit. Seventy-nine percent of medical schools (125 out of 158) responded to either or both the primary and/or secondary surveys. Among participating schools, 78% (98/125) of medical schools offered medical Spanish programming; of those, 21% (21/98) met all basic standards. Likelihood of meeting all basic standards did not significantly differ by location, school size, or funding type. Fifty-four percent (53/98) report formal medical Spanish curricula, 69% (68/98) have faculty instructors, 57% (56/98) include post-course assessment, and 31% (30/98) provide course credit. Recommended next steps for medical schools include formalizing medical Spanish courses as electives or required curricula; hiring and/or training faculty educators; incorporating learner assessment; and granting credit for student course completion. Future studies should evaluate implementation strategies to establish best practice recommendations beyond basic standards.
The high biodiversity of tropical forest streams depends on the strong input of organic matter, y... more The high biodiversity of tropical forest streams depends on the strong input of organic matter, yet the leaf litter decomposition dynamics in these streams are not well understood. We assessed how seasonal litterfall affects leaf litter breakdown, density and biomass of aquatic invertebrates, and the microbial biomass and sporulation of aquatic hyphomycetes in a South American grassland 'vereda' landscape. Although litter production in the riparian area was low, leaf litter breakdown was high compared with other South American systems, with maximum values coinciding with the rainy season. Fungal biomass in decomposing leaves was high, but spore densities in water and sporulation rates were very low. Invertebrates were not abundant in litter bags, suggesting they play a minor role in leaf litter decomposition. Chironomids accounted for~70 percent of all invertebrates; only 10 percent of non-Chironomidae invertebrates were shredders. Therefore, fungi appear to be the drivers of leaf litter decomposition. Our results show that despite low productivity and relatively fast litter decomposition, organic matter accumulated in the stream and riparian area. This pattern was attributed to the wet/dry cycles in which leaves falling in the flat riparian zone remain undecomposed (during the dry period) and are massively transported to the riverbed (rainy season).
Resumo: Introdução: Este estudo objetivou revisar pesquisas que relatam danos decorrentes do uso ... more Resumo: Introdução: Este estudo objetivou revisar pesquisas que relatam danos decorrentes do uso de crack e possíveis fatores protetivos ou de risco para o uso. Método: Foram realizadas buscas no PsycInfo, PubMed e LILACS. Os descritores utilizados foram: (Crack Cocaine) AND (Street Drugs OR Population Characteristics OR Epidemiology). Resultados: A facilidade de acesso do crack, uso frequente de cocaína injetável, cristais de metanfetamina, envolvimento em comércio sexual e variedade de drogas utilizadas nos últimos seis meses foram considerados fatores de risco para o uso. Não usuários de crack percebem o condicionamento vicário, informações fornecidas pela família e o medo de morrer como fatores protetivos para o uso da droga. O uso de crack pode causar danos físicos, problemas psiquiátricos, neurocognitivos e prejuízos sociais. Conclusão: O uso de crack está associado a danos físicos, mentas e sociais. Fatores protetivos e de risco devem ser considerados na elaboração de políticas públicas de saúde.
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