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MEDICAL SCIENCES (2241 journals)            First | 1 2 3 4 5 6 7 8 | Last

Showing 601 - 800 of 3562 Journals sorted alphabetically
Extreme Physiology & Medicine     Open Access   (Followers: 1)
F&S Reports     Open Access  
F&S Science : Official journal of the American Society for Reproductive Medicine     Open Access  
Facial Plastic Surgery & Aesthetic Medicine     Full-text available via subscription   (Followers: 7)
Facta Universitatis, Series : Medicine and Biology     Open Access  
Family Medicine and Community Health     Open Access   (Followers: 8)
Family Practice     Hybrid Journal   (Followers: 17)
Family Practice & Palliative Care     Open Access   (Followers: 5)
Family Practice Management     Full-text available via subscription   (Followers: 4)
Faridpur Medical College Journal     Open Access  
FEM : Revista de la Fundación Educación Médica     Open Access  
Finlay : Revista de Enfermedades no Transmisibles     Open Access  
Fisioterapia     Full-text available via subscription   (Followers: 2)
Fisioterapia & Saúde Funcional     Open Access  
Flugmedizin · Tropenmedizin · Reisemedizin - FTR     Hybrid Journal  
FMC - Formación Médica Continuada en Atención Primaria     Full-text available via subscription  
Folia Medica     Open Access  
Folia Medica Indonesiana     Open Access  
Folia Morphologica     Full-text available via subscription  
Folia Phoniatrica et Logopaedica     Full-text available via subscription   (Followers: 1)
Fontanus     Open Access   (Followers: 1)
Food Hydrocolloids for Health     Open Access  
Foodborne Pathogens and Disease     Hybrid Journal   (Followers: 11)
Foot & Ankle Specialist     Hybrid Journal   (Followers: 4)
Foot and Ankle Clinics     Full-text available via subscription   (Followers: 12)
Foot and Ankle Online Journal     Full-text available via subscription   (Followers: 6)
Forensic Science International : Mind and Law     Open Access   (Followers: 4)
Forum Medycyny Rodzinnej     Hybrid Journal  
Forum Zaburzeń Metabolicznych     Hybrid Journal  
Frontières     Full-text available via subscription   (Followers: 3)
Frontiers in Digital Health     Open Access   (Followers: 4)
Frontiers in Medical Technology     Open Access  
Frontiers in Medicine     Open Access   (Followers: 2)
Frontiers in Network Physiology     Open Access   (Followers: 2)
Frontiers in Neuroprosthetics     Open Access   (Followers: 6)
Frontiers in Synaptic Neuroscience     Open Access   (Followers: 2)
Frontiers in Tropical Diseases     Open Access  
Frontiers of Medical and Biological Engineering     Hybrid Journal  
Frontiers of Medicine     Hybrid Journal   (Followers: 2)
Fuss & Sprunggelenk     Hybrid Journal  
Future Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Future Prescriber     Hybrid Journal  
Future Science OA     Open Access  
Gaceta Médica Boliviana     Open Access  
Gaceta Médica Espirituana     Open Access  
Galen Medical Journal     Open Access  
Galician Medical Journal     Open Access   (Followers: 1)
Galle Medical Journal     Open Access  
Gefäßmedizin Scan     Hybrid Journal  
Gender and the Genome     Open Access   (Followers: 1)
Gene Expression     Full-text available via subscription   (Followers: 1)
General Reanimatology     Open Access  
Genes     Open Access   (Followers: 2)
Genome Instability & Disease     Hybrid Journal  
Geoforum     Hybrid Journal   (Followers: 25)
Gestão e Desenvolvimento     Open Access  
Ghana Medical Journal     Open Access   (Followers: 1)
GigaScience     Open Access   (Followers: 4)
Gimbernat : Revista d’Història de la Medicina i de les Ciències de la Salut     Open Access  
Glia     Hybrid Journal   (Followers: 5)
Global Advances in Health and Medicine     Open Access  
Global Bioethics     Open Access   (Followers: 5)
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Journal     Open Access   (Followers: 2)
Global Journal of Integrated Chinese Medicine and Western Medicine     Open Access  
Global Journal of Cancer Therapy     Open Access  
Global Journal of Fertility and Research     Open Access  
Global Journal of Health Science     Open Access   (Followers: 5)
Global Journal of Infectious Diseases and Clinical Research     Open Access   (Followers: 1)
Global Journal of Medical and Clinical Case Reports     Open Access  
Global Journal of Obesity, Diabetes and Metabolic Syndrome     Open Access   (Followers: 2)
Global Journal of Perioperative Medicine     Open Access  
Global Journal of Rare Diseases     Open Access  
Global Medical & Health Communication     Open Access   (Followers: 1)
Global Reproductive Health     Open Access  
Grande Medical Journal     Open Access  
Growth Factors     Hybrid Journal   (Followers: 2)
GSTF Journal of Advances in Medical Research     Open Access  
Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi     Open Access  
Hamdan Medical Journal     Open Access  
Hämostaseologie     Hybrid Journal   (Followers: 4)
Hämostaseologie     Open Access  
Hand     Hybrid Journal   (Followers: 4)
Hand Clinics     Full-text available via subscription   (Followers: 6)
Hand Therapy     Hybrid Journal   (Followers: 11)
Hard Tissue     Open Access  
Head & Face Medicine     Open Access   (Followers: 1)
Head and Neck Cancer Research     Open Access  
Head and Neck Tumors     Open Access  
Health Information : Jurnal Penelitian     Open Access  
Health Matrix : The Journal of Law-Medicine     Open Access  
Health Notions     Open Access  
Health Science Journal of Indonesia     Open Access  
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 1)
Health Sciences Review     Open Access  
Health Security     Hybrid Journal   (Followers: 1)
Healthcare Technology Letters     Open Access  
Hearing, Balance and Communication     Hybrid Journal   (Followers: 6)
Hearts     Open Access   (Followers: 1)
HEC Forum     Hybrid Journal   (Followers: 1)
Heighpubs Otolaryngology and Rhinology     Open Access  
Heilberufe     Hybrid Journal  
HeilberufeSCIENCE     Hybrid Journal  
Heilpflanzen     Hybrid Journal   (Followers: 8)
Helicobacter     Hybrid Journal  
HemaSphere     Open Access   (Followers: 2)
Hemoglobin     Hybrid Journal  
Hepatology, Medicine and Policy     Open Access  
HERALD of North-Western State Medical University named after I.I. Mechnikov     Open Access  
Herald of the Russian Academy of Sciences     Full-text available via subscription  
Herzschrittmachertherapie + Elektrophysiologie     Hybrid Journal  
Highland Medical Research Journal     Full-text available via subscription  
Hipertensión y Riesgo Vascular     Full-text available via subscription  
HIV Australia     Full-text available via subscription   (Followers: 3)
Homeopathy     Hybrid Journal   (Followers: 1)
Homoeopathic Links     Hybrid Journal  
Hong Kong Physiotherapy Journal     Open Access   (Followers: 14)
Horizonte Medico     Open Access  
Hormones : International Journal of Endocrinology and Metabolism     Hybrid Journal  
Hospital a Domicilio     Open Access  
Hospital Practices and Research     Open Access  
Hospital Topics     Hybrid Journal   (Followers: 1)
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
Huisarts en wetenschap     Hybrid Journal   (Followers: 4)
Human & Veterinary Medicine - International Journal of the Bioflux Society     Open Access   (Followers: 4)
Human Factors in Healthcare     Open Access   (Followers: 2)
Human Fertility     Hybrid Journal   (Followers: 4)
Humanidades Médicas     Open Access  
I.P. Pavlov Russian Medical Biological Herald     Open Access  
Iatreia     Open Access  
Ibnosina Journal of Medicine and Biomedical Sciences     Open Access  
IDCases     Open Access  
IEEE Journal of Biomedical and Health Informatics     Hybrid Journal   (Followers: 14)
IEEE Journal of Electromagnetics, RF and Microwaves in Medicine and Biology     Hybrid Journal  
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 5)
IEEE Open Journal of Engineering in Medicine and Biology     Open Access   (Followers: 1)
IEEE Transactions on Medical Robotics and Bionics     Hybrid Journal   (Followers: 3)
IEEE/ACM Transactions on Computational Biology and Bioinformatics     Hybrid Journal   (Followers: 18)
IJID Regions     Open Access   (Followers: 1)
IJS Global Health     Open Access  
IJU Case Reports     Open Access  
iLiver     Open Access   (Followers: 6)
Im OP     Hybrid Journal  
Image Analysis & Stereology     Open Access   (Followers: 1)
IMAGING     Full-text available via subscription   (Followers: 1)
Imaging in Medicine     Open Access  
Imaging Journal of Clinical and Medical Sciences     Open Access   (Followers: 1)
Imam Journal of Applied Sciences     Open Access  
Indian Journal of Ayurveda and lntegrative Medicine Klue     Open Access   (Followers: 4)
Indian Journal of Burns     Open Access   (Followers: 2)
Indian Journal of Clinical Medicine     Open Access  
Indian Journal of Community and Family Medicine     Open Access   (Followers: 3)
Indian Journal of Community Medicine     Open Access   (Followers: 1)
Indian Journal of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 2)
Indian Journal of Medical Microbiology     Open Access   (Followers: 1)
Indian Journal of Medical Research     Open Access   (Followers: 3)
Indian Journal of Medical Sciences     Open Access   (Followers: 2)
Indian Journal of Medical Specialities     Hybrid Journal  
Indian Journal of Otology     Open Access   (Followers: 1)
Indian Journal of Public Health     Open Access   (Followers: 1)
Indian Journal of Transplantation     Open Access  
Indian Spine Journal     Open Access  
Indo-Pacific Journal of Phenomenology     Open Access   (Followers: 1)
Indonesia Journal of Biomedical Science     Open Access   (Followers: 1)
Indonesian Biomedical Journal     Open Access  
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Medicine     Open Access  
Indonesian Journal of Tropical and Infectious Disease     Open Access  
Infant Observation: International Journal of Infant Observation and Its Applications     Hybrid Journal   (Followers: 1)
Inflammation     Hybrid Journal   (Followers: 3)
Inflammation Research     Hybrid Journal   (Followers: 4)
Info Diabetologie     Full-text available via subscription   (Followers: 1)
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
Informatics in Medicine Unlocked     Open Access  
Injury Prevention     Hybrid Journal   (Followers: 6)
InnovAiT     Hybrid Journal   (Followers: 1)
Innovare Journal of Health Science     Open Access  
Innovare Journal of Medical Science     Open Access  
Innovation in Aging     Open Access   (Followers: 1)
Inside Precision Medicine     Full-text available via subscription   (Followers: 6)
Insights in Biology and Medicine     Open Access  
Integrative and Complementary Therapies     Full-text available via subscription   (Followers: 6)
Integrative Medicine Insights     Open Access   (Followers: 1)
Integrative Medicine International     Open Access   (Followers: 1)
Integrative Medicine Research     Open Access   (Followers: 3)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 12)
Intelligence-Based Medicine     Open Access  
Intelligent Medicine     Open Access   (Followers: 1)
intensiv     Hybrid Journal   (Followers: 1)
interactive Journal of Medical Research     Open Access  
Interdisciplinary Perspectives on Infectious Diseases     Open Access   (Followers: 1)
Interdisciplinary Sciences : Computational Life Sciences     Hybrid Journal   (Followers: 2)
Internal Medicine     Open Access   (Followers: 1)
International Biomechanics     Open Access   (Followers: 1)
International Health     Hybrid Journal   (Followers: 5)
International Health Trends and Perspectives     Open Access  
International Journal for Numerical Methods in Biomedical Engineering     Hybrid Journal   (Followers: 2)
International Journal for Vitamin and Nutrition Research     Hybrid Journal   (Followers: 10)
International Journal of Academic Medicine     Open Access   (Followers: 1)

  First | 1 2 3 4 5 6 7 8 | Last

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Global Advances in Health and Medicine
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2164-9561 - ISSN (Online) 2164-9561
Published by Sage Publications Homepage  [1174 journals]
  • Valued living among veterans in breath-based meditation treatment or
           cognitive processing therapy for posttraumatic stress disorder:
           Exploratory outcome of a randomized controlled trial

    • Authors: R Jay Schulz-Heik, Laura C Lazzeroni, Beatriz Hernandez, Timothy J Avery, Danielle C Mathersul, Julia S Tang, Emily Hugo, Peter J Bayley
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundValued living is the extent to which an individual’s behavior is consistent with what they believe is important or good. It is unknown whether many complementary and integrative treatments and psychotherapies for posttraumatic stress disorder enhance valued living, and for whom.ObjectivesMeasure within- and between-group changes in valued living in Veterans who completed cognitive processing therapy (CPT) and sudarshan kriya yoga (SKY) for posttraumatic stress disorder (PTSD); evaluate moderators of improvement.MethodsParticipants with clinically significant symptoms of PTSD were assigned to CPT, a first line, evidence-based psychotherapy for PTSD or SKY, an emerging breath-based meditation with strong preliminary empirical support in a parallel-groups randomized controlled trial at a single Veterans Affairs healthcare center. The Valuing Questionnaire subscales for progress in valued living (VQ-P) and obstruction in valued living (VQ-O) were exploratory outcome measures. Assessors were blind to treatment assignment.Results59 participants completed treatment (29 CPT, 30 SKY). Participants in the CPT group improved from baseline to end of treatment in both VQ-Progress (d=0.55, p=0.02) and VQ–Obstruction (d=-0.51, p=0.03), while the SKY group did not improve on either subscale (d=0.08, p=0.69; d=0.00, p=1.00). However, differences between treatments were not statistically significant (p=0.16, 0.11, respectively). Participants reporting less valued living and more depression symptoms at baseline reported greater improvements in valued living following treatment.ConclusionCPT may have a positive effect on valued living. Individuals lower in valued living and with more depression may derive relatively more benefit.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-06-24T06:14:07Z
      DOI: 10.1177/2164957X221108376
      Issue No: Vol. 11 (2022)
       
  • The Effects of a Forest Therapy on Work-Related Stress for Employees in
           the Manufacturing Industry: Randomized Control Study

    • Authors: Han Choi, Yo-Han Jeon, Jin-Woo Han, Joo Moon, Soo-Yeon Kim, Jong-Min Woo
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundThe effect of a forest therapy in a natural environment noted that the forest therapy induced a state of relaxation among workers, thereby decreasing cortisol levels and work-related stress.ObjectiveThe primary objective of this study is to determine the effects of the forest therapy for employees in the manufacturing industry on psychological stress responds, stress hormone and heart rate variability (HRV). The secondary objective is to determine the effects of the forest therapy for employees in the manufacturing industry on cytotoxic activity of natural killer (NK) cells, health-related quality of life and mood states compare to urban untreated and remained in urban environment.MethodsForty-two employees were recruited from a single workplace located in Incheon city, Republic of Korea. Participants were allocated to either an experimental group (n= 21), wherein they participated in the forest therapy and or a control group (n= 21), wherein they were given no treatment. Participants were assigned to these groups on a randomized, open-label basis. Pre and post-test measures of natural killer (NK) cell activity, salivary cortisol, heart rate variability (HRV), health-related quality of life, stress response, and mood states were taken for both groups.ResultsThe results showed that participants who took part in the forest therapy showed greater physiological improvement when compared to those in the control group, as indicated by a significant increase in some HRV measures. The forest therapy also contributed to a significantly greater decrease in work-related stress symptoms and a significantly greater improvement in health-related quality of life and mood states compared to participants in the control group.ConclusionsThese results may suggest that the forest therapy could be an effective means of relaxation technique, reducing stress and leads to an increase in positive mood for employees in the manufacturing industry.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-06-20T11:42:22Z
      DOI: 10.1177/2164957X221100468
      Issue No: Vol. 11 (2022)
       
  • Comparing Types of Yoga for Chronic Low Back and Neck Pain in Military
           Personnel: A Feasibility Randomized Controlled Trial

    • Authors: Erik J Groessl, Danielle Casteel, Symone McKinnon, Adhana McCarthy, Laura Schmalzl, Douglas E Chang, Ian M Fowler, Crystal L Park
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundChronic low back pain (cLBP) and chronic neck pain (cNP) are highly prevalent conditions and common reasons for disability among military personnel. Yoga and other mind-body interventions have been shown to safely decrease pain and disability in persons with cLBP and/or cNP but have not been adequately studied in active duty military personnel. The objective of this study was to examine the feasibility and acceptability of delivering 2 types of yoga (hatha and restorative) to a sample of active-duty military personnel with cLBP/cNP.MethodsMilitary personnel with cLBP and/or cNP (n = 49; 59% men) were randomized to either hatha or restorative yoga interventions. Interventions consisted of in-person yoga 1-2x weekly for 12 weeks. Feasibility and acceptability were measured by rates of recruitment, intervention attendance, attrition, adverse events, and satisfaction ratings. Health outcomes including pain and disability were measured at baseline, 12 weeks, and 6 months. Means and effect sizes are presented.ResultsRecruitment was completed ahead of projections. Over 90% of participants agreed or strongly agreed that they enjoyed participation, liked the instructor, and would like to continue yoga. Retention rates were 86% and 80% at 12 week and 6 month assessments, respectively. Intervention attendance was adequate but lower than expected. There were small to moderate reductions in back-pain related disability, pain severity and pain interference, and improvements in quality of life, grip strength, and balance. In general, effects were larger for those who attended at least 50% of intervention classes. Participants with cNP tended to have smaller outcome improvements, but conclusions remain tentative given small sample sizes.ConclusionsResults demonstrate feasibility for conducting a randomized controlled comparative effectiveness trial of yoga for cLBP and cNP among active duty military personnel. Acceptability was also established. Ongoing work will enhance the intervention for cNP and establish feasibility at another military facility in preparation for a fully-powered comparative effectiveness trial.ClinicalTrials #NCT03504085; registered April 20, 2018.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-06-16T09:29:31Z
      DOI: 10.1177/2164957X221094596
      Issue No: Vol. 11 (2022)
       
  • Corrigendum to “Impact of a Yogic Breathing Technique on the Well-Being
           of Healthcare Professionals During the COVID-19 Pandemic”

    • Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.

      Citation: Global Advances in Health and Medicine
      PubDate: 2022-05-25T05:14:09Z
      DOI: 10.1177/2164957X221098214
      Issue No: Vol. 11 (2022)
       
  • Assessment of Healthcare Professionals’ Wellbeing During a Peak of the
           COVID-19 Pandemic in a Healthcare System in Ohio

    • Authors: Natalie L Dyer, Francoise Adan, Tyler Barnett, Jeffery A Dusek
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      ObjectiveThe purpose of this cross-sectional study was to evaluate multiple indices of wellbeing in healthcare professionals during the COVID-19 pandemic.MethodsHealthcare professionals were invited to participate across the University Hospitals healthcare system in Ohio, USA. Participants (N = 6397) completed online questionnaires on their wellbeing, including healthy behaviors, safety and security, mental and physical health concerns, and social support. Differences in wellbeing across demographics were also assessed.ResultsOverall, healthcare professionals’ mean subjective wellbeing was 7.98 (1.50) and their future health score was 3.98 (1.13). Room for improvement was noted for diet, sleep, and positive thinking. Males reported significantly higher levels of overall wellbeing and future health scores, including fruit and vegetable intake and physical activity, and alcohol use, whereas females reported higher levels of positive thinking and tobacco use. Of the three largest racial groups, White and Asian employees scored significantly higher on future health, M = 4.00 (1.17) and M = 4.10 (1.13), than Black or African American employees, M = 3.74 (1.10).ConclusionsThis cross-sectional study assessed the wellbeing of healthcare workers during the initial peak of the COVID-19 pandemic prior to vaccine delivery. Future work will implement strategies to improve healthcare workers’ wellbeing in an individualized way based on our findings, as well as evaluate changes in wellbeing and future health scores across time.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-05-25T04:49:54Z
      DOI: 10.1177/2164957X221089258
      Issue No: Vol. 11 (2022)
       
  • Understanding Who Uses Whole Health Services: A Program Evaluation

    • Authors: Luke D. Mitzel, Kyle Possemato, Allyson R. Smith, Cheryl A. Seifert, Abigail E. Ramon, Harminder Grewal
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundThe Veterans Health Administration is rolling out a Whole Health system of care as part of an enhanced focus on proactive, person-centered healthcare.ObjectiveOur program evaluation seeks to characterize what Veterans use Whole Health services, for what diagnoses they are seeking Whole Health services, and to examine “high utilizers” of Whole Health services.MethodsData were collected on 174 Veterans using Whole Health services from December 2018 through March 2020 and consisted of chart review and self-report data.ResultsWomen were more likely than men Veterans to use individual only Whole Health services. High utilizers (the top 30% of the sample in Whole Health services used) were more likely to attend groups than the remainder of the sample.ConclusionFuture work should examine the community-building aspects of Whole Health and ways to create group programming tailored to women Veterans.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-05-18T12:36:46Z
      DOI: 10.1177/2164957X221103550
      Issue No: Vol. 11 (2022)
       
  • Comment from the Academic Consortium for Integrative Medicine & Health on
           the CDC Clinical Practice Guideline for Prescribing Opioids–United
           States, 2022

    • Authors: Heather Tick, Arya Nielsen, Paula M. Gardiner, Samantha Simmons, Kathryn A. Hansen, Jeffery A. Dusek
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.

      Citation: Global Advances in Health and Medicine
      PubDate: 2022-05-18T12:25:32Z
      DOI: 10.1177/2164957X221104093
      Issue No: Vol. 11 (2022)
       
  • A Randomized Preference Trial Comparing Cognitive-Behavioral Therapy and
           Yoga for the Treatment of Late-Life Worry: Examination of Impact on
           Depression, Generalized Anxiety, Fatigue, Pain, Social Participation, and
           Physical Function

    • Authors: Suzanne C. Danhauer, Michael E. Miller, Jasmin Divers, Andrea Anderson, Gena Hargis, Gretchen A. Brenes
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundDepression, generalized anxiety, fatigue, diminished physical function, reduced social participation, and pain are common for many older adults and negatively impact quality of life. The purpose of the overall trial was to compare the effects of cognitive-behavioral therapy (CBT) and yoga on late-life worry, anxiety, and sleep; and examine preference and selection effects on these outcomes.ObjectiveThe present analyses compared effects of the 2 interventions on additional outcomes (depressive symptoms, generalized anxiety symptoms, fatigue, pain interference/intensity, physical function, social participation); and examined whether there are preference and selection effects for these treatments.MethodsA randomized preference trial of CBT and yoga was conducted in adults ≥60 years who scored ≥26 on the Penn State Worry Questionnaire-Abbreviated (PSWQ-A), recruited from outpatient medical clinics, mailings, and advertisements. Cognitive-behavioral therapy consisted of 10 weekly telephone sessions. Yoga consisted of 20 bi-weekly group yoga classes. Participants were randomized to(1): a randomized controlled trial (RCT) of CBT or yoga (n = 250); or (2) a preference trial in which they selected their treatment (CBT or yoga; n = 250). Outcomes were measured at baseline and post-intervention.ResultsWithin the RCT, there were significant between-group differences for both pain interference and intensity. The pain interference score improved more for the CBT group compared with the yoga group [intervention effect of (mean (95% CI) = 2.5 (.5, 4.6), P = .02]. For the pain intensity score, the intervention effect also favored CBT over yoga [.7 (.2, 1.3), P < .01]. Depressive symptoms, generalized anxiety, and fatigue showed clinically meaningful within-group changes in both groups. There were no changes in or difference between physical function or social participation for either group. No preference or selection effects were found.ConclusionBoth CBT and yoga may be useful for older adults for improving psychological symptoms and fatigue. Cognitive-behavioral therapy may offer even greater benefit than yoga for decreasing pain.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-05-16T10:33:59Z
      DOI: 10.1177/2164957X221100405
      Issue No: Vol. 11 (2022)
       
  • ICIMH 2022 Abstracts

    • Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.

      Citation: Global Advances in Health and Medicine
      PubDate: 2022-05-02T06:12:40Z
      DOI: 10.1177/2164957X221096590
      Issue No: Vol. 11 (2022)
       
  • Managing the Built Environment for Health Promotion and Disease Prevention
           With Maharishi Vastu Architecture: A Review

    • Authors: Jon Lipman, Lee Fergusson, Anna Bonshek, Robert H. Schneider
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      Background and objectivesThe evolution of healthcare from 18th-century reductionism to 21st-century postgenomic holism has been described in terms of systems medicine, and the impact of the built environment on human health is the focus of investigation and development, leading to the new specialty of evidence-based, therapeutic architecture. The traditional system of Vāstu architecture—a design paradigm for buildings which is proposed to promote mental and physical health—has been applied and studied in the West in the last 20 years, and features elements absent from other approaches. This review critically evaluates the theory and research of a well-developed, standardized form of Vāstu—Maharishi Vastu® architecture (MVA). MVA’s principles include development of the architect’s consciousness, universal recommendations for building orientation, siting, and dimensions; placement of key functions; and occupants’ head direction when sleeping or performing tasks. The effects of isolated Vāstu elements included in MVA are presented. However, the full value of MVA, documented as a systematic, globally applicable practice, is in the effect of its complete package, and thus this review of MVA includes evaluating the experience of living and working in MVA buildings.MethodsThe published medical and health-related literature was systematically surveyed for research on factors related to isolated principles applied in MVA as well as on the complete system.ResultsPublished research suggests that incorporating MVA principles into buildings correlates with significant improvements in occupants’ physical and mental health and quality of life: better sleep, greater happiness of children, and the experience of heightened sense of security and reduced stress. The frequency of burglaries, a social determinant of health, also correlates. Potential neurophysiological mechanisms are described.ConclusionsFindings suggest that MVA offers an actionable approach for managing a key social determinant of health by using architectural design as preventive medicine and in public health.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-04-28T05:10:44Z
      DOI: 10.1177/2164957X221077084
      Issue No: Vol. 11 (2022)
       
  • Cultural Transformation to a Whole Health System: Lessons Learned

    • Authors: Tracy Gaudet
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      Perhaps, the biggest risk facing the efforts to improve health and well-being for all, is to fail to realize that this requires not simply improvement upon the existing systems, but TRUE transformation. And, transformation not of one massive, complex system but of a multitude of systems. The Whole Health Institute has identified thirteen large systems that impact health and well-being and are in need of true transformation.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-04-23T12:55:05Z
      DOI: 10.1177/2164957X221091452
      Issue No: Vol. 11 (2022)
       
  • What Are Adverse Events in Mindfulness Meditation'

    • Authors: Dhanesh D. Binda, Carol M. Greco, Natalia E. Morone
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      Mindfulness meditation has become a successful treatment of both physical and psychosocial ailments over the past decade. Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT) are now implemented in various clinical and hospital settings for the treatment of stress, depression, substance abuse, and chronic pain. However, given mindfulness meditation’s exponential rise in popularity, scientific and media reports have called for the evaluation of mindfulness meditation’s safety for those who participate in its programs. Studies have described adverse events, such as anxiety and pain, and more severe events like psychosis, that have been associated with mindfulness meditation. However, there has not been a consistent, systematic way to define and report adverse events in meditation randomized control trials. The objective of our viewpoint was to dispel the notion that these emotive feelings and sensations are adverse events due to mindfulness meditation. Instead, they are actually expected reactions involved in the process of achieving the true benefits of mindfulness meditation. For the more severe outcomes of meditation, for example, psychosis and mania, these events are confounded by other factors, such as the intensity and length of the meditative practices as well as psychological stressors and the psychiatric histories of those affected. Comparatively, mindfulness-based programs like MBSR and MBCT are shorter in duration and less intense. They are designed to be adapted to their participants’ needs as to not induce pain or panic. Mindfulness meditation teaches its students to learn how to deal with their minds and bodies instead of using maladaptive coping techniques. Thus, we urge that further research in mindfulness meditation consistently use the definition of adverse events as those which lead to severe outcomes or hospitalization.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-04-20T06:48:13Z
      DOI: 10.1177/2164957X221096640
      Issue No: Vol. 11 (2022)
       
  • Training Interprofessional Staff in Whole Health Clinical Care at the
           Veterans Health Administration

    • Authors: Rebecca M. Ametrano, Morgan L. McGillicuddy, Shefali Sanyal, David R. Topor
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      IntroductionThe Veterans Health Administration (VHA) initiated a system-wide redesign in 2011 toward a patient-centered approach called the Whole Health System (WHS) of care. Education of VHA clinical staff in WHS-informed care, Whole Health Clinical Care (WHCC), is one critical element of this redesign effort. At a minimum, WHCC education should address core competencies for clinicians and be considered satisfactory for learners. This is the first study to evaluate learner satisfaction and perceived achievement of course objectives in WHCC that incorporated active learning strategies.MethodA large VA Healthcare System developed an in-person workshop focused on WHCC that used multiple active learning activities. These activities included case presentations, role playing, experiential learning, and group discussion.ResultsSixty-two interprofessional staff attended the workshop in November 2019. Forty (64.50%) participants completed post-workshop surveys within 30 days. Data suggest participants were highly satisfied with the workshop and that they successfully met stated learning objectives.ConclusionsWe call on VHA and private-sector hospitals to train clinical staff in WHCC that incorporates use of active learning strategies.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-04-12T05:22:29Z
      DOI: 10.1177/2164957X221092361
      Issue No: Vol. 11 (2022)
       
  • Returning Wholeness to Health

    • Authors: Paul J. Mills, William C. Bushell
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.

      Citation: Global Advances in Health and Medicine
      PubDate: 2022-04-09T01:30:14Z
      DOI: 10.1177/2164957X221092358
      Issue No: Vol. 11 (2022)
       
  • A Network Analysis of the Association Between Depressive Symptoms and
           Patient Activation Among Those With Elevated Cardiovascular Risk

    • Authors: Chiyoung Lee, Ruth Q. Wolever, Qing Yang, Allison Vorderstrasse, Se Hee Min, Xiao Hu
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundNetwork analysis provides a new method for conceptualizing interconnections among psychological and behavioral constructs.ObjectiveWe used network analysis to investigate the complex associations between depressive symptoms and patient activation dimensions among patients at elevated risk of cardiovascular disease.MethodsThis secondary analysis included 200 patients seen in primary care clinics. Depressive symptoms were assessed using the 21-item Beck Depression Inventory. Patient activation was measured using the 13-item Patient Activation Measure. Glasso networks were constructed to identify symptoms/traits that bridge depressive symptoms and patient activation and those that are central within the network.Results“Self-dislike” and “confidence to maintain lifestyle changes during times of stress” were identified as important bridge pathways. In addition, depressive symptoms such as “punishment feelings,” “loss of satisfaction,” “self-dislike,” and “loss of interest in people” were central in the depressive symptom–patient activation network, meaning that they were most strongly connected to all other symptoms.ConclusionsBridge pathways identified in the network may be reasonable targets for clinical intervention aimed at disrupting the association between depressive symptoms and patient activation. Further research is warranted to assess whether targeting interventions to these central symptoms may help resolve other symptoms within the network.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-04-05T01:26:38Z
      DOI: 10.1177/2164957X221086257
      Issue No: Vol. 11 (2022)
       
  • Financing Whole-Person Health

    • Authors: Madison Hecht, James Marzolf, Ryan D. Castle
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundCurrent payment models in the U.S. healthcare system are neither sustainable nor desirable. Expenses outpace revenue for most healthcare providers, while patients experience rising prices contrasted with inadequate health outcomes.ObjectiveThere is not a single, small adjustment that can remedy these issues; systemic problems require systemic solutions. One such solution involves whole-person care, an approach that emphasizes using diverse healthcare resources to align care with a patient’s values and goals as well as treat a patient’s physical, behavioral, emotional, and social risk factors.MethodsIn order to be most effective, whole-person care must be paired with a viable payment system that prioritizes positive outcomes and efficiency. The predominant fee-for-service payment system is not conducive to whole-person strategies.ResultsThis paper examines the role of capitated payments, risk adjustments, social and structural determinants of health, and expense trends in an interdependent approach to healthcare industry system reform.ConclusionThe Whole Health paradigm is optimized to improve both the financial performance of healthcare providers and the healthcare results of patients. Phased implementation is both feasible and sustainable.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-04-01T07:14:42Z
      DOI: 10.1177/21649561211062511
      Issue No: Vol. 11 (2022)
       
  • Examining Experiences of Poor Sleep During Pregnancy: A Qualitative Study
           to Inform the Development of a Prenatal Sleep Intervention

    • Authors: Jennifer N. Felder, Riya Mirchandaney, Jessica Harrison, Rachel Manber, Judith Cuneo, Andrew Krystal, Elissa Epel, Frederick Hecht
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundPoor sleep is common during pregnancy and is associated with increased risk of negative health outcomes. Research indicates that physical discomfort and having an active mind are primary factors for prenatal sleep disturbances. Mindfulness-based interventions have the potential for addressing these factors, but have yet to be optimized for this purpose in this population.ObjectiveThe objective of this study was to gather input from pregnant and postpartum individuals about the value of a mindfulness-based program for improving prenatal sleep and their preferred content and delivery format.MethodsWe conducted 2 focus groups with 12 pregnant people experiencing poor sleep quality and 3 individual interviews with postpartum people. Interviews were thematically analyzed.ResultsThe majority of participants expressed strong interest in a mindfulness program for improving prenatal sleep. Participants reported that pregnancy-specific physical discomfort and worry (both general and pregnancy-specific) affected their sleep. Participants wanted sleep education, and strategies for calming the mind, reducing physical discomfort, reducing impact of bedtime partners on sleep, and tips for improving sleep schedule and quality. Participants recognized the convenience of an online intervention and the social benefits of an in-person intervention and favored a hybrid delivery model.ConclusionAddressing prenatal sleep problems is an unmet need. Given the challenges and discomfort women face during pregnancy, and the importance of adequate sleep for promoting mental and physical health during pregnancy, sleep difficulties are critical to address. A mindfulness-based intervention for improving prenatal sleep was deemed of high interest to this perinatal population.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-03-27T05:37:49Z
      DOI: 10.1177/2164957X221087655
      Issue No: Vol. 11 (2022)
       
  • Use of Complementary and Integrative Medicine Among Patients With
           Glioblastoma Multiforme Seen at a Tertiary Care Center

    • Authors: Amanda Munoz-Casabella, Dietlind L. Wahner-Roedler, Ivana T. Croghan, Tanya M. Petterson, Debbie L. Fuehrer, Brent A. Bauer
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundGlioblastoma multiforme (GBM) is among the most aggressive and lethal tumors, with a median survival of 12–15 months. Many patients use complementary and integrative medicine (CIM) therapies to supplement their cancer treatment.ObjectiveTo determine the prevalence of CIM use and identify the most frequently used types of CIM in a cohort of patients with GBM seen at a tertiary care medical center in the United States.MethodsAn anonymous survey was mailed through the US Postal Service from August 1, 2019, through February 21, 2020, to patients with GBM.ResultsA total of 346 surveys were mailed, and 146 responses (42%) were received. The median age of respondents was 61 years (range, 52–68 years), and 85 (58%) were male. Most patients had undergone surgery (90%), chemotherapy (96%), and radiotherapy (95%). The median time from diagnosis of GBM to survey participation was 18 months (range, 12–31 months). Most respondents (81%) used some form of CIM, most frequently meditation (22%), relaxation and other stress management techniques (19%), chiropractic therapy (16%), and acupuncture (12%). Compared with men, women more commonly meditated (32% vs 16%; P = .046) and practiced yoga (20% vs 6%; P = .04). We observed age-based differences, with younger patients more commonly meditating, practicing relaxation and stress management techniques, and receiving chiropractic therapy (P < .05 for all).ConclusionsProviders should encourage patients with GBM to discuss their interest in CIM therapies and guide them to evidence-based treatments that may help improve their quality of life.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-03-25T11:31:08Z
      DOI: 10.1177/2164957X221078543
      Issue No: Vol. 11 (2022)
       
  • Cultural Transformation in Healthcare: How Well Does the Veterans Health
           Administration Vision for Whole Person Care Fit the Needs of Patients at
           an Academic Rehabilitation Center'

    • Authors: Jessica L Barnhill, Isabel J Roth, Keturah R Faurot, Gilson D Honvoh, Chanee E Lynch, Karla L Thompson, Susan A Gaylord
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundThe Veterans Health Administration is undergoing a cultural transformation toward person-driven care referred to as the Whole Health System of Care.ObjectiveThis pilot study evaluated whether the Whole Health model resonates with patients of a large public university rehabilitation clinic.MethodsThirty participants completed the Veterans Health Administration’s Personal Health Inventory (PHI), and six attended the course “Taking Charge of My Life and Health.” Researchers analyzed PHI responses and post-course focus group transcripts. A short post-PHI survey and post-course evaluation were collected.ResultsParticipants agreed the PHI is a simple, useful tool. The course, while well attended, did not meet participants’ expectations. Participants wanted access to integrative therapies and opportunities to contribute to healthcare transformation.ConclusionRehabilitation patients resonated with the Whole Health vision. They expressed enthusiasm for the cultural transformation represented by the model along with frustration that standard healthcare experiences fall short of this vision.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-03-17T05:27:23Z
      DOI: 10.1177/2164957X221082994
      Issue No: Vol. 11 (2022)
       
  • Whole Person Health: The Role of Advocacy

    • Authors: Bill Reddy, Leonard A. Wisneski
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      The U.S. healthcare system is naturally evolving toward integrative, whole-person health. Optimal health is not just absence of disease—it is holistic in nature (physical, mental, emotional, and spiritual) including a person’s sense of purpose and meaning in their lives. Through the efforts of groups such as the Integrative Health Policy Consortium (www.ihpc.org ) and several others, Congress and many other stakeholder groups became aware that we need to focus on all aspects of health including environmental considerations. Currently, the U.S. healthcare system is in the process of embracing whole-person health with its focus on wellness and well-being in addition to the treatment of clinical disorders. The Veterans Administration Whole Health Program is one such example, where they are shifting the healthcare paradigm from “What’s the matter with you'” to “What matters to you'” On the Hill, we are seeing growth in the Congressional Caucus on Integrative Health and Wellness as well as the Social Determinants of Health Caucus.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-03-09T11:02:30Z
      DOI: 10.1177/2164957X221082650
      Issue No: Vol. 11 (2022)
       
  • Anthroposophic Medicinal Products: A Literature Review of Features,
           Similarities and Differences to Conventional Medicinal Products,
           Scientific and Regulatory Assessment

    • Authors: Erik W. Baars, Gunver S. Kienle, Peter Heusser, Peter A. Pedersen, Herman A. van Wietmarschen, Helmut Kiene, Tido von Schoen-Angerer, Harald J. Hamre
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundRegulatory assessment of anthroposophic medicinal products (AMPs) can be challenging due to their specific features.ObjectiveThe aim of this paper is therefore to provide adequate scientific information on AMPs for regulatory purposes.MethodsA literature review was executed with database searches in PubMed, Cinahl, Merkurstab, Anthromedics, and https://iaap-pharma.org/. Search terms were: anthroposophic medicinal products, anthroposophic medicines, anthroposophic pharmacy. There was no language restriction; searches were executed from onset until June 11, 2020. In addition, experts were invited to suggest relevant literature.ResultsEighty-seven of 660 identified publications were included. The system of anthroposophic medicine (AM) with its conceptual background and various aspects of AMPs was described: definition, pharmaceutical properties, an example of AMP development, use in clinical practice, similarities with and differences to conventional medicinal products, societal aspects, scientific and regulatory assessment.ConclusionAMPs are part of the integrative whole medical system of AM. AMPs are manufactured according to Good Manufacturing Practice and national drug regulations and have an excellent safety status; the limited available evidence suggests clinical benefits. Current drug regulation of AMPs in the EU and most European countries does not take the special properties of AMPs into account. Future research should focus on appropriate methodologies for the evaluation of effects of AMPs as part of the AM whole medical system, the scientific quality of its non-atomistic holistic ontological position, and the integration of AM and conventional medicine in clinical practice. Future policies should focus on appropriate ways of addressing regulatory challenges to AMPs.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-03-09T02:32:49Z
      DOI: 10.1177/21649561211073079
      Issue No: Vol. 11 (2022)
       
  • A Multi-Site Evaluation of A National Employee Wellness Initiative at the
           Department of Veterans Affairs

    • Authors: Freny Shah, Joanna R. Sells, Jennifer Werthman, Corrine Abraham, Asma M. Ali, Carol Callaway-Lane
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundThe Department of Veterans Affairs (VA) seeks to transform its health care delivery from disease-centered, episodic care to a holistic and patient-centered model known as the Whole Health System (WHS) of care. Employee engagement and buy-in are crucial to this cultural transformation. The VA aspires to provide employees with opportunities to experience whole health in their personal and professional lives through a national Employee Whole Health (EWH) program. Although there are national recommendations, different local facilities may have unique strategies and challenges as they implement this program.ObjectiveThis study aimed to conduct a program evaluation of EWH at three different VA facilities across the United States in order to identify facilitators and barriers to the implementation of EWH.MethodsThe team used the RE-AIM framework to develop an interview guide to assess various domains of implementation. Quantitative data on whole health offerings at each site were gauged using a national employee education platform. Standardized employee-related metrics at each site were assessed using the annual, national VA employee survey.ResultsEWH has had variable implementation at the three sites. Sites noted main facilitators as employee interest as well as available skills and expertise for delivering complementary and integrative care to employees. Limited staffing for EWH and a lack of dedicated employee time were cited as barriers. The infrastructure to perform local program evaluations to demonstrate effectiveness and impact were missing.ConclusionEmployee engagement in whole health activities has the potential to support the VA’s mission to transform its health care delivery model. Currently, the use of EWH and its potential impact are difficult to discern based on available information. Local sites need guidance to conduct program evaluations and find creative solutions to enhance employee participation. A robust measurement system to demonstrate effectiveness is paramount to ensure the success of this initiative.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-03-03T12:41:58Z
      DOI: 10.1177/21649561211053805
      Issue No: Vol. 11 (2022)
       
  • Whole Health in the Veterans Health Administration

    • Authors: Benjamin Kligler
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      The Whole Health System being developed and implemented at the Veterans Health Administration is an approach to care which aims to shift the discussion from "What's the Matter With You'" to "What Matters to You'" This article describes some of the progress and future challenges in the implementation of this approach across the VHA.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-03-03T07:30:48Z
      DOI: 10.1177/2164957X221077214
      Issue No: Vol. 11 (2022)
       
  • Making Connections to Improve Health Outcomes

    • Authors: Helene M. Langevin
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      This issue of Global Advances in Health and Medicine sends a vital message about the importance of whole person health. Whole person health rests on the idea that our health involves multiple interconnected factors across physiological systems, as well as biological, behavioral, social, and environmental domains. The urgency of better understanding whole person health is highlighted by the current global health crisis. Yet, biomedical research often favors a reductionist approach. The current emphasis on diseases or single organ systems can fall short when it comes to addressing the interconnected factors that contribute to worse health outcomes. This, coupled with a fragmented health care delivery system, contributes to the challenges that patients face every day in becoming healthier. As part of the U.S. National Institutes of Health, our role at the National Center for Complementary and Integrative Health (NCCIH) is to foster research in this field. NCCIH’s twenty years of research has built a body of knowledge that has established a clear path forward for exploring whole person health in the coming years. Within the framework of our strategic plan, NCCIH is working to build research methods for studying whole person health and explore how this understanding of health can transform the way complementary and integrative health is perceived and implemented within the wider health care delivery system.The collection of papers highlighted in this month’s issue of Global Advances in Health and Medicine sends an important and encouraging signal about the efforts being made to deliver health care in a way that recognizes the importance of whole person health. Each of these studies provides new insights on how stakeholders might approach transforming the delivery of health care, integrating approaches that can improve health outcomes for people.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-03-03T06:44:47Z
      DOI: 10.1177/2164957X221079792
      Issue No: Vol. 11 (2022)
       
  • Effects of Group-delivered Stress-reduction Guided Imagery on Salivary
           Cortisol, Salivary Amylase, and Stress Mood in Urban, Predominantly Latino
           Adolescents

    • Authors: Marc J. Weigensberg, Cheng K. Fred Wen, Donna Spruijt-Metz, Christianne Joy Lane
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      ObjectivesTo determine acute effects of stress-reduction guided imagery delivered in group format on stress biomarkers salivary cortisol and salivary amylase, and on self-reported stress mood, in healthy, predominantly Latino adolescents.Study Design111 adolescent participants (94% Latino), a subset from a large, randomized controlled lifestyle intervention to improve obesity-related health behaviors, received either 4 weekly lifestyle education sessions (Lifestyle group; LS) or the same weekly lifestyle education sessions plus an additional weekly stress-reduction guided imagery session delivered in group format (Guided imagery group; GI). Salivary cortisol, salivary amylase, and self-reported stress moods were assessed before and after sessions on intervention weeks 3 and 4. Statistics: Linear mixed effects models examined within- and between-session and group differences in pre- to post-session changes.ResultsBoth groups showed decreases in salivary cortisol, 5% decrease in LS group and 32% in GI group (within-group differences all P < .05), with between-group difference in salivary cortisol of moderate size (P = .05; Cohen’s d = .44). Within the GI group alone, salivary cortisol decrease was similar following either the lifestyle or GI sessions (P = .64). There were no statistically significant amylase changes within or between groups. All 5 individual stress moods declined by 27% to 46% in the GI group (all P < .05), while only 1 of the 5 declined in LS group.ConclusionsGroup stress-reduction guided imagery reduces the stress biomarker salivary cortisol, as well as reducing subjective stress mood states, making it a viable modality for large scale stress-reduction interventions.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-02-23T07:45:27Z
      DOI: 10.1177/21649561211067443
      Issue No: Vol. 11 (2022)
       
  • Psychedelic Psychotherapy: Building Wholeness Through Connection

    • Authors: Gita Vaid, Barry Walker
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundWe are confronted with dire statistics that document our current mental health crisis. New treatment modalities are desperately needed to address escalating mental suffering and trauma. Psychedelic medicines are attracting increased attention in psychiatry as effective treatment for a range of conditions. The mechanisms of actions and context necessary to maximize their full healing potential represent a radical departure from current psychiatric frameworks and present an opportunity to reimagine psychiatry as a healing art.ObjectivePsychedelic psychotherapy leverages biological, psychological, and spiritual domains to harness innate healing potentials. A novel psychotherapeutic methodology utilizing psychedelic medicines as catalyzing agents is presented, one that provides a developmental model to promotes self-actualization. The paper outlines transformational psychotherapy, the therapeutic process and corresponding practice implications.ConclusionPsychedelic psychotherapy represents a paradigm shift in healing, one that promotes self-integration and whole health. These shifts in internal health are correspondingly reflected in enhanced empathy, improved relatedness, and increased capacity for social connection. Much of human suffering and disregard for the planet is a reflection of our own collective inner impoverishment, fundamental disconnects, and unaddressed trauma. Psychedelic psychotherapy offers a healing approach to restore beauty and health to both the inner and outer worlds we inhabit.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-02-23T05:23:11Z
      DOI: 10.1177/2164957X221081113
      Issue No: Vol. 11 (2022)
       
  • Naturopathic Doctors: An Underutilized Resource of Whole Health Delivery
           in Primary Care

    • Authors: Adam Sadowski, Luciano Garofalo, Alanna Welsh, Ryan Bradley
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      Naturopathy, recognized by the National Institutes of Health and the World Health Organization as a distinct system of complementary and integrative health care, is an existing model of whole health delivery. Its unifying principles, respect for the interconnectedness of biological systems, and representation globally uniquely positions naturopathy to serve an integral role in addressing the needs of primary health care. In this viewpoint, we aim to 1) highlight key areas and existing literature supporting the use of naturopathy for health promotion and disease prevention of noncommunicable diseases; 2) describe how naturopathy can addresses the mental health needs of today’s societies; and 3) discuss the importance of naturopathy in the access and navigation of complementary and integrative health therapies.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-02-23T04:45:35Z
      DOI: 10.1177/2164957X221079787
      Issue No: Vol. 11 (2022)
       
  • Posttraumatic Stress Disorder Does Not Compromise Behavioral Pain
           Treatment: Secondary Analysis of a Randomized Clinical Trial Among
           Veterans

    • Authors: R. Jay Schulz-Heik, Timothy J. Avery, Booil Jo, Louise Mahoney, Peter J. Bayley
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundIndividuals with posttraumatic stress disorder (PTSD) and chronic pain evince different presentations, coping strategies, and treatment utilization patterns than individuals with chronic pain alone. Theorists have suggested that comorbid PTSD may complicate chronic pain treatment, and that integrated pain and PTSD treatment may be preferable to pain treatment alone.ObjectiveAssess whether comorbid PTSD moderates Veterans’ response to yoga and/or cognitive behavioral therapy (CBT) for pain.MethodsVeterans with Gulf War illness (n = 75) were assessed using the Brief Pain Inventory at baseline and posttreatment as part of a randomized clinical trial. PTSD status was abstracted from participants’ medical records.ResultsPTSD+ participants (n = 41) reported more pain at baseline than PTSD− participants (n = 34; d = .66, p < .01). PTSD+ participants experienced more improvement in pain from baseline to posttreatment than PTSD− participants by a small to moderate, marginally statistically significant amount (d = .39, p = .07). The relationship between PTSD and treatment outcome was not moderated by treatment type (yoga vs CBT; p = .99). Observation of treatment responses across PTSD status (+ vs −) and treatment (yoga vs CBT) revealed that PTSD+ participants responded well to yoga.ConclusionPTSD is not associated with reduced effectiveness of behavioral chronic pain treatment among Veterans with Gulf War illness. Therefore behavioral pain treatment should be made readily available to Veterans with pain and PTSD. Yoga deserves further consideration as a treatment for pain among individuals with PTSD.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-02-16T09:57:36Z
      DOI: 10.1177/21649561221075578
      Issue No: Vol. 11 (2022)
       
  • The Integration of a Hospitalist

    • Authors: Carla Pia Kuon
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.

      Citation: Global Advances in Health and Medicine
      PubDate: 2022-02-15T12:28:09Z
      DOI: 10.1177/21649561211073879
      Issue No: Vol. 11 (2022)
       
  • Ginseng for the Treatment of Chronic Fatigue Syndrome: A Systematic Review
           of Clinical Studies

    • Authors: Juan Yang, Kyung-Min Shin, Abd Moain Abu Dabrh, Dennis M Bierle, Xuan Zhou, Brent A. Bauer, Arya B Mohabbat
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundChronic fatigue syndrome (CFS) is a complex and often disabling chronic condition emerging worldwide, with no curative or definitive therapy yet identified. Ginseng has been widely used to treat fatigue in other patient groups and conditions; however, a systematic review focusing solely on the impact of ginseng on fatigue in patients with CFS has not been performed.ObjectiveThis study aimed to assess the current state of evidence regarding ginseng for CFS.MethodsMultiple databases were searched from inception to October 2020. All data was extracted independently and in duplicates. Outcomes of interest included the effectiveness and safety of ginseng in patients with CFS.Results2 studies enrolling 68 patients were deemed eligible, including one randomized clinical trial and one prospective observational study. The certainty of evidence in the effectiveness outcome was low and moderate from both studies, while the safety evidence was very low as reported from one study.ConclusionStudy findings highlight a potential benefit of ginseng therapy in the treatment of CFS. However, we are not able to draw firm conclusions due to limited clinical studies. The paucity of data warrants limited confidence. There is a need for future rigorous studies to provide further evidence.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-02-14T03:50:30Z
      DOI: 10.1177/2164957X221079790
      Issue No: Vol. 11 (2022)
       
  • Whole Health Use and Interest Across Veterans With Co-Occurring Chronic
           Pain and PTSD: An Examination of the 18 VA Medical Center Flagship Sites

    • Authors: David E. Reed, Barbara G. Bokhour, Lauren Gaj, Anna M. Barker, Jamie H. Douglas, Rian DeFaccio, Rhonda M. Williams, Charles C. Engel, Steven B. Zeliadt
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      ObjectiveVeterans Healthcare Administration (VHA) conducted a large demonstration project of a holistic Whole Health approach to care in 18 medical centers, which included making complementary and integrative health (CIH) therapies more widely available. This evaluation examines patterns of service use among Veterans with chronic pain, comparing those with and without PTSD.MethodsWe assessed the use of Whole Health services in a cohort of Veterans with co-occurring chronic pain and PTSD (n = 1698; 28.9%), comparing them to Veterans with chronic musculoskeletal pain only (n = 4170; 71.1%). Data was gathered from VA electronic medical records and survey self-report. Whole Health services were divided into Core Whole Health services (e.g., Whole Health coaching) and CIH services (e.g., yoga). Logistic regression was used to determine whether Veterans with co-occurring chronic pain and PTSD utilized more Whole Health services compared to Veterans with chronic pain but without PTSD.ResultsA total of 40.1% of Veterans with chronic pain and PTSD utilized Core Whole Health services and 53.2% utilized CIH therapies, compared to 28.3% and 40.0%, respectively, for Veterans with only chronic pain. Adjusting for demographics and additional comorbidities, Veterans with comorbid chronic pain and PTSD were 1.24 (95% CI: 1.12, 1.35, P ≤ .001) times more likely than Veterans with chronic pain only to use Core Whole Health services, and 1.23 (95% CI: 1.14, 1.31, P ≤ .001) times more likely to use CIH therapies. Survey results also showed high interest levels in Core Whole Health services and CIH therapies among Veterans who were not already using these services.ConclusionEarly implementation efforts in VHA led to high rates of use of Core Whole Health and CIH therapy use among Veterans with co-occurring chronic pain and PTSD. Future assessments should examine how well these additional services are meeting the needs of Veterans in both groups.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-02-11T08:56:45Z
      DOI: 10.1177/21649561211065374
      Issue No: Vol. 11 (2022)
       
  • Patient Perspectives on the Development of a Novel Mobile Health (mHealth)
           Application for Dietary Supplement Tracking and Reconciliation—A
           Qualitative Focus Group Study

    • Authors: Elana Post, Keturah Faurot, Zachary O. Kadro, Jacob Hill, Catharine Nguyen, Gary N. Asher, Susan Gaylord, Amanda Corbett
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundMore than 170 million adults use dietary supplements (DS) in the United States, which can have both benefit and harm to patient health. DS use is often poorly documented in the medical record and can pose health risks if not properly communicated with providers. Reasons for poor DS documentation include low disclosure rates, time constraints of clinical encounters, and providers’ failure to inquire about DS use. This study was conducted to assess patients’ views on the facilitators and barriers to using a mobile health (mHealth) application (app) to collect and share DS information with their healthcare providers.MethodsUtilizing a theory-based conceptual model, we conducted 7 patient focus groups (FGs) to assess opinions on DS safety, provider communication, comfort with technology use, and our proposed mHealth app. Participants were recruited from the general public and through patient advisory groups. Patient views will inform the creation of an mHealth app to improve DS patient-provider communication and tracking and reconciliation in the electronic medical record (EMR).ResultsOverall, participants believe their DS information is inaccurately represented in the EMR, leading to safety concerns and negatively impacting overall quality of care. Participants desired an app designed with (1) Health Insurance Portability and Accountability Act (HIPAA) compliance; (2) ease of use for a variety of technical efficacy levels; (3) access to reliable DS information, including a DS-drug interaction checker; and (4) integration with the EMR.ConclusionAn app to simplify and improve DS entry and reconciliation was of interest to patients, as long as it maintained health autonomy and privacy and possessed key valuable features.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-01-27T10:50:31Z
      DOI: 10.1177/21649561221075268
      Issue No: Vol. 11 (2022)
       
  • Mindfulness-Based Programs: Why, When, and How to Adapt'

    • Authors: Eric B. Loucks, Rebecca S. Crane, Menka A. Sanghvi, Jesús Montero-Marin, Jeffrey Proulx, Judson A. Brewer, Willem Kuyken
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      This paper provides a framework for understanding why, when and how to adapt mindfulness-based programs (MBPs) to specific populations and contexts, based on research that developed and adapted multiple MBPs. In doing so, we hope to support teachers, researchers and innovators who are considering adapting an MBP to ensure that changes made are necessary, acceptable, effective, cost-effective, and implementable. Specific questions for reflection are provided such as (1) Why is an adaptation needed' (2) Does the theoretical premise underpinning mainstream MBPs extend to the population you are considering' (3) Do the benefits of the proposed adaptation outweigh the time and costs involved to all in research and implementation' (4) Is there already an evidenced-based approach to address this issue in the population or context' Fundamental knowledge that is important for the adaptation team to have includes the following: (1) essential ingredients of MBPs, (2) etiology of the target health outcome, (3) existing interventions that work for the health outcome, population, and context, (4) delivery systems and settings, and (5) culture, values, and communication patterns of the target population. A series of steps to follow for adaptations is provided, as are case examples. Adapting MBPs happens not only by researchers, but also by MBP teachers and developers, who endeavor to best serve the populations and contexts they work within. We hope that these recommendations for best practice provide a practical framework for skilfully understanding why, when, and how to adapt MBPs; and that this careful approach to adaptation maximizes MBP safety and efficacy.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-01-27T10:49:51Z
      DOI: 10.1177/21649561211068805
      Issue No: Vol. 11 (2022)
       
  • A Multi-step Approach to Adapting a Mind-Body Resiliency Intervention for
           Fear of Cancer Recurrence and Uncertainty in Survivorship (IN FOCUS)

    • Authors: Daniel L. Hall, Gloria Y. Yeh, Conall O'Cleirigh, Jeffrey Peppercorn, Lynne I. Wagner, John Denninger, Andrea J. Bullock, Helen R. Mizrach, Brett Goshe, Tina Cheung, Raissa Li, Alexandros Markowitz, Elyse R. Park
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundFor cancer survivors, there is a paucity of fear of recurrence (FOR) interventions that integrate empirically supported mind-body and psychological skills for managing FOR and are delivered in scalable formats.ObjectiveTo adapt an evidence-based resiliency intervention to address FOR among cancer survivors.MethodsA multidisciplinary team of researchers, clinicians, and patient stakeholders followed an iterative intervention adaptation process (ORBIT). In Step 1, we sought to define key FOR management skills through a literature review and feedback from stakeholders. In Step 2, we integrated findings into a treatment manual and refined procedures for in-person delivery to groups of cancer survivors, defined as adults who had completed primary cancer treatment for non-metastatic cancer. In Step 3, we conducted a single arm trial to assess initial acceptability and change in FOR severity with 23 cancer survivors (N=4 intervention groups). In Step 4, we conducted additional qualitative interviews with 28 cancer survivors (N=6 focus groups stratified by FOR severity, N=15 individual interviews) to define adaptive and maladaptive strategies for coping with FOR and to identify preferences for delivery. In Step 5, we refined the treatment manual and procedures for testing in a future pilot randomized feasibility trial.ResultsWe identified critical feedback using a combination of qualitative and quantitative methods. The single arm trial suggested preliminary feasibility and sustained reductions in FOR severity, yet need for refinement (i.e., eligibility, delivery modality), prompting additional qualitative interviews for further targeting. The resulting intervention (IN FOCUS) is comprised of virtual, synchronous, group-delivered sessions that offer an integrated approach to FOR management by teaching cognitive-behavioral techniques, meditation, relaxation training, adaptive health behaviors, and positive psychology skills. Sessions are targeted by applying skills to FOR and associated healthcare engagement.ConclusionsIN FOCUS is a targeted intervention for teaching mind-body resiliency skills to groups of cancer survivors with elevated FOR. Next steps are testing feasibility in a pilot randomized trial.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-01-27T10:48:10Z
      DOI: 10.1177/21649561221074690
      Issue No: Vol. 11 (2022)
       
  • SEAttle-based Research of Chinese Herbs for COVID-19 Study: A Whole Health
           Perspective on Chinese Herbal Medicine for Symptoms that may be Related to
           COVID-19

    • Authors: Lisa Taylor-Swanson, Daniel Altschuler, Katherine Taromina, Belinda Anderson, Daniel Bensky, Misha Cohen, Helen Huang, Shouchun Ma, Iman Majd, Craig Mitchell, Rosa N Schnyer, Lisa Conboy
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      IntroductionEast Asian Medicine (EAM) is a Whole System medicine that includes Chinese herbal medicine (CHM). Chinese herbal medicine has been utilized to reduce symptom burden in infectious disease, with notable theoretical reformulations during pandemics of the 3rd, 13th, and 17th centuries. Today, Licensed Acupuncturists trained in CHM have utilized it to treat symptoms and sequelae of COVID-19. However, little is known about its use or efficacy by the public and health practitioners. Understanding and evaluating whole medicine systems of healthcare is inherently complex; there is international consensus for a descriptive, pragmatic approach. We are conducting a feasibility pilot study using a prospective, pragmatic, observational design using Whole Health and Whole Person perspectives. The complexity of COVID-19 reflects the impact on multiple homeoregulatory systems and provides a unique opportunity to assess the impact of interventions such as EAM on whole health. Observation of these EAM encounters will provide valuable qualitative and quantitative data on the interface of an extant Whole System medicine with a novel complex illness as a precursor to a randomized clinical trial.MethodsThis ongoing study observes a CHM clinic offering telehealth consultations to a diverse patient population since April, 2020. Patients who report symptoms potentially related to COVID-19 disease are consented for standardized collection and analysis of demographic and clinical data from each clinical encounter.ResultsTo date, 61 patients engaged in 195 consultations (mean 3.3) with 49 reporting symptom resolution sufficient to complete treatment, and 4 withdrawals. Just over half (62%) were female, with an average age of 45.7 years. A wide variety of CHM formulas and EAM dietary and lifestyle modifications were provided.DiscussionAdequate recruitment and retention suggest feasibility of the intervention and data collection. The rich dataset may facilitate the construction of Whole Health models of CHM’s clinical impact, as well as integrative inquiry into CHM’s effects on symptoms.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-01-25T09:32:28Z
      DOI: 10.1177/21649561211070483
      Issue No: Vol. 11 (2022)
       
  • Lessons Learned From VHA’s Rapid Implementation of Virtual Whole Health
           Peer-Led Groups During the COVID-19 Pandemic: Staff Perspectives

    • Authors: Ekaterina Anderson, Kelly Dvorin, Bella Etingen, Anna M. Barker, Zenith Rai, Abigail Herbst, Reagan Mozer, Rodger P. Kingston, Barbara Bokhour
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundCommitted to implementing a person-centered, holistic (Whole Health) system of care, the Veterans Health Administration (VHA) developed a peer-led, group-based, multi-session “Taking Charge of My Life and Health” (TCMLH) program wherein Veterans reflect on values, set health and well-being-related goals, and provide mutual support. Prior work has demonstrated the positive impact of these groups. After face-to-face TCMLH groups were disrupted by the COVID-19 pandemic, VHA facilities rapidly implemented virtual (video-based) TCMLH groups.ObjectiveWe sought to understand staff perspectives on the feasibility, challenges, and advantages of conducting TCMLH groups virtually.MethodsWe completed semi-structured telephone interviews with 35 staff members involved in the implementation of virtual TCMLH groups across 12 VHA facilities and conducted rapid qualitative analysis of the interview transcripts.ResultsHolding TCMLH groups virtually was viewed as feasible. Factors that promoted the implementation included use of standardized technology platforms amenable to delivery of group-based curriculum, availability of technical support, and adjustments in facilitator delivery style. The key drawbacks of the virtual format included difficulty maintaining engagement and barriers to relationship-building among participants. The perceived advantages of the virtual format included the positive influence of being in the home environment on Veterans’ reflection, motivation, and self-disclosure, the greater convenience and accessibility of the virtual format, and the virtual group’s role as an antidote to isolation during the COVID-19 pandemic.ConclusionFaced with the disruption caused by the COVID-19 pandemic, VHA pivoted by rapidly implementing virtual TCMLH groups. Staff members involved in implementation noted that delivering TCMLH virtually was feasible and highlighted both challenges and advantages of the virtual format. A virtual group-based program in which participants set and pursue personally meaningful goals related to health and well-being in a supportive environment of their peers is a promising innovation that can be replicated in other health systems.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-01-25T03:29:07Z
      DOI: 10.1177/21649561211064244
      Issue No: Vol. 11 (2022)
       
  • Cross Cultural Adaptation and Cognitive Testing of a
           Psycho-Social-Spiritual Healing Measure, the NIH Healing Experiences in
           All Life Stressors-NIH-HEALS

    • Authors: Eve Namisango, Emmanuel B. K. Luyirika, Ann Berger
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      BackgroundCancer is associated with trauma and stress which impacts the physical, psychological, and spiritual/existential well-being of patients. Psychological/behavioral healing may help alleviate this distress and the associated health-related suffering. Psycho-Social-Spiritual healing outcome measures are thus needed to stimulate service development. The NIH Healing Experiences in All Life Stressors (NIH-HEALS), is a novel 35-item measure of psycho-social-spiritual healing, developed in USA and is yet to be validated and adapted for use in African countries.ObjectivesThis study aimed to assess the face and content validity of the NIH-HEALS in the population of cancer patients in Uganda and to culturally adapt this measure.MethodsCross-sectional study using cognitive interviewing alongside standard piloting. We recruited adult (18 years and above) patients with advanced cancer from Hospice Africa Uganda. Interviews were conducted in two phases, using the think aloud technique and concurrent probing and were audio recorded. Phase 1 was used to identify initial concerns around clarity of the statements, and phase 2 further explored whether the issues of clarity had been addressed, alongside the standard cognitive interview parameters. The transcripts were imported into NVivo-12 analyzed using the content analysis technique and categorized using Tourengeau’s information processing model.ResultsWe recruited thirty-five (35) patients: phase one (n = 5) two (n = 30). The median completion time was 20 minutes. Problems identified included comprehension of some statements, words, and phrases, suggestions to include local examples, highlighting of potentially sensitive statements that lean towards difficult conversations, and some cultural differences in the construction of the “Trust and Acceptance” construct, our sample showed less emphasis on family/friend relations. This feedback was used to adapt the NIH-HEALS for the local context.ConclusionThe NIH-HEALS has sufficient face and content validity properties to be used among palliative cancer patients in Uganda. We propose some changes to inform the adaptation of this measure for the local context.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-01-25T01:49:36Z
      DOI: 10.1177/21649561211067189
      Issue No: Vol. 11 (2022)
       
  • Wellbeing, Whole Health and Societal Transformation: Theoretical Insights
           and Practical Applications

    • Authors: Andrew H Kemp, Zoe Fisher
      Abstract: Global Advances in Health and Medicine, Volume 11, Issue , January-December 2022.
      Society faces several major interrelated challenges which have an increasingly profound impact on global health including inequalities, inequities, chronic disease and the climate catastrophe. We argue here that a focus on the determinants of wellbeing across multiple domains offers under-realised potential for promoting the ‘whole health’ of individuals, communities and nature. Here, we review recent theoretical innovations that have laid the foundations for our own theoretical model of wellbeing – the GENIAL framework – which explicitly links health to wellbeing, broadly defined. We emphasise key determinants across multiple levels of scale spanning the individual, community and environmental levels, providing opportunities for positive change that is either constrained or facilitated by a host of sociostructural factors lying beyond the immediate control of the individual (e.g. social cohesion and health-related inequities can either promote or adversely impact on wellbeing, respectively). Following this, we show how the GENIAL theoretical framework has been applied to various populations including university students and people living with neurological disorders, with a focus on acquired brain injury. The wider implication of our work is discussed in terms of its contribution to the understanding of ‘whole health’ as well as laying the foundations for a ‘whole systems’ approach to improving health and wellbeing in a just and sustainable way.
      Citation: Global Advances in Health and Medicine
      PubDate: 2022-01-24T12:35:06Z
      DOI: 10.1177/21649561211073077
      Issue No: Vol. 11 (2022)
       
 
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