Psychodermatology – a case for sensitization of pharmacists in Mumbai, India

Background: Though studies have looked at the attitudes of dermatologists towards psychodermatology, few have highlighted the attitudes of pharmacists towards these conditions. Objectives: To study the knowledge, attitudes and practices of pharmacists towards the prescription of psychotropic medications to dermatology patients. Methods: This cross-sectional analysis included 80 pharmacists from Mumbai, India. We used an interviewer-administered questionnaire to collect information from pharmacists on their demographics, psychotropic medications in dermatological patients, knowledge about psychocutaneous conditions and comfort about dispensing these medications. Results: In our study, 37 (46%) of pharmacists received prescriptions of psychotropic drugs from dermatologists; however, 24 (30%) were not comfortable dispensing them. Sixty (75%) pharmacists felt that only psychiatrists should prescribe psychotropic drugs and 37 (46%) felt that they had a right to refuse to dispense prescribed medication; of these, 15 (19%) had actually refused to give medications to patients. Pharmacists who disagreed with the statement that 'the state of mind is associated with medical conditions', were more likely to discourage psychotropic prescription from dermatologists (29% vs 11%, P = 0.04). Pharmacists with experience of more than five years were significantly more likely to refuse to dispense medications (odds ratio: 5.14, 95% confidence interval: 1.02, 25.83; P = 0.047). Limitations: We did not have a list of all pharmacists in Mumbai; thus, no sampling frame could be applied. Conclusion: Pharmacists do comment on doctors’ prescriptions, discourage certain medications and even refuse to dispense them based on their personal opinions. Since they are the last stop for patients between the doctor and the medication, their inclusion (in addition to dermatologists, psychiatrists and psychologists) in integrated awareness, training and care programs would improve the quality of care of patients with psychocutaneous disorders

O "estranho" freudismo autodeclarado de Lacan em Caracas: Lacan, apenas um comentador de Freud / L'« étrange ¼ freudisme autoproclamé de Lacan à Caracas: Lacan, juste un commentateur de Freud: / The "strange" Lacan's self-declared Freudianism in the Caracas: Lacan, only a commentator on Freud

Resumo: Buscou-se, neste artigo, questionar o freudismo autodeclarado de Lacan na Conferência de Caracas com base na identificação de um equívoco de transcrição dessa conferência. Demonstrou-se que, por estar em total desconformidade com o que foi desenvolvido nessa ocasião como um todo, esse equívoco de transcrição não faz outra coisa que evidenciar, ao invés de esconder, a oposição de Lacan a Freud, manifesta nos adjetivos jocosos atribuídos por Lacan à segunda tópica freudiana, legado de Freud que Lacan não compartilha. Demonstrou-se que a filiação de Lacan a Freud faz parte de um projeto rigoroso de revisão crítica por meio do qual Lacan submete os conceitos e articulações propostos por Freud ao que chamou, em 1954, de "método dos comentários", relativo a uma recusa inicial de compreender as formulações freudianas, pela qual, segundo Lacan, empurra-se a porta da compreensão analítica. Por essa razão, propomos, neste trabalho, que Lacan não recusaria a alcunha de ser "apenas" um comentador de Freud. Ao final, o que ficará evidente não é propriamente o tipo de freudismo reivindicado por Lacan, mas aquele que é negado por ele, que, por sua vez, é denegado pela edição da Conferência de Caracas analisada neste trabalho.

L'« étrange ¼ freudisme autoproclamé de Lacan à Caracas : Lacan, juste un commentateur de Freud:Cet article cherche à interroger le freudisme autoproclamé de Lacan dans la Conférence de Caracas à partir de l'identification d'une erreur dans la transcription de cette conférence. On y démontre qu'étant en total désaccord avec ce qui se développait à cette occasion dans son ensemble, cette erreur de transcription ne fait que souligner, plutôt que masquer, l'opposition de Lacan à Freud, manifestée dans les adjectifs moqueurs attribués par Lacan à la seconde topique freudienne, héritage de Freud que Lacan ne partage pas. Ainsi, la démonstration est faite également que l'affiliation de Lacan à Freud s'inscrit dans un projet rigoureux de revue critique à travers lequel Lacan soumet les concepts et articulations proposés par Freud à ce qu'il a appelé, en 1954, la « méthode des commentaires ¼, concernant un refus initial de comprendre les formulations freudiennes, par laquelle, selon Lacan, la porte de la compréhension analytique est poussée. Pour cette raison, nous proposons, dans cet ouvrage, que Lacan ne refuserait pas l'épithète de n'être « que ¼ un commentateur de Freud. À la fin, ce qui deviendra évident, ce n'est pas exactement le type de freudisme revendiqué par Lacan, mais celui qui est nié par lui, ce qui, à son tour, est nié par l'édition de la Conférence de Caracas analysée dans cet ouvrage.

The "strange" Lacan's self-declared Freudianism in the Caracas: Lacan, only a commentator on Freud:This article seeks to question Lacan's self-declared Freudianism in the Caracas Conference based on the identification of a mistake in the transcription of that conference. It was shown that, as it was in total disagreement with what was developed on that occasion as a whole, this mistaken transcription does nothing more than highlight, rather than hide, Lacan's opposition to Freud, manifested in the jocular adjectives attributed by Lacan to the second Freudian topic, a legacy of Freud that Lacan does not share. It was demonstrated that Lacan's affiliation with Freud is part of a rigorous project of critical review through which Lacan submits the concepts and articulations proposed by Freud to what he called, in 1954, the "method of comments", relating to a first refusal to understand Freud's formulations, which, according to Lacan, pushes the door to analytical understanding. For this reason, we propose, in this work, that Lacan would not refuse the epithet of being "only" a commentator on Freud. In the end, what will become evident is not exactly the type of Freudianism claimed by Lacan, but that which is denied by him, which, in turn, is denied by the edition of the Caracas Conference analyzed in this work.

Pain-point analysis of outpatient service based on online patient comments / 中华医院管理杂志

Objective:To explore the pain points of outpatient service in hospital from the patient′s perspective, and to provide new ideas for optimizing management of service quality.Methods:Ten top hospitals in China were selected to collect the poor evaluation texts of outpatient services published by patients on the Dianping.com from January 1, 2017 to December 31, 2019. The user′ pain-point analysis model was introduced, the pain-point index word collection was constructed according to the word frequency, the pain-point index was quantitatively analyzed combined with the sentimental value, and the content of the index words was analyzed through conceptual annotation.Results:The analysis of 1 259 poor evaluation texts showed that patients′ poor evaluation of outpatient service quality mainly focused on four aspects: interpersonal interaction, process factors, human-computer interaction and environmental factors. The poor attitude of medical staff in interpersonal interaction and the long queuing time and short treatment time in process factors were the most prominent.Conclusions:Online patient comment analysis is suitable for the identification and perception of pain points in outpatient service, and is helpful for the hospital to choose the direction and items of service improvement.

Parental negative weight/shape comments and their association with disordered eating behaviors: A systematic review / Comentarios negativos paternos acerca de peso/forma corporal y su asociación con las conductas alimentarias de riesgo: Una revisión sistemática

Abstract The purpose of this study was to find the association between receiving negative parental weight and shape comments, and the presence of disordered eating behaviors (DEBs) in young adults. A systematic review was conducted answering the following PECO question: Population / young adults; Exposure / negative comments, criticism or teasing about weight and shape by parents; Comparison groups / not applicable; and Outcome / DEBs. Due to the use of different statistical measurements, a narrative was chosen to present the results. An association between negative comments and DEBs was found in male and female university students. Women reported more negative comments, higher body dissatisfaction and DEBs than men. Body dissatisfaction was found as a mediator of negative comments and DEBs, and sex as a moderator between body dissatisfaction and DEBs. The results have implications for the influence social pressure has on the internalization of the thin-ideal and on body dissatisfaction as risk factors for the development of disordered eating behaviours.

Resumen El objetivo de este estudio fue examinar la asociación entre ser receptor de comentarios negativos paternos acerca del peso y la figura corporal, y la presencia de conductas alimentarias de riesgo (CAR) en adultos jóvenes. Se llevó a cabo una revisión sistemática respondiendo a la pregunta PECO siguiente: Población / adultos jóvenes; Exposición / comentarios negativos, críticas o ridiculización por parte de los padres por el peso y la figura corporal; Comparación / no aplicó; y Resultado / CAR. Debido a las diferentes medidas estadísticas utilizadas, se eligió un formato narrativo para presentar los resultados. Estos indicaron asociación entre los comentarios negativos paternos y las CAR en hombres y mujeres estudiantes universitarios. Las mujeres reportaron recibir más comentarios negativos, así como presentar mayor insatisfacción corporal y CAR que los hombres. Entre los comentarios negativos y las CAR se encontró como mediadora a la imagen corporal, y al sexo como un moderador entre la insatisfacción corporal y las CAR. Los resultados tienen implicaciones acerca de la influencia de la presión sociocultural en la interiorización del ideal estético de delgadez y de la insatisfacción corporal como factores de riesgo para el desarrollo de CAR.

Re: Diagnostic Value of Volume-Based Fluorine-18-Fluorodeoxyglucose PET/CT Parameters for Characterizing Thyroid Incidentaloma

No abstract available.

Re: Identification of Preoperative Magnetic Resonance Imaging Features Associated with Positive Resection Margins in Breast Cancer?

No abstract available.

Comments on the definition of "acupuncture science" / 中国针灸

The experts in China believe that the substance of "dry needling" is in the category of acupuncture therapy for the treatment by needle inserting the human body. But, its recognition has not been implied from the definition of "acupuncture science". Since 1970 s, the different definitions of it are closely related to TCM theories, due to which, it has been limited. This flaw restricts the development of acupuncture theory, narrows the connotation of acupuncture science and goes against the communication of traditional Chinese acupuncture theory. No matter regarding the theory or technique, the acupuncture therapy nowadays changes greatly in its connotation. Rather than guided by TCM theories, acupuncture therapy mainly includes the nerve trunk stimulation theory, the cerebral function orientation therapy, biological holographic therapy, fascia stimulation therapy and trigger therapy, etc. Expect that the medical devices used in these therapies are same as the traditional acupuncture, these methods cannot be regarded in the category of acupuncture science when the current definition of it is considered. Hence, the writer is trying to define "acupuncture science" as: acupuncture science refers to the science for the methodology and mechanism of therapeutic devices, e.g. acupuncture therapy and moxibustion therapy, for the prevention and treatment of disease by stimulating the body, and its theory includes but not limits in traditional Chinese medical theory.

Analysis of Stability of Drug and Rationality of Drug Selection in 5770 Parenteral Nutrition Medical Or-ders of Our Hospital / 中国药房

OBJECTIVE:To provide reference for rational use of parenteral nutrition. METHODS:Combining with the pa-tients'nutritional status,clinical diagnosis and lab examination,5770 parenteral nutrition medical orders were collected from our hospital during May 2015-Apr. 2016,and then analyzed in respects of the stability of drug use,rationality of drug selection and pharmacoeconomics. RESULTS:The qualified stability of nutrient solution in 5770 parenteral nutrition medical orders accounted for 89.46%. The rates of reasonable drug selection in patients with abnormal liver function,renal function,hyperemesis gravidarum,pan-creatitis,complete fasting,long term parenteral nutrition (>14 d) and triacylglycerol >4.5 mmol/L were 76.19%,63.16%, 75.00%,78.95%,65.95%,64.06%and 50.00%,respectively. Four kinds of drugs were with same effect and dose,price difference between 4-34 times,the rate of inappropriate drug selection ranged 7.58%-61.64%. CONCLUSIONS:Parenteral nutrition design need to not only consider about nutritional status,clinical diagnosis and lab examination,but also take into account high efficiency,safety, economy and the stability of whole nutrient solution.

Rol de los Comentarios Escritos en la construcción de la tesis desde la perspectiva de estudiantes tesistas y profesores guía / Written comments role in the thesis development from undergaduate students and supervisor teachers' perspective

Diversos estudios han caracterizado la tesis como producto escrito. Sin embargo, es necesario avanzar en el conocimiento de cómo se gesta gradualmente dicho género académico. Con este propósito, en este artículo se presenta una investigación fenomenológica sobre el rol de los comentarios escritos en el proceso de elaboración de la tesis. El estudio se basó en entrevistas en profundidad a cinco directores de tesis y seis estudiantes tesistas de carreras de Pedagogía, pertenecientes a dos universidades de la ciudad de Concepción (Chile). El análisis revela que los comentarios del docente forman parte de un circuito de retroalimentación de carácter dialógico, orientado a que el escrito de los estudiantes se ajuste al género tesis, lo que es valorado por todos los participantes.

The characterization of the thesis as a written product has been the contribution of several studies. However, progress is needed in understanding how this academic genre has been gradually generated. In this regard, it is known that the elaboration of a thesis involves an academic expert who guides and directs a novice writer or a group of them through various forms of feedback. This article focuses on the written comments in order to understand their roles in the process of elaboration of a thesis, from the perspective of those participants. With this objective, a phenomenological research was implemented based on in-depth interviews to 5 thesis supervisors and 6 thesis students in the process of obtaining their academic degrees of Bachelor in Education in Teaching Programs in two universities in Concepción (Chile). The analysis shows that supervisors' comments are part of a feedback circle oriented to adjusting students' writing to the thesis genre, which is valued by all participants.

Effects of Adjuvant Medication Special Comments on Rational Use of 12 Vitamins for Injection in Our Hospital / 中国药房

OBJECTIVE:To provide reference for rational drug use and strengthen the management of adjuvant medication man-agement in the hospital. METHODS:1 080 and 860 discharged medical records of 12 Vitamins for injection were selected from our hospital during Jun.-Nov. 2014 (pre-special comment group,i.e. group A) and Jun.-Nov. 2015 (post-special comment group,i.e. group B),respectively. The application of 12 Vitamins for injection,hospitalization stay,drug cost and the incidence of ADR were compared before and after adjuvant medication special comment. RESULTS:After adjuvant medication special comments,the propor-tion of drug use of no indication,unsuitable solvent selection,irrational drug dosage,drug use of drug interaction and contraindica-tion,drug cost and the incidence of ADR in group B were all lower than in group A,with statistical significance(P0.05). CONCLUSIONS:Clinical pharmacists adopt adju-vant medication special comments to effectively standardize clinical application of 12 Vitamins for injection in our hospital.

Optimization of hospital outpatient service process:practice and comments / 中华医院管理杂志

Taking the Second Affiliated Hospital of Zhejiang University School of Medicine as an example,the paper discussed its practices in optimizing outpatient service process.These practices include innovating convenient outpatient service process,establishing a coordination center of hospital's beds to strengthen pre-hospital one-stop management,implementing day surgery to improve inpatient service,implementing professional and humanized hospital clinical care,introducing the concept of fast tract surgery to promote accelerated rehabilitation after surgery,and establishing a follow-up center for inpatients discharged.Such efforts have improved the medical services' efficiency and quality,and improved the patients' satisfaction.

Exploration of the Teaching Rounds Mode for Tumor Therapeutic Radiology / 昆明医科大学学报

Objective Through comparing the traditional teaching rounds model with innovation model, explore appropriate teaching rounds model for Radiotherapy. Methods From September 2009 to June 2010, 82 students of Kunming Medical University were randomly divided into two groups, 41 students in test group with innovation teaching rounds model, and 41 students in control group with traditional model. The results of the two groups were compared. Results The differences of survey and test scores were statistically significant ( <0.01) between the test and control groups. Conclusion Test group could effectively improve the clinical thinking,practice operating capacity and teaching quality, mobilize the initiative and enthusiasm for learning.The teaching rounds model needs further exploration,improvement and evaluation.

Record on Yu Yue's Medical Cases / 浙江中医药大学学报

Objective] To study the main medical works of Confucianism master Yu Yue of Zhejiang in the end of Qing Dynasty, understand Yu ’s contribution on TCM classics research with his real attitude to TCM academy. [Method] With the research methods of history and philology, col ect al Mr. Yu Yue’s medical articles in“Chunzaitang Pandect”; by paying attention to 3 main articles“On Abolishing Doctors”,“3-word Formula at Night”and“Discussion on Internal Classics”, and studying Mr. Zhang Taiyan’s analysis on his teacher’s medical discussion, offer them both primary documents, and analyzing Yu’s contribution on TCM classics research with his real attitude to TCM academy. [Result] “On Abolishing Doctors”was his extreme works written in 1878 and 1879 at his mother and wife ’s successive death, whose intention was not at al against TCM or abolishing TCM, but sponsoring to read TCM classics to train famous doctors. “3-word Formula at Night”was about a set of fit-keeping methods explored by him through his self-care, based on TCM“treating pre-disease”theory, cored with 3 methods“mould”“lock”“stretch”.“Discussion on Internal Classics”was his exegetic works on his studying “Plain Questions”, 48 articles in al , resolving doubts and proofreading mistakes, being a necessary works for researching Internal Classics. [Conclusion] One generation of Confucianism master Yu Yue, though had once extreme works of TCM, his exploration, practice to TCM fit-keeping methods and deep study on TCM classics, al embodied ful confirmation of TCM academy, esp. his col ation and annotation to articles in“Plain Questions”had great achievement. Yu’s“On Abolishing Doctors”and Mr. Zhang Taiyan’s“Comments on Medical Skil”reflected both great men’s discussion on how to treat TCM, how to develop TCM and how to prosper TCM in the end of 19th century and in the beginning of 20th century;coming around to this phase of history stil has meaning of further study.

Comentários de um treinador de futebol em condições de treino e competição / Comments from a soccer coach during training and competition situations

O principal objetivo deste trabalho é verificar se há diferenças nos comentários de um treinador de futebol amador direcionados a atletas em treino e competição. Participou da pesquisa um professor de educação física, que é treinador de uma escolinha de futebol. Com um gravador MP4 foram gravados quatro treinos e dois jogos. Os comentários do treinador foram transcritos e categorizados de acordo com duas grandes categorias de análise: Negativa, que se subdivide em Corretiva e Irônico-repressiva e Positiva, que se subdivide em Reforçadora, Motivadora e Instrucional. Os resultados apontam que a categoria Instrucional ocorre com maior frequência em ambas as situações de análise. Os dados indicam, no entanto, uma diferença na frequência total de comentários. A frequência total de comentários foi maior durante ambos os jogos em comparação aos treinos precedentes. Além disto, a ocorrência de comentários reforçadores é pouco frequente, fato que pode ter implicações no aprendizado dos alunos/jogadores.

The primary objective of this paper was to verify if there were differences in an amateur soccer coach comments targeted to athletes in training and competition situations. The behavior of a physical education teacher coaching an amateur soccer team was recorded, with a MP4 device. Coaching comments were recorded during two games and four training situations. Further, these comments were transcribed and categorized in two main categories: Negative, which is subdivided into Corrective and Ironic-Repressive comments, and Positive, which is subdivided into Reinforcing, Motivating and Instructional comments. The results indicated that the Instructional category occurred more frequently in both analysis conditions. The data shows, however, differences in the overall frequency of comments. The overall comments frequency were higher during both games than during the previous trainings situations. Furthermore, the occurrence of reinforcing feedback is infrequent, which may have implications for the students/players learning.

Comments on Teaching of Fluid Dynamics / 中国医学物理学杂志

Based on the teaching practice,this paper discussed nine topics in fluid dynamics:scientific research methods,theoretical foundation of hemodynamics and hemorheology,physical meaning of Bernoulli's equation,physical meaning of Newton viscosity law,Poiseuille principle on flow blood,mathematical description of volume flow,concept of velocity gradient,physical meaning of Reynolds number,and flow resistance.By combining preparing lessons and teaching practice,this paper comments on these nine topics and point out several inaccurate descriptions in some textbook.As a reference,it could benefit for teachers and students.

Teaching Evaluation at the Faculty of Medicine, Tottori University: Analysis of Scores and Free Comments over a 3-Year Period / 医学教育

Teaching evaluations have been performed since 2002 in the Faculty of Medicine, Tottori University. The effects of evaluations over a 3-year period were assessed, and free comments obtained from students were analyzed with the textmining method to identify factors affecting students' satisfaction. A total of 566 lectures given in undergraduate courses were evaluated, and 33, 751 questionnaires were collected for a recovery rate of 74%. The collected questionnaires included 2495 free comments. Each free comment was parsed word by word, and the nouns, adjectives, adverbs, and verbs were selected as key words. The scores for almost all questions on the questionnaire for the 2003 school year were significantly higher than those for the 2002 school year. However, no difference was found between the scores of the 2003 and 2004 school years. Analysis of the free comments suggested that a well-understood lecture improves student satisfaction and that teaching materials, such as handouts and slides, play an important role in the positive evaluation of lectures. The percentage of lectures receiving poor evaluations (scores less than 3) decreased yearly. This finding suggests that teaching evaluations are effective in helping faculty members with low scores to improve their lectures.

Comments of spleen-yin theory of doctors of Ming Dynasty / 中华中医药杂志

Spleen-yin theory was the innovation of doctors in Ming Dynasty for Piwei theory of Dongyuan based on the inheritance of nourishing yin theory of Danxi. But because of rise of stomach yin theory, spleen yin theory was ignored gradually. This article revealed the neutralizing therapeutic conception contained in this theory, which was hoped to be applyed into medical practice and to be deepened furtherly.

Comments on research about pathogenesis in TCM / 中华中医药杂志

Pathogenesis is the nucleus of diagnosis and treatment in TCM, this article has reviewed about the research on pathogenesis in TCM, summed up the research results, especially given the analysis on that. It proposes that deeper research would be done on defining the concept and connotation of pathogenesis, clarifying the relation between pathogenesis and syndrome differentiation, and establishing the core states about pathogenesis and so on.