Improving the Quality of Life of Patients with an Underactive Thyroid Through mHealth: A Patient-Centered Approach.

Three hundred fifty million people worldwide suffer from underactive thyroid conditions, which can lead to infertility, obesity, heart disease, and impaired mental health when poorly managed. Although mobile health (mHealth) applications can be a useful solution for self-managing one's condition, the impact of digital solutions for improving the health of thyroid patients remains unknown. We used a mixed methods analysis to assess the ways in which a digital approach might benefit thyroid patients.

Tridimensional spatial distribution of manganese in a river impacted by metallurgical activity and mining.

A three-dimensional interpolation method based on a digital elevation model (DEM) was developed to assess the impact of mining and metallurgical activity on the Claro River (Hidalgo, Mexico). This method was used to analyze the spatial concentration of manganese in sediments, water, and fish (viscera and muscle). Input data correspond to chemical manganese (Mn) analysis of the aforementioned environmental matrices, mining discharge volumes, and rainfall data.

Outcomes of a comprehensive nonsurgical approach to pelvic floor rehabilitation for urinary symptoms, defecatory dysfunction, and pelvic pain.

Objective: The authors' intent was to determine the clinical efficacy of comprehensive pelvic floor rehabilitation among women with symptoms of pelvic floor dysfunction (PFD).

Methods: We performed a retrospective analysis of women referred to an academic female pelvic medicine and reconstructive surgery practice for PFD. Data were gathered from the records of 778 women referred for pelvic floor therapy for urinary, bowel, pelvic pain, and sexual symptoms over the course of 4 years.

[From self-diagnosis to self-medication: inherent dangers, and impact on pharmacist-patient relationship].

Self-medication is not yet very widespread in France, but it is growing, largely because health insurers are no longer covering treatments for minor ailments. The author examines the different situations in which the French self-medicate, and the role pharmacists can play.