Publications by authors named "R K Pearl"

Purpose Of Review: To highlight recent evidence of the impact of weight bias and stigma on healthcare access and utilization.

Recent Findings: Healthcare access for patients with obesity is limited by weight-discriminatory policies such as body mass index cutoffs and weight loss requirements. These policies are based on flawed justifications without demonstrated medical benefits.

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Background: The clinical significance of natural and treatment-emergent antibodies specific for amustaline/glutathione pathogen-reduced red blood cells (PRRBCs) is not known.

Study Design And Methods: A Phase 3, randomized clinical trial of PRRBCs (ReCePI) compared PRRBCs with conventional RBCs in cardiac or thoracic-aorta surgery. Subjects transfused during and for 7 days after surgery were screened for PRRBC-specific antibodies at baseline, 28 and 75 days post-surgery.

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Weight bias and stigma are widespread, unjust, and harmful to health. Increased empirical attention to the internalization of weight bias and stigma (or weight self-stigma) has revealed significant health implications that require further study and intervention. This review summarizes current knowledge on the conceptualization, measurement, prevalence, and correlates of internalized weight stigma.

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Objectives: To determine incidence and risk factors for hypertension in childhood nephrotic syndrome.

Study Design: Using data from the Insight into Nephrotic Syndrome (INSIGHT) study, a prospective observational childhood nephrotic syndrome cohort from Toronto, Canada, we evaluated hypertension incidence and time-to-hypertension overall and stratified by 1) steroid-resistance or steroid-sensitivity, and 2) frequently-relapsing, steroid dependent, or infrequently-relapsing. Hypertension was defined as stage 1-2 hypertensive blood pressure on two consecutive visits or anti-hypertensive medication initiation.

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Article Synopsis
  • Internalized weight stigma (IWS) negatively impacts mental and physical health, leading to a need for targeted psychological interventions.
  • A systematic review of 161 articles identified 20 studies that showed these interventions are generally feasible, acceptable, and effective at reducing IWS and improving related health outcomes.
  • However, more rigorous research, especially randomized controlled trials, is necessary to confirm these findings and better understand the effectiveness of different interventions.
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