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High Rates of Unnecessary Surgery for Indeterminate Thyroid Nodules in the Absence of Molecular Test and the Cost-Effectiveness of Utilizing Molecular Test in an Asian Population: A Decision Analysis.
Thyroid
January 2025
Division of Endocrine Surgery, Department of Surgery, Queen Mary Hospital, The University of Hong Kong, Hong Kong, Hong Kong.
Cytologically indeterminate thyroid nodules (Bethesda class III or IV) carry a 10-40% risk of malignancy. Diagnostic lobectomies are frequently performed but negative surgeries incur unnecessary costs on the healthcare system, potential complications, and negative impacts on quality of life. Molecular tests (MTs) have been developed to reduce unnecessary surgeries.
View Article and Find Full Text PDF"A quality of heart, of presence, and of really caring": toward affirmative intersex health communication in Canada.
Front Public Health
January 2025
Centre of Genomics and Policy, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.
Introduction: This qualitative research study aimed to better understand and help improve the Canadian context for health communication with intersex adults by centering the voices of those directly involved and impacted.
Methods: We conducted 22 semi-structured interviews with intersex individuals (14) and healthcare practitioners (HCPs, 8) from diverse areas of care. Interviews were analyzed via template thematic analysis and filtered through a conceptual lens that brought together agency-based and social-ecological models of health communication.
A research-driven flowchart to approach change in couples.
Front Psychol
January 2025
CORE | Cognitions and Relations Laboratory, Social Psychology and Personality Section, Department of Psychology, UQAM | Université du Québec à Montréal, Montreal, QC, Canada.
In most cases, couple therapists systemically see couples' distress as the result of reciprocal maladaptive patterns to which each partner contributes. Yet, therapists can struggle to share with the couple such a relational understanding of their distress and identify goals for change accordingly, as structured, step-by-step methods are not available in the extant literature. This perspective paper reviews research across various domains of relationship science to summarize cohesively the best practices for goal identification in a step-by-step flowchart.
View Article and Find Full Text PDFHuman and digital ecosystems in the modern household.
Front Psychol
January 2025
PaCT Lab, Northumbria University, Newcastle upon Tyne, United Kingdom.
Despite a growing number of studies describing the digital ecosystems of the home, few have explored the human component of this ecosystem and fewer have accounted for household and relationship diversity. We asked the inhabitants of nine households to share images of their digital devices and then interviewed them about how the technology was distributed and used, what roles they adopted in relation to the different devices and what boundaries or rules they set up to manage joint use. Following a thematic analysis, we describe (i) the digital components of the ecosystem and their use; (ii) the humans in the ecosystem and their relationships with technology and with each other, and (iii) interconnectedness in terms of joint use and self- or other-imposed restrictions.
View Article and Find Full Text PDFAssociation of the Triglyceride-Glucose Index and Obesity Indicators with Multiple Chronic Diseases: A Longitudinal Cohort Study Based on CHARLS.
J Multidiscip Healthc
January 2025
School of Medical Laboratory Medicine, Youjiang Medical University for Nationalities, Baise, Guangxi, 533000, People's Republic of China.
Objective: To explore the relationship between triglyceride glucose (TyG) and the obesity combined indexes and the occurrence of multiple chronic diseases (MCD), which will help to provide a basis for the prevention and treatment of this condition.
Methods: 3037 participants in the China Health and Retirement Longitudinal Study, which was conducted from 2011 to 2015 were selected for this study. They were divided into four groups (Q1, Q2, Q3, Q4) based on the quartiles of TyG, TyG-BMI, TyGWC and TyGWHtR in the baseline data.
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