Regular weighing is a routine component of public health interventions but concerns have been raised about possible negative psychological consequences. Blind weighing is an alternative form of weighing that is commonly used in clinical contexts, and that is thought to decrease weighing anxiety and engagement with disordered eating behaviours. In this study, normal weight female participants who indicated a high drive for thinness (N = 53) were randomly assigned to receive bi-weekly open or blind weighing for three weeks. Participants who were open weighed felt increasingly anxious over time, whereas participants who were blind weighed felt less anxious. Both groups experienced increased weight preoccupation and disordered eating behaviours on weighing days compared to non-weighing days. Analyses of participants' qualitative responses further indicated that open weighed participants experienced increased urges to engage in weight-controlling behaviours throughout the experiment whereas blind weighed participants reported reduced concern with weight. Findings suggest that blind weighing may be a safer approach to weight monitoring, even though weighing in both forms can have a (transient) negative effect. Future research should evaluate whether the current findings are generalisable for other subgroups of the population.
Introduction: Recurrent paraesophageal hernia (PEH) repair presents significant technical challenges, with limited data weighing the benefit to the operative risk. This study aims to describe our experience with recurrent PEH repair, including long-term surgical and patient reported outcomes (PROs).
Methods: We conducted a retrospective review of recurrent PEH repairs from June 2018-March 2023 using our institutional database.
Background: The neurolytic celiac plexus block (NCPB) can be introduced through the posterior para-aortic, anterior para-aortic, posterior transaortic, or endoscopic anterior para-aortic puncture approach, as well as the posterior approach via the intervertebral disc. To reduce the complications of puncture, this block's original manual blind puncture technique can be improved upon by using a C-arm fluoroscope, computed tomography (CT), or an ultrasound, the last of which may be endoscopic.
Objective: To observe the distribution of absolute alcohol and its analgesic effect on cancer-induced upper abdominal visceral pain during percutaneous NCPB through the anterior and posterior diaphragmatic crura under CT guidance.
Obesity is a major health issue in dogs associated with disturbances in lipid metabolism and oxidative stress. Spirulina has been shown to have hypolipidemic and antioxidant effects in various animal species. No such data regarding dogs are available, however.
Background: The win ratio (WR) is an emerging alternative for reporting composite outcomes, prioritizing clinically significant events such as mortality while incorporating surrogate measures. However, its benefits should be weighed against limitations, particularly the influence of lower hierarchical outcomes. This secondary analysis of the PARAGLIDE-HF trial performed a WR sensitivity analysis using a modified hierarchical composite outcome to assess the utility of WR sensitivity analysis and the efficacy of sacubitril/valsartan versus valsartan.
In order to improve the user experience of protective clothing for healthcare workers and reduce the design blindness and subjectivity of developers, we propose a research methodology that combines the Kano model, QFD quality function deployment, and PUGH decision-making scheme to develop conceptual solutions for medical protective clothing design. Firstly, we use the Kano model to identify the user requirements of healthcare workers and construct a hierarchy of functional requirements for protective clothing. Secondly, we use the QFD method to weigh the protective clothing design elements, convert user requirements into design elements, establish a relationship matrix between user requirements and design elements, and generate four conceptual design solutions based on the results.
