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Using What Matters Most to improve health care delivery for individuals and populations of veterans experiencing homelessness and substance use disorders.
Explore (NY)
January 2025
Center for Healthcare Optimization and Implementation Research, VA Bedford Healthcare System, 200 Springs Rd, Bedford, MA, USA; General Internal Medicine, Chobanian & Avedesian School of Medicine, Boston University, 72 East Concord St., Boston, MA, USA.
Objectives: To understand ways in which the Personal Health Inventory (PHI), a tool to prompt reflection on what matters most and status in 8 components of health and well-being, can be used to inform care of homeless veterans entering a Mental Health Residential Rehabilitation Treatment Program, at individual and programmatic levels.
Methods: Mixed method study was conducted at one residential treatment program. Quantitative data was collected from the PHI (n=64) and was analyzed using descriptive statistics.
Laparoscopic Reversal of Roux-en-Y Gastric Bypass with Hand-Sewn Gastro-Gastrostomy and Resection of the Alimentary Limb.
Obes Surg
December 2024
Department of Upper Gastrointestinal and Bariatric Surgery, University Hospitals Sussex (St Richard's Hospital), Chichester, UK.
Introduction: Roux-en-Y gastric bypass (RYGB) reversal might be necessary to alleviate refractory surgical or nutritional complications, such as postprandial hypoglycemia, malnutrition, marginal ulceration, malabsorption, chronic diarrhea, nausea and vomiting, gastro-esophageal reflux disease, chronic pain, or excessive weight loss. The surgical technique of RYGB reversal is not standardized; potential strategies include the following: (1) gastro-gastrostomy: hand-sewn technique, linear stapler, circular stapler; (2) handling of the Roux limb: reconnection or resection (if remaining intestinal length ≥ 4 m).
Case Presentation: We demonstrate the surgical technique of a laparoscopic reversal of RYGB with hand-sewn gastro-gastrostomy and resection of the alimentary limb with the aim of improving the patient's quality of life.
Priority areas and implementation of ecological corridor through forest restoration to safeguard biodiversity.
Sci Rep
December 2024
Departamento de Biodiversidade, Universidade Estadual Paulista, Rio Claro, SP, Brazil.
Ecological Corridors (ECs) are proposed as cost-effective solutions to improve ecological connectivity in fragmented landscapes. Planning the implementation of ECs must take into account landscape features as they affect the viability of the endeavor and the ECs associated costs. A novel set of geoprocessing tools were used to assess (i) economic viability; (ii) socioeconomic cost-effectiveness; and (iii) to determine priority targets for ECs establishment in a highly fragmented region of Atlantic Forest.
View Article and Find Full Text PDFEfficient gaze stabilization during video Active Gaze Shift Test (vAGST) in bilateral vestibulopathy.
Front Neurol
December 2024
Institut de Recherche Oto-Neurologique (IRON), Paris, France.
Introduction: While most head movements in daily life are active, most tools used to assess vestibular deficits rely on passive head movements. A single gain value is not sufficient to quantify gaze stabilization efficiency during active movements in vestibular deficit patients. Moreover, during active gaze shifts, anticipatory mechanisms come into play.
View Article and Find Full Text PDFPsilocybin increases emotional empathy in patients with major depression.
Mol Psychiatry
December 2024
Department of Adult Psychiatry and Psychotherapy, Psychiatric University Clinic Zurich and University of Zurich, Zürich, Switzerland.
Empathy plays a crucial role in interpersonal relationships and mental health. It is decreased in a variety of psychiatric disorders including major depression. Psilocybin, a promising candidate for treating depression, has been shown to acutely increase emotional empathy in healthy volunteers.
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