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Vasectomy is the safest and most cost-effective means of long-term permanent contraception, and is easily and safely performed in the office setting, under local anesthesia. Although some patient factors, such as body habitus, prior failed vasectomy, or extreme anxiety, may warrant consideration of vasectomy under sedation, these instances are infrequent and cannot account for the finding that approximately 18% of all vasectomies were performed in the ambulatory surgery center (ASC setting) during the study period.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research

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This study aimed to evaluate the effect of preoperative carbohydrate oral (CHO) loading on the postoperative metabolic and inflammatory response, perioperative discomfort and surgical clinical outcomes in open colorectal surgery compared with a conventional fasting protocol.MethodsFifty patients were randomly allocated to either the intervention group (CHO), to receive preoperative oral carbohydrate supplementation, or the control group (FAST), to undergo preoperative fasting. Insulin resistance, insulin sensitivity, the Glasgow Prognostic Score (GPS) and IL-6 levels were analysed at 06  h on the day of surgery (T1), ...
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
This study was a secondary analysis of LaFreniere and Newman (2016), a randomized controlled trial comparing two ecological momentary interventions (EMIs) for generalized anxiety disorder (GAD): The worry outcome journal (WOJ) and thought log (TL). We predicted that higher thought-related distress would be a mediator by which higher uncontrollability beliefs (UB) would hinder the efficacy of the WOJ, but not the TL. Fifty-one undergraduates who met GAD criteria underwent one of the EMIs for 10 days. WOJ users tracked worries, associated distress, interference, expected outcome probabilities, and whether their worries came ...
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
Conclusions: The proposed two-level ICA is an effective multi-variate analysis method for both steady-state and transient analysis of task data.
Source: Journal of Neuroscience Methods - Category: Neuroscience Source Type: research
The synthetically produced psychedelic is derived from the venom of the Colorado River toad. → Support PsyBlog for just $4 per month. Enables access to articles marked (M) and removes ads. → Explore PsyBlog's ebooks, all written by Dr Jeremy Dean: Accept Yourself: How to feel a profound sense of warmth and self-compassion The Anxiety Plan: 42 Strategies For Worry, Phobias, OCD and Panic Spark: 17 Steps That Will Boost Your Motivation For Anything Activate: How To Find Joy Again By Changing What You Do
Source: PsyBlog | Psychology Blog - Category: Psychiatry & Psychology Authors: Tags: Depression subscribers-only Source Type: blogs
One trait is linked to a worse score in intelligence tests. → Support PsyBlog for just $4 per month. Enables access to articles marked (M) and removes ads. → Explore PsyBlog's ebooks, all written by Dr Jeremy Dean: Accept Yourself: How to feel a profound sense of warmth and self-compassion The Anxiety Plan: 42 Strategies For Worry, Phobias, OCD and Panic Spark: 17 Steps That Will Boost Your Motivation For Anything Activate: How To Find Joy Again By Changing What You Do
Source: PsyBlog | Psychology Blog - Category: Psychiatry & Psychology Authors: Tags: Intelligence Personality Source Type: blogs
Trust your gut. This advice gets thrown around a lot—that we should be able to listen to a little voice inside that tells us that something isn’t right, or we need something different than what we’re getting. And yes—listening to our intuition is incredibly valuable. But what is our intuition, exactly? And what happens when our intuition lets us down? Intuition is often spoken about as a deep inner “knowing,” some wisdom that has some mysterious access, somehow, to the truth about the world. Our bodies can, indeed, pick up signals from the world around us that our minds may not have rat...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Publishers Spirituality & Health gut Intuition trust Source Type: blogs
CONCLUSIONS: START is clinically effective and this effect lasts for 6 years without increasing costs. This is the first intervention with such a long-term clinical and possible economic benefit and has potential to make a difference to individual carers.Declarations of interestG.L., Z.W. and C.C. are supported by the UCLH National Institute for Health Research (NIHR) Biomedical Research Centre. G.L. and P.R. were in part supported by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North Thames at Bart's Health NHS Trust. The views expressed are th...
Source: The British Journal of Psychiatry for Mental Science - Category: Psychiatry Tags: Br J Psychiatry Source Type: research
ConclusionsThe present findings indicate that impulsivity may not only lead to nonsuicidal self-injury, but that frequent engagement in nonsuicidal self-injury may undermine regulatory skill development and lead to greater impulsivity over time during the emerging adult years.
Source: Journal of Adolescence - Category: Child Development Source Type: research
Recent years have seen a dramatic increase in computational capacity and the volume of data stored which has fuelled progress in machine learning methodology. Increasing attention is turning towards the use of artificial intelligence (AI) in healthcare; AI is facilitating the diagnosis of several conditions, from atrial fibrillation to stroke, and the treatment of others, such as depression and anxiety. Hepatology could see significant change with the introduction of AI but there are important challenges to consider for ensuring successful integration and implementation.
Source: Digestive and Liver Disease - Category: Gastroenterology Authors: Tags: Correspondence Source Type: research
Publication date: Available online 12 July 2019Source: Social Science &MedicineAuthor(s): Amanda MaxfieldAbstractTheoretical analyses by anthropologists suggest that food and water insecurity exhibit multiple conceptual parallels, hold similar consequences for wellbeing, and lead to analogous "coping strategies" aimed at mitigating those consequences. However, these deductions largely originate from studies conducted separately on either food or water insecurity. Thus, these similarities may not bear out when examined in populations facing high rates of both. In particular, some researchers argue that food an...
Source: Social Science and Medicine - Category: Psychiatry & Psychology Source Type: research
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