Objective To investigate whether a sham device (a validated sham acupuncture needle) has a greater placebo effect than an inert pill in patients with persistent arm pain.
Design A single blind randomised controlled trial created from the two week placebo run-in periods for two nested trials that compared acupuncture and amitriptyline with their respective placebo controls. Comparison of participants who remained on placebo continued beyond the run-in period to the end of the study.
Setting Academic medical centre.
Participants 270 adults with arm pain due to repetitive use that had lasted at least three months despite treatment and who scored ≥3 on a 10 point pain scale.
Interventions Acupuncture with sham device twice a week for six weeks or placebo pill once a day for eight weeks.
Main outcomemeasures Arm pain measured on a 10 point pain scale. Secondary outcomes were symptoms measured by the Levine symptom severity scale, function measured by Pransky's upper extremity function scale, and grip strength.
Results Pain decreased during the two week placebo run-in period in both the sham device and placebo pill groups, but changes were not different between the groups (−0.14, 95% confidence interval −0.52 to 0.25, P = 0.49). Changes in severity scores for arm symptoms and grip strength were similar between groups, but arm function improved more in the placebo pill group (2.0, 0.06 to 3.92, P = 0.04). Longitudinal regression analyses that followed participants throughout the treatment period showed significantly greater downward slopes per week on the 10 point arm pain scale in the sham device group than in the placebo pill group (−0.33 (−0.40 to −0.26) v −0.15 (−0.21 to −0.09), P = 0.0001) and on the symptom severity scale (−0.07 (−0.09 to −0.05) v −0.05 (−0.06 to −0.03), P = 0.02). Differences were not significant, however, on the function scale or for grip strength. Reported adverse effects were different in the two groups.
Conclusions The sham device had greater effects than the placebo pill on self reported pain and severity of symptoms over the entire course of treatment but not during the two week placebo run in. Placebo effects seem to be malleable and depend on the behaviours embedded in medical rituals.
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"[This DVD] merges yoga exercises and mindfulness techniques for youth ages 7 to 16. Developed by ... youth yoga expert, Abby Mills ... and created in collaboration with teens, the program integrates a series of movements, breathing techniques and practices that facilitate inner calm, positive attitude and a strong, healthy body. Practicing just two times per week cultivates body awareness, flexibility, concentration, stress reduction and self-expression"--Container.
ABSTRACT Recent interest in interactive video game technology (IVGT) has spurred the notion that exercise from this technology may have meaningful physiological and psychological benefits for children and adolescents. The purpose of this study was to examine the short-term psychological effects of interactive video game exercise in young adults and whether IVGT participation was capable of improving mood as has been shown for traditional forms of exercise. In addition, we were interested in comparing both actual physical exercise output and perceived exertion of that output across the exercise conditions. One-hundred and sixty-eight college students were assigned to one of three 30-minute conditions: (1) interactive video game cycle ergometer exercise, (2) regular cycle ergometer exercise, or (3) a video game-only control condition. Positive and negative mood (PANAS; Watson, Clark, & Tellegen, 1988) was assessed before and twice-after experimental conditions, and measures of actual and perceived physical exertion were collected at five-minute intervals across exercise conditions. Participants in the video-game control had higher post-activity negative affect immediately and 10-minutes post activity than either exercise group. In addition, exercise condition participants had higher positive mood at 10-minutes post activity compared to the video game control participants. Results do not support IVGT mood benefits over other forms of exercise, but do support immediate affective benefits of exercise compared to sedentary activity. It is concluded that while there is potential for interactive video-game based applications to elicit affective benefits, there is a need to examine circumstances under which these benefits are most likely to occur.
A model of development for children and youth with learning disabilities (LD) is presented, including three cognitive/academic development variables, seven affective variables, three social development variables, and four behavior development variables. The model presents a holistic view of LD students and considers various issues that can impede successful outcomes. (JDD)
This editorial, introducing a special issue on social-emotional development of students with learning disabilities, reviews general trends in recent research and curriculum development. The editorial presents social-emotional development as the next major area (following cognitive, metacognitive, and behavioral studies) from which meaningful change will come for students with learning disabilities. (PB)
In recent decades, empathy research has blossomed into a vibrant and multidisciplinary field of study. This text collects cross-disciplinary, cutting-edge work on human empathy from the perspectives of social, cognitive, developmental and clinical psychology and cognitive/affective neuroscience.
<p>The author argues that the ethnographic literature on the Jirels is extremely sparse and in this article intends to fill some of the gaps in the ethnographic literature by providing an outline of Jirel ethnogenesis, social organization, and the kinship system. The Jirels have a subsistence economy based upon the cultivation of millet, maize, wheat, barley, potato, and also rice in few lower valleys. There are several conflicting accounts concerning ethnogenesis. The Jirels are divided into 23 patrilineal, patrilocal descent groups referred to as clans and subclans. The article discusses the relation and interrelation of clans and also discusses clan leadership. The article gives a brief account of Jirel marriage. It also includes a map illustrating migration patterns in the hills of Nepal and a chart on Jirel kinship discussing some kinship terminology. (Rajeev Ranjan Singh 2006-10-14)</p>
<p>The article explores the history and impact of transportation infrastructure on the Jiri Valley in Nepal. The Jiri Valley was once isolated from other parts due to lack of transportation facilities. The Swiss Association for Technical Assistance (SATA) initiated a multipurpose development project in 1957. With the infrastructural developments, social and political changes were seen. The facility of transportation has caused changes in all major aspects of Jirel subsistence patterns and the economy. The article discusses the sociocultural consequences of transportation in the Jiri valley. The article concludes that the road has had a significant impact in the district as a whole. (Rajeev Ranjan Singh 2006-10-12)</p>
BackgroundDepression is often a chronic relapsing condition, with relapse rates of 50-80% in those who have been depressed before. This is particularly problematic for those who become suicidal when depressed since habitual recurrence of suicidal thoughts increases likelihood of further acute suicidal episodes. Therefore the question how to prevent relapse is of particular urgency in this group.
Methods/Design
This trial compares Mindfulness-Based Cognitive Therapy (MBCT), a novel form of treatment combining mindfulness meditation and cognitive therapy for depression, with both Cognitive Psycho-Education (CPE), an equally plausible cognitive treatment but without meditation, and treatment as usual (TAU). It will test whether MBCT reduces the risk of relapse in recurrently depressed patients and the incidence of suicidal symptoms in those with a history of suicidality who do relapse. It recruits participants, screens them by telephone for main inclusion and exclusion criteria and, if they are eligible, invites them to a pre-treatment session to assess eligibility in more detail. This trial allocates eligible participants at random between MBCT and TAU, CPE and TAU, and TAU alone in a ratio of 2:2:1, stratified by presence of suicidal ideation or behaviour and current anti-depressant use. We aim to recruit sufficient participants to allow for retention of 300 following attrition. We deliver both active treatments in groups meeting for two hours every week for eight weeks. We shall estimate effects on rates of relapse and suicidal symptoms over 12 months following treatment and assess clinical status immediately after treatment, and three, six, nine and twelve months thereafter.
Discussion
This will be the first trial of MBCT to investigate whether MCBT is effective in preventing relapse to depression when compared with a control psychological treatment of equal plausibility; and to explore the use of MBCT for the most severe recurrent depression - that in people who become suicidal when depressed.
Stratigraphic boundaries are ideally defined by distinct lithological,geochemical, and palaeobiological signatures, to which a chronological
framework can be applied. We present a range of observations that
illustrate how the Holocene-Anthropocene transition meets these criteria
in its expression in sediments from remote arctic and alpine lakes,
removed from direct, catchment-scale, anthropogenic influences. In
glaciated lake basins, the retreat of glaciers commonly leads to
lithological successions from proglacial clastic sedimentation to
non-glacial organic deposition. Sediments from the majority of lakes
record marked depletions in the nitrogen stable isotopic composition of
sediment organic matter, reflecting anthropogenic influences on the
global nitrogen cycle. In all cases, siliceous microfossil assemblages
(diatoms and chrysophytes) change markedly and directionally, with
regional nuances. These stratigraphic fingerprints begin to appear in
the sediment record after AD 1850, but accelerate in pulses between AD
1950 and 1970 and again after AD 1980. Our review indicates that recent
environmental changes associated with humankind's dominance of key
global biogeochemical cycles are sufficiently pervasive to be imprinted
on the sediment record of remote lakes. Moreover, these changes are of
sufficient magnitude to conclude that the Holocene has effectively
ended, and that the concept of Anthropocene more aptly describes current
planetary dynamics. The synthesis of these observations pertains
directly to ongoing discussions concerning the eventual formalization of
a new stratigraphic boundary.
Many childhood and adolescent stress-related symptoms have a psychophysiological component that involves muscular tension and/or autonomic nervous system dysfunction. Examples of this include recurrent headache, chest pain, abdominal pain, syncope, and dizziness. After a careful medical and psychosocial evaluation, the clinician may identify many patients who are appropriate for the application of stress reduction techniques such as progressive muscular relaxation, meditation, biofeedback, and relaxation/mental imagery (self-hypnosis). This review describes these techniques and their application with selected children and adolescents.
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Irritable bowel syndrome (IBS) is a prevalent functional disorder characterized by abdominal pain and hypervigilance to gastrointestinal sensations. We hypothesized that mindfulness training (MT), which promotes nonreactive awareness of emotional and sensory experience, may target underlying mechanisms of IBS including affective pain processing and catastrophic appraisals of gastrointestinal sensations. Seventy five female IBS patients were randomly assigned to participate in either 8 weeks of MT or a social support group. A theoretically grounded, multivariate path model tested therapeutic mediators of the effect of MT on IBS severity and quality of life. Results suggest that MT exerts significant therapeutic effects on IBS symptoms by promoting nonreactivity to gut-focused anxiety and catastrophic appraisals of the significance of abdominal sensations coupled with a refocusing of attention onto interoceptive data with less emotional interference. Hence, MT appears to target and ameliorate the underlying pathogenic mechanisms of IBS.
Recess has taken a beating in recent years. Because of shrinking budgets and ever-increasing academic demands, playground time in many school districts has dwindled, seen as a frivolous luxury. In some places, recess has been cut altogether, despite endorsements from the American Academy of Pediatrics and studies showing that recess not only improves children's fitness, but benefits their social-emotional growth and academic performance.
Comment éviter les rechutes dépressives grâce à un programme basé sur la pleine conscience. Un programme qui a fait ses preuves et ne cesse de prouver son efficacité sur le terrain!
Comment éviter les rechutes dépressives grâce à un programme basé sur la pleine conscience. Un programme qui a fait ses preuves et ne cesse de prouver son efficacité sur le terrain!
Comment éviter les rechutes dépressives grâce à un programme basé sur la pleine conscience. Un programme qui a fait ses preuves et ne cesse de prouver son efficacité sur le terrain!
The Anthropocene Working Group (AWG) of the Subcommission of Quaternary Stratigraphy of the International Commission on Stratigraphy is moving toward recommending that the start of a formally designated ‘Anthropocene’ epoch be placed in the middle-to-late 1900s. This article summarizes three objections to this possible action. First, major human alterations of Earth’s environment long preceded the 1900s: extinction of most Australian and American mammals; extensive deforestation of arable regions around the globe; creation of extensive anthropogenic wetlands for rice irrigation; and, in recent centuries, plowing of prairies and steppes for conversion to croplands. Second, the formal chronostratigraphic rules followed by the AWG reject any recognition of these early changes a priori: the very rapid pulse-like extinctions because they were ‘merely’ continent-wide, and forest clearance, rice irrigation, and prairie plowing because they developed time-transgressively. Third, the classical approach the AWG follows – adding subdivisions to the standard Geologic Column – is largely disregarded today among scientists working in the younger geologic record, as is apparent from the rare mention of the Pleistocene subdivisions in paleoclimate textbooks. For these reasons, the use of an informal, flexible ‘anthropocene’ is preferable to the constraints that would be imposed by defining a formal ‘Anthropocene’. © The Author(s) 2018.
<p>One of the principal dictionaries for the study of the literary language. Presents lists of terms, names, etc. Both in the material which Das gathered from Jäschke and that which was gotten from native sources there are found many errors and inaccuracies. (Michael Walter and Manfred Taube 2006-05-15, revised by Bill McGrath 2008-01-03)</p>
<p>Das was not the lexicographer Jäschke was, but his dictionary has become the unrivaled standard dictionary. His Sanskrit Synonyms are routinely wrong, and the dictionary has in general the feel of a great dictionary in need of another year of editing. (Nathan Hill 2007-12-13, revised by Bill McGrath 2008-01-03)</p>
<p>Although many of the translations given lack a creative feel for the language or culture, this is still one of the most comprehensive Tibetan-English dictionaries available, and is widely regarded as the standard in the field by non-scholars. (David Germano 2007-12-13, revised by Bill McGrath 2008-02-06)</p>
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