{"title":"Healthcare in America: getting better but still not good enough.","authors":"Carolyn Clancy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2007-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234294/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Readers' and author's responses to \"Evidence-based standards should apply to dietary supplements, too\".","authors":"Daniel Fabricant","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"21; author reply 21"},"PeriodicalIF":0.0,"publicationDate":"2007-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthy foods for healthy kids.","authors":"Harvey V Fineberg","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2007-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A reader responds to \"Ethics and evidence-based medicine: is there a conflict?\".","authors":"John A Raeburn","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2007-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper argues that clinicians face the unique artistic challenge of taking concrete pieces of data - scientific findings - and abstracting them into effective therapeutic interventions. Moreover, this abstraction has to be modified for different personality types. The process of therapeutic change and how it can be impeded by the traditional medical model are briefly explored. The doctor-patient dyadic treatment relationship, while appropriate and necessary for many medical interventions, can disavow the source of change when it comes to lifestyle conditions such as obesity. Restraint theory and its origins in Greek mythology are briefly reviewed and integrated with Bowlby's attachment theory as precepts in developing a psychologically based dietary approach. By retaining in people's diets foods they have a deep emotional attachment to, the low-sacrifice diet attempts to encourage caloric restriction in a way that does not trigger rebound overeating.
{"title":"Tantalus, restraint theory, and the low-sacrifice diet: the art of reverse abstraction: 10th International Congress on Obesity; September 4, 2006; Sydney,Australia - Symposium: obesity management: adding art to the science, invited presentation.","authors":"George W Blair-West","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper argues that clinicians face the unique artistic challenge of taking concrete pieces of data - scientific findings - and abstracting them into effective therapeutic interventions. Moreover, this abstraction has to be modified for different personality types. The process of therapeutic change and how it can be impeded by the traditional medical model are briefly explored. The doctor-patient dyadic treatment relationship, while appropriate and necessary for many medical interventions, can disavow the source of change when it comes to lifestyle conditions such as obesity. Restraint theory and its origins in Greek mythology are briefly reviewed and integrated with Bowlby's attachment theory as precepts in developing a psychologically based dietary approach. By retaining in people's diets foods they have a deep emotional attachment to, the low-sacrifice diet attempts to encourage caloric restriction in a way that does not trigger rebound overeating.</p>","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2007-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Millennium Development Goals (MDGs), committed to by all 191 United Nations member states, are rooted in the concept of sustainable development. Although 2007 (midway) reports indicated that programs are under way, unfortunately many countries are unlikely to reach their goals by 2015 due to high levels of poverty. Madagascar is one such example, although some gains are being made. Attempts of this island nation to achieve its MDGs, expressed most recently in the form of a Madagascar Action Plan, are notable in their emphasis on (1) conserving the country's natural resource base, (2) the effect of demographic trends on development, and (3) the importance of health as a prerequisite for development. Leadership in the country's struggle for economic growth comes from the president of the Republic, in part, through his "Madagascar Naturally" vision as well as his commitment to universal access to family planning, among other health and development interventions. However, for resource-limited countries, such as Madagascar, to get or stay "on track" to achieving the MDGs will require support from many sides. "Madagascar cannot do it alone and should not do it alone." This position is inherent in the eighth MDG: "Develop a global partnership for development." Apparently, it takes a village after all - a global one.
{"title":"Poverty reduction and Millennium Development Goals: recognizing population, health, and environment linkages in rural Madagascar.","authors":"Lynne Gaffikin, Jeffrey Ashley, Paul D Blumenthal","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Millennium Development Goals (MDGs), committed to by all 191 United Nations member states, are rooted in the concept of sustainable development. Although 2007 (midway) reports indicated that programs are under way, unfortunately many countries are unlikely to reach their goals by 2015 due to high levels of poverty. Madagascar is one such example, although some gains are being made. Attempts of this island nation to achieve its MDGs, expressed most recently in the form of a Madagascar Action Plan, are notable in their emphasis on (1) conserving the country's natural resource base, (2) the effect of demographic trends on development, and (3) the importance of health as a prerequisite for development. Leadership in the country's struggle for economic growth comes from the president of the Republic, in part, through his \"Madagascar Naturally\" vision as well as his commitment to universal access to family planning, among other health and development interventions. However, for resource-limited countries, such as Madagascar, to get or stay \"on track\" to achieving the MDGs will require support from many sides. \"Madagascar cannot do it alone and should not do it alone.\" This position is inherent in the eighth MDG: \"Develop a global partnership for development.\" Apparently, it takes a village after all - a global one.</p>","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2007-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Family planning: a cornerstone for public health and sustainable development.","authors":"Paul D Blumenthal, Lynne Gaffikin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2007-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From Marcus Welby to Grey's anatomy: the next generation.","authors":"Darrell G Kirch","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2007-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27296474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Readers' and author's responses to \"The disappearing patient\".","authors":"Scott A Joseph","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"14; author reply 14"},"PeriodicalIF":0.0,"publicationDate":"2007-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27295941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Readers' and author's responses to \"We all need healthcare; who needs 'insurance'?\".","authors":"Barbara Bryan","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74137,"journal":{"name":"MedGenMed : Medscape general medicine","volume":"9 4","pages":"13; author reply 13"},"PeriodicalIF":0.0,"publicationDate":"2007-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27295940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}