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So Did All That Nudging Actually Work?

So Did All That Nudging Actually Work? | Health promotion. Social marketing | Scoop.it
Cass Sunstein, nudge inventor and former White House official, explains how his nudges have helped Americans save for retirement and eat better.
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Health promotion. Social marketing
Health promotion: marketing sociale, comunicazione, salute, ambiente, disuguaglianze sociali.
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Social marketing guide for public health programme managers and practitioners

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Iron tablets may damage DNA - NHS Choices

Iron tablets may damage DNA -  NHS Choices | Health promotion. Social marketing | Scoop.it

"Iron tablets taken by millions of people could damage the body within just 10 minutes," the Mail Online reports; somewhat over-dramatically.

A study looking at cell samples in a lab, and not actual humans, did find some evidence of damage to DNA. Whether this would lead to serious damage to the body is unproven.

Iron supplement tablets, taken by millions worldwide, are used to treat a range of conditions, such as blood loss caused by heavy periods or internal bleeding caused by stomach ulcers.

Lack of iron is known as iron deficiency anaemia. It's also very common for women to develop iron deficiency anaemia during pregnancy.

The study investigated an important question: do iron supplements, which are taken by millions, harm our blood vessels?

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Exercise in middle-age 'stops your brain shrinking' - NHS Choices

Exercise in middle-age 'stops your brain shrinking' - NHS Choices | Health promotion. Social marketing | Scoop.it

"A new study has suggested that exercising in your 40s could stop the brain shrinking," The Daily Telegraph reports.

A study found people with good fitness levels in their 40s had larger brains than their unfit peers when measured 20 years later. The concern is that people with smaller brains may be more likely to develop dementia.

The study, part of a big ongoing research project in the US (the landmark Framingham Heart Study) measured people's exercise capacity and heart and blood pressure reactions to exercise during a treadmill test, at an average age of 40.

The same people were assessed about 20 years later, with a repeat exercise test and an MRI scan to determine brain volume.

People with 20% less fitness compared to the average, had smaller brains by the equivalent of one additional year of ageing. A similar effect was seen for higher blood pressure or heart rate in response to exercise.

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How does alcohol cause cancer?

How does alcohol cause cancer? | Health promotion. Social marketing | Scoop.it

In a cabinet in London’s British Museum nestles a 5,300 year-old wedged-shaped tablet called acuneiform. On its surface is scrawled one of the earliest forms of written language in the world.

And it’s a record of Mesopotamian workers’ beer rations.

Clearly, humanity’s relationship with alcohol stretches back thousands of years, but a long relationship doesn’t necessarily mean a healthy one.

We know that alcohol is damaging to our health in a number of ways. And the one we’re most concerned about here at Cancer Research UK is its impact on cancer risk.

We’ve written about the link between alcohol and cancer many times before – from discussing theevidence that it causes cancer to talking about how drinking less reduces your risk of developing the disease.

But we haven’t yet explored the science behind how alcohol affects and damages our cells, and how this can cause the cells in our bodies to develop into cancer.


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Les États sont-ils dépendants au tabac ?

Les États sont-ils dépendants au tabac ? | Health promotion. Social marketing | Scoop.it

Comment expliquer la différence de taille entre les amendes infligées aux cigarettiers aux Etats-Unis et en France ?


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Childhood obesity 'an exploding nightmare', says health expert

Childhood obesity 'an exploding nightmare', says health expert | Health promotion. Social marketing | Scoop.it

The number of children under five who are overweight or obese has risen to 41 million, from 31 million in 1990, according to figures released by a World Health Organisation commission.

The statistics, published by the Commission on Ending Childhood Obesity, mean that 6.1% of under-fives were overweight or obese in 2014, compared with 4.8% in 1990.

The number of overweight children in lower middle-income countries more than doubled over the same period, from 7.5 million to 15.5 million.

In 2014, 48% of all overweight and obese children aged under five lived in Asia, and 25% in Africa.


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Global Health Promotion to Reduce Cancer

Global Health Promotion to Reduce Cancer | Health promotion. Social marketing | Scoop.it

Because of the rising cost of treating illness coupled with the difficult economic environment, interest in health promotion is increasing worldwide. The World Health Organization (WHO) defines health promotion as the process of enabling people to increase control over their health and its determinants (e.g. smoking, physical activity, diet), and thereby improve their health. This is usually addressed by activities aimed at promoting healthy behaviors and creating healthy policies and environments in order to affect large segments of the population.

The impact of these activities is enhanced if healthy public policy is adopted across all sectors of society, especially by governments, including in settings such as urban planning not typically seen as part of the health system.


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Social media in the pharmaceutical industry

Social media in the pharmaceutical industry | Health promotion. Social marketing | Scoop.it

This week I had the immense pleasure of attending SMI’s Social Media in the Pharmaceutical Industry conference.  As always I enjoyed the event, catching up with many of the #hcsmeu twitterati and hearing insights from the industry and patients.

The event started for me on Tuesday as I led a workshop looking at how pharma can successfully engage using social media (you can find my presentation here).  With a small group we discussed some of the common issues that we still face in this space, for example internal barriers, lack of adequate process and poor understanding of this channel.

Most of these issues have been around for many years now and it does sadden me that they still need to be addressed in so many pharmacos.  On the other hand it is great to be able to have a much richer and deeper set of case studies to use in the battle in bringing some of these barriers down.  “We can’t because of regulations” clearly no longer cuts it – regulations have been clearly shown to not be a barrier.  Another element that appears to still be an issue, and which saddens me greatly, is the view that social media does not need to be approached strategically.  Whilst I am a huge advocate of pharma companies getting involved in social media I do not condone or recommend doing social media for the sake of it.  There does need to be a clear strategy and plan – otherwise you are just taking pot shots in the dark – and frankly doing any form of business, marketing or communication without a strategy is just plain old bad business.

I was very  happy however to see on Day 1 of the conference Stine Sorensen from Lundbeck discussing strategy, and not only its importance but the importance of having a regularly updated strategy (in this case she updates it every 6 months).  I was also very happy to hear Stine mention that she now has the review & approval time for social media content down to 25minutes.  I have had quite a few clients tell me that 24 hour approval times are unrealisitic so it is great to be able to counter this with the fact that quite a few companies now have process in place for near-to-live response.  Not being able to respond very rapidly due to inappropriate review & approval process should no longer be a barrier (and mini self plug – I can help you work this out).  In fact Stine supported everything I always say – there is no longer any room for excuses around not doing social media.  Those days are gone and, as her slides so beautifully shows, excuses are useless!

Another great presentation was given by my friend Jackie Cuyvers, who recently left ZS to set up her own social listening company.  Jackie is an extremely experienced social listener and she now specialises in doing global / local listening.  Besides flagging the importance of asking the right, business questions, she talked us through some of the implications of social listening, in particular some of the linguistic and cultural elements that we tend not to think about.  She mentioned how even in the same language there are big differences across countries and groups in use of terminology.  In the UK for example “pants” means something quite different from “pants” in the US (underwear versus trousers) or the term “good crack” which means different things in the US and Ireland.  She also made the point that just translating content directly often totally overlooks cultural nuances and local idiosyncrasies. In English for example we use the term “kick the bucket” but in Slovenia the translation of this term would be “whispering with crabs”.  This has potentially huge implications on companies running social listening research, especially if they are dependend on pure technology or English language researchers.  I also loved the fact that Jackie got an image of a dog into the conference – tres social!

Jackie’s summary of the 3 steps to social listening

One emphasis that came through throughout the conference though was the importance of patients and the incredible role they play, and the huge value that social media brings to them.  The event was actually kicked off by three fabulous ladies, Birgit Bauer, Silja Chouquet and Marlo Donato Love who shared some great insights from a patient’s perspective and mentioned one of my favourite quotes “patients are the most underutilised resource in the pharmaceutical industry”.  They talked about the importance of getting patients involved and the role they can play in working with pharma.  Silja then also went on to talk about patients participating and “attending” medical conference virtually via social media.  In fact she raised the point that whilst doctor’s are the main participants online at conferences patients are also increasingly getting involved as they search for more information on their conditions.  She also made some great points about the futility of pharma’s current approach to using promoted tweets and how this is potentially going to be a big issue resulting in dilution of high value content on Twitter.

Perhaps a highlight for me though was Trevor Fossey  who talked us through the impact of digital on patients and the NHS.  I was nearly crying as he told us that he has access to his NHS medical record online, and that of this wife for whom he cares, and that as of 1st April every NHS patient has a right to access their medical record online.  OMG!  As a UK patient, with a chronic autoimmune disease, not having access to my medical records has been a big issue.  I have been to numerous doctors, privately in the UK and abroad, and have never been able to show them my NHS blood results as I did not have access to them.  Of course the fact that I now live abroad and don’t have a GP means in all liklihood I still won’t be able to access them but the realisation of what this means for other UK patients, including my elderly parents, was profound.  Trevor mentioned some fantastic points about how impactful empowered patients really are – and how much money they save the NHS.  I can tell you I was certainly not the only person in the room blown away but Trevor’s presentation – despite being a room full of digitally savvy people none of us where aware of our right to access our medical records online.  Trevor found himself a whole group of advocates at the event (I for one have alreay shared to news to all my UK friends and family).

There were so many other great presentations, such as Letizia Affinito who showed us some great non-pharma case studies, and Pinal Patel from BMS who showed us how they are using social media in clinical trials – and more importantly how they are listening to patients and adapting their process in response to patient feedback.  An awesome point was made that often once a trial is over patients are just left alone – but really we should be thanking them and sharing the results with them (something BMS plans to do now thanks to feedback).  Charlotte Roth from Actelion also gave the Corporate POV around social media, bringing an additional dimension to the conference, while Liz Skrbkova shared perspectives around multi-channel engagement and online influencers. I also have to add that IMHO Liz was one of the best dressed ladies at the event :)

Last but not least was the pleasure of meeting all these amazing people and having some great discussions, including over wine and dinner.  Dinner also gave me the opportunity to catch up with a couple more of the #hcsmeu and the next day I was able to sample some of the most amazing cocktails at the Alchemist in the evening.  Afterall what would a social media conference be if it didn’t include the “social” bit!



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A Public Health Framework for Screening Mammography. Evidence-Based vs Politically Mandated Care

A Public Health Framework for Screening Mammography. Evidence-Based vs Politically Mandated Care | Health promotion. Social marketing | Scoop.it
In November 2009, in the midst of acrimonious congressional debates over the Affordable Care Act (ACA), the US Preventive Services Task Force (USPSTF) updated its breast cancer screening guidelines. The Task Force recommended biennial mammography screening for women of average risk aged 50 to 74 years, sparking a torrent of criticism. Although the ACA mandated insurance coverage for USPSTF-recommended preventive services, it went further for mammography screening. Instead of relying on the most recent USPSTF guidelines, Congress amended the ACA to require the Department of Health and Human Services (DHHS) to use its 2002 guidelines, which recommended screening every 1 to 2 years starting at age 40 years.
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La bici a Modena? Vale 50 milioni di km all’anno | wecity

La bici a Modena? Vale 50 milioni di km all’anno | wecity | Health promotion. Social marketing | Scoop.it

Che la bicicletta fosse un mezzo amato dai Modenesi di tutte le generazioni era cosa nota. Ma i primi risultati dello studio condotto per il Comune di Modena e l’AESS ci hanno piacevolmente sorpreso.

Secondo la stima realizzata, in città gli spostamenti in bicicletta ammontano ad almeno 50 milioni di km all’anno.Grazie alle bici si evitano così 8.000 tonnellate di CO2, 200 tonnellate di monossido di carbonio, 50 tonnellate di ossidi di azoto (NOx) e 3 tonnellate di PM10.

Dati che certificano chiaramente il contributo della bici al miglioramento della mobilità urbana e della qualità dell’aria.

Come siamo arrivati a questi numeri? Il fatto è che reperire dati organici sulla mobilità ciclistica di una città non è semplice.

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Step in the Right Direction: Workplace Wellness Moves Beyond Counting Steps

Step in the Right Direction: Workplace Wellness Moves Beyond Counting Steps | Health promotion. Social marketing | Scoop.it
Businesses are increasingly recognizing the holistic nature of employee health and that workplace wellness transcends simply keeping employees active.

This year’s 2016 Consumer Electronics Show (CES) brought some exciting developments in the area of workplace wellness. Progressive companies are increasingly recognizing the holistic nature of employee health and are realizing workplace wellness transcends simply keeping employees active. There is technology available today that can transform one’s workplace into an environment that contributes to improving employee well-being.

Changing Traditional Offices into Active Workspaces

Research in the field of ergonomics is suggesting that posture-altering workstations can help reduce musculoskeletal disorders and decrease fatigue. Prolonged standing or sitting can potentially be problematic, but alternating between two positions has been shown to be beneficial for health and productivity.

A study by Alicia Thorp, PhD, and her colleagues found that overweight workers who transitioned from sitting to standing every 30 minutes, experienced less back pain and were less tired compared to their more sedentary peers.
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'Smoker's cough' should not be ignored as it could be a sign of chronic lung disease

'Smoker's cough' should not be ignored as it could be a sign of chronic lung disease | Health promotion. Social marketing | Scoop.it

Health officials have urged people not to ignore “smoker’s cough” as it could be a sign of chronic obstructive pulmonary disease (COPD), which is incurable.

New figures from Public Health England (PHE) have revealedmore than one million people in the UK are living with COPD - the umbrella term for conditions such as chronic bronchitis and emphysema. It can cause breathlessness as well as difficulty doing everyday activities such as climbing the stairs.

Of the 25,000 deaths from the disease occurring in England each year, almost 90 per cent are caused by smoking. And between 2013 and 2014, COPD led to more than 113,000 emergency hospital visits, according to Health & Social Care Information Centre.

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'Stop using BMI as measure of health,' say researchers

'Stop using BMI as measure of health,' say researchers | Health promotion. Social marketing | Scoop.it
A new study shows that 54 million Americans whose BMI classes them as overweight and obese are in perfect health according to cardiometabolic measures, while 21 million whose BMI puts them in the normal category are unhealthy.
Altogether, say the authors, an estimated 75 million adults in the US are misclassified as either healthy or unhealthy when BMI is used as the sole health indicator.

The study provides more evidence to support the idea that a person's body mass index (BMI= weight in kg divided by height in m2) is a flawed measure of health.

In spite of this, BMI continues to be used as a yardstick for determining health status. Many employers use it to calculate workers' health care costs, note the researchers behind the new study, who report their findings in theInternational Journal of Obesity.

And soon, if a rule proposed by the Equal Employment Opportunity Commission (EEOC) is adopted, US employers will be allowed to charge employees up to 30% of health care costs if they fail to meet certain health criteria such as not having a BMI in the normal range (between 18.5 and 24.99).

The study, led by A. Janet Tomiyama, an assistant professor of psychology at the University of California-Los Angeles (UCLA), analyzed the link between BMI and cardiometabolic health using data from the most recent National Health and Nutrition Examination Survey (NHANES).

The cardiometabolic health data available in the NHANES gives measures of blood pressure, triglycerides, cholesterol, glucose, insulin resistance and C-reactive protein (a marker ofinflammation).

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Employers encouraged to consider staff health and wellbeing

Employers encouraged to consider staff health and wellbeing | Health promotion. Social marketing | Scoop.it

A NEW “Health in Business” programme has been launched to encourage employers to consider their staffs’ health and wellbeing.

Nearly 100 local business and public sector representatives attended the launch event held by Warrington Borough Council and Warrington & Co at the Halliwell Jones Stadium.

The Health in Business programme aims to encourage companies in Warrington to develop responsible employer policies and practices which consider employee health and wellbeing, with a view to reducing staff sickness levels and increasing productivity, to benefit the local economy.

A review carried out by Price Waterhouse Cooper found that there is a 100 per cent return on investment from raising health awareness.

Cllr Maureen McLaughlin, executive board member for public health and wellbeing, opened the event. She explained the value of the health in business programme and how it will benefit Warrington.

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Public back ban on children’s junk food advertising

Public back ban on children’s junk food advertising | Health promotion. Social marketing | Scoop.it

Tre quarti del pubblico del Regno Unito indietro di un divieto di pubblicità di cibo spazzatura prima lo spartiacque 09:00 TV, secondo un nuovo sondaggio YouGov * pubblicato da Cancer Research UK oggi.

E uno su due sostengono una tassa sulle bevande zuccherate, che potrebbe contribuire a far fronte alla crescente epidemia di obesità infantile.

Questa nuova indagine * mostra un forte sostegno per il governo ad agire al fine di combattere l'obesità infantile, con la maggior parte (82 per cento) pensando che sia un problema.

Ha inoltre rilevato che il 69 per cento di sostegno riducendo la pubblicità di cibo spazzatura on-line e il 66 per cento di supporto taglio promozioni di prezzo sul cibo spazzatura.

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An Appraisal of Proliferation and Apoptotic Markers in Papillary Thyroid Carcinoma: An Automated Analysis

An Appraisal of Proliferation and Apoptotic Markers in Papillary Thyroid Carcinoma: An Automated Analysis | Health promotion. Social marketing | Scoop.it

AbstractIntroduction


Proliferation and apoptosis are opposing processes by which the cell numbers are kept in a delicate balance, essential for tissue homeostasis, whereas uncontrolled growth of cells is a hallmark of cancer. Papillary thyroid cancer (PTC) is the commonest type of thyroid cancer, with some PTC following an indolent course, whereas the other ones are more aggressive.

Aim


To evaluate respective contribution of proliferation and apoptosis in the tumorigenesis of PTC by automated analysis.

Materials and Methods


We investigated the immunolabeling of phosphorylated histone H3 (pHH3), cyclin D1, active caspase-3, and bcl-2 in thirteen cases each of metastatic PTC, follicular variant of PTC (FVPTC), papillary microcarcinoma (PMC) and well differentiated tumor of uncertain malignant potential (WDT-UMP). FVPTC cases comprised seven encapsulated and six unencapsulated cases.

Results


Proliferation, as assessed by pHH3 and cyclin D1 immunolabeling, was increased in all PTC variants, including the putative precursor lesion WDT-UMP, compared to normal thyroid tissue. pHH3 was immunolabeled in more cells of metastatic PTC than of PMC and of encapsulated FVPTC. Surprisingly, metastatic PTC and unencapsulated FVPTC also demonstrated more cleaved caspase-3 immunolabeled cells than the other types. In contrast, increased expression of bcl-2 protein was seen in normal thyroid areas, encapsulated FVPTC and PMC as compared to metastatic PTC. Metastatic PTC shows higher proliferation than other types of PTC but unexpectedly also higher apoptotic levels. Similar results were also seen with unencapsulated FVPTC, thus suggesting that unencapsulated FVPTC has a potential for adverse outcome. Bcl-2 was immunolabeled in a low percentage of cells in WDT-UMP.

Conclusions


The expression of the proliferative protein pHH3 together with the apoptotic marker cleaved caspase-3 may indicate an aggressive behaviour of PTC and loss of apoptosis inhibition by bcl-2 protein can further amplify the role of these proteins in tumor progression. Both cyclin D1 and bcl-2 could prove to be interesting markers of PTC precursor lesions. Automated/digital image quantification approach helps in refining the diagnostic accuracy.


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Krishan Maggon 's curator insight, February 11, 5:13 AM

Citation: Lamba Saini M, Bouzin C, Weynand B, Marbaix E (2016) An Appraisal of Proliferation and Apoptotic Markers in Papillary Thyroid Carcinoma: An Automated Analysis. PLoS ONE 11(2): e0148656. doi:10.1371/journal.pone.0148656

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Global Forum on Health Promotion Focuses on Health Equity and e-Health | e-Patients.net

Global Forum on Health Promotion Focuses on Health Equity and e-Health | e-Patients.net | Health promotion. Social marketing | Scoop.it

I recently spoke at the 5th Global Forum on Health Promotion, organized by the Alliance for Health Promotion, in collaboration with the World Health Organization (WHO), the International Telecommunications Union (ITU), and the Global Health Program at the Graduate Institute in Geneva Switzerland.

The Forum was entitled Closing the Gap in Health Equity through Technology and focused on how current and emerging technology foster health promotion for people throughout the world and particularly for people in marginalized and vulnerable populations.


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The impact of health promotion

The impact of health promotion | Health promotion. Social marketing | Scoop.it

A raft of research into employee engagement and business performance – brought together by Engage to Success and included in our New Ways Of Working report – reveals the damning consequences of a workforce that just feels ‘fine’: Engaged employees are 87 per cent less likely to leave the organisation than disengaged employees, and some estimates put the cost of replacing an employee as equal to annual salary; 70 per cent of engaged employees indicate they have a good understanding of how to meet customer needs, whereas only 17 per cent of non-engaged employees say the same; and 78 per cent of engaged employees would recommend their company’s products or services, compared to just 13 per cent of those who aren’t.

These statistics are a symptom of something so deeply set in the permafrost of most organisations, that we haven’t thought to question it – why are we treated like human resources, and not human beings, at work?

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Consumers aren't ready for an Internet of Things world

Consumers aren't ready for an Internet of Things world | Health promotion. Social marketing | Scoop.it

Forecasts for the Internet of Things market are through the roof.

While estimates vary, nearly all agree that billions of IoT devices are expected to be integrated into our lives over the next five years, amounting to trillions of dollars being spent by both businesses and consumers. Everything from smart cars and cities to connected homes that adapt to our habits will become the norm within a few short years, or so the "experts" predict.


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Final report of the Commission on Ending Childhood Obesity: Asia most affected by global epidemic

Final report of the Commission on Ending Childhood Obesity: Asia most affected by global epidemic | Health promotion. Social marketing | Scoop.it

On January 25 the Commission on Ending Childhood Obesity (ECHO) presented its final report to the World Health Organization (WHO) Director-General, culminating a two-year process to address the alarming levels of childhood obesity and overweight globally. The Commission consulted with over 100 WHO member states during the course of writing this report.

The study which was commissioned by WHO, found that the number of children who are overweight or obese has risen to 41 million, from 31 million in 1990. As of 2014, 48% of the overweight and obese children lived in Asia. These children are more likely to remain obese once they reach adulthood, which predisposes them to heart disease, type 2 diabetes, and asthma among other NCDs.


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Témoignage : La sexualité : parlons-en !

Témoignage : La sexualité : parlons-en ! | Health promotion. Social marketing | Scoop.it
Catherine Adler, psycho-onco-sexologue se prête à une interview exclusive pour Chaîne Rose.

C’est sans filtre et sans tabou qu’elle entre dans le vif du sujet de la sexualité pendant un cancer et encourage à EN parler, une des meilleures façons de rester dans la vie !

Pourquoi en parler dès lors que l’on vient d’apprendre que l’on a un cancer ? Quelle attitude adopter vis-à-vis du partenaire ? Voici ses premiers conseils.

Pourquoi est-il intéressant de pouvoir parler avec un sexologue à l’annonce d’un cancer ?

 

Je dirai que c’est plutôt le corps médical qui devrait aborder le sujet avant les traitements car, Lui, est sensé savoir que cela risque de poser des problèmes alors que la patiente ne sait pas encore très bien ce qui l’attend. Le problème étant que le corps médical ne le fait que rarement voir jamais.

 



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Integratori, farmaci e alimenti con lo stesso principio attivo

Integratori, farmaci e alimenti con lo stesso principio attivo | Health promotion. Social marketing | Scoop.it
Ricevo regolarmente e volentieri leggo la vostra newsletter, per questo mi permetto sottoporvi un dubbio sulla correttezza di un messaggio pubblicitario televisivo. Sono rimasto alquanto perplesso, guardando la pubblicità di Prostamol, nell’osservare, ben posta in evidenza, la dicitura “integratore alimentare”. Mi chiedo se sia corretto, dal momento che il prodotto in questione è a base di un principio attivo vegetale (ricavato dalla Serenoa repens), quindi un farmaco a tutti gli effetti; come tale fu infatti registrato parecchi anni fa dall’azienda farmaceutica Zambeletti, col nome commerciale Permixon ed è tuttora in vendita.
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Gli italiani amano la Nutella un prodotto con troppo zucchero, poche nocciole e troppo olio di palma. L’elenco di altre 58 creme preparate solo con ingredienti di qualità

Gli italiani amano la Nutella un prodotto con troppo zucchero, poche nocciole e troppo olio di palma. L’elenco di altre 58 creme preparate solo con ingredienti di qualità | Health promotion. Social marketing | Scoop.it
Criticare la Nutella è difficile, perché si tratta di un prodotto cult supportato da numerose campagne pubblicitarie venduto a un prezzo conveniente. Come accade per la  Coca-Cola, anche per la Nutella si parla di una ricetta misteriosa, ma si tratta di una leggenda metropolitana, perché è solo una semplice crema alla nocciola con tre ingredienti principali: zucchero, olio di palma e nocciole.
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Community-Based Prevention Marketing for Policy Development: A New Planning Framework for Coalitions

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Doctors could do a better job of breaking bad news: study

Doctors could do a better job of breaking bad news: study | Health promotion. Social marketing | Scoop.it

Less than half of German people who are told they have cancer through a set and accepted protocol for breaking bad news are satisfied with the conversation, according to a new study.

Researchers found that may be due to gaps in what patients considered important during that process and what they report actually happened when they got the news.

The study's lead author told Reuters Health that traditionally doctors thought they were aware of their patients' preferences and breaking bad news hadn't been a focus during their training.

"The idea was somehow that physicians will ‘naturally' have the ability to communicate," Dr. Carola Seifart wrote in an email.

She is from Philipps-University of Marburg in Marburg, Germany.

Doctors of all kinds break bad news to their patients, but it's especially common among oncologists, who diagnose and treat cancer, Seifart and her colleagues write in Annals of Oncology.


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