Holistic Management Research Articles

An Exquisite Analysis on the Significance of Nutrient Supplementation in the Holistic Management of Poly-cystic Ovarian Syndrome

Abstract: The complex heterogeneous disorder known as polycystic ovarian syndrome (PCOS) includes endocrine, reproductive, metabolic, psychological, and other pathological aspects. Yet, nothing is understood regarding the cause of PCOS. Insulin resistance and hyperandrogenism are major contributors to the pathophysiology of PCOS, according to various studies. Because of this, a lot of PCOS treatment regimens include changing a person's lifestyle through practices, like exercise, nutrition, and vitamin supplementation. Recent studies have indicated a number of nutrients, including vitamins, minerals, and vitamin-like substances, for the therapy of PCOS since they all have at least one functional characteristic in the pathways that are affected by PCOS. As a result, it is claimed that PCOS may be caused by a vitamin or mineral deficiency. It is the goal of this review to conduct a critical literature analysis on nutritional supplementation for the management of PCOS.

Navigating Nutritional Inequality in Schizophrenia: A Comprehensive Exploration of Diet, Genetics, and Holistic Management Across the Life Cycle

Navigating Nutritional Inequality in Schizophrenia: A Comprehensive Exploration of Diet, Genetics, and Holistic Management Across the Life Cycle

Long-term coastal dynamics: The evolution of a mixed sediment mega-nourishment consisting of colliery spoil.

Mega-nourishments, where large volumes of sediment are deposited on coastlines, are increasingly employed to manage shoreline erosion, yet our understanding of their long-term behaviour is limited by the fact that most current schemes are less than 15 years old. However, on the County Durham coast, 39 million m3 of coal spoil was tipped onto beaches between the late 1800s and 1993, acting as a de facto mixed sediment mega-nourishment. Our findings reveal key insights into the long-term dynamics of mega-nourishment schemes, including evidence of effective sediment dispersal around headlands into normally disconnected units of coast. Following cessation of tipping, shorelines retreated up to 12m yr-1, with 150m overall retreat in 12 years. Subsequently, retreat slowed but the present-day shoreline remains seaward of its 1860 position and is subject to ongoing coastal recession. We document significant fining of the deposited material in the years post deposition through abrasion and chemical breakdown. Furthermore, we show that the highest erosion rates now occur downdrift from the initial dump site, indicating that nourishment impacts migrate through time. These findings highlight the need for holistic and adaptive management approaches to mega-nourishment schemes, showing the behaviour of the nourishment to continually change in both location and magnitude as the system evolves. We demonstrate that mixed sediment mega-nourishments can be a cost-effective and durable solution to mitigate erosive losses, even in the absence of a planned approach to the location or composition of deposited sediment. Our results suggest that lessons from this historical intervention can inform the design and management of future mega-nourishment schemes, particularly in mixed sediment environments.

Development of a Virtual Pediatric Holistic Comfort Care Clinic.

Guided by the tenets of Kolcaba's holistic comfort theory, we developed, implemented, and evaluated a simulated online pediatric advanced practice health center. The Pediatric Comfy Care Clinic (PCCC) was created to enhance person-centered diagnostic reasoning and holistic advanced management skills for family nurse practitioner students. Our interprofessional team used a standardized approach to online design and development while integrating essential holistic comfort theory concepts for student engagement and assessment of learning. We explored outcomes of pre- and postclinic quizzes and student reflection data using mixed methods. Significant differences (P<.001) were noted in all postpractice quizzes in each affiliated PCCC module with variable student outcomes on graded clinic encounters. Important student perspectives on teaching and learning in the virtual clinic were noted. A comfort theory-driven, simulated, and digitally enhanced virtual clinic is feasible and valuable with important implications for holistic advanced practice.

The Role of Organic Amendments and Their Impact on Soil Restoration: A Review

Soil organic matter (SOM) plays a pivotal role in maintaining soil health by enhancing its physical, chemical, and biological properties. It improves soil structure, water retention, nutrient availability, and microbial activity, contributing significantly to sustainable agriculture. Organic amendments, including animal manure, compost, biosolids, crop residues, and various organic by-products, are widely used to restore degraded soils by increasing SOM content. These amendments not only supply essential nutrients but also promote biological aggregation, suppress soil-borne pathogens, and improve soil's resistance to environmental stressors such as drought and heavy metal toxicity. The positive impacts of organic amendments on soil properties are well-documented, with key benefits including increased soil organic carbon (SOC), improved nutrient cycling, enhanced microbial diversity, and greater water-holding capacity. Organic materials such as compost and animal manure have been shown to significantly improve soil fertility and restore degraded soils. The application of green manure and crop residues also boosts soil biodiversity, enhances rhizospheric processes, and supports overall ecosystem resilience. This paper emphasizes the importance of adopting holistic soil management practices that include organic amendments, conservation tillage, and sustainable cropping systems to address soil degradation. By focusing on replenishing SOM, improving nutrient availability, and increasing soil biodiversity, these practices can contribute to the long-term sustainability of agricultural systems and environmental health. The restoration of soil organic matter is essential for enhancing soil quality and mitigating degradation, ultimately ensuring food security and ecosystem stability for future generations.

An integrated approach to enhance vaccine uptake in chronic patients – the VacciNetwork project

Abstract Issue/problem Individuals with chronic illnesses are at a higher risk of infections and their complications. Vaccinations are crucial in reducing this risk and their integration in chronic care pathways can enhance vaccine uptake, but it requires a collaborative approach and increased awareness in care personnel, caregivers and patients. Description of the problem The Local Health Authority of Rome 2 (ASL Roma 2, with approx. 1.3 million residents) initiated an active promotion plan for recommended vaccinations in chronic patients in January 2023, and a Clinical Vaccinology Workbook was produced to guide healthcare workers in promoting vaccinations across various care settings. The plan aims to establish collaborative agreements with hospitals and territorial structures that manage these patients, integrating vaccination plans with clinical and healthcare pathways for a more holistic approach to chronic disease management, a model that could benefit similar populations globally. Results Data was extracted from administrative databases regarding vaccinations performed in 2022 and 2023 on fragile subjects, i.e., those with a marked ‘risk condition’, aged ≥18 years. The results showed that vaccine uptake was more than doubled (6675 vs. 2041; +227%). Notably, vaccinations rose among those with oncological-hematological diseases (+212%), asplenia (+185%), chronic kidney failure or on dialysis (+190%) and those with an HIV infection (+160%). Increases were also significant in other immunocompromised conditions (+194%). Lessons The practice underlines the importance of targeted vaccination programs within chronic care management. Collaborative healthcare frameworks can significantly improve vaccination rates, reducing the burden of infectious diseases in high-risk populations. These results underscore the potential applicability of such a model in other regions and countries, highlighting the universal relevance of integrated healthcare solutions. Key messages • Collaborative, integrated frameworks between clinical and vaccination services can represent a model for increasing vaccine uptake in chronic disease patients. • Strategic partnerships and education in healthcare settings can improve vaccination rates and contribute to more holistic chronic disease management.

Identification and optimisation of a risk stratified cohort of patients with type 2 diabetes through the delivery of a enhanced pharmacist-led service

Abstract Introduction Cardio-renal metabolic (CRM) diseases are each associated with significant morbidity and mortality, and due to their shared pathology, the benefit of managing these diseases holistically is becoming increasingly evident. The East Belfast Federation practices have sought to review patients living with type 2 diabetes (T2D), prioritising those not meeting their 3 Treatment Targets (3TT, HbA1c, blood pressure [BP] and cholesterol) to optimise treatment through a pharmacist-led model of care. Aims and Objectives 1. Improve adherence to latest update of NICE T2D [NG28, 2022], with a focus on patients with Cardiovascular Disease (CVD) &amp; Chronic Kidney Disease (CKD). 2. Upskill diabetes teams, to create a legacy effect and ensure improved holistic management will continue beyond the project period. 3. Use a clinical audit tool to identify, stratify and optimise T2D patients not meeting their 3TTs. 4. Improve identification, coding and recall of patients with non-diabetic hyperglycaemia (NDH) as per QOF Indicator NDH001NI [QOF 2022/23]. 5. Enhanced focus on review of sulphonylureas (SU) in relation to frailty and risk of hypoglycaemia [Strain, 2021]. Method Patients not meeting their 3TTs (HbA1c&amp;gt;58 mmol/mol, BP&amp;gt;140/80mmHg, total cholesterol&amp;gt;5mmol/L) were identified from October 2022 to July 2023. Primary care based clinics created which we tailored to the specific needs of the practices with a focus on optimising patients with CVD &amp; CKD co-morbidities. Dedicated specialist education and clinical support was provided to existing diabetes teams in CRM patient management. Additional searches were created and patients identified to review patients experiencing NDH and on a SU. Results At 9 months from baseline, there was a statistically significant improvement of 8.9% in patients achieving all 3TTs (n=373, P=0.013). This was accompanied by an increase in the number of patients optimised for CV risk reduction, with a 39% and 42% increase in patient receiving sodium glucose co-transporter-2 (SGLT2) inhibitors (n=542) and Glucagon-like peptide-1 receptor agonists (GLP1RA) (n=190), respectively. A 5.5% (n=28) reduction in the number of patients on a SU was observed, as well as a 44% (n=76) increase in the number of referrals into the Diabetes Prevention Programme (DPP). 151 statins and 51 BP medications were started/optimised. Discussion and Conclusion The project further exemplifies the feasibility of a pharmacist-led T2D service in a primary care setting. In addition to improvement in established T2D markers, the role promoted collaboration and facilitated best-practice sharing across multiple diabetes teams. This approach allows for more co-ordinated care for patients who may otherwise be referred to multiple specialists, which often results in fragmented care. Future work should focus on promoting CRM protection as early as possible to reduce disease progression and improve outcomes.Number of patients on antidiabetic meds% attainment of 3TT

Holistic maintenance management for higher learning institution buildings in Tanzania

PurposeThere have been claims of inadequate maintenance practice in Tanzania’s higher learning institutions (HLIs), primarily due to the traditional conventional approach where maintenance is only addressed during the usage stage. This study aimed to investigate whether universities and colleges are adopting a holistic approach to maintenance, where it is considered from the inception stage.Design/methodology/approachStructured questionnaires and semi-structured interviews were employed to gather quantitative and qualitative data, respectively. Through purposive sampling, 11 estate managers were selected, with eight of them responding to questionnaires. A comprehensive literature review was also conducted. Quantitative data were analyzed using the Statistical Package for Social Sciences (IBM SPSSTM) Version 20.0, while qualitative data were examined using Nvivo 12 Plus and in-depth analysis.FindingsThe study revealed that, maintenance in HLIs is only marginally considered in a holistic manner. In cases where it is “considered,” this is often by default rather than by design. This has led to maintenance challenges, such as the accelerated deterioration of components, the incompatibility of new maintenance materials with the old ones and difficulties in adapting spaces to meet emerging user requirements. The most frequently occurring words in the word cloud, “considered” and “maintenance”, underscore the necessity of adopting a holistic approach to maintenance management.Research limitations/implicationsThe study was confined to HLIs in the Dar es Salaam region.Practical implicationsThe findings from this study offer valuable insights for maintenance experts implementing holistic approaches in Tanzanian universities and colleges. Top management should focus on proper planning (including maintenance plans and budgets) and decision-making regarding maintenance management. Additionally, the Government of Tanzania may consider implementing policies requiring designing teams to adopt a holistic approach to maintenance before approving building permits.Originality/valueTo the best of the authors’ knowledge, this is the first study to examine whether universities and colleges consider maintenance from a holistic perspective.

Sustainability and Environmental Performance in Selective Collection of Residual Materials: Impact of Modulating Citizen Participation Through Policy and Incentive Implementation

The effective management of urban waste represents a growing challenge in the face of demographic evolution and increased consumption. This study explores the impacts of municipal strategic decisions on household waste management behaviours and sustainability performance outcomes through agent-based modelling. Using data from Gatineau and Beaconsfield in Quebec, Canada, the model is calibrated and validated to represent diverse urban contexts. Our analysis demonstrates that reducing collection frequency leads to notable increases in participation rates, reaching 78.2 ± 5.1% for collections every two weeks and 96.5 ± 8.3% for collections every five weeks. While this reduction improves bin filling levels, it concurrently decreases the recovery of recyclable materials by 2.8% and 19.5%, significantly undermining the environmental benefits of the recycling program. These findings highlight a complex interplay between collection frequency, citizen participation behaviour, waste stream characteristics, and overall environmental performance. While reducing collection frequency initially appears beneficial, it leads to operational challenges and increased CO2 emissions due to reduced material recovery. The research emphasises the need for tailored holistic waste management strategies that optimise performance outcomes while minimising environmental impacts. By understanding these dynamics, municipalities can develop more effective waste management policies that promote sustainability.

End-stage heart failure patients in ICU: the importance of advance planning and effective communication.

During the disease trajectory, patients with advanced heart failure are often hospitalised with a high probability of admission to the intensive care setting. Using a case study, this article explores the care given to a patient with decompensated heart failure in an intensive care unit (ICU). It will discuss the significance of holistic assessment and effective symptom management, in particular the research related to breathlessness management. The importance of effective communication within the ICU multidisciplinary team, including with the patient/family will be explored, as the ICU environment can often lead to communication breakdown, patients being unable to voice their wishes and over-medicalisation. The effectiveness of early involvement of the palliative care team in ICU will be examined, including the use of tools such advance care planning and a treatment escalation plan and whether use of these can enable a better patient and family experience at the end of life. The role of palliative care champions will be discussed.

Sustainability assessment of additive manufacturing end-of-life material management

Additive manufacturing (AM) methods enable complex, customized, and on-demand production of many products from different material types across various industries. The growing demand for flexible and more sustainable manufacturing solutions places AM in the mix of processes considered for non-commodities. However, AM processes also present unintentional environmental releases in end-of-life (EoL) material management, compromising overall sustainability. Data availability to assess the sustainability of individual EoL material management from individual AM processes is limited. Even so, EoL materials generated across AM practices frequently overlap, supporting high-level assessment as an alternative approach. Therefore, a holistic AM EoL material management sustainability analysis was completed using a customized list of efficiency, environmental, energy, and economic indicators from the Gauging Reaction Effectiveness for the Environmental Sustainability of Chemistries with a multi-Objective Process Evaluator (GREENSCOPE) methodology. Subsequently, this assessment identified low material recycling rates and high energy costs in some EoL material management processes, such as incineration and recovery. Subsequently, a trade-off analysis was performed to determine process modification opportunities, including implementing recycling to reduce the amount of hazardous waste at the expense of additional energy and cost investment. The AM EoL-specific sustainability analysis serves as a resource to offer insights and empower policymakers and stakeholders to enhance pollution prevention strategies and optimize the existing EoL material management processes.

Evidence of anthropogenic subsidisation of red foxes in a national park important for breeding wading birds

AbstractThe red fox (Vulpes vulpes) is a generalist mesopredator found throughout the UK. It has been linked to national declines in native wildlife, especially ground-nesting birds such as waders. In the New Forest National Park, nest predation and poor chick survival is primarily responsible for low breeding success of Eurasian curlew (Numenius arguata), a species of high conservation concern. To reduce predation losses, foxes are lethally controlled by wildlife managers. Here, we identified the major food resources that are being exploited by foxes in the New Forest area and examined temporal and spatial patterns in the presence of specific food categories, with special reference to anthropogenic food. Stomachs from foxes culled in curlew breeding areas were collected from April 2021 - July 2022 and the contents of these stomachs were quantified. Foxes exhibited a highly varied diet with no single food category predominating. Anthropogenic food comprised 14% of the overall diet, with its presence predicted by proximity to human settlements and other infrastructure. We also estimated the total annual volume of anthropogenic food consumed by the fox population and by extension how many individual foxes this volume of food could support in isolation. According to these calculations, at present the number of foxes subsidised by anthropogenic food is approximately 64.8% (50.2–79.7%) of those removed by culling per year. Our findings highlight that better local food sanitation and education should become important parts of a more holistic management approach to reduce the burden of fox predation experienced by breeding waders.

A Comprehensive Approach for Diabetic Foot Ulcer Management

Objectives: This study aims to evaluate the efficacy of a comprehensive management plan in the treatment of diabetic foot ulcers (DFUs). Evaluating the effects of wound debridement on the outcomes of diabetic foot ulcers, advanced dressings, blood sugar control, and offloading strategies are the main objectives. The study also intends to investigate the function of surgery in managing chronic ulcers and preventing recurrences. The goal is to offer advice for managing DFUs optimally and lowering related morbidity based on evidence. Method: The intervention program includes techniques like wound debridement, advanced dressings, unloading modalities, blood sugar level control, and, where necessary, surgical treatments. Growth factors, electrical stimulation, negative pressure wound therapy, bio-engineered skin, and hyperbaric oxygen therapy are among the many treatments that are included. Regression models are among the statistical analyses used to assess the efficacy of the overall management strategy. Results: Significant findings are presented in the results section, which shows how the holistic management strategy improves DFU outcomes. Improved wound healing rates, reduced infection incidents, and enhanced patient-reported outcomes are highlighted. The results underscore the significance of maintaining blood sugar levels, wound debridement, and incorporating various therapeutic modalities in DFU management. Conclusion: This study concludes by recommending a thorough and interdisciplinary approach to DFU management. Maintaining blood sugar levels, debridement of the wound, sophisticated dressings, unloading techniques, and surgical procedures are among the effective strategies that help reduce morbidity and prevent serious complications related to diabetic foot ulcers. Additional investigation is necessary to enhance and broaden these results for ongoing progress in the management of diabetic foot ulcers.

The Therapeutic Potential of Yoga for Alzheimer's Disease: A Critical Review.

Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by cognitive decline, memory impairment, and behavioral changes, significantly impacting the quality of life of affected individuals and their caregivers. While pharmacological treatments offer limited relief, nonpharmacological interventions, like yoga, have gained attention for their potential therapeutic benefits. This critical review synthesizes findings from various studies on the feasibility, adherence, physical function, cognitive improvements, inflammatory markers, neuroprotection, and mood and behavioral changes associated with yoga interventions for older adults with AD. Despite these promising results, further research with randomized controlled trials, larger sample sizes, control groups, longitudinal follow-ups, standardized protocols, and diverse populations is necessary to confirm these benefits and understand the long-term effects of yoga on AD progression. This critical review highlights yoga's potential as a valuable nonpharmacological intervention in the holistic management of AD.

Impact of Pemphigus on Sleep Quality: A Prospective Observational Single-Center Case-Control Study.

Pemphigus, an autoimmune disorder, significantly impacts the quality of life for those affected. This study examined the sleep quality in patients with pemphigus, a domain for which the existing literature provides limited data without a focused analysis. A total of 156 individuals, 52 in the case and 104 in the control group, completed several questionnaires (Pittsburgh Sleep Quality Index [PSQI], General Health Questionnaire-12 [GHQ-12], and ABQOL [Autoimmune Bullous Disease Quality of Life]). Disease severity was evaluated using the Pemphigus disease area index (PDAI index). The case group exhibited significantly higher levels of psychological distress, reflected in GHQ-12 scores (P = 0.00), and notably poorer sleep quality compared to controls across various parameters (sleep latency [SL], disturbances [SDi], medication [SM], daytime sleep dysfunction [DSD]), and the global PSQI score (GS)] (P = 0.00)). Significant correlations were observed between PDAI scores and sleep duration (SDu) (P = 0.01), SM (P=0.03), SL (P =0.03), and GS (P=0.00). An association was found between the equivalent steroid intake and SDu (P=0.00) as well as GS (P=0.02). No statistically significant correlation emerged between disease duration and PSQI scores. Our findings indicated a correlation between poor sleep quality and cutaneous rather than mucosal manifestations (p=0.01). Pemphigus affects sleep quality. Severe disease showed heightened SDi, correlating with higher steroid doses, and in the chronic phase, the impact seems to have been more influenced by the pro-inflammatory stage of the disease. Patients with cutaneous pemphigus exhibited reduced sleep quality compared to those with oral pemphigus. Understanding that pemphigus worsens sleep quality can be beneficial for the holistic management of individuals with this condition.

A Clinicodemographic Study of Indian Patients with Hidradenitis Suppurativa and its Association with Metabolic Syndrome

Abstract Background: Hidradenitis suppurativa (HS) is a chronic inflammatory disorder affecting pilosebaceous units causing painful nodules, abscesses, and scarring. Despite global studies linking HS to metabolic syndrome, insights specific to Indian patients are limited. Materials and Methods: This study aimed to describe the clinicodemographic characteristics and study frequency of metabolic syndrome in Indian HS patients. In this cross-sectional study, 100 HS patients were evaluated for clinical characteristics, comorbidities, pain and suppuration scores, quality of life, and ophthalmological and dental abnormalities. Metabolic parameters, including anthropometry and blood markers, were performed in all cases and 100 age- and gender-matched controls. Results: The mean age was 29.47 years, with a male predominance of 57%. HS predominantly affected a combination of two or more sites (60%), with nodules as primary lesions (95%). Quality of life was significantly impaired, with 49% experiencing moderate impact as per Dermatology Life Quality Index. Metabolic derangements, represented by an increased body mass index, waist circumference, blood pressure, fasting blood sugar, and fasting insulin, were significantly more frequent in HS cases compared to controls (P &lt; 0.001). The frequency of metabolic syndrome in HS patients was 42%, significantly higher than controls (8%, P &lt; 0.001) with a relative risk of 5.25 (95% CI 2.68–10.58). Dental and ophthalmological abnormalities were observed in 35% and 21.7% of screened patients, respectively. Limitations: Cross-sectional nature, no prospective assessment to determine evolution with time, and limited patient number are the limitations of the study. Conclusion: A substantial association with metabolic syndrome and considerable impact on quality of life is seen in Indian HS patients, emphasizing the need for metabolic screening and holistic management strategies.

'We are fragile, but we are strong': A qualitative study of perspectives, experiences and priority outcomes for people living with HIV and frailty.

Advances in antiretroviral therapy have meant that the focus of HIV care has shifted to chronic disease management. The HIV population is ageing, and the prevalence of frailty is increasing. This study aimed to explore the perspectives and experiences of the impact of living with HIV and frailty and priority outcomes in relation to wellbeing and ageing. In-depth qualitative interviews were undertaken with older people living with HIV who screened positive for frailty using the FRAIL scale. Participants were recruited from a UK outpatient HIV clinic. Interviews were analysed using reflexive thematic analysis. In total, 24 people living with HIV were interviewed. Frailty was described as not being able to do the things you could and living with limitations that impacted physical, psychological and social wellbeing. Being identified as frail was not always surprising, but acceptance of this diagnosis required an understanding of what frailty means and what they can do to address it. For people living with HIV, the word 'frail' was largely acceptable when its clinical meaning was explained. However, participants questioned whether a different term is needed if this is a new 'HIV-associated frailty'. Priority outcomes were slowing the progression of frailty, retaining independence and being treated holistically. When talking about frailty with people living with HIV, professionals need to balance honesty and sensitivity and provide clear information about the meaning and impact for the person. Holistic management plans must recognize the physical and psycho-social impact of frailty and prioritize slowing its progression and reducing its impact on independence.

'I Do Not Want to Share My Pain With Anyone'-Coping With the Invisible Burden. A Qualitative Description of the Lived Experiences of Individuals With Rotator Cuff Related Shoulder Pain in an Indian Setting.

Rotator cuff related shoulder pain (RCRSP) significantly impacts the physical, and psychosocial well-being of an individual. While studies of lived experiences with shoulder pain were conducted in Western (developed countries) contexts, understanding such experiences in low-to middle-income countries such as India remains limited. This study explores and describes the lived experiences of individuals with RCRSP in Indian settings. A phenomenological approach explored the lived experience of individuals with RCRSP in South India. Ten participants with RCRSP (7 men and 3 women) with mean duration of symptoms ranging between 3 and 24months were interviewed individually using a semi-structured guide with inductive thematic analysis. Participants also completed the Disabilities of the Shoulder Arm and Hand (DASH) questionnaire for upper limb function. Interviews were audio recorded and transcribed verbatim. Three themes that emerged from the interviews were 'The multidimensional burden of RCRSP', 'Navigating the treatment journey between trust and uncertainties', and 'Pathway of healing: Coping with the invisible burden'. Shoulder pain significantly impacted activities, family, and volunteering roles. The majority of the suffering and expression of pain were hidden and influenced by cultural and societal norms. There was a strong belief in the body's ability to heal and acceptance of Eastern and Western treatment approaches. The findings highlight the need for a holistic management strategy that effectively addresses physical impairments, psychosocial support, and cultural beliefs to manage RCRSP in such settings.

Experimental Testing of a Short Model of Integrative Psychotherapeutic Intervention to Reduce Suicidal Behavior and Ideation in Depressed Patients Admitted to the Psychiatric Ward

&lt;p&gt;This study investigates the efficacy of a short-term integrative psychotherapeutic intervention designed to reduce suicidal behavior and ideation in depressed patients admitted to a psychiatric ward. Suicidal risk, influenced by mental health disorders, personal crises, social isolation, substance abuse, and trauma, is typically treated with pharmacotherapy and psychotherapy. The study focuses on combining various psychotherapeutic techniques including Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Mindfulness-Based Cognitive Therapy (MBCT) into a cohesive intervention program.&lt;/p&gt;&lt;p&gt;The intervention, delivered over four weeks, included six modules encompassing psychoeducation, behavioral activation, cognitive restructuring, mindfulness practices, and personal development strategies. Participants were divided into an experimental group receiving both the psychotherapeutic intervention and medication and a control group receiving only medication.&lt;/p&gt;&lt;p&gt;The study measured changes in hopelessness and depression using the Beck Hopelessness Scale (BHS), Montgomery-Åsberg Depression Rating Scale (MADRS), and the DASS-21R depression scale. The study concludes that integrative psychotherapeutic intervention significantly improves psychological outcomes for depressed patients at risk of suicide, offering a viable complement to pharmacological treatments. These findings support the potential of combining cognitive-behavioral and mindfulness techniques for the holistic management of depression and suicidal ideation in clinical settings.&lt;/p&gt;Results indicated significant reductions in hopelessness and depression among the experimental group. Specifically, the BHS and MADRS scores showed substantial decreases post-intervention, highlighting the immediate efficacy of the integrated psychotherapeutic approach. However, the DASS-21R results did not demonstrate statistically significant differences.

CACA guidelines for holistic integrative management of prostate cancer

Prostate cancer (PC) is an epithelial malignancy occurring in the prostate. PC ranks second in incidence among all male malignancies globally by the latest statistics from the World Health Organization. Notably, China has seen a more rapid increase in PC incidence compared to developed European and American nations. By 2022, the newly reported cases and deaths due to PC in China increased to 134,200 and 47,500, respectively. Thus, early diagnosis and standardized treatment for prostate cancer in China remain far-reaching objectives. Burgeoning research on advanced PC and castration-resistant prostate cancer in recent years have paved the way for a new era of integrated treatment methods including novel endocrine drugs, chemotherapy, targeted therapy, and immunotherapy. Future therapies involve precision treatment guided by genetic testing and individualized integrated treatment as part of a multidisciplinary integrated diagnosis and treatment model for PC. The Genitourinary Oncology Committee of the China Anti-Cancer Association (CACA-GU) has invited multidisciplinary experts across fields including surgery, oncology, pathology, radiology, herbal medicine, physiatry, and psychology to collaboratively write, discuss, and revise guidelines on managing PC. The CACA Guidelines for Holistic Integrative Management of Prostate Cancer includes epidemiology, screening and diagnosis, treatment for localized PC, diagnosis and treatment of PC recurrence after radical prostatectomy, management of metastatic PC, traditional Chinese medicine diagnosis and treatment of PC, and rehabilitation from PC. This guideline aims to standardize the clinical diagnosis and treatment management of PC in China. It is more aligned with China’s clinical practice, highlights Chinese characteristics, and bears significant clinical importance.