The War on Prevention II: Battle Metaphors Undermine Cancer Treatment and Prevention and Do Not Increase Vigilance

ABSTRACT

Bellicose metaphors for cancer are ubiquitous. But are they good metaphors for health communicators to use? Because metaphors can guide reasoning about abstract concepts, framing cancer with metaphors of battle, war, and enemies leads people to apply attributes of these concepts to cancer. The current research investigates how this affects inferences about cancer treatment, prevention, and monitoring. Battles and war are usually seen as being difficult. Indeed, reading about a person’s “battle” or “fight” against cancer makes cancer treatment seem more difficult (studies 1–4). One way to approach a battle is to surrender and give up control. Consistent with this implication, battle metaphors increase fatalistic beliefs about cancer prevention (e.g. believing that there is little one can do to prevent getting cancer; study 3). Finally, even though battles invoke vigilance and action, Study 4 failed to find that such metaphors motivate people to immediately see their doctor when imagining a cancer scare. These findings suggest that bellicose metaphors for cancer can influence the health beliefs of nonpatients in ways that may make them less willing to enact healthy behaviors     

Merging self-reported with technically sensed data for tracking mobility behavior in a naturalistic intervention study. Insights from the GISMO study

Sound exposure data are central for any intervention study. In the case of utilitarian mobility, where studies cannot be conducted in controlled environments, exposure data are commonly self-reported. For short-term intervention studies, wearable devices with location sensors are increasingly employed. We aimed to combine self-reported and technically sensed mobility data, in order to provide more accurate and reliable exposure data for GISMO, a long-term intervention study. Through spatio-temporal data matching procedures, we are able to determine the amount of mobility for all modes at the best possible accuracy level. Self-reported data deviate ±10% from the corrected reference. Derived modal split statistics prove high compliance to the respective recommendations for the control group (CG) and the two intervention groups (IG-PT, IG-C). About 73.7% of total mileage was travelled by car in CG. This share was 10.3% (IG-PT) and 9.7% (IG-C), respectively, in the intervention groups. Commuting distances were comparable in CG and IG, but annual mean travel times differ between  = 8,458 min (σ = 6,427 min) for IG-PT,  = 8,444 min (σ = 5,961 min) for IG-C, and  = 5,223 min (σ = 5,463 min) for CG. Seasonal variabilities of modal split statistics were observable. However, in IG-PT and IG-C no shift toward the car occurred during winter months. Although no perfect single-method solution for acquiring exposure data in mobility-related, naturalistic intervention studies exists, we achieved substantially improved results by combining two data sources, based on spatio-temporal matching procedures.     

Vinylsiloxanether: A New Impression Material. Clinical Study of Implant Impressions with Vinylsiloxanether versus Polyether Materials

Aim: The performance of three elastomeric materials for the open monophase implant impressions technique was tested under the following clinical conditions: polyether (IM) and vinylsiloxanether without (ID) and with additional simultaneous splinting of the implant impression copings with a higher shore hardness A‐silicone (IDF). Materials and Methods: The three test groups, IM, ID, and IDF, were randomly allocated 10 test subjects with three to five implants each. The impressions were analyzed regarding the subjective clinical assessments with 11‐point rating scales by the dentist, the patient, and the dental technician, as well as to the comparison of these assessments with the objectified clinical fit of the manufactured crowns based on standard clinical evaluation criteria. The three groups were statistically analyzed on the basis of the hypothesis of non‐inferiority of ID versus IM and IDF versus IM (alpha < 0.05). Results: The results of the study showed the objective clinical fit of the dental prostheses made using ID being comparable to the results obtained with IM. Compared with ID and IM, the precision of fit attained with IDF was reduced, although the subjective dentist assessments of IDF were in parts significantly better than those of IM and ID (p = .015). A statistically significant superiority of ID in comparison with IM could be determined with regard to the subjective ratings of the taste by the test subject (p < .01), of the handling (p < .001) and of the precision details of impression (p = .012) by the dentist, and of removing the plaster model from the mold by the dental technician (p = .017). Conclusions: The overall results of the vinylsiloxanether material in terms of the patients', dentists', and dental technicians' assessments proved to be equivalent or superior to those of the polyether material. The IDF technique cannot be recommended for this application.     

Sexually transmitted infections

In no other medical field former rare infections of the 1980^th and 1990^th occur again as this is seen in the field of venerology which is as well based on the mobility of the population. Increasing rates of infections in Europe, and increasing bacteriological resistances face health professionals with new challenges. The WHO estimates more than 340 million cases of illnesses worldwide every year. Diseases caused by sexually transmitted infections (STI) in a strict sense are syphilis, gonorrhea, lymphogranuloma venereum, granuloma inguinale, and chancroid. In a wider sense, all illnesses are included which can mainly be transmitted through sexual contact. The term “sexual contact” has to be seen widely, from close physical contact to all variants of sexual behavior. This CME article is an overview of the most common occurring sexually transmitted infections in clinical practice. Both, basic knowledge as well as recent developments are discussed below.     

Medikamentöse Therapie des Vorhofflimmerns in speziellen Situationen

The treatment of atrial fibrillation has to take into account the underlying cardiac and extracardiac diseases. A successful treatment of the underlying disease will only be sufficient treatment of atrial fibrillation in very rare situations. Therefore, this review focuses on the consequences of underlying heart disease, the hemodynamics and concomitant clinical situations on the treatment of atrial fibrillation.     

Schulungsmaterial zur Minimierung von Arzneimittelrisiken

Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz - Schulungsmaterial für Heilberufler und Patienten stellt eine wichtige Hilfe bei der sicheren Anwendung bestimmter...