Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Prevention of suicides associated with global warming: perspectives from early career psychiatrists(Frontiers Research Foundation, 2023) Shoib, S.; Hussaini, S.S.; Armiya'u, A.Y.; Saeed, F.; Őri, D.; Roza, T.H.; Gürcan, A.; Agrawal, A.; Solerdelcoll, M.; Lucero-Prisno Iii, D.E.; Nahidi, M.; Swed, S.; Ahmed, S.; Chandradasa, M.Climate change poses significant challenges to global mental health, with potential consequences including increased rates of suicide and mental health disorders. Early Career Psychiatrists (ECPs) play a crucial role in addressing these challenges. The Climate Psychiatry Alliance, a group of psychiatrists dedicated to improving mental health amidst climate change, recognizes the importance of cultivating climate-aware ECPs. Training ECPs to become confident climate-aware clinicians enables them to effectively treat patients experiencing anxiety, depression, and PTSD in the context of climate-related distress. Together with other mental health professionals, ECPs can contribute to efforts by implementing strategies for monitoring and treating mental health problems arising from climate events. Additionally, they can raise awareness about the psychological consequences and risks of suicide associated with climate change. Collaboration among ECPs from various regions is essential in developing community-based approaches and reducing vulnerabilities. ECPs must prioritize supporting vulnerable populations by advocating for increased funding for mental health support and research in affected areas. Long-term solutions to address the mental health impacts of climate change and global warming should be pursued to mitigate future suicidality. Integrating climate considerations into local mental health programs and expanding psychological support services is crucial. By promoting emotional resilience and self-awareness, ECPs can contribute to building a more climate-resilient and mentally healthy society.Item Feasibility of a lifestyle intervention program for prevention of diabetes among women with prior gestational Diabetes Mellitus (LIVING Study) in South Asia: A formative research study(Frontiers Media S.A, 2020) Tewari, A.; Praveen, D.; Madhira, P.; Josyula, L.K.; Joshi, R.; Kokku, S.B.; Garg, V.; Rawal, I.; Chopra, K.; Chakma, N.; Ahmed, S.; Pathmeswaran, A.; Godamunne, P.; Lata, A.S.; Sahay, R.; Patel, T.; Gupta, Y.; Tandon, N.; Naheed, A.; Patel, A.; Kapoor, D.AIM: To refine and contextually adapt a postpartum lifestyle intervention for prevention of type 2 diabetes mellitus (T2DM) in women with prior gestational diabetes mellitus (GDM) in Bangladesh, India, and Sri Lanka. Materials and Methods: In-depth interviews (IDIs) and focus group discussions (FGDs) were conducted with women with current diagnosis of GDM, and health care professionals involved in their management, to understand relevant local contextual factors for intervention optimization and implementation. This paper describes facilitators and barriers as well as feedback from participants on how to improve the proposed intervention. These factors were grouped and interpreted along the axes of the three main determinants of behavior-capability, opportunity, and motivation. IDIs and FGDs were digitally recorded, transcribed, and translated. Data-driven inductive thematic analysis was undertaken to identify and analyze patterns and themes. Results: Two interrelated themes emerged from the IDIs and FGDs: (i) The lifestyle intervention was acceptable and considered to have the potential to improve the existing model of care for women with GDM; and (ii) Certain barriers such as reduced priority of self-care, and adverse societal influences postpartum need to be addressed for the improvement of GDM care. Based on the feedback, the intervention was optimized by including messages for family members in the content of the intervention, providing options for both text and voice messages as reminders, and finalizing the format of the intervention session delivery. Conclusion: This study highlights the importance of contextual factors in influencing postpartum care and support for women diagnosed with GDM in three South Asian countries. It indicates that although provision of postpartum care is complex, a group lifestyle intervention program is highly acceptable to women with GDM, as well as to health care professionals, at urban hospitals.Item Data resource profile: understanding the patterns and determinants of health in South Asians-the South Asia Biobank(Oxford University Press., 2021) Song, P.; Gupta, A.; Goon, I.Y.; Hasan, M.; Mahmood, S.; Pradeepa, R.; Siddiqui, S.; Frost, G.S.; Kusuma, D.; Miraldo, M.; Sassi, F.; Wareham, N.J.; Ahmed, S.; Anjana, R.M.; Brage, S.; Forouhi, N.G.; Jha, S.; Kasturiratne, A.; Katulanda, P.; Khawaja, K.I.; Loh, M.; Mridha, M.K.; Wickremasinghe, A.R.; Kooner, J.S.; Chambers, J.C.No abstract available