RESUMO
Many racial and ethnic minority groups (minorities) are disproportionately affected by overweight and obesity; however, minorities are often under-represented in clinical trials of behavioural weight loss (BWL) treatment, potentially limiting the generalizability of these trials' conclusions. Interventions involving technology may be particularly well suited to overcoming the barriers to minority enrollment in BWL trials, such as demanding or unpredictable work schedules, caregiving responsibilities and travel burdens. Thus, this systematic review aimed to describe minority enrollment in trials utilizing technology in interventions, as well as to identify which form(s) of technology yield the highest minority enrollment. Results indicated relatively low enrollment of minorities. Trials integrating smartphone use exhibited significantly greater racial minority enrollment than trials that did not; trials with both smartphone and in-person components exhibited the highest racial minority enrollment. This review is the first to explore how the inclusion of technology in BWL trials relates to minority enrollment and can help address the need to improve minority enrollment in weight loss research.
Assuntos
Terapia Comportamental , Etnicidade , Seleção de Pacientes , Grupos Raciais , Ensaios Clínicos Controlados Aleatórios como Assunto , Redução de Peso , Adulto , Idoso , Índice de Massa Corporal , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Humanos , Pessoa de Meia-Idade , Grupos Minoritários , Obesidade/etnologia , Obesidade/terapia , Sobrepeso/terapia , Populações VulneráveisRESUMO
Taking stock of the origin, the location and the function of the three heaters is determining their inseparability from the art of acupuncture. Apart and together they are the ducted heating system of the body and pervade every cell. This really wholistic concept is firmly tied up with the birth place of all matter in the cosmos. At the change-over from energy to matter and v.v. we find them as the triggering and fertilizing force keeping body, mind and spirit together as a trinity. Consequently, although concerned with the Chi conversion on one hand, a not properly working San Chiao is mainly involved with disturbances of emotional life on the other. Locating them in the lining of the stomach is introducing the concept of heaven, earth and man. Applied to the traditional pulse positions the three heaters quite clearly, but not surprisingly, represent the three urges of life.
