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ÃÂÂFor Universal Health Coverage Day, let us commit to ending this crisis and build a buy kamagra online no prescription safer and healthier future by investing in health systems that protect us all â nowâÂÂ, declared the UN how much kamagra cost chief, adding that. ÃÂÂThis yearâÂÂs kamagra has shown us that no one is safe until everyone is safe.âÂÂIn his message on the Day, marked annually on 12 December, Mr. Guterres underscored that in 2020, the world had witnessed the tragedy that strikes when health facilities are overwhelmed by a new, highly infectious and often deadly disease.Overstretched by erectile dysfunction treatmentAnd further, the erectile dysfunction outbreak had painfully illustrated what can happen when the effort to address an emergency so overstretches healthcare systems that they can no longer provide other essential services such as cancer screening, routine immunization and care for mothers and babies.âÂÂWe must do far more if we are to reach our goal of achieving how much kamagra cost universal health coverage by 2030,â the Secretary-General said, referring to an agreement reached by UN Member States in September 2019, just months before the kamagra struck.Reaching this goal would mean not just spending more on health, he said, but spending better, from protecting health workers and strengthening infrastructure to preventing diseases and providing healthcare close to home, in the community.âÂÂInvestments in health systems also improve countriesâ preparedness and response to future health emergencies,â the UN chief explained.Marginalized and vulnerable, worst hitHealth emergencies have disproportionate impacts on marginalized and vulnerable populations, Mr. Guterres continued, underscoring that as new erectile dysfunction treatments, tests and treatments become available, they must reach all those who need them.âÂÂIn responding to the kamagra, we have seen rapid innovative approaches to health service delivery and models of care, and advances in preparedness. We must learn from this experienceâÂÂ, he said.Right to healthDuring his regular briefing on Friday on the erectile dysfunction treatment kamagra, WHO Director-GeneralTedros Adhanom Ghebreyesus noted that world had just recently marked Human Rights Day, and these two days, âÂÂcoming so close together at the end of this very difficult year, are a reminder that as we rebuild from this crisis, we must do so on the foundation of human rights â including the right to health.âÂÂThis is precisely the moment for investing in health how much kamagra cost â WHO chief TedrosMr.
Tedros said. ÃÂÂ2020 has reminded us that health is the most precious commodity on earth. In the how much kamagra cost face of the kamagra, many countries have offered free testing and treatment for erectile dysfunction treatment and promised free vaccination for their populations. They have recognized that the ability to pay should not be the difference between sickness and health, between life and death.âÂÂFor its part, WHO is launching two initiatives to support and rapidly accelerate countriesâ journey towards universal coverage.The first, explained Mr. Tedros, is a global programme to strengthen primary healthcare, better equipping countries to prevent and respond to emergencies of all kinds, from the personal crisis of a heart attack, to an outbreak of a new and deadly kamagra.The second is how much kamagra cost a new âÂÂUHC Compendiumâ designed to help countries develop the packages of services they need to meet their peopleâÂÂs health needs.
[embedded content]Spending patternsâÂÂWHO is also launching a new report that provides the first analysis of how global health spending has changed during 2020 in response to the erectile dysfunction treatment kamagra,â he said, noting that among other things, the new report warns that higher debt servicing could make it more difficult to maintain public spending on health.âÂÂBut this is precisely the moment for investing in health. The kamagra has demonstrated that health is not a luxury. It is how much kamagra cost the foundation of social, economic and political stability. Indeed, todayâÂÂs report highlights that the erectile dysfunction treatment crisis provides an opportunity for a âÂÂresetâ in countries with weak health financing systemsâÂÂ, explained the WHO chief.This week the United Kingdom began rollout of a treatment developed by pharmaceutical companies Pfizer and BioNTech, and more nations are expected to follow suit very soon. ÃÂÂTo have safe and effective how much kamagra cost treatments against a kamagra that was completely unknown to us only a year ago is an astounding scientific achievementâÂÂ, Tedros said, speaking during his regular briefing from Geneva.
ÃÂÂBut an even greater achievement would be to ensure all countries enjoy the benefits of science equitably.â Fill the gap The international community has established a mechanism, known as the COVAX Facility, aimed at ensuring all countries will have equal access to any treatments, once developed. Nearly 190 countries are participating, and the how much kamagra cost goal is to deliver two billion doses by the end of 2021. Tedros said there is an immediate funding gap of $4.3 billion to procure treatments for the most needy countries. âÂÂI urge donors to fill this gap quickly so that treatments can be secured, lives can be saved and a truly global economic recovery is accelerated.â The WHO chief also called for world leaders to translate political commitment for equitable treatment access into action. Meanwhile, the UN agency and its partners are helping how much kamagra cost countries to strengthen their supply chains in preparation for delivery.
Tedros reported that nearly one billion doses of three treatment candidates have already been secured, and further deals will be announced in the near future. Evaluation of the how much kamagra cost first requests from countries eligible for assistance under the COVAX Facility is also underway. treatments on the way?. WHO will soon be making its own determination as to whether some erectile dysfunction treatments will be ready for rollout, a senior official said on Friday in response to a journalistâÂÂs question. Several manufacturers have been submitting trial data to how much kamagra cost WHO for emergency-use licensing.
Chief Scientist Dr. Soumya Swaminathan said only those with Phase 3 clinical trial results would be how much kamagra cost considered. ÃÂÂWe started with the Pfizer dossier. We expect also to have the Moderna followed by the AstraZeneca dossiers examined in the how much kamagra cost next few weeksâÂÂ, she said. âÂÂAnd we will be coming out with the decision whether it is receiving an emergency use license or not.â Speeding things up Dr.
Swaminathan added that WHO is working with the International Coalition for Medical Regulatory Agencies (ICMRA) âÂÂto speed up things furtherâÂÂ. Several how much kamagra cost national regulators have also volunteered to assist with the assessments. Her colleague, Dr. Bruce Aylward, WHO Senior Adviser, explained that these processes were established to how much kamagra cost meet the goal of providing treatments for all. ÃÂÂWe are indeed looking at these products though the WHO Emergency Use Listing ProcedureâÂÂ, he said.
ÃÂÂAt the same time, we have an exceptional procedure in place where some products that are approved by what we call a stringent regulatory authority, can also be considered by the COVAX Facility, so there will be no barrier to the speed with which these products could potentially be used globally.â Communication is key Going forward, Dr. Swaminathan recommended that countries will need to have national vaccination plans and related how much kamagra cost communications strategies in place. It is important for authorities to explain the deployment process to citizens âÂÂbecause things are happening extremely fast and people are anxious for informationâÂÂ. She said surveys indicate that most of the worldâÂÂs population want a erectile dysfunction treatment, how much kamagra cost but at the same time, many do have questions concerning the process. Given that doses initially will be in limited supply, the public also needs to understand why priority will be given to frontline workers, the elderly and other at-risk groups.
âÂÂAnd the more open and transparent we can be, the more likely it is that people will have the trust and confidence and would not only want to take how much kamagra cost the treatment, but would also be patient and wait for their turnâÂÂ, she said. Re and âÂÂLong erectile dysfunction treatmentâ WHO is working with countries to better define erectile dysfunction treatment re- and how often it occurs. Laboratories in several countries have detected that some people who have had the disease, have gone on to be infected again. ÃÂÂIt doesnâÂÂt seem to be how much kamagra cost happening very often, but we canâÂÂt quantify that at the current momentâÂÂ, said Dr. Maria van Kerkhove, an epidemiologist and WHO Technical Lead on erectile dysfunction treatment.
Meanwhile, health how much kamagra cost experts continue to understand more about long-term erectile dysfunction treatment, which is different from re-. Dr. Van Kerkhove said âÂÂLong erectile dysfunction treatmentâ is when a person develops a mild case of the disease and seems to slightly recover, but then suffers longer-term impacts. ÃÂÂWe are learning more and more about what Long erectile dysfunction treatment is, in how much kamagra cost terms of the effects on the body. It seems to affect many different organ systems.
ItâÂÂs not how much kamagra cost just a respiratory illness of two weeks. It seems to persist for months,â she said. WHO experts have met with some Long erectile dysfunction treatment patients, who want their condition to be recognized as real..
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By Addy Hatch, buy kamagra jelly WSU College of NursingVery rural areas in the United States have fewer mental health services for young people, yet thatâÂÂs where the help is needed the most, says a study led by Janessa Graves of the Washington State University College of Nursing, published last week in JAMA Network Open.Previous studies have shown that the suicide rate among young people in rural areas is higher than for urban http://www.oceandriveweddings.com/buy-cheap-propecia-online/ youth and is also growing faster, said Graves, associate professor and assistant dean for undergraduate and community research.Yet by one measure, using ZIP Codes, only 3.9% of rural areas have a mental health facility that serves young people the study found, compared with 12.1% of urban (metropolitan) and 15% of small-town ZIP Code Tabulation Areas.Measured by county type, 63.7% of all counties had a mental health facility serving young people, while only 29.8% of âÂÂhighly ruralâ counties did.Janessa GravesâÂÂYouth mental health is something that seems to be getting worse, not better, because of erectile dysfunction treatment,â said Graves. ÃÂÂWe really need these resources to serve these kids.âÂÂWhile Gravesâ study focused on suicide prevention services offered in mental health facilities, âÂÂeven less intensive services like school mental health therapists are lacking in rural areas,â she said.Concluded the study, âÂÂGiven the higher rates of suicide deaths among rural youth, it is imperative that the distribution of and access to mental health services correspond to community needs.âÂÂCORVALLIS, Ore. àA new Oregon State University buy kamagra jelly program is working to improve mental health and address substance use in rural communities by building on existing local partnerships.
The program, Coast to Forest Oregon, recently received a $1.1 million, two-year grant from the federal Substance Abuse and Mental Health Services Administration to train both OSU Extension educators and community members throughout the state. They will buy kamagra jelly be provided with tools and information to respond proactively to mental health and substance use concerns in their communities. ÃÂÂOur aim is to promote mental health and well-being,â said Allison Myers, director of the OSU Center for Health Innovation in the universityâÂÂs College of Public Health and Human Sciences.
ÃÂÂWe all know friends or family who buy kamagra jelly have struggled with substance use or mental illness but had trouble finding help. We may even have experienced this ourselves. The fact that Oregon currently ranks buy kamagra jelly poorly in the U.S.
For mental health serves as a call to action for a state thatâÂÂs a recognized leader in health innovation.â The program will focus on proven early intervention and prevention in rural communities, which face particular challenges such as a limited mental health workforce, a shortage of reliable transportation and longer distances for seeking help, and, given stigma related to mental health, concerns about a lack of anonymity and privacy when reaching out for treatment. Several factors in buy kamagra jelly rural areas compound peopleâÂÂs risk of injury and isolation. The loss of industry in some rural counties creates an economic downturn that causes emotional distress.
Those who can still find work in industries like logging, farming and fishing are at high buy kamagra jelly risk for injury and chronic pain. These conditions, along with risky prescribing practices and the availability of illicit opioids, can lead to increased use of opioids for pain management and higher rates of overdose, hospitalization and death. While the erectile dysfunction treatment kamagra has exacerbated isolation across the state, one bright spot is that many of OregonâÂÂs mental health providers have quickly pivoted to buy kamagra jelly remote and distance options for therapy and support groups, said Marion Ceraso, an associate professor of practice in the College of Public Health and Human Sciences.
ÃÂÂThis response by mental health treatment providers inspired us to also take a distance-based approach in our prevention work,â Ceraso said. The Coast to Forest buy kamagra jelly program is all remote. It will provide free monthly mental health first aid trainings for Extension faculty and community partners, focusing on how to recognize symptoms of distress and offer support before a person winds up in an emergency situation.
The program also aims to destigmatize mental health buy kamagra jelly challenges and make it easier for people to talk about these issues. Program staff will produce local radio programming to reach rural listeners and offer training to OSU Extension faculty and community partners who work in fisheries, agriculture, education, 4-H youth development and other local points of connection. They will also offer training for media outlets on best practices for buy kamagra jelly writing about mental health and substance use disorders.
The program focuses on âÂÂupstreamâ prevention with the goal of intervening early to provide support, before treatment becomes necessary. Program directors are working with local partners to build county-specific resource guides for Oregon, so community members can offer local options for treatment buy kamagra jelly when they recognize someone in distress, Ceraso said. âÂÂBy strengthening early intervention and prevention services in communities and collaborating with those providing treatment, we hope to both increase mental health and well-being and reduce substance use so Oregonians can get back to fully participating in their families, their work and their communities,â she said.
The Coast to Forest program is a collaboration between the Center for Health Innovation and the OSU Extension Family and Community Health Program, which buy kamagra jelly are both part of the College of Public Health and Human Sciences. The program is also funded with a two-year $288,000 grant it received from the U.S. Department of Agriculture in 2019 buy kamagra jelly.
That money is supporting a smaller subset of the program in Tillamook, Union, Lincoln and Baker counties..
By Addy Hatch, WSU College of NursingVery rural how much kamagra cost areas in the United States have fewer mental health services for young people, yet thatâÂÂs where the help is needed the most, says a study led by Janessa Graves of the Washington State University College of Nursing, published last week in JAMA Network Open.Previous studies have shown that the suicide rate among young people in rural areas is higher than for urban youth and is also growing faster, said Graves, associate professor and assistant dean for Buy cheap propecia online undergraduate and community research.Yet by one measure, using ZIP Codes, only 3.9% of rural areas have a mental health facility that serves young people the study found, compared with 12.1% of urban (metropolitan) and 15% of small-town ZIP Code Tabulation Areas.Measured by county type, 63.7% of all counties had a mental health facility serving young people, while only 29.8% of âÂÂhighly ruralâ counties did.Janessa GravesâÂÂYouth mental health is something that seems to be getting worse, not better, because of erectile dysfunction treatment,â said Graves. ÃÂÂWe really need these resources to serve these kids.âÂÂWhile Gravesâ study focused on suicide prevention services offered in mental health facilities, âÂÂeven less intensive services like school mental health therapists are lacking in rural areas,â she said.Concluded the study, âÂÂGiven the higher rates of suicide deaths among rural youth, it is imperative that the distribution of and access to mental health services correspond to community needs.âÂÂCORVALLIS, Ore. àA new Oregon State how much kamagra cost University program is working to improve mental health and address substance use in rural communities by building on existing local partnerships.
The program, Coast to Forest Oregon, recently received a $1.1 million, two-year grant from the federal Substance Abuse and Mental Health Services Administration to train both OSU Extension educators and community members throughout the state. They will be provided with how much kamagra cost tools and information to respond proactively to mental health and substance use concerns in their communities. ÃÂÂOur aim is to promote mental health and well-being,â said Allison Myers, director of the OSU Center for Health Innovation in the universityâÂÂs College of Public Health and Human Sciences.
ÃÂÂWe all know how much kamagra cost friends or family who have struggled with substance use or mental illness but had trouble finding help. We may even have experienced this ourselves. The fact that Oregon how much kamagra cost currently ranks poorly in the U.S.
For mental health serves as a call to action for a state thatâÂÂs a recognized leader in health innovation.â The program will focus on proven early intervention and prevention in rural communities, which face particular challenges such as a limited mental health workforce, a shortage of reliable transportation and longer distances for seeking help, and, given stigma related to mental health, concerns about a lack of anonymity and privacy when reaching out for treatment. Several factors how much kamagra cost in rural areas compound peopleâÂÂs risk of injury and isolation. The loss of industry in some rural counties creates an economic downturn that causes emotional distress.
Those who can still find how much kamagra cost work in industries like logging, farming and fishing are at high risk for injury and chronic pain. These conditions, along with risky prescribing practices and the availability of illicit opioids, can lead to increased use of opioids for pain management and higher rates of overdose, hospitalization and death. While the erectile dysfunction treatment kamagra has exacerbated isolation across the state, one bright spot is that many of OregonâÂÂs mental health providers have quickly pivoted to remote and distance options for therapy and support groups, said Marion Ceraso, an associate professor of practice how much kamagra cost in the College of Public Health and Human Sciences.
ÃÂÂThis response by mental health treatment providers inspired us to also take a distance-based approach in our prevention work,â Ceraso said. The Coast to Forest program is all how much kamagra cost remote. It will provide free monthly mental health first aid trainings for Extension faculty and community partners, focusing on how to recognize symptoms of distress and offer support before a person winds up in an emergency situation.
The program how much kamagra cost also aims to destigmatize mental health challenges and make it easier for people to talk about these issues. Program staff will produce local radio programming to reach rural listeners and offer training to OSU Extension faculty and community partners who work in fisheries, agriculture, education, 4-H youth development and other local points of connection. They will also offer training for media outlets on best how much kamagra cost practices for writing about mental health and substance use disorders.
The program focuses on âÂÂupstreamâ prevention with the goal of intervening early to provide support, before treatment becomes necessary. Program directors are working with local partners to build county-specific resource guides for Oregon, so community members can offer local options for treatment when they recognize someone how much kamagra cost in distress, Ceraso said. âÂÂBy strengthening early intervention and prevention services in communities and collaborating with those providing treatment, we hope to both increase mental health and well-being and reduce substance use so Oregonians can get back to fully participating in their families, their work and their communities,â she said.
The Coast to Forest program is a collaboration between the Center for Health Innovation and the OSU Extension Family and Community how much kamagra cost Health Program, which are both part of the College of Public Health and Human Sciences. The program is also funded with a two-year $288,000 grant it received from the U.S. Department of how much kamagra cost Agriculture in 2019.
That money is supporting a smaller subset of the program in Tillamook, Union, Lincoln and Baker counties..
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AdvertisementContinue reading kamagra 100mg oral jelly amazon the main storySupported byContinue reading the main storyPersonal Going Here HealthThe Devastating Ways Depression and Anxiety Impact the BodyMind and body form a two-way street.Credit...Gracia LamOct. 4, 2021ItâÂÂs no surprise that when a person gets a diagnosis of heart disease, cancer or some other life-limiting or life-threatening physical ailment, they become anxious or depressed. But the reverse kamagra 100mg oral jelly amazon can also be true. Undue anxiety or depression can foster the development of a serious physical disease, and even impede the ability to withstand or recover from one. The potential consequences are particularly timely, as the ongoing stress and disruptions of the kamagra continue to take a toll on mental health.The human organism does not recognize the medical professionâÂÂs artificial separation of mental and kamagra 100mg oral jelly amazon physical ills.
Rather, mind and body form a two-way street. What happens inside a personâÂÂs head can have kamagra 100mg oral jelly amazon damaging effects throughout the body, as well as the other way around. An untreated mental illness can significantly increase the risk of becoming physically ill, and physical disorders may result in behaviors that make mental conditions worse.In studies that tracked how patients with breast cancer fared, for example, Dr. David Spiegel and his colleagues at Stanford University School of Medicine showed decades ago that women kamagra 100mg oral jelly amazon whose depression was easing lived longer than those whose depression was getting worse. His research and other studies have clearly shown that âÂÂthe brain is intimately connected to the body and the body to the brain,â Dr.
Spiegel said kamagra 100mg oral jelly amazon in an interview. ÃÂÂThe body tends to react to mental stress as if it was a physical stress.âÂÂDespite such evidence, he and other experts say, chronic emotional distress is too often overlooked by doctors. Commonly, a physician kamagra 100mg oral jelly amazon will prescribe a therapy for physical ailments like heart disease or diabetes, only to wonder why some patients get worse instead of better.Many people are reluctant to seek treatment for emotional ills. Some people with anxiety or depression may fear being stigmatized, even if they recognize they have a serious psychological problem. Many attempt to self-treat their emotional distress by adopting behaviors like drinking too much or abusing drugs, which only adds insult to their pre-existing injury.And sometimes, family and friends inadvertently reinforce a personâÂÂs denial of mental distress by labeling it as âÂÂthatâÂÂs just the way he isâ and kamagra 100mg oral jelly amazon do nothing to encourage them to seek professional help.How common are anxiety and depression?.
Anxiety disorders affect nearly 20 percent of American adults. That means kamagra 100mg oral jelly amazon millions are beset by an overabundance of the fight-or-flight response that primes the body for action. When youâÂÂre stressed, the brain responds by prompting the release of cortisol, natureâÂÂs built-in alarm system. It evolved to help animals facing physical threats by increasing respiration, raising the heart kamagra 100mg oral jelly amazon rate and redirecting blood flow from abdominal organs to muscles that assist in confronting or escaping danger.These protective actions stem from the neurotransmitters epinephrine and norepinephrine, which stimulate the sympathetic nervous system and put the body on high alert. But when they are invoked too often and indiscriminately, the chronic overstimulation can result in all manner of physical ills, including digestive symptoms like indigestion, cramps, diarrhea or constipation, and an increased risk of heart attack or stroke.Depression, while less common than chronic anxiety, can have even more devastating effects on physical health.
While itâÂÂs normal to feel depressed from time to time, more than 6 percent of adults have such persistent feelings of depression that it disrupts personal relationships, interferes kamagra 100mg oral jelly amazon with work and play, and impairs their ability to cope with the challenges of daily life. Persistent depression can also exacerbate a personâÂÂs perception of pain and increase their chances of developing chronic pain.âÂÂDepression diminishes a personâÂÂs capacity to analyze and respond rationally to stress,â Dr. Spiegel said kamagra 100mg oral jelly amazon. ÃÂÂThey end up on a vicious cycle with limited capacity to get out of a negative mental state.âÂÂPotentially making matters worse, undue anxiety and depression often coexist, leaving people vulnerable to a panoply of physical ailments and an inability to adopt and stick with needed therapy.A study of 1,204 elderly Korean men and women initially evaluated for depression and anxiety found that two years later, these emotional disorders increased their risk of physical disorders and disability. Anxiety alone was linked with heart disease, depression alone was linked with asthma, and the two together were linked with eyesight problems, persistent cough, asthma, hypertension, heart disease and gastrointestinal problems.Treatment can counter emotional tollsAlthough persistent anxiety and depression are highly treatable with medications, cognitive behavioral therapy and talk kamagra 100mg oral jelly amazon therapy, without treatment these conditions tend to get worse.
According to Dr. John Frownfelter, treatment for any condition works better when doctors understand âÂÂthe pressures patients face that affect their behavior and result kamagra 100mg oral jelly amazon in clinical harm.âÂÂDr. Frownfelter is an internist and chief medical officer of a start-up called Jvion. The organization uses artificial intelligence to identify kamagra 100mg oral jelly amazon not just medical factors but psychological, social and behavioral ones as well that can impact the effectiveness of treatment on patientsâ health. Its aim is to foster more holistic approaches to treatment that address the whole patient, body and mind combined.The analyses used by Jvion, a Hindi word meaning life-giving, could alert a doctor when underlying depression might be hindering the effectiveness of prescribed treatments for another condition.
For example, patients being treated for diabetes who are feeling hopeless may fail to improve because they kamagra 100mg oral jelly amazon take their prescribed medication only sporadically and donâÂÂt follow a proper diet, Dr. Frownfelter said.âÂÂWe often talk about depression as a complication of chronic illness,â Dr. Frownfelter wrote in Medpage Today in July. ÃÂÂBut what kamagra 100mg oral jelly amazon we donâÂÂt talk about enough is how depression can lead to chronic disease. Patients with depression may not have the motivation to exercise regularly or cook healthy meals.
Many also have trouble getting adequate sleep.âÂÂSome changes to medical care during the kamagra have greatly increased patient access kamagra 100mg oral jelly amazon to depression and anxiety treatment. The expansion of telehealth has enabled patients to access treatment by psychotherapists who may be as far as a continent away.Patients may also be able to treat themselves without the direct help of a therapist. For example, kamagra 100mg oral jelly amazon Dr. Spiegel and his co-workers created an app called Reveri that teaches people self-hypnosis techniques designed to help reduce stress and anxiety, improve sleep, reduce pain and suppress or quit smoking.Improving sleep is especially helpful, Dr. Spiegel said, because âÂÂit enhances a personâÂÂs ability to regulate the stress response system and not get stuck in a mental rut.â Data demonstrating the effectiveness of the Reveri app has been collected but not yet published, he said.AdvertisementContinue reading the main storyAdvertisementContinue reading the main storySupported byContinue reading the main storyHow I Knew I Needed to Quit InstagramJust like with alcohol, social media left me feeling anxious and removed kamagra 100mg oral jelly amazon from myself.Credit...Molly FairhurstOct.
1, 2021This summer, I relapsed.Not with alcohol, which I got sober from in 2014, but with Instagram, my social media drug of choice.I had vowed to quit in April, and abstain at least until the fall, but really hoped, if I had the willpower, that I could remain off it forever.I started using Instagram in 2013, to post about getting sober, and it was a love-hate relationship from the beginning. But it always felt like the benefits kamagra 100mg oral jelly amazon outweighed the costs. I made connections with people IâÂÂd have otherwise never met, many of whom became great friends and invaluable business colleagues. I found community and accountability when I so desperately needed it in the wobbly kamagra 100mg oral jelly amazon days of early sobriety, and I had a place to consistently share my work. I had built âÂÂa platformâ in publishing-world speak â a sizable audience with blue-check verified accounts â which enabled me to switch careers from advertising to writing in 2016, and secure my first book deal in 2018.Over time, however, I noticed that Instagram was invading every part of my day.
Checking the app was the first thing I did in the morning and the last thing kamagra 100mg oral jelly amazon I did at night. According to my iPhone usage report, I was spending up to six hours a day on the app ingesting thousands of images, reading hundreds of comments and messages, and comparing myself to countless other people. When all that time online left kamagra 100mg oral jelly amazon me overwhelmed, anxious and burned out (which was often), I convinced myself I had to stay for my career. Without Instagram to promote my work, I wasnâÂÂt sure I could actually make a living. I worried that if I didnâÂÂt consistently appear in kamagra 100mg oral jelly amazon peopleâÂÂs feeds, IâÂÂd become irrelevant.It was only a matter of time before I started to notice the parallels between my drinking and my Instagram use.
ÃÂÂIâÂÂll only use social media at set hoursâ became my new âÂÂIâÂÂll just drink on weekends.â I tried to find ways to make Instagram a less toxic force in my life by using a scheduling app and not reading the comments, but every time that failed, I felt more defeated, powerless and stuck. Just like with alcohol.Last spring, kamagra 100mg oral jelly amazon I was approaching seven miraculous years of sobriety, celebrating honest, meaningful relationships, including the one with my 12-year-old daughter. The company I started during the kamagra was supporting thousands of people in their quest to get sober, and, it seemed, the darkest days of erectile dysfunction treatment were behind us.But I couldnâÂÂt experience any of these gifts because I was so distracted by Instagram. I had difficulty concentrating and remembering things, and kamagra 100mg oral jelly amazon I was plagued by constant anxiety. I was so consumed by the information in my feed that I wasnâÂÂt focused at work, or in conversations.
My daughter had to continually repeat kamagra 100mg oral jelly amazon herself because I wasnâÂÂt listening, even when she was right in front of me. My boyfriend told me he was worried about the impact it was having on my mental health. (Recently it was uncovered that Facebook has known, and downplayed, how toxic Instagram is for its kamagra 100mg oral jelly amazon users â particularly teenage girls.)The impulse to pull out my phone and micromanage my persona was constant. Post at the right time, tag the right people, pin comments that supported my views, leave my own smart, witty comments on other influential accounts, re-share mentions of my work with just enough faux humility so as to not appear gross â all of it had become as reflexive as scratching an itch. Except this itch never stopped.I realized I had become numb to the life IâÂÂd worked so hard to save when I got sober.So I decided to leave.I kamagra 100mg oral jelly amazon wrote a detailed account of my struggle and shared it with my followers, along with my plan.
I knew from my experience with alcohol that public accountability was important. I also kamagra 100mg oral jelly amazon knew I had to go cold turkey. Moderation not only required a massive amount of energy, it failed me every time.In the months that followed, I felt freer, lighter and more focused than ever. I did kamagra 100mg oral jelly amazon whatever it was I was doing, without the compulsion to capture, package and share it. I still felt anxiety because I am an anxious person, but I wasnâÂÂt choking on it.
I was more productive, yes, but most incredibly, I was actually present with people who were in front of me.I also got curious. What was it specifically about Instagram that was so destructive kamagra 100mg oral jelly amazon for me?. I realized that whenever I was on social media, I was chasing a goal that was impossible to reach.When a post did well, or I got a bunch of followers, I felt great for a minute, but just as quickly I felt pressure to do it again. If something was negatively received, or I lost people, I was consumed by anxiety and felt compelled to kamagra 100mg oral jelly amazon âÂÂfixâ it. Over time, I made hundreds of tiny adjustments to how and what I shared, editing myself to get the best outcome.
But there kamagra 100mg oral jelly amazon was no âÂÂbestâ outcome. No matter what I did, there would never be enough followers, enough approval, enough success. The more I posted, the less I felt like my true self.In that way, it was very similar to alcohol, in that drinking also became fundamentally dishonest â the person I was when I was drinking was presenting a false front to the world too.âÂÂOnce weâÂÂre curating a false image of ourselves, online or otherwise, we become alienated from ourselves and we kamagra 100mg oral jelly amazon start to not feel real in the world, and not tethered to our existence,â said Anna Lembke M.D., medical director for the Stanford Addiction Medicine and author of âÂÂDopamine Nation,â in a recent interview for my podcast. ÃÂÂThis generates enormous amounts of anxiety and dysphoria, and itâÂÂs a really dangerous place to be.âÂÂWeâÂÂre incentivized in myriad ways to enact a false self on social media, but when we do, we lose something vital. The ability to experience life in the kamagra 100mg oral jelly amazon here and now.
And âÂÂthe here and nowâ is where the true self lives.My relapse provided swift, painful proof.It was a gorgeous, sunny day in late July. My daughter, my boyfriend and I were on a kamagra 100mg oral jelly amazon long-anticipated vacation visiting my mom in Hawaii after not seeing her for over a year. I felt joyous, and told myself that I simply wanted to share that feeling. I put Instagram back on my phone, posted a selfie in my new red swimsuit, smiling in kamagra 100mg oral jelly amazon the sun by the water, and wrote to my 80,000 followers that I had a new perspective. I was going to use my account to share joy.
I said it was kamagra 100mg oral jelly amazon only for me. I wanted to believe this was true.As the day wore on, my anxiety grew as I checked obsessively for likes, comments and follows. Although the majority of comments were positive, I received a kamagra 100mg oral jelly amazon few awful ones I had a hard time shaking. One commenter said I seemed mentally ill because I had come back after saying I was leaving. Another wondered whether I was kamagra 100mg oral jelly amazon drinking again.
I checked accounts that I hadnâÂÂt looked at since I left Instagram â other authors I compared myself to, mostly â and noticed some of their followings had significantly grown, playing into my worst fears of losing relevance. I had a hard time going to sleep kamagra 100mg oral jelly amazon that night and woke up several times to check the app again. When I noticed hundreds of people unfollowed me, I became nauseous.I was embarrassed that IâÂÂd publicly gone back on my word. I was ashamed I cared so much about the comments and unfollows, and kamagra 100mg oral jelly amazon mostly, that I couldnâÂÂt handle it the way others seemed to be able to. I was afraid of how horrible I felt.
It felt exactly like my kamagra 100mg oral jelly amazon drinking days.This time I knew I had to leave social media for good. I deleted the swimsuit selfie from Instagram, and wrote a follow-up essay on my blog, explaining what had happened. As IâÂÂve learned in recovery, sharing the truth is a kamagra 100mg oral jelly amazon powerful antidote to anxiety and shame. Recently, I took the final act of deactivating my account.When I begin to think there might be a way for me to handle social media, I do what I did in my first days of sobriety from alcohol. I play the tape all the way through and force myself to viscerally recall kamagra 100mg oral jelly amazon how I felt that morning on vacation.
I feel the buzz of fear in my stomach, the clutch of anxiety around my throat, the endless procession of negative thoughts and the fractured texture of my attention. When I do this, I remember kamagra 100mg oral jelly amazon itâÂÂs simply not worth it.Laura McKowen is the bestselling author of We Are The Luckiest. The Surprising Magic of a Sober Life and Founder of The Luckiest Club. She lives on the North Shore of Boston with her daughter, partner and cats.AdvertisementContinue reading the main story.
AdvertisementContinue reading the main storySupported byContinue reading the main storyPersonal HealthThe Devastating how much kamagra cost Ways Depression and Anxiety Impact the BodyMind and body form a two-way street.Credit...Gracia LamOct. 4, 2021ItâÂÂs no surprise that when a person gets a diagnosis of heart disease, cancer or some other life-limiting or life-threatening physical ailment, they become anxious or depressed. But the how much kamagra cost reverse can also be true.
Undue anxiety or depression can foster the development of a serious physical disease, and even impede the ability to withstand or recover from one. The potential consequences are particularly how much kamagra cost timely, as the ongoing stress and disruptions of the kamagra continue to take a toll on mental health.The human organism does not recognize the medical professionâÂÂs artificial separation of mental and physical ills. Rather, mind and body form a two-way street.
What happens inside a personâÂÂs head can have damaging effects throughout the body, as well how much kamagra cost as the other way around. An untreated mental illness can significantly increase the risk of becoming physically ill, and physical disorders may result in behaviors that make mental conditions worse.In studies that tracked how patients with breast cancer fared, for example, Dr. David Spiegel and his colleagues at Stanford University School how much kamagra cost of Medicine showed decades ago that women whose depression was easing lived longer than those whose depression was getting worse.
His research and other studies have clearly shown that âÂÂthe brain is intimately connected to the body and the body to the brain,â Dr. Spiegel said in an how much kamagra cost interview. ÃÂÂThe body tends to react to mental stress as if it was a physical stress.âÂÂDespite such evidence, he and other experts say, chronic emotional distress is too often overlooked by doctors.
Commonly, a physician will prescribe a how much kamagra cost therapy for physical ailments like heart disease or diabetes, only to wonder why some patients get worse instead of better.Many people are reluctant to seek treatment for emotional ills. Some people with anxiety or depression may fear being stigmatized, even if they recognize they have a serious psychological problem. Many attempt to self-treat their emotional distress by adopting behaviors like drinking too much or abusing drugs, how much kamagra cost which only adds insult to their pre-existing injury.And sometimes, family and friends inadvertently reinforce a personâÂÂs denial of mental distress by labeling it as âÂÂthatâÂÂs just the way he isâ and do nothing to encourage them to seek professional help.How common are anxiety and depression?.
Anxiety disorders affect nearly 20 percent of American adults. That means millions are beset by an overabundance of the how much kamagra cost fight-or-flight response that primes the body for action. When youâÂÂre stressed, the brain responds by prompting the release of cortisol, natureâÂÂs built-in alarm system.
It evolved to help animals facing physical threats by increasing respiration, raising the heart rate and redirecting blood flow from abdominal organs to muscles that assist in confronting or escaping danger.These protective actions stem from the how much kamagra cost neurotransmitters epinephrine and norepinephrine, which stimulate the sympathetic nervous system and put the body on high alert. But when they are invoked too often and indiscriminately, the chronic overstimulation can result in all manner of physical ills, including digestive symptoms like indigestion, cramps, diarrhea or constipation, and an increased risk of heart attack or stroke.Depression, while less common than chronic anxiety, can have even more devastating effects on physical health. While itâÂÂs normal to feel depressed from time to time, more than 6 percent of adults have such persistent feelings of depression that it disrupts personal relationships, interferes with work and how much kamagra cost play, and impairs their ability to cope with the challenges of daily life.
Persistent depression can also exacerbate a personâÂÂs perception of pain and increase their chances of developing chronic pain.âÂÂDepression diminishes a personâÂÂs capacity to analyze and respond rationally to stress,â Dr. Spiegel said how much kamagra cost. ÃÂÂThey end up on a vicious cycle with limited capacity to get out of a negative mental state.âÂÂPotentially making matters worse, undue anxiety and depression often coexist, leaving people vulnerable to a panoply of physical ailments and an inability to adopt and stick with needed therapy.A study of 1,204 elderly Korean men and women initially evaluated for depression and anxiety found that two years later, these emotional disorders increased their risk of physical disorders and disability.
Anxiety alone was linked with heart disease, depression alone how much kamagra cost was linked with asthma, and the two together were linked with eyesight problems, persistent cough, asthma, hypertension, heart disease and gastrointestinal problems.Treatment can counter emotional tollsAlthough persistent anxiety and depression are highly treatable with medications, cognitive behavioral therapy and talk therapy, without treatment these conditions tend to get worse. According to Dr. John Frownfelter, treatment for any how much kamagra cost condition works better when doctors understand âÂÂthe pressures patients face that affect their behavior and result in clinical harm.âÂÂDr.
Frownfelter is an internist and chief medical officer of a start-up called Jvion. The organization uses artificial intelligence to identify not just medical factors but how much kamagra cost psychological, social and behavioral ones as well that can impact the effectiveness of treatment on patientsâ health. Its aim is to foster more holistic approaches to treatment that address the whole patient, body and mind combined.The analyses used by Jvion, a Hindi word meaning life-giving, could alert a doctor when underlying depression might be hindering the effectiveness of prescribed treatments for another condition.
For example, patients being treated for diabetes who are feeling hopeless may fail to improve because how much kamagra cost they take their prescribed medication only sporadically and donâÂÂt follow a proper diet, Dr. Frownfelter said.âÂÂWe often talk about depression as a complication of chronic illness,â Dr. Frownfelter wrote in Medpage Today in July.
ÃÂÂBut what how much kamagra cost we donâÂÂt talk about enough is how depression can lead to chronic disease. Patients with depression may not have the motivation to exercise regularly or cook healthy meals. Many also have trouble getting adequate sleep.âÂÂSome changes to how much kamagra cost medical care during the kamagra have greatly increased patient access to depression and anxiety treatment.
The expansion of telehealth has enabled patients to access treatment by psychotherapists who may be as far as a continent away.Patients may also be able to treat themselves without the direct help of a therapist. For example, Dr how much kamagra cost. Spiegel and his co-workers created an app called Reveri that teaches people self-hypnosis techniques designed to help reduce stress and anxiety, improve sleep, reduce pain and suppress or quit smoking.Improving sleep is especially helpful, Dr.
Spiegel said, because âÂÂit enhances a personâÂÂs ability to regulate the stress response system and not get stuck in a mental rut.â Data demonstrating the effectiveness of the Reveri app has been collected but not yet published, he said.AdvertisementContinue reading the main storyAdvertisementContinue reading the main storySupported byContinue reading the main storyHow I how much kamagra cost Knew I Needed to Quit InstagramJust like with alcohol, social media left me feeling anxious and removed from myself.Credit...Molly FairhurstOct. 1, 2021This summer, I relapsed.Not with alcohol, which I got sober from in 2014, but with Instagram, my social media drug of choice.I had vowed to quit in April, and abstain at least until the fall, but really hoped, if I had the willpower, that I could remain off it forever.I started using Instagram in 2013, to post about getting sober, and it was a love-hate relationship from the beginning. But it always felt like the benefits outweighed the costs how much kamagra cost.
I made connections with people IâÂÂd have otherwise never met, many of whom became great friends and invaluable business colleagues. I found community and accountability when I so desperately needed it in the wobbly days how much kamagra cost of early sobriety, and I had a place to consistently share my work. I had built âÂÂa platformâ in publishing-world speak â a sizable audience with blue-check verified accounts â which enabled me to switch careers from advertising to writing in 2016, and secure my first book deal in 2018.Over time, however, I noticed that Instagram was invading every part of my day.
Checking the how much kamagra cost app was the first thing I did in the morning and the last thing I did at night. According to my iPhone usage report, I was spending up to six hours a day on the app ingesting thousands of images, reading hundreds of comments and messages, and comparing myself to countless other people. When all that time online left me overwhelmed, anxious and burned out (which was how much kamagra cost often), I convinced myself I had to stay for my career.
Without Instagram to promote my work, I wasnâÂÂt sure I could actually make a living. I worried that if I didnâÂÂt consistently how much kamagra cost appear in peopleâÂÂs feeds, IâÂÂd become irrelevant.It was only a matter of time before I started to notice the parallels between my drinking and my Instagram use. ÃÂÂIâÂÂll only use social media at set hoursâ became my new âÂÂIâÂÂll just drink on weekends.â I tried to find ways to make Instagram a less toxic force in my life by using a scheduling app and not reading the comments, but every time that failed, I felt more defeated, powerless and stuck.
Just like with alcohol.Last spring, I was approaching seven miraculous years of sobriety, celebrating honest, meaningful relationships, including the one with my how much kamagra cost 12-year-old daughter. The company I started during the kamagra was supporting thousands of people in their quest to get sober, and, it seemed, the darkest days of erectile dysfunction treatment were behind us.But I couldnâÂÂt experience any of these gifts because I was so distracted by Instagram. I had difficulty concentrating how much kamagra cost and remembering things, and I was plagued by constant anxiety.
I was so consumed by the information in my feed that I wasnâÂÂt focused at work, or in conversations. My daughter had to continually repeat herself because I wasnâÂÂt listening, even when she was right in front how much kamagra cost of me. My boyfriend told me he was worried about the impact it was having on my mental health.
(Recently it was uncovered that Facebook has known, and how much kamagra cost downplayed, how toxic Instagram is for its users â particularly teenage girls.)The impulse to pull out my phone and micromanage my persona was constant. Post at the right time, tag the right people, pin comments that supported my views, leave my own smart, witty comments on other influential accounts, re-share mentions of my work with just enough faux humility so as to not appear gross â all of it had become as reflexive as scratching an itch. Except this how much kamagra cost itch never stopped.I realized I had become numb to the life IâÂÂd worked so hard to save when I got sober.So I decided to leave.I wrote a detailed account of my struggle and shared it with my followers, along with my plan.
I knew from my experience with alcohol that public accountability was important. I also knew I had to go cold how much kamagra cost turkey. Moderation not only required a massive amount of energy, it failed me every time.In the months that followed, I felt freer, lighter and more focused than ever.
I did whatever it was I was how much kamagra cost doing, without the compulsion to capture, package and share it. I still felt anxiety because I am an anxious person, but I wasnâÂÂt choking on it. I was more productive, yes, but most incredibly, I was actually present with people who were in front of me.I also got curious.
What was it specifically about Instagram that was so destructive for how much kamagra cost me?. I realized that whenever I was on social media, I was chasing a goal that was impossible to reach.When a post did well, or I got a bunch of followers, I felt great for a minute, but just as quickly I felt pressure to do it again. If something was negatively received, or I lost people, I was consumed by anxiety how much kamagra cost and felt compelled to âÂÂfixâ it.
Over time, I made hundreds of tiny adjustments to how and what I shared, editing myself to get the best outcome. But there was no how much kamagra cost âÂÂbestâ outcome. No matter what I did, there would never be enough followers, enough approval, enough success.
The more I posted, the less I felt like my true self.In that way, it was very similar to alcohol, in that drinking also became fundamentally dishonest â the person I was when I was drinking was presenting a false front to the how much kamagra cost world too.âÂÂOnce weâÂÂre curating a false image of ourselves, online or otherwise, we become alienated from ourselves and we start to not feel real in the world, and not tethered to our existence,â said Anna Lembke M.D., medical director for the Stanford Addiction Medicine and author of âÂÂDopamine Nation,â in a recent interview for my podcast. ÃÂÂThis generates enormous amounts of anxiety and dysphoria, and itâÂÂs a really dangerous place to be.âÂÂWeâÂÂre incentivized in myriad ways to enact a false self on social media, but when we do, we lose something vital. The ability to experience life in the here and now how much kamagra cost.
And âÂÂthe here and nowâ is where the true self lives.My relapse provided swift, painful proof.It was a gorgeous, sunny day in late July. My daughter, my boyfriend and I were on a long-anticipated vacation visiting my mom in Hawaii after not seeing her for over a how much kamagra cost year. I felt joyous, and told myself that I simply wanted to share that feeling.
I put Instagram back on my phone, posted a selfie in my new red swimsuit, smiling in the sun by the water, and wrote how much kamagra cost to my 80,000 followers that I had a new perspective. I was going to use my account to share joy. I said it was how much kamagra cost only for me.
I wanted to believe this was true.As the day wore on, my anxiety grew as I checked obsessively for likes, comments and follows. Although the majority of comments were positive, I received how much kamagra cost a few awful ones I had a hard time shaking. One commenter said I seemed mentally ill because I had come back after saying I was leaving.
Another wondered whether I was drinking how much kamagra cost again. I checked accounts that I hadnâÂÂt looked at since I left Instagram â other authors I compared myself to, mostly â and noticed some of their followings had significantly grown, playing into my worst fears of losing relevance. I had a hard time going to sleep that night and woke up several times to check how much kamagra cost the app again.
When I noticed hundreds of people unfollowed me, I became nauseous.I was embarrassed that IâÂÂd publicly gone back on my word. I was ashamed I cared so much about the comments and unfollows, and mostly, that I couldnâÂÂt handle it how much kamagra cost the way others seemed to be able to. I was afraid of how horrible I felt.
It felt exactly how much kamagra cost like my drinking days.This time I knew I had to leave social media for good. I deleted the swimsuit selfie from Instagram, and wrote a follow-up essay on my blog, explaining what had happened. As IâÂÂve learned in recovery, sharing the truth is how much kamagra cost a powerful antidote to anxiety and shame.
Recently, I took the final act of deactivating my account.When I begin to think there might be a way for me to handle social media, I do what I did in my first days of sobriety from alcohol. I play the tape all how much kamagra cost the way through and force myself to viscerally recall how I felt that morning on vacation. I feel the buzz of fear in my stomach, the clutch of anxiety around my throat, the endless procession of negative thoughts and the fractured texture of my attention.
When I do this, I how much kamagra cost remember itâÂÂs simply not worth it.Laura McKowen is the bestselling author of We Are The Luckiest. The Surprising Magic of a Sober Life and Founder of The Luckiest Club. She lives on the North Shore of Boston with her daughter, partner and cats.AdvertisementContinue reading the main story.
Notes1 cheap kamagra online buy kamagra with free samples. R. C Keller (2006) buy kamagra with free samples.
"Geographies of power, legacies of mistrust. Colonial medicine in the global present." Historical Geography no. 34:26-48.2.
Bridget Pratt et al. (2018). "Exploring the ethics of global health research priority-setting." BMC Medical Ethics no.
Richard Horton (2013). "Offline. Is global health neocolonialist?.
10.1016/S0140-6736(13)62379-X4. Anonymous (2019). "Editorial.
Break with tradition. The World Health OrganizationâÂÂs decision about traditional Chinese medicine could backfire." Nature no. 570:5.5.
S. S Amrith (2006). Decolonizing international health.
India and Southeast Asia, 1930âÂÂ65. London. Palgrave Macmillan.6.
Arturo Escobar and A Escobar (1984). "Discourse and power in development. Michel Foucault and the relevance of his work to the third world." Alternatives no.
10 (3):377-400. Doi. 10.1177/0304375484010003047.
UNDG (2013). A million voices. The world we want.
A sustainable future with dignity for all. New York, NY. United Nations Development Group.8.
WHO (2019). Speech by the Director-General. Transforming for impact 2019 (cited 10 March 2019).
Available from. Https://www.who.int/dg/speeches/detail/transforming-for-impact.9. R.
C Keller (2006). Geographies of power, legacies of mistrust. Colonial medicine in the global present.10.
Mishal S Khan et al. (2019). Durrance-Bagale, H.
Legido-Quigley "âÂÂLMICs as reservoirs of AMRâÂÂ. A comparative analysis of policy discourse on antimicrobial resistance with reference to Pakistan." Health Policy and Planning no. 34 (3):178âÂÂ187.
Doi. 10.1093/heapol/czz02211. Clare I R Chandler (2019).
"Current accounts of antimicrobial resistance. Stabilisation, individualisation and antibiotics as infrastructure." Palgrave Communications no. 5 (1):53.
Doi. 10.1057/s41599-019-0263-412. In the area of antimicrobial use for human health, other problem areas include, for example, public hygiene and disease prevention, regulated access to medicines, disease diagnosis, or market conditions for the development of new antimicrobials.
The Review on Antimicrobial Resistance (2016). Tackling drug-resistant s globally. Final report and recommendations.
London. The UK Prime Minister, WHO (2015b). Global action plan on antimicrobial resistance.
Geneva. World Health Organization, Conan MacDougall and Ron E Polk (2005). "Antimicrobial stewardship programs in health care systems." Clinical Microbiology Reviews no.
18 (4):638-656. Doi. 10.1128/CMR.18.4.638-656.2005.13.
The Review on Antimicrobial Resistance. Tackling drug-resistant s globally. Final report and recommendations.14.
WHO, Global action plan on antimicrobial resistance.15. Maria R Gualano et al. (2015).
"General population's knowledge and attitudes about antibiotics. A systematic review and meta-analysis." Pharmacoepidemiology and Drug Safety no. 24 (1):2-10.
Radyowijati (2010). "Determinants of antimicrobial use. Poorly understood, poorly researched." In Antimicrobial resistance in developing countries, edited by Sosa, Byarugaba, Amábile-Cuevas, Hsueh, Kariuki and Okeke, 283-300.
New York, NY. Springer.17. These problems persist despite encouraging trends.
For example, the field is becoming increasingly multidisciplinary through the involvement of several United Nations agencies alongside WHO in governing AMR, and AMR policy narratives are slowly broadening the hitherto hyper-individualised and behaviour change focus of global action plans. Connor Rochford et al. (2018).
"Global governance of antimicrobial resistance." The Lancet no. 391 (10134):1976-1978. Doi.
10.1016/S0140-6736(18)31117-6, WHO, FAO, and OIE (2018). Monitoring global progress on addressing antimicrobial resistance. Analysis report of the second round of results of AMR country self-assessment survey 2018.
Geneva. World Health Organization, Food and Agriculture Organization of the United Nations and World Organisation for Animal Health (OIE), WHO (2017). Antimicrobial Resistance Behaviour Change first informal technical consultation, 6-7 November, 2017 Château de Penthes, Geneva.
Meeting Report. Geneva. World Health Organization, Elise Klein and China Mills (2017).
"Psy-expertise, therapeutic culture and the politics of the personal in development." Third World Quarterly no. 38 (9):1990-2008. Doi.
10.1080/01436597.2017.131927718. Emma R M Cohen et al. (2008).
"Public engagement on global health challenges." BMC Public Health no. 8 (168). Doi.
10.1186/1471-2458-8-16819. B Hamlyn et al. (2015).Factors affecting public engagement by researchers.
A study on behalf of a consortium of UK public research funders. London. TNS20.
Research Councils UK (2011) Concordat for engaging the public with research. Research Councils UK. Swindon.21.
Building an engaged future for UK higher education. Full report from the Engaged Futures consultation. Bristol.
National Co-ordinating Centre for Public Engagement.22. Also referred to as âÂÂcommunity engagementâÂÂ, âÂÂpatient and public involvementâ (PPI) in research, or in some instances also as participatory research. S.
Staniszewska et al. (2017). "GRIPP2 reporting checklists.
Tools to improve reporting of patient and public involvement in research." Research Involvement and Engagement no. 3 (13). Doi.
10.1186/s40900-017-0062-2, Jo Brett et al. (2014). "Mapping the impact of patient and public involvement on health and social care research.
A systematic review." Health Expectations no. 17 (5):637-650. Doi.
10.1111/j.1369-7625.2012.00795.x, Paulina O Tindana et al. (2007). "Grand challenges in global health.
Community engagement in research in developing countries." PLOS Medicine no. 4 (e273). Doi.
10.1371/journal.pmed.0040273, F Darroch and A. Giles (2014). "Decolonizing health research.
Community-based participatory research and postcolonial feminist theory." Canadian Journal of Action Research no. 15 (3):22-36.23. J Redfern et al.
(2018). "Spreading the message of antimicrobial resistance. A detailed account of a successful public engagement event." FEMS Microbiology Letters no.
Victoria Jane Hume et al. (2018). "Biomedicine and the humanities.
Growing pains." Medical Humanities no. 44 (4):230-238. Doi.
10.1136/medhum-2018-01148125. Astrid Treffry-Goatley et al. (2018).
Ibid. "Community engagement with HIV drug adherence in rural South Africa. A transdisciplinary approach." 239-246.
Doi. 10.1136/medhum-2018-01147426. L Jordanova (2014).
"Medicine and the visual arts." In Medicine, health and the arts. Approaches to medical humanities, edited by Bates, Bleakley and Goodman, 41-63. Abingdon.
Routledge.27. Angela Ross Perfetti (2018). "Fate and the clinic.
A multidisciplinary consideration of fatalism in health behaviour." Medical Humanities no. 44 (1):59-62. Doi.
10.1136/medhum-2017-01131928. Devan Stahl et al. (2016).
"Seeing illness in art and medicine. A patient and printmaker collaboration." Ibid. No.
42 (3):155-159. Doi. 10.1136/medhum-2015-01083829.
Jonatan Wistrand and J Wistrand (2017). "When doctors are patients. A narrative study of help-seeking behaviour among addicted physicians." Ibid.
Carson (2015). Medical humanities. An introduction.
New York, NY. Cambridge University Press.31. Daniel Holman and Erica Borgstrom (2016).
"Applying social theory to understand health-related behaviours." Medical Humanities no. 42 (2):143-145. Doi.
10.1136/medhum-2015-01068832. Hume, et al., Biomedicine and the humanities. Growing pains.33.
A Carusi (2016). "Modelling systems biomedicine. Intertwinement and the 'real'." In The Edinburgh companion to the critical medical humanities, edited by Whitehead, Woods, Atkinson, Macnaughton and Richards, 50-65.
Edinburgh. Edinburgh University Press.34. Jordanova, Medicine and the visual arts.35.
Stahl and Stahl, Seeing illness in art and medicine. A patient and printmaker collaboration.36. William Viney et al.
(2015). "Critical medical humanities. Embracing entanglement, taking risks." Ibid.
10.1136/medhum-2015-01069237. J Cole and S. Gallagher (2016).
"Narrative and clinical neuroscience. Can phenomenologically informed approaches and empirical work cross-fertilise?. " In The Edinburgh companion to the critical medical humanities, edited by Whitehead, Woods, Atkinson, Macnaughton and Richards, 377-394.
Edinburgh. Edinburgh University Press.38. J Macnaughton and H.
Carel (2016). Ibid."Breathing and breathlessness in clinic and culture. Using critical medical humanities to bridge an epistemic gap." In, 294-309.39.
P J Pelto and G H Pelto (1997). 1997. "Studying knowledge, culture, and behavior in applied medical anthropology." Medical Anthropology Quarterly no.
11 (2):147-163.40. Lindsay Prior (2003) "Belief, knowledge and expertise. The emergence of the lay expert in medical sociology." Sociology of Health &.
10.1111/1467-9566.0033941. E Oliveira and J. Vearey (2018).
"Making research and building knowledge with communities. Examining three participatory visual and narrative projects with migrants who sell sex in South Africa." In Creating social change through creativity. Anti-oppressive arts-based research methodologies, edited by Capous-Desyllas and Morgaine, 265-287.
Cham. Springer.42. Komatra Chuengsatiansup and Wirun Limsawart (2019).
"Tuberculosis in the borderlands. Migrants, microbes and more-than-human borders." Palgrave Communications no. 5 (1):31.
Doi. 10.1057/s41599-019-0239-443. R Garden (2014).
"Social studies. The humanities, narrative, and the social context of the patient-professional relationship." In Health humanities reader, edited by Jones, Wear, Friedman and Pachucki, 127-137. New Brunswick, NJ.
Rutgers University Press.44. Holman and Borgstrom, Applying social theory to understand health-related behaviours.45. Claas Kirchhelle (2018).
"Pharming animals. A global history of antibiotics in food production (1935âÂÂ2017)." Palgrave Communications no. 4 (96).
Doi. 10.1057/s41599-018-0152-246. Hannah Landecker (2019).
"Antimicrobials before antibiotics. War, peace, and disinfectants." Ibid. No.
Sue Walker (2019). Ibid."Effective antimicrobial resistance communication. The role of information design." 24.
Doi. 10.1057/s41599-019-0231-z48. Pelto and Pelto, Studying knowledge, culture, and behavior in applied medical anthropology.49.
May Sudhinaraset et al. (2013). "What is the role of informal healthcare providers in developing countries?.
A systematic review." PLoS ONE no. 8 (2):e54978. Doi.
10.1371/journal.pone.005497850. Viroj Tangcharoensathien, Sunicha Chanvatik, and Angkana Sommanustweechai (2018). "Complex determinants of inappropriate use of antibiotics." Bulletin of the World Health Organization no.
96 (2):141-144. Doi. 10.2471/BLT.17.19968751.
WHO (2015a). Antibiotic resistance. Multi-country public awareness survey.
Geneva. World Health Organization.52. WHO, Antibiotic resistance.
Multi-country public awareness survey, 42.53. Gualano, et al. General population's knowledge and attitudes about antibiotics.
A systematic review and meta-analysis.54. Edward A Belongia et al. (2002).
"Antibiotic use and upper respiratory s. A survey of knowledge, attitudes, and experience in Wisconsin and Minnesota." Preventive Medicine no. 34 (3):346-352.
Doi. 10.1006/pmed.2001.099255. Miao Yu et al.
(2014). "Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children. A cross-sectional study." BMC Infectious Diseases no.
Abdelmoneim Ismail Awad and Esraa Abdulwahid Aboud (2015). "Knowledge, attitude and practice towards antibiotic use among the public in Kuwait." PLoS ONE no. 10 (2):e0117910.
Doi. 10.1371/journal.pone.011791057. Chandler, Current accounts of antimicrobial resistance.
Stabilisation, individualisation and antibiotics as infrastructure.58. Jie Chang et al. (2018).
"Non-prescription use of antibiotics among children in urban China. A cross-sectional survey of knowledge, attitudes, and practices." Expert Review of Anti-infective Therapy no. 16 (2):163-172.
Doi. 10.1080/14787210.2018.142561659. Gualano, et al.
General population's knowledge and attitudes about antibiotics. A systematic review and meta-analysis.60. A R McCullough et al.
(2016). "A systematic review of the public's knowledge and beliefs about antibiotic resistance." Journal of Antimicrobial Chemotherapy no. 71 (1):27-33.
Doi. 10.1093/jac/dkv31061. Abel Santiago Muri-Gama, Albert Figueras, and Silvia Regina Secoli (2018).
"Inappropriately prescribed and over-the-counter antimicrobials in the Brazilian Amazon Basin. We need to promote more rational use even in remote places." PLoS ONE no. 13 (e0201579).
Doi. 10.1371/journal.pone.020157962. A Launiala (2009).
"How much can a KAP survey tell us about people's knowledge, attitudes and practices?. Some observations from medical anthropology research on malaria in pregnancy in Malawi." Anthropology Matters no. 11 (1).63.
Achieving the balance between access and excess." The Lancet no. 387 (10014):102-104. Doi.
10.1016/S0140-6736(15)00729-164. C Olivier et al. (2010).
"Containing global antibiotic resistance. Ethical drug promotion in the developing world." In Antimicrobial resistance in developing countries, edited by Sosa, Byarugaba, Amábile-Cuevas, Hsueh, Kariuki and Okeke, 505-524. New York, NY.
Springer.65. Chandler, Current accounts of antimicrobial resistance. Stabilisation, individualisation and antibiotics as infrastructure.66.
Chandler, Current accounts of antimicrobial resistance. Stabilisation, individualisation and antibiotics as infrastructure.67. Steve Hinchliffe, Andrea Butcher, and Muhammad Meezanur Rahman (2018).
"The AMR problem. Demanding economies, biological margins, and co-producing alternative strategies." Ibid. No.
Chuengsatiansup and Limsawart, Tuberculosis in the borderlands. Migrants, microbes and more-than-human borders.69. Khan, et al, âÂÂLMICs as reservoirs of AMRâÂÂ.
A comparative analysis of policy discourse on antimicrobial resistance with reference to Pakistan.70. Didier Wernli et al. (2017).
"Mapping global policy discourse on antimicrobial resistance." BMJ Global Health no. 2 (e000378). Doi.
10.1136/bmjgh-2017-00037871. Nancy J Hawkings, Fiona Wood, and Christopher C Butler (2007). "Public attitudes towards bacterial resistance.
A qualitative study." Journal of Antimicrobial Chemotherapy no. 59 (6):1155-1160. Doi.
10.1093/jac/dkm10372. McCullough, et al. A systematic review of the public's knowledge and beliefs about antibiotic resistance.73.
Muri-Gama, et al. Inappropriately prescribed and over-the-counter antimicrobials in the Brazilian Amazon Basin. We need to promote more rational use even in remote places.74.
David G Allison et al. (2017). "Antibiotic resistance awareness.
A public engagement approach for all pharmacists." International Journal of Pharmacy Practice no. 25 (1):93-96. Doi.
10.1111/ijpp.1228775. Mark Davis et al. (2018).
"Understanding media publics and the antimicrobial resistance crisis." Global Public Health no. 13 (9):1158-1168. Doi.
10.1080/17441692.2017.133624876. Simon J Howard et al. (2013).
"Antibiotic resistance. Global response needed." The Lancet Infectious Diseases no. 13 (12):1001-1003.
Doi. 10.1016/S1473-3099(13)70195-677. Renly Lim et al.
(2016). "Village drama against malaria." The Lancet no. 388 (10063):2990.
Doi. 10.1016/S0140-6736(16)32519-378. Deborah Nyirenda et al.
(2018). "Public engagement in Malawi through a health-talk radio programme âÂÂUmoyo nkukambiranaâÂÂ. A mixed-methods evaluation." Public Understanding of Science no.
27 (2):229-242. Doi. 10.1177/096366251665611079.
Redfern, et al. Spreading the message of antimicrobial resistance. A detailed account of a successful public engagement event.80.
Sungjong Roh et al. (2018). "Public understanding of One Health messages.
The role of temporal framing." Public Understanding of Science no. 27 (2):185-196. Doi.
10.1177/096366251667080581. Tindana, et al., Grand challenges in global health. Community engagement in research in developing countries.82.
Mpoe Johannah Keikelame and Leslie Swartz (2019). "Decolonising research methodologies. Lessons from a qualitative research project, Cape Town, South Africa." Global Health Action no.
12 (1):1561175. Doi. 10.1080/16549716.2018.156117583.
Keymanthri Moodley and Shenuka Singh (2016). "âÂÂItâÂÂs all about trustâÂÂ. Reflections of researchers on the complexity and controversy surrounding biobanking in South Africa." BMC Medical Ethics no.
Seye Abimbola (2020). "Beyond positive a priori bias. Reframing community engagement in LMICs (epub ahead of print)." Health Promotion International.
Doi. 10.1093/heapro/daz02385. Keikelame and Swartz, Decolonising research methodologies.
Lessons from a qualitative research project, Cape Town, South Africa.86. Kenneth M Boyd (2000). "Disease, illness, sickness, health, healing and wholeness.
Exploring some elusive concepts." Medical Humanities no. 26 (1):9-17. Doi.
10.1136/mh.26.1.987. Hume, et al., Biomedicine and the humanities. Growing pains.88.
I Bamforth (2000). "Kafka's uncle. Scenes from a world of trust infected by suspicion." Ibid.
10.1136/mh.26.2.8589. Wistrand, When doctors are patients. A narrative study of help-seeking behaviour among addicted physicians.90.
Garden, Social studies. The humanities, narrative, and the social context of the patient-professional relationship.91. A Harpin (2016).
"Broadmoor performed. A theatrical hospital." In The Edinburgh companion to the critical medical humanities, edited by Whitehead, Woods, Atkinson, Macnaughton and Richards, 577-595. Edinburgh.
Edinburgh University Press.92. Jordanova, Medicine and the visual arts.93. Stahl and Stahl, Seeing illness in art and medicine.
A patient and printmaker collaboration.94. K G Sweeney et al. (2001).
"A comparison of professionals' and patients' understanding of asthma. Evidence of emerging dualities?. " Ibid.
10.1136/mh.27.1.2095. Treffry-Goatley, et al., Community engagement with HIV drug adherence in rural South Africa. A transdisciplinary approach.96.
An argument against competence." In The Edinburgh companion to the critical medical humanities, edited by Whitehead, Woods, Atkinson, Macnaughton and Richards, 541-558. Edinburgh. Edinburgh University Press.97.
L Jerke, M. Prendergast, and W. Dobson (2018).
"Smoking cessation in mental health communities. A living newspaper applied theatre project." In Creating social change through creativity. Anti-oppressive arts-based research methodologies, edited by Capous-Desyllas and Morgaine, 171-186.
A comparison of professionals' and patients' understanding of asthma. Evidence of emerging dualities?. 99.
S Switzer (2018). "WhatâÂÂs in an image?. Towards a critical and interdisciplinary reading of participatory visual methods." In Creating social change through creativity.
Anti-oppressive arts-based research methodologies, edited by Capous-Desyllas and Morgaine, 189-207. Cham. Springer.100.
Cole and Gallagher, Narrative and clinical neuroscience. Can phenomenologically informed approaches and empirical work cross-fertilise?. , 378.101.
Cole, et al. Medical humanities. An introduction.102.
J Herman (2001). "Medicine. The science and the art." Medical Humanities no.
[Viney, et al. Critical medical humanities. Embracing entanglement, taking risks.104.
Design and methods. Thousand Oaks, CA. Sage.105.
L Gilman (2015). Illness and image. Case studies in the medical humanities.
HarbarthM Haughton (2018). Staging trauma. Bodies in shadow.
London. Palgrave Macmillan.108. S Hodge, J Robinson, and P Davis (2007).
"Reading between the lines. The experiences of taking part in a community reading project." Medical Humanities no. 33 (2):100-104.
Doi. 10.1136/jmh.2006.000256109. Hume, et al.
Biomedicine and the humanities. Growing pains.110. Saam Idelji-Tehrani and Muna Al-Jawad (2019).
"Exploring gendered leadership stereotypes in a shared leadership model in healthcare. A case study." Ibid. No.
45:388-398. Doi. 10.1136/medhum-2018-011517111.
Suze M P J Jans et al. (2012). "A case study of haemoglobinopathy screening in the Netherlands.
Witnessing the past, lessons for the future." Ethnicity &. Health no. 17 (3):217-239.
Doi. 10.1080/13557858.2011.604126112. Hume, et al., Biomedicine and the humanities.
Growing pains.113. Cole and Gallagher, Narrative and clinical neuroscience. Can phenomenologically informed approaches and empirical work cross-fertilise?.
114. Macnaughton and Carel, Breathing and breathlessness in clinic and culture. Using critical medical humanities to bridge an epistemic gap.115.
Pelto and Pelto, Studying knowledge, culture, and behavior in applied medical anthropology.116. Prior, Belief, knowledge and expertise. The emergence of the lay expert in medical sociology.117.
Gilman, Illness and image. Case studies in the medical humanities.118. Cole and Gallagher, Narrative and clinical neuroscience.
Can phenomenologically informed approaches and empirical work cross-fertilise?. 119. Macnaughton and Carel, Breathing and breathlessness in clinic and culture.
Using critical medical humanities to bridge an epistemic gap.120. C Teddlie and A. Tashakkori (2009).
Foundations of mixed methods research. Integrating quantitative and qualitative approaches in the social and behavioral sciences. Thousand Oaks, CA.
Sage.121. Macnaughton and Carel, Breathing and breathlessness in clinic and culture. Using critical medical humanities to bridge an epistemic gap.122.
Gian Luca Barbieri et al. (2016). "Imagination in narrative medicine." Journal of Child Health Care no.
20 (4):419-427. Doi. 10.1177/1367493515625134123.
Treffry-Goatley, et al. Community engagement with HIV drug adherence in rural South Africa. A transdisciplinary approach.124.
WHO (2016). World Antibiotic Awareness Week. 2016 campaign toolkit.
Geneva. World Health Organization.125. Across the three villages, 67% of the workshop attendees were female and the average age of the attendees was 44 years (range.
18 to 81 years. Based on subsequently collected survey data).126. Nutcha Charoenboon et al.
(2019)127. We thank an anonymous reviewer for highlighting the potential hazards of reproducing hierarchies through methods intended to challenge them in the first place.128. The research was reviewed and approved by the University of Oxford Tropical Research Ethics Committee (Ref.
OxTREC 528-17), and it received local ethical approval in Thailand from the Mae Fah Luang University Research Ethics Committee on Human Research (Ref. REH 60099). The service evaluation of the photo exhibition involved anonymised data collection and received a waiver for ethical approval from the University of Warwick Humanities &.
Social Sciences Research Ethics Committee (HSSREC). However, all evaluation form respondents explicitly consented to the data being reported in research publications.129. Marco J Haenssgen et al.
(2018)130. National Statistical Office (2012). The 2010 population and housing census.
Changwat Chiang Rai. Bangkok. National Statistical Office.131.
Data on the individual level would entail duplication of observations should both census survey rounds be included. Step-level data were aggregated on the illness level for analysis.132. Claire Charlotte McKechnie (2014).
"Anxieties of communication. The limits of narrative in the medical humanities." Medical Humanities no. 40 (2):119-124.
Doi. 10.1136/medhum-2013-010466133. Carusi, Modelling systems biomedicine.
Intertwinement and the 'real'.134. Garden, Social studies. The humanities, narrative, and the social context of the patient-professional relationship.135.
Emma Sacks et al. (2018). "Beyond the building blocks.
Integrating community roles into health systems frameworks to achieve health for all." BMJ Global Health no. 3 (Suppl. 3):e001384.
Doi. 10.1136/bmjgh-2018-001384136. Sudhinaraset, et al.
What is the role of informal healthcare providers in developing countries?. A systematic review.137. G Bloom et al.
(2015). Addressing resistance to antibiotics in pluralistic health systems. Brighton.
University of Sussex138. WHO (2007). Strengthening health systems to improve health outcomes.
WHOâÂÂs framework for action. Geneva. World Health Organization.139.
Jordanova, Medicine and the visual arts.140. Macnaughton and Carel, Breathing and breathlessness in clinic and culture. Using critical medical humanities to bridge an epistemic gap.141.
A Bleakley (2014). Ibid. "Towards a 'critical medical humanities'." In, 17-26.142.
Hume, et al., Biomedicine and the humanities. Growing pains.143. Nutcha Charoenboon et al.
(2019)144. Marco Haenssgen et al. (2018)145.
WHO, World Antibiotic Awareness Week. 2016 campaign toolkit.146. The questionnaire did so by showing all survey respondents three images of common antibiotic capsules being used in Chiang Rai (green-blue.
White-blue. AzithromycinâÂÂsee questionnaire page 10 in the online supplementary material). Respondents were asked to name what they saw, and all their answers were recorded (field-coded and as free text).147.
The âÂÂdesirabilityâ of the responses was field coded by the survey team. Sample responses (as instructed through the survey manual) for âÂÂdesirableâ answers included, for example, âÂÂOnly if the doctor says that I shouldâÂÂ. Sample responses for âÂÂundesirableâ answers included âÂÂYes, you can buy it in the shop over there!.
àThe variable should be interpreted as âÂÂthe fraction of respondents who uttered a âÂÂdesirableâ responseâÂÂâÂÂthe inverse is the fraction of responses that could not be deemed âÂÂdesirableâ (eg, âÂÂdo not knowâ or âÂÂno opinionâÂÂ).148. Because recalled descriptions of medicine tend to be ambiguous, we limited our analysis to medicines where we had a high degree of certainty that they were an antibiotic. This was specifically the case if survey respondents mentioned common antibiotic descriptions such as âÂÂanti-inflammatoryâÂÂ, âÂÂamoxiâ or âÂÂcolemâÂÂ, if they indicated explicitly that they know what âÂÂanti-inflammatory medicineâ is (noting that the term describes antibiotics unambiguously in Thai), and if they subsequently mentioned any of the previously mentioned antibiotics during their description of an illness episode (conversely, we excluded cases were the medicine could not be confirmed as either antibiotic or non-antibiotic, including descriptions like âÂÂwhite powderâ or âÂÂgreen capsuleâÂÂ).149.
Aristotle (1954). Rhetoric. Translated by Roberts.
New York, NY. Modern Library. Original edition, 350 BC.150.
Arya Nielsen et al. (2007). "The effect of gua sha treatment on the microcirculation of surface tissue.
A pilot study in healthy subjects." EXPLORE no. 3 (5):456-466. Doi.
10.1016/j.explore.2007.06.001151. Nithima Sumpradit et al. (2012).
"Antibiotics Smart Use. A workable model for promoting the rational use of medicines in Thailand." Bulletin of the World Health Organization no. 90 (12):905-913.
Doi. 10.2471/BLT.12.105445152. C Muksong and K.
Chuengsatiansup (2020). Forthcoming. "Medicine and public health in Thai historiography.
From an elitist view to counter-hegemonic discourse." In Health, pluralism and globalisation. A modern history of medicine in South-East Asia, edited by Monnais and Cook. London.
The Wellcome Trust Centre for the History.153. L Sringernyuang (2000). Availability and use of medicines in rural Thailand.
Amsterdam. Amsterdam Institute for Social Science Research.154. Although this was not the focus of the current paper, we note for full disclosure that the workshops, too, had mixed behavioural impacts.
The poster making sessions in Chiang Rai demonstrated for instance how our conversations about drug resistance and the introduction of messages from the World Health Organization entailed at times problematic interpretations like, âÂÂYou shouldnâÂÂt take medicines that you have never seen beforeâÂÂâÂÂthe research team responded to such interpretations directly in order to avoid misunderstandings. In addition, previous behavioural analyses documented that, while workshop participants demonstrated higher levels of awareness of drug resistance, alignment of antibiotic use with global health recommendations was mixed, and in one case, a villager started selling antibiotics after the workshop. For more details on the behavioural analysis, see Nutcha Charoenboon et al.
(2019) and Marco Haenssgen et al. (2018).155. For example, Redfern, et al., Spreading the message of antimicrobial resistance.
A detailed account of a successful public engagement event.156. Antoine Boivin et al. (2018).
2018. "Patient and public engagement in research and health system decision making. A systematic review of evaluation tools (epub ahead of print)." Health Expectations.
Doi. 10.1111/hex.12804157. Staniszewska, et al.
GRIPP2 reporting checklists. Tools to improve reporting of patient and public involvement in research.158. Jerke, et al.
Smoking cessation in mental health communities. A living newspaper applied theatre project.159. Switzer, WhatâÂÂs in an image?.
Towards a critical and interdisciplinary reading of participatory visual methods.160. R. C Barfield and L.
Selman (2014). "Health and humanities. Spirituality and religion." In Health humanities reader, edited by Jones, Wear, Friedman and Pachucki, 376-386.
New Brunswick, NJ. Rutgers University Press.161. Abimbola, Beyond positive a priori bias.
Reframing community engagement in LMICs (epub ahead of print), 1.162. Marco J Haenssgen et al. (2019)163.
Marc Mendelson et al. (2017). "Antibiotic resistance has a language problem." Nature no.
Haak and Radyowijati, Determinants of antimicrobial use. Poorly understood, poorly researched.165. S Harbarth and D.
L. Monnet (2008). "Cultural and socioeconomic determinants of antibiotic use." In Antibiotic Policies.
Fighting Resistance, edited by Gould and van der Meer, 29-40. Boston, MA. Springer.166.
K Sirijoti, P. Havanond Hongsranagon, and W. Pannoi (2014).
"Assessment of knowledge attitudes and practices regarding antibiotic use in Trang province, Thailand." Journal of Health Research no. 28 (5):299-307.167. Ramona K C Finnie et al.
(2011). "Factors associated with patient and health care system delay in diagnosis and treatment for TB in sub-Saharan African countries with high burdens of TB and HIV." Tropical Medicine &. International Health no.
16 (4):394-411. Doi. 10.1111/j.1365-3156.2010.02718.x168.
Haak and Radyowijati, Determinants of antimicrobial use. Poorly understood, poorly researched.169. Chandler, Current accounts of antimicrobial resistance.
Stabilisation, individualisation and antibiotics as infrastructure, 5.170. S Willson and K. Miller (2014).
"Data collection." In Cognitive interviewing methodology. A sociological approach for survey question evaluation, edited by Miller, Willson, Chepp and Padilla, 15-34. Hoboken, NJ.
Wiley.171. See Linda Mayoux and Robert Chambers (2005). "Reversing the paradigm.
Quantification, participatory methods and pro-poor impact assessment." Journal of International Development no. 17 (2):271-298. Doi.
10.1002/jid.1214172. Howard S. Becker (1995).
"Visual sociology, documentary photography, and photojournalism. It's (almost) all a matter of context." Visual Sociology no. 10 (1-2):5-14.
Doi. 10.1080/14725869508583745173. J Prosser and D.
Schwartz (2005). "Photographs and the sociological research process." In Image-based research. A sourcebook for qualitative researchers, edited by Prosser, 101-115.
Community engagement with HIV drug adherence in rural South Africa. A transdisciplinary approach.175. Switzer, WhatâÂÂs in an image?.
Towards a critical and interdisciplinary reading of participatory visual methods.176. Hume, et al. Biomedicine and the humanities.
Growing pains.177. Jordanova, Medicine and the visual arts, 60.178. Bleakley, Towards a 'critical medical humanities'.179.
Nutcha Charoenboon et al. (2019)180. Hume, et al.
Biomedicine and the humanities. Growing pains.181. J.
P Ansloos (2018). ÃÂÂTo speak in our own ways about the world, without shameâÂÂ. Reflections on indigenous resurgence in anti-oppressive research.â In Creating social change through creativity.
Anti-oppressive arts-based research methodologies, edited by Capous-Desyllas and Morgaine, 3-18. Cham. Springer.182.
Marco J Haenssgen (2019)183. Michael Etherton and Tim Prentki (2006). "Drama for change?.
Prove it!. Impact assessment in applied theatre." Research in Drama Education. The Journal of Applied Theatre and Performance no.
11 (2):139-155. Doi. 10.1080/13569780600670718184.
Susan Galloway (2009). "Theory-based evaluation and the social impact of the arts." Cultural Trends no. 18 (2):125-148.
Doi. 10.1080/09548960902826143185. Darquise Lafrenière and Susan M Cox (2013).
"âÂÂIf you can call it a poemâÂÂ. Toward a framework for the assessment of arts-based works." Qualitative Research no. 13 (3):318-336.
"Geographies of power, legacies of mistrust. Colonial medicine in the global present." Historical Geography no. 34:26-48.2.
Bridget Pratt et al. (2018). "Exploring the ethics of global health research priority-setting." BMC Medical Ethics no.
Richard Horton (2013). "Offline. Is global health neocolonialist?.
10.1016/S0140-6736(13)62379-X4. Anonymous (2019). "Editorial.
Break with tradition. The World Health OrganizationâÂÂs decision about traditional Chinese medicine could backfire." Nature no. 570:5.5.
S. S Amrith (2006). Decolonizing international health.
India and Southeast Asia, 1930âÂÂ65. London. Palgrave Macmillan.6.
Arturo Escobar and A Escobar (1984). "Discourse and power in development. Michel Foucault and the relevance of his work to the third world." Alternatives no.
10 (3):377-400. Doi. 10.1177/0304375484010003047.
UNDG (2013). A million voices. The world we want.
A sustainable future with dignity for all. New York, NY. United Nations Development Group.8.
WHO (2019). Speech by the Director-General. Transforming for impact 2019 (cited 10 March 2019).
Available from. Https://www.who.int/dg/speeches/detail/transforming-for-impact.9. R.
C Keller (2006). Geographies of power, legacies of mistrust. Colonial medicine in the global present.10.
Mishal S Khan et al. (2019). Durrance-Bagale, H.
Legido-Quigley "âÂÂLMICs as reservoirs of AMRâÂÂ. A comparative analysis of policy discourse on antimicrobial resistance with reference to Pakistan." Health Policy and Planning no. 34 (3):178âÂÂ187.
Doi. 10.1093/heapol/czz02211. Clare I R Chandler (2019).
"Current accounts of antimicrobial resistance. Stabilisation, individualisation and antibiotics as infrastructure." Palgrave Communications no. 5 (1):53.
Doi. 10.1057/s41599-019-0263-412. In the area of antimicrobial use for human health, other problem areas include, for example, public hygiene and disease prevention, regulated access to medicines, disease diagnosis, or market conditions for the development of new antimicrobials.
The Review on Antimicrobial Resistance (2016). Tackling drug-resistant s globally. Final report and recommendations.
London. The UK Prime Minister, WHO (2015b). Global action plan on antimicrobial resistance.
Geneva. World Health Organization, Conan MacDougall and Ron E Polk (2005). "Antimicrobial stewardship programs in health care systems." Clinical Microbiology Reviews no.
18 (4):638-656. Doi. 10.1128/CMR.18.4.638-656.2005.13.
The Review on Antimicrobial Resistance. Tackling drug-resistant s globally. Final report and recommendations.14.
WHO, Global action plan on antimicrobial resistance.15. Maria R Gualano et al. (2015).
"General population's knowledge and attitudes about antibiotics. A systematic review and meta-analysis." Pharmacoepidemiology and Drug Safety no. 24 (1):2-10.
Radyowijati (2010). "Determinants of antimicrobial use. Poorly understood, poorly researched." In Antimicrobial resistance in developing countries, edited by Sosa, Byarugaba, Amábile-Cuevas, Hsueh, Kariuki and Okeke, 283-300.
New York, NY. Springer.17. These problems persist despite encouraging trends.
For example, the field is becoming increasingly multidisciplinary through the involvement of several United Nations agencies alongside WHO in governing AMR, and AMR policy narratives are slowly broadening the hitherto hyper-individualised and behaviour change focus of global action plans. Connor Rochford et al. (2018).
"Global governance of antimicrobial resistance." The Lancet no. 391 (10134):1976-1978. Doi.
10.1016/S0140-6736(18)31117-6, WHO, FAO, and OIE (2018). Monitoring global progress on addressing antimicrobial resistance. Analysis report of the second round of results of AMR country self-assessment survey 2018.
Geneva. World Health Organization, Food and Agriculture Organization of the United Nations and World Organisation for Animal Health (OIE), WHO (2017). Antimicrobial Resistance Behaviour Change first informal technical consultation, 6-7 November, 2017 Château de Penthes, Geneva.
Meeting Report. Geneva. World Health Organization, Elise Klein and China Mills (2017).
"Psy-expertise, therapeutic culture and the politics of the personal in development." Third World Quarterly no. 38 (9):1990-2008. Doi.
10.1080/01436597.2017.131927718. Emma R M Cohen et al. (2008).
"Public engagement on global health challenges." BMC Public Health no. 8 (168). Doi.
10.1186/1471-2458-8-16819. B Hamlyn et al. (2015).Factors affecting public engagement by researchers.
A study on behalf of a consortium of UK public research funders. London. TNS20.
Research Councils UK (2011) Concordat for engaging the public with research. Research Councils UK. Swindon.21.
Building an engaged future for UK higher education. Full report from the Engaged Futures consultation. Bristol.
National Co-ordinating Centre for Public Engagement.22. Also referred to as âÂÂcommunity engagementâÂÂ, âÂÂpatient and public involvementâ (PPI) in research, or in some instances also as participatory research. S.
Staniszewska et al. (2017). "GRIPP2 reporting checklists.
Tools to improve reporting of patient and public involvement in research." Research Involvement and Engagement no. 3 (13). Doi.
10.1186/s40900-017-0062-2, Jo Brett et al. (2014). "Mapping the impact of patient and public involvement on health and social care research.
A systematic review." Health Expectations no. 17 (5):637-650. Doi.
10.1111/j.1369-7625.2012.00795.x, Paulina O Tindana et al. (2007). "Grand challenges in global health.
Community engagement in research in developing countries." PLOS Medicine no. 4 (e273). Doi.
10.1371/journal.pmed.0040273, F Darroch and A. Giles (2014). "Decolonizing health research.
Community-based participatory research and postcolonial feminist theory." Canadian Journal of Action Research no. 15 (3):22-36.23. J Redfern et al.
(2018). "Spreading the message of antimicrobial resistance. A detailed account of a successful public engagement event." FEMS Microbiology Letters no.
Victoria Jane Hume et al. (2018). "Biomedicine and the humanities.
Growing pains." Medical Humanities no. 44 (4):230-238. Doi.
10.1136/medhum-2018-01148125. Astrid Treffry-Goatley et al. (2018).
Ibid. "Community engagement with HIV drug adherence in rural South Africa. A transdisciplinary approach." 239-246.
Doi. 10.1136/medhum-2018-01147426. L Jordanova (2014).
"Medicine and the visual arts." In Medicine, health and the arts. Approaches to medical humanities, edited by Bates, Bleakley and Goodman, 41-63. Abingdon.
Routledge.27. Angela Ross Perfetti (2018). "Fate and the clinic.
A multidisciplinary consideration of fatalism in health behaviour." Medical Humanities no. 44 (1):59-62. Doi.
10.1136/medhum-2017-01131928. Devan Stahl et al. (2016).
"Seeing illness in art and medicine. A patient and printmaker collaboration." Ibid. No.
42 (3):155-159. Doi. 10.1136/medhum-2015-01083829.
Jonatan Wistrand and J Wistrand (2017). "When doctors are patients. A narrative study of help-seeking behaviour among addicted physicians." Ibid.
Carson (2015). Medical humanities. An introduction.
New York, NY. Cambridge University Press.31. Daniel Holman and Erica Borgstrom (2016).
"Applying social theory to understand health-related behaviours." Medical Humanities no. 42 (2):143-145. Doi.
10.1136/medhum-2015-01068832. Hume, et al., Biomedicine and the humanities. Growing pains.33.
A Carusi (2016). "Modelling systems biomedicine. Intertwinement and the 'real'." In The Edinburgh companion to the critical medical humanities, edited by Whitehead, Woods, Atkinson, Macnaughton and Richards, 50-65.
Edinburgh. Edinburgh University Press.34. Jordanova, Medicine and the visual arts.35.
Stahl and Stahl, Seeing illness in art and medicine. A patient and printmaker collaboration.36. William Viney et al.
(2015). "Critical medical humanities. Embracing entanglement, taking risks." Ibid.
10.1136/medhum-2015-01069237. J Cole and S. Gallagher (2016).
"Narrative and clinical neuroscience. Can phenomenologically informed approaches and empirical work cross-fertilise?. " In The Edinburgh companion to the critical medical humanities, edited by Whitehead, Woods, Atkinson, Macnaughton and Richards, 377-394.
Edinburgh. Edinburgh University Press.38. J Macnaughton and H.
Carel (2016). Ibid."Breathing and breathlessness in clinic and culture. Using critical medical humanities to bridge an epistemic gap." In, 294-309.39.
P J Pelto and G H Pelto (1997). 1997. "Studying knowledge, culture, and behavior in applied medical anthropology." Medical Anthropology Quarterly no.
11 (2):147-163.40. Lindsay Prior (2003) "Belief, knowledge and expertise. The emergence of the lay expert in medical sociology." Sociology of Health &.
10.1111/1467-9566.0033941. E Oliveira and J. Vearey (2018).
"Making research and building knowledge with communities. Examining three participatory visual and narrative projects with migrants who sell sex in South Africa." In Creating social change through creativity. Anti-oppressive arts-based research methodologies, edited by Capous-Desyllas and Morgaine, 265-287.
Cham. Springer.42. Komatra Chuengsatiansup and Wirun Limsawart (2019).
"Tuberculosis in the borderlands. Migrants, microbes and more-than-human borders." Palgrave Communications no. 5 (1):31.
Doi. 10.1057/s41599-019-0239-443. R Garden (2014).
"Social studies. The humanities, narrative, and the social context of the patient-professional relationship." In Health humanities reader, edited by Jones, Wear, Friedman and Pachucki, 127-137. New Brunswick, NJ.
Rutgers University Press.44. Holman and Borgstrom, Applying social theory to understand health-related behaviours.45. Claas Kirchhelle (2018).
"Pharming animals. A global history of antibiotics in food production (1935âÂÂ2017)." Palgrave Communications no. 4 (96).
Doi. 10.1057/s41599-018-0152-246. Hannah Landecker (2019).
"Antimicrobials before antibiotics. War, peace, and disinfectants." Ibid. No.
Sue Walker (2019). Ibid."Effective antimicrobial resistance communication. The role of information design." 24.
Doi. 10.1057/s41599-019-0231-z48. Pelto and Pelto, Studying knowledge, culture, and behavior in applied medical anthropology.49.
May Sudhinaraset et al. (2013). "What is the role of informal healthcare providers in developing countries?.
A systematic review." PLoS ONE no. 8 (2):e54978. Doi.
10.1371/journal.pone.005497850. Viroj Tangcharoensathien, Sunicha Chanvatik, and Angkana Sommanustweechai (2018). "Complex determinants of inappropriate use of antibiotics." Bulletin of the World Health Organization no.
96 (2):141-144. Doi. 10.2471/BLT.17.19968751.
WHO (2015a). Antibiotic resistance. Multi-country public awareness survey.
Geneva. World Health Organization.52. WHO, Antibiotic resistance.
Multi-country public awareness survey, 42.53. Gualano, et al. General population's knowledge and attitudes about antibiotics.
A systematic review and meta-analysis.54. Edward A Belongia et al. (2002).
"Antibiotic use and upper respiratory s. A survey of knowledge, attitudes, and experience in Wisconsin and Minnesota." Preventive Medicine no. 34 (3):346-352.
Doi. 10.1006/pmed.2001.099255. Miao Yu et al.
(2014). "Knowledge, attitudes, and practices of parents in rural China on the use of antibiotics in children. A cross-sectional study." BMC Infectious Diseases no.
Abdelmoneim Ismail Awad and Esraa Abdulwahid Aboud (2015). "Knowledge, attitude and practice towards antibiotic use among the public in Kuwait." PLoS ONE no. 10 (2):e0117910.
Doi. 10.1371/journal.pone.011791057. Chandler, Current accounts of antimicrobial resistance.
Stabilisation, individualisation and antibiotics as infrastructure.58. Jie Chang et al. (2018).
"Non-prescription use of antibiotics among children in urban China. A cross-sectional survey of knowledge, attitudes, and practices." Expert Review of Anti-infective Therapy no. 16 (2):163-172.
Doi. 10.1080/14787210.2018.142561659. Gualano, et al.
General population's knowledge and attitudes about antibiotics. A systematic review and meta-analysis.60. A R McCullough et al.
(2016). "A systematic review of the public's knowledge and beliefs about antibiotic resistance." Journal of Antimicrobial Chemotherapy no. 71 (1):27-33.
Doi. 10.1093/jac/dkv31061. Abel Santiago Muri-Gama, Albert Figueras, and Silvia Regina Secoli (2018).
"Inappropriately prescribed and over-the-counter antimicrobials in the Brazilian Amazon Basin. We need to promote more rational use even in remote places." PLoS ONE no. 13 (e0201579).
Doi. 10.1371/journal.pone.020157962. A Launiala (2009).
"How much can a KAP survey tell us about people's knowledge, attitudes and practices?. Some observations from medical anthropology research on malaria in pregnancy in Malawi." Anthropology Matters no. 11 (1).63.
Achieving the balance between access and excess." The Lancet no. 387 (10014):102-104. Doi.
10.1016/S0140-6736(15)00729-164. C Olivier et al. (2010).
"Containing global antibiotic resistance. Ethical drug promotion in the developing world." In Antimicrobial resistance in developing countries, edited by Sosa, Byarugaba, Amábile-Cuevas, Hsueh, Kariuki and Okeke, 505-524. New York, NY.
Springer.65. Chandler, Current accounts of antimicrobial resistance. Stabilisation, individualisation and antibiotics as infrastructure.66.
Chandler, Current accounts of antimicrobial resistance. Stabilisation, individualisation and antibiotics as infrastructure.67. Steve Hinchliffe, Andrea Butcher, and Muhammad Meezanur Rahman (2018).
"The AMR problem. Demanding economies, biological margins, and co-producing alternative strategies." Ibid. No.
Chuengsatiansup and Limsawart, Tuberculosis in the borderlands. Migrants, microbes and more-than-human borders.69. Khan, et al, âÂÂLMICs as reservoirs of AMRâÂÂ.
A comparative analysis of policy discourse on antimicrobial resistance with reference to Pakistan.70. Didier Wernli et al. (2017).
"Mapping global policy discourse on antimicrobial resistance." BMJ Global Health no. 2 (e000378). Doi.
10.1136/bmjgh-2017-00037871. Nancy J Hawkings, Fiona Wood, and Christopher C Butler (2007). "Public attitudes towards bacterial resistance.
A qualitative study." Journal of Antimicrobial Chemotherapy no. 59 (6):1155-1160. Doi.
10.1093/jac/dkm10372. McCullough, et al. A systematic review of the public's knowledge and beliefs about antibiotic resistance.73.
Muri-Gama, et al. Inappropriately prescribed and over-the-counter antimicrobials in the Brazilian Amazon Basin. We need to promote more rational use even in remote places.74.
David G Allison et al. (2017). "Antibiotic resistance awareness.
A public engagement approach for all pharmacists." International Journal of Pharmacy Practice no. 25 (1):93-96. Doi.
10.1111/ijpp.1228775. Mark Davis et al. (2018).
"Understanding media publics and the antimicrobial resistance crisis." Global Public Health no. 13 (9):1158-1168. Doi.
10.1080/17441692.2017.133624876. Simon J Howard et al. (2013).
"Antibiotic resistance. Global response needed." The Lancet Infectious Diseases no. 13 (12):1001-1003.
Doi. 10.1016/S1473-3099(13)70195-677. Renly Lim et al.
(2016). "Village drama against malaria." The Lancet no. 388 (10063):2990.
Doi. 10.1016/S0140-6736(16)32519-378. Deborah Nyirenda et al.
(2018). "Public engagement in Malawi through a health-talk radio programme âÂÂUmoyo nkukambiranaâÂÂ. A mixed-methods evaluation." Public Understanding of Science no.
27 (2):229-242. Doi. 10.1177/096366251665611079.
Redfern, et al. Spreading the message of antimicrobial resistance. A detailed account of a successful public engagement event.80.
Sungjong Roh et al. (2018). "Public understanding of One Health messages.
The role of temporal framing." Public Understanding of Science no. 27 (2):185-196. Doi.
10.1177/096366251667080581. Tindana, et al., Grand challenges in global health. Community engagement in research in developing countries.82.
Mpoe Johannah Keikelame and Leslie Swartz (2019). "Decolonising research methodologies. Lessons from a qualitative research project, Cape Town, South Africa." Global Health Action no.
12 (1):1561175. Doi. 10.1080/16549716.2018.156117583.
Keymanthri Moodley and Shenuka Singh (2016). "âÂÂItâÂÂs all about trustâÂÂ. Reflections of researchers on the complexity and controversy surrounding biobanking in South Africa." BMC Medical Ethics no.
Seye Abimbola (2020). "Beyond positive a priori bias. Reframing community engagement in LMICs (epub ahead of print)." Health Promotion International.
Doi. 10.1093/heapro/daz02385. Keikelame and Swartz, Decolonising research methodologies.
Lessons from a qualitative research project, Cape Town, South Africa.86. Kenneth M Boyd (2000). "Disease, illness, sickness, health, healing and wholeness.
Exploring some elusive concepts." Medical Humanities no. 26 (1):9-17. Doi.
10.1136/mh.26.1.987. Hume, et al., Biomedicine and the humanities. Growing pains.88.
I Bamforth (2000). "Kafka's uncle. Scenes from a world of trust infected by suspicion." Ibid.
10.1136/mh.26.2.8589. Wistrand, When doctors are patients. A narrative study of help-seeking behaviour among addicted physicians.90.
Garden, Social studies. The humanities, narrative, and the social context of the patient-professional relationship.91. A Harpin (2016).
"Broadmoor performed. A theatrical hospital." In The Edinburgh companion to the critical medical humanities, edited by Whitehead, Woods, Atkinson, Macnaughton and Richards, 577-595. Edinburgh.
Edinburgh University Press.92. Jordanova, Medicine and the visual arts.93. Stahl and Stahl, Seeing illness in art and medicine.
A patient and printmaker collaboration.94. K G Sweeney et al. (2001).
"A comparison of professionals' and patients' understanding of asthma. Evidence of emerging dualities?. " Ibid.
10.1136/mh.27.1.2095. Treffry-Goatley, et al., Community engagement with HIV drug adherence in rural South Africa. A transdisciplinary approach.96.
An argument against competence." In The Edinburgh companion to the critical medical humanities, edited by Whitehead, Woods, Atkinson, Macnaughton and Richards, 541-558. Edinburgh. Edinburgh University Press.97.
L Jerke, M. Prendergast, and W. Dobson (2018).
"Smoking cessation in mental health communities. A living newspaper applied theatre project." In Creating social change through creativity. Anti-oppressive arts-based research methodologies, edited by Capous-Desyllas and Morgaine, 171-186.
A comparison of professionals' and patients' understanding of asthma. Evidence of emerging dualities?. 99.
S Switzer (2018). "WhatâÂÂs in an image?. Towards a critical and interdisciplinary reading of participatory visual methods." In Creating social change through creativity.
Anti-oppressive arts-based research methodologies, edited by Capous-Desyllas and Morgaine, 189-207. Cham. Springer.100.
Cole and Gallagher, Narrative and clinical neuroscience. Can phenomenologically informed approaches and empirical work cross-fertilise?. , 378.101.
Cole, et al. Medical humanities. An introduction.102.
J Herman (2001). "Medicine. The science and the art." Medical Humanities no.
[Viney, et al. Critical medical humanities. Embracing entanglement, taking risks.104.
Design and methods. Thousand Oaks, CA. Sage.105.
L Gilman (2015). Illness and image. Case studies in the medical humanities.
HarbarthM Haughton (2018). Staging trauma. Bodies in shadow.
London. Palgrave Macmillan.108. S Hodge, J Robinson, and P Davis (2007).
"Reading between the lines. The experiences of taking part in a community reading project." Medical Humanities no. 33 (2):100-104.
Doi. 10.1136/jmh.2006.000256109. Hume, et al.
Biomedicine and the humanities. Growing pains.110. Saam Idelji-Tehrani and Muna Al-Jawad (2019).
"Exploring gendered leadership stereotypes in a shared leadership model in healthcare. A case study." Ibid. No.
45:388-398. Doi. 10.1136/medhum-2018-011517111.
Suze M P J Jans et al. (2012). "A case study of haemoglobinopathy screening in the Netherlands.
Witnessing the past, lessons for the future." Ethnicity &. Health no. 17 (3):217-239.
Doi. 10.1080/13557858.2011.604126112. Hume, et al., Biomedicine and the humanities.
Growing pains.113. Cole and Gallagher, Narrative and clinical neuroscience. Can phenomenologically informed approaches and empirical work cross-fertilise?.
114. Macnaughton and Carel, Breathing and breathlessness in clinic and culture. Using critical medical humanities to bridge an epistemic gap.115.
Pelto and Pelto, Studying knowledge, culture, and behavior in applied medical anthropology.116. Prior, Belief, knowledge and expertise. The emergence of the lay expert in medical sociology.117.
Gilman, Illness and image. Case studies in the medical humanities.118. Cole and Gallagher, Narrative and clinical neuroscience.
Can phenomenologically informed approaches and empirical work cross-fertilise?. 119. Macnaughton and Carel, Breathing and breathlessness in clinic and culture.
Using critical medical humanities to bridge an epistemic gap.120. C Teddlie and A. Tashakkori (2009).
Foundations of mixed methods research. Integrating quantitative and qualitative approaches in the social and behavioral sciences. Thousand Oaks, CA.
Sage.121. Macnaughton and Carel, Breathing and breathlessness in clinic and culture. Using critical medical humanities to bridge an epistemic gap.122.
Gian Luca Barbieri et al. (2016). "Imagination in narrative medicine." Journal of Child Health Care no.
20 (4):419-427. Doi. 10.1177/1367493515625134123.
Treffry-Goatley, et al. Community engagement with HIV drug adherence in rural South Africa. A transdisciplinary approach.124.
WHO (2016). World Antibiotic Awareness Week. 2016 campaign toolkit.
Geneva. World Health Organization.125. Across the three villages, 67% of the workshop attendees were female and the average age of the attendees was 44 years (range.
18 to 81 years. Based on subsequently collected survey data).126. Nutcha Charoenboon et al.
(2019)127. We thank an anonymous reviewer for highlighting the potential hazards of reproducing hierarchies through methods intended to challenge them in the first place.128. The research was reviewed and approved by the University of Oxford Tropical Research Ethics Committee (Ref.
OxTREC 528-17), and it received local ethical approval in Thailand from the Mae Fah Luang University Research Ethics Committee on Human Research (Ref. REH 60099). The service evaluation of the photo exhibition involved anonymised data collection and received a waiver for ethical approval from the University of Warwick Humanities &.
Social Sciences Research Ethics Committee (HSSREC). However, all evaluation form respondents explicitly consented to the data being reported in research publications.129. Marco J Haenssgen et al.
(2018)130. National Statistical Office (2012). The 2010 population and housing census.
Changwat Chiang Rai. Bangkok. National Statistical Office.131.
Data on the individual level would entail duplication of observations should both census survey rounds be included. Step-level data were aggregated on the illness level for analysis.132. Claire Charlotte McKechnie (2014).
"Anxieties of communication. The limits of narrative in the medical humanities." Medical Humanities no. 40 (2):119-124.
Doi. 10.1136/medhum-2013-010466133. Carusi, Modelling systems biomedicine.
Intertwinement and the 'real'.134. Garden, Social studies. The humanities, narrative, and the social context of the patient-professional relationship.135.
Emma Sacks et al. (2018). "Beyond the building blocks.
Integrating community roles into health systems frameworks to achieve health for all." BMJ Global Health no. 3 (Suppl. 3):e001384.
Doi. 10.1136/bmjgh-2018-001384136. Sudhinaraset, et al.
What is the role of informal healthcare providers in developing countries?. A systematic review.137. G Bloom et al.
(2015). Addressing resistance to antibiotics in pluralistic health systems. Brighton.
University of Sussex138. WHO (2007). Strengthening health systems to improve health outcomes.
WHOâÂÂs framework for action. Geneva. World Health Organization.139.
Jordanova, Medicine and the visual arts.140. Macnaughton and Carel, Breathing and breathlessness in clinic and culture. Using critical medical humanities to bridge an epistemic gap.141.
A Bleakley (2014). Ibid. "Towards a 'critical medical humanities'." In, 17-26.142.
Hume, et al., Biomedicine and the humanities. Growing pains.143. Nutcha Charoenboon et al.
(2019)144. Marco Haenssgen et al. (2018)145.
WHO, World Antibiotic Awareness Week. 2016 campaign toolkit.146. The questionnaire did so by showing all survey respondents three images of common antibiotic capsules being used in Chiang Rai (green-blue.
White-blue. AzithromycinâÂÂsee questionnaire page 10 in the online supplementary material). Respondents were asked to name what they saw, and all their answers were recorded (field-coded and as free text).147.
The âÂÂdesirabilityâ of the responses was field coded by the survey team. Sample responses (as instructed through the survey manual) for âÂÂdesirableâ answers included, for example, âÂÂOnly if the doctor says that I shouldâÂÂ. Sample responses for âÂÂundesirableâ answers included âÂÂYes, you can buy it in the shop over there!.
àThe variable should be interpreted as âÂÂthe fraction of respondents who uttered a âÂÂdesirableâ responseâÂÂâÂÂthe inverse is the fraction of responses that could not be deemed âÂÂdesirableâ (eg, âÂÂdo not knowâ or âÂÂno opinionâÂÂ).148. Because recalled descriptions of medicine tend to be ambiguous, we limited our analysis to medicines where we had a high degree of certainty that they were an antibiotic. This was specifically the case if survey respondents mentioned common antibiotic descriptions such as âÂÂanti-inflammatoryâÂÂ, âÂÂamoxiâ or âÂÂcolemâÂÂ, if they indicated explicitly that they know what âÂÂanti-inflammatory medicineâ is (noting that the term describes antibiotics unambiguously in Thai), and if they subsequently mentioned any of the previously mentioned antibiotics during their description of an illness episode (conversely, we excluded cases were the medicine could not be confirmed as either antibiotic or non-antibiotic, including descriptions like âÂÂwhite powderâ or âÂÂgreen capsuleâÂÂ).149.
Aristotle (1954). Rhetoric. Translated by Roberts.
New York, NY. Modern Library. Original edition, 350 BC.150.
Arya Nielsen et al. (2007). "The effect of gua sha treatment on the microcirculation of surface tissue.
A pilot study in healthy subjects." EXPLORE no. 3 (5):456-466. Doi.
10.1016/j.explore.2007.06.001151. Nithima Sumpradit et al. (2012).
"Antibiotics Smart Use. A workable model for promoting the rational use of medicines in Thailand." Bulletin of the World Health Organization no. 90 (12):905-913.
Doi. 10.2471/BLT.12.105445152. C Muksong and K.
Chuengsatiansup (2020). Forthcoming. "Medicine and public health in Thai historiography.
From an elitist view to counter-hegemonic discourse." In Health, pluralism and globalisation. A modern history of medicine in South-East Asia, edited by Monnais and Cook. London.
The Wellcome Trust Centre for the History.153. L Sringernyuang (2000). Availability and use of medicines in rural Thailand.
Amsterdam. Amsterdam Institute for Social Science Research.154. Although this was not the focus of the current paper, we note for full disclosure that the workshops, too, had mixed behavioural impacts.
The poster making sessions in Chiang Rai demonstrated for instance how our conversations about drug resistance and the introduction of messages from the World Health Organization entailed at times problematic interpretations like, âÂÂYou shouldnâÂÂt take medicines that you have never seen beforeâÂÂâÂÂthe research team responded to such interpretations directly in order to avoid misunderstandings. In addition, previous behavioural analyses documented that, while workshop participants demonstrated higher levels of awareness of drug resistance, alignment of antibiotic use with global health recommendations was mixed, and in one case, a villager started selling antibiotics after the workshop. For more details on the behavioural analysis, see Nutcha Charoenboon et al.
(2019) and Marco Haenssgen et al. (2018).155. For example, Redfern, et al., Spreading the message of antimicrobial resistance.
A detailed account of a successful public engagement event.156. Antoine Boivin et al. (2018).
2018. "Patient and public engagement in research and health system decision making. A systematic review of evaluation tools (epub ahead of print)." Health Expectations.
Doi. 10.1111/hex.12804157. Staniszewska, et al.
GRIPP2 reporting checklists. Tools to improve reporting of patient and public involvement in research.158. Jerke, et al.
Smoking cessation in mental health communities. A living newspaper applied theatre project.159. Switzer, WhatâÂÂs in an image?.
Towards a critical and interdisciplinary reading of participatory visual methods.160. R. C Barfield and L.
Selman (2014). "Health and humanities. Spirituality and religion." In Health humanities reader, edited by Jones, Wear, Friedman and Pachucki, 376-386.
New Brunswick, NJ. Rutgers University Press.161. Abimbola, Beyond positive a priori bias.
Reframing community engagement in LMICs (epub ahead of print), 1.162. Marco J Haenssgen et al. (2019)163.
Marc Mendelson et al. (2017). "Antibiotic resistance has a language problem." Nature no.
Haak and Radyowijati, Determinants of antimicrobial use. Poorly understood, poorly researched.165. S Harbarth and D.
L. Monnet (2008). "Cultural and socioeconomic determinants of antibiotic use." In Antibiotic Policies.
Fighting Resistance, edited by Gould and van der Meer, 29-40. Boston, MA. Springer.166.
K Sirijoti, P. Havanond Hongsranagon, and W. Pannoi (2014).
"Assessment of knowledge attitudes and practices regarding antibiotic use in Trang province, Thailand." Journal of Health Research no. 28 (5):299-307.167. Ramona K C Finnie et al.
(2011). "Factors associated with patient and health care system delay in diagnosis and treatment for TB in sub-Saharan African countries with high burdens of TB and HIV." Tropical Medicine &. International Health no.
16 (4):394-411. Doi. 10.1111/j.1365-3156.2010.02718.x168.
Haak and Radyowijati, Determinants of antimicrobial use. Poorly understood, poorly researched.169. Chandler, Current accounts of antimicrobial resistance.
Stabilisation, individualisation and antibiotics as infrastructure, 5.170. S Willson and K. Miller (2014).
"Data collection." In Cognitive interviewing methodology. A sociological approach for survey question evaluation, edited by Miller, Willson, Chepp and Padilla, 15-34. Hoboken, NJ.
Wiley.171. See Linda Mayoux and Robert Chambers (2005). "Reversing the paradigm.
Quantification, participatory methods and pro-poor impact assessment." Journal of International Development no. 17 (2):271-298. Doi.
10.1002/jid.1214172. Howard S. Becker (1995).
"Visual sociology, documentary photography, and photojournalism. It's (almost) all a matter of context." Visual Sociology no. 10 (1-2):5-14.
Doi. 10.1080/14725869508583745173. J Prosser and D.
Schwartz (2005). "Photographs and the sociological research process." In Image-based research. A sourcebook for qualitative researchers, edited by Prosser, 101-115.
Community engagement with HIV drug adherence in rural South Africa. A transdisciplinary approach.175. Switzer, WhatâÂÂs in an image?.
Towards a critical and interdisciplinary reading of participatory visual methods.176. Hume, et al. Biomedicine and the humanities.
Growing pains.177. Jordanova, Medicine and the visual arts, 60.178. Bleakley, Towards a 'critical medical humanities'.179.
Nutcha Charoenboon et al. (2019)180. Hume, et al.
Biomedicine and the humanities. Growing pains.181. J.
P Ansloos (2018). ÃÂÂTo speak in our own ways about the world, without shameâÂÂ. Reflections on indigenous resurgence in anti-oppressive research.â In Creating social change through creativity.
Anti-oppressive arts-based research methodologies, edited by Capous-Desyllas and Morgaine, 3-18. Cham. Springer.182.
Marco J Haenssgen (2019)183. Michael Etherton and Tim Prentki (2006). "Drama for change?.
Prove it!. Impact assessment in applied theatre." Research in Drama Education. The Journal of Applied Theatre and Performance no.
11 (2):139-155. Doi. 10.1080/13569780600670718184.
Susan Galloway (2009). "Theory-based evaluation and the social impact of the arts." Cultural Trends no. 18 (2):125-148.
Doi. 10.1080/09548960902826143185. Darquise Lafrenière and Susan M Cox (2013).
"âÂÂIf you can call it a poemâÂÂ. Toward a framework for the assessment of arts-based works." Qualitative Research no. 13 (3):318-336.