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A Randomized Controlled Trial of Mindfulness in Recovery from Colorectal Cancer

Chinese Journal of Integrative Medicine 2023年第7期29卷 590-599页

作者： Andrew McCombie Jennifer Jordan Roger Mulder Kishion Dee Ee Lin Ong Fernanda Fernandez Zimmermann chris frampton Frank Frizelle Te Whatu Ora(Health New Zealand)Waitaha Canterbury Christchurch 8011New Zealand University of Otago Christchurch 8140New Zealand The Psychology Hub Christchurch 8011New Zealand Oxford Mindfulness Centre University of OxfordOxfordOX12JDUnited Kingdom Nature and Nurture Sparks Christchurch 8013New Zealand University of Otago Dunedin(9016)New Zealand

Objective:This study examined whether a 4-week group-based mindfulness intervention would be superior in reducing psychological distress in colorectal cancer(CRC)patients compared to a psychoeducation and cognitive behavioural skills learning support active control group.Methods:Patients with CRC were randomized via Computerised Permuted Block Randomisation to mindfulness or active control groups(2-h weekly sessions over 4 weeks).Outcomes were measured pre-intervention,and 8 weeks and 6 months post-baseline.The primary outcome was psychological distress measured by the Hospital Anxiety and Depression Scale.Secondary outcomes were generic quality of life(QoL),disease specific QoL,mindfulness,and intervention credibility and acceptability.Results:Sixty-eight participants were randomized to mindfulness(n=35)or active control group(n=33).Uptake of potentially eligible patients consenting was low(28.0%)and the dropout rate was 33.8%.Depression scores were reduced in both groups at week 8(P=0.020).Control participants had greater improvement in generic mental QoL scores at week 8 than mindfulness(P=0.023).In disease specific QoL,there was reduction in impotence symptom in the mindfulness group(P=0.022)and reduction in faecal incontinence in the control group(P=0.019).The embarrassment symptom had a significantly lower increase in the mindfulness group at week 8 compared to the control group(P=0.009).Both groups rated the treatments as credible and acceptable.Conclusions:Mindfulness was not superior to the active control group in terms of alleviating psychological distress but both treatments were associated with some improvements in depression.There was low uptake of both interventions.(Trial registration number:ACTRN12616001033437)

关键词： anxiety colorectal cancer depression distress mindfulness psychoeducation psychology psychological distress randomized controlled trial quality of life

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软件:有效数字化广告牌背后的"大脑"

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现代显示 2008年第6期 20-23页

作者： chris frampton 黄秀兵丁娇娇袁军涛 Dynamax科技有限公司市场销售部北京科技大学

日益精密且成本逐渐下降的的显示技术使人们对下一代户内、户外广告的"数字化"充满了期待。然而运行显示网络必不可少的"大脑"是不容忽略的。下面综述了成功的数字广告系统的软件需求,以及这些系统的工作方式。

关键词：软件数字广告系统户内户外广告

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