Well-being Forecasting using a Parametric Transfer-Learning method based on the Fisher Divergence and Hamiltonian Monte Carlo

INTRODUCTION: Traditional personalised modelling typically requires sufficient personal data for training. This is a challenge in healthcare contexts, e.g. when using smartphones to predict well-being. OBJECTIVE: A method to produce incremental patient-specific models and forecasts even in the early stages of data collection when the data are sporadic and limited. METHODS: We propose a parametric transfer-learning method based on the Fisher divergence, where information from other patients is injected as a prior term into a Hamiltonian Monte Carlo framework. We test our method on the NEVERMIND dataset of self-reported well-being scores. RESULTS: Out of 54 scenarios representing varying training/forecasting lengths and competing methods, our method achieved overall best performance in 50 (92.6%) and demonstrated a significant median difference in45 (83.3%). CONCLUSION: The method performs favourably overall, particularly when long-term forecasts are required given short-term data

The Impact of Vulvar Cancer on Psychosocial and Sexual Functioning: A Literature Review

SIMPLE SUMMARY: The diagnostic and therapeutic pathway of vulvar cancer impacts severely on the psychosocial and psychosexual equilibrium of women affected by it. The current literature shows the presence of depressive and anxious symptoms in association with physical, psychological and behavioural alterations in sexuality as well as deterioration of partner relationship. The aim of this article is to highlight the difficulties and challenges faced by women diagnosed and treated for vulvar cancer to provide early recognition and appropriate assistance. By implementing an integrated care model, it should be possible to detect unmet needs and improve the quality of life of these women. ABSTRACT: Women who are diagnosed and treated for vulvar cancer are at higher risk of psychological distress, sexual dysfunction and dissatisfaction with partner relationships. The aim of this article is to provide a review of the psychological, relational and sexual issues experienced by women with vulvar cancer in order to highlight the importance of this issue and improve the quality of care offered to these patients. A review of the literature was performed using PubMed, CINAHL, PsycINFO, and the Cochrane Library. The results are presented as a narrative synthesis and highlight the massive impact of vulvar cancer: depressive and anxiety symptoms were more frequent in these women, and vulvar cancer may have a negative effect on sexuality from a physical, psychological and behavioural point of view. Factors that may negatively affect these women’s lives are shame, insecurity or difficulties in self-care and daily activities. This review highlights the psychosocial and psychosexual issues faced by women diagnosed and treated for vulvar cancer, although more studies are needed to better investigate this field of interest and to identify strategies to relieve their psychological distress. Care providers should implement an integrated care model to help women with vulvar cancer recognise and address their unmet needs

Gender Differences in Anxiety and Depression before and after Alcohol Detoxification: Anxiety and Depression as Gender-Related Predictors of Relapse

The aim of this prospective study was to estimate gender differences in anxiety, depression, and alcohol use severity among patients with alcohol use disorder (AUD) before and after detoxification program and within 12 months after discharge