Tuesday, July 25, 2023

Nutritional content of most milk alternatives doesn’t measure up to cow’s milk


Analysis of 200+ plant-based milk alternatives finds few contain the calcium, vitamin D, and protein of cow’s milk


Reports and Proceedings

AMERICAN SOCIETY FOR NUTRITION




More people are drinking milk alternatives made from plant sources such as oats, soy, or almonds, but do plant-based products deliver the same nutrition as cow’s milk? Results from a new study suggest that most don’t.

 

Cow’s milk is an important source of calcium and vitamin D, both of which are identified in the 2020-2025 Dietary Guidelines for Americans as nutrients of public health concern for underconsumption. Cow’s milk is also a major source of protein in the American diet.

 

To assess how the nutritional content of plant-based milk alternatives compares to that of cow’s milk, researchers examined more than 200 plant-based milk alternative products being sold in the U.S. in 2023 — many more products than were included in previous studies. Compared to cow’s milk, only 12% of the milk alternative products contained comparable or greater amounts of all three nutrients studied: calcium, vitamin D, and protein.

 

Abigail Johnson, assistant professor and associate director of the University of Minnesota School of Public Health Nutrition Coordinating Center, will present the findings at NUTRITION 2023, the annual flagship meeting of the American Society for Nutrition held July 22-25 in Boston.

 

“Our results provide evidence that many plant-based milk alternatives are not nutritionally equivalent to cow’s milk,” said Johnson. “Based on these findings, consumers should look for plant-based milk alternative products that list calcium and vitamin D as ingredients. They may also want to consider adding other sources of calcium and vitamin D to their diets.”

 

The University of Minnesota’s Nutrition Coordinating Center maintains a database of approximately 19,000 foods for assessing dietary intake in human research. “We know from our dietary assessments for nutrition studies that consumers are choosing more plant-based milk alternatives,” said Johnson. “This project aimed to increase the number of these milk alternatives available in the Nutrition Coordinating Center's database of foods.”

 

The study included nutrition information from nutrition facts labels and ingredient information for 233 plant-based milk alternative products from 23 different manufacturers. For each product, the researchers applied a nutrient calculation program to estimate full nutrient information. They then compared the nutritional content of different products within a category — for example, almond milk, oat milk, and soy milk — to each other and to cow's milk. Compared to dairy milk, just 28 of the plant-based alternatives had similar or more calcium, vitamin D and protein.

 

Almost two-thirds of the products included in the study were made from almonds, oats, or soy. The researchers found that 170 of the plant-based milk alternatives were fortified with both calcium and vitamin D and that the level of fortification tended to be similar to dairy milk. Specifically, 76% of the oat-based products, 69% of soy-based, and 66% of almond-based alternatives were fortified with both calcium and vitamin D. The median protein content was 2.0 grams (g) of protein per 240 milliliters (ml) of liquid, with a large variability that ranged from 0 to 12 g. Only 38 (16%) of the milk alternatives studied had a protein level greater than or equal to the 8 g per 240 ml found in cow’s milk. Soy- and pea-based alternatives were more likely to have higher protein.

 

“Our findings point to a need to ensure that consumers are aware that many plant-based milk alternative products in the marketplace today are not nutritionally equivalent to cow’s milk,” said Johnson. “Product labeling requirements and dietary guidance to the public are among the approaches that may be helpful in alerting and educating consumers.”

 

Next, the researchers plan to explore other nutrients in plant-based milk alternatives that make them different from cow’s milk. For example, many of these products contain fiber, suggesting that they may help meet some nutritional needs that cow’s milk doesn’t.

 

Johnson will present this research at 8:36 a.m. on Monday, July 24, during the Formulating for the Future: Food Science Approaches to Improving Human Nutrition Oral Session in the Sheraton Boston, Back Bay A (abstract; presentation details).

 

Please note that abstracts presented at NUTRITION 2023 were evaluated and selected by a committee of experts but have not generally undergone the same peer review process required for publication in a scientific journal. As such, the findings presented should be considered preliminary until a peer-reviewed publication is available.

 

About NUTRITION 2023

NUTRITION 2023 is the flagship meeting of the American Society for Nutrition and the premier educational event for nutritional professionals around the globe. NUTRITION brings together lab scientists, practicing clinicians, population health researchers, and community intervention investigators to identify solutions to today’s greatest nutrition challenges. Our audience also includes rising leaders in the field – undergraduate, graduate, and medical students. NUTRITION 2023 will be held July 22-25, 2023 in Boston. https://nutrition.org/N23 #Nutrition2023  

 

 

About the American Society for Nutrition (ASN)

ASN is the preeminent professional organization for nutrition scientists and clinicians around the world. Founded in 1928, the society brings together the top nutrition researchers, medical practitioners, policy makers and industry leaders to advance our knowledge and application of nutrition. ASN publishes four peer-reviewed journals and provides education and professional development opportunities to advance nutrition research, practice, and education. Since 2018, the American Society of Nutrition has presented NUTRITION, the leading global annual meeting for nutrition professionals.

 

Find more news briefs and tipsheets at: https://www.eurekalert.org/newsroom/nutrition2023.

 

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How people judge anti-vaxxers who die from COVID-19


Some believe those who reject vaccines deserve worse outcomes

Peer-Reviewed Publication

OHIO STATE UNIVERSITY



COLUMBUS, Ohio – When people who publicly reject COVID-19 vaccines later die from the disease, observers have complex reactions to their fates, a new study suggests.

 

While very few rejoice in the deaths of anti-vaxxers, some people believe those who are dogmatic against vaccines are deserving of worse outcomes – and that reaction is related to the political party affiliation and vaccination status of the person evaluating the anti-vaxxer.

 

Democrats and those who were vaccinated were more likely than Republicans and the unvaccinated to think anti-vaxxers who died got what they deserved – but even 63% of Democrats in the study thought an anti-vaxxer deserved to have a full recovery from the disease (compared to 80% of Republicans).

 

Only 4.6% of people in the study thought an anti-vaxxer who contracted COVID-19 deserved death.

 

The study involved participants reading mock social media posts from an anti-vaxxer and reacting to different scenarios about how this anti-vaccine advocate reacted as he or she got sick and later died.

 

“What we found indicates that people may view those on social media as characters in a morality play,” said study co-author Matthew Grizzard, associate professor of communication at The Ohio State University.

 

“Our results show that people -- particularly those who were vaccinated themselves -- are likely to judge those who shared misinformation about the COVID vaccine as immoral and deserving of some level of retribution.”

 

The study was published July 22, 2023 in the journal New Media & Society.

 

The study was inspired by the “Herman Cain Award” forum (called a subreddit) on the social media site reddit.  Herman Cain was a Republican politician who contracted COVID-19 and died, and whose social media accounts continued to disseminate COVID-19 misinformation after his death. On the reddit forum, people share stories of anti-vaxxers and COVID deniers who died from the disease.

 

The Herman Cain Award site and others like it resulted in news coverage that categorized the sites as cruel and heartless.

 

But this study suggests a more nuanced interpretation of those who judged anti-vaxxers who got sick and died, said study co-author Rebecca Frazer, who recently earned her PhD in communication at Ohio State.

 

“We have people who are judging anti-vaxxers and considering them deserving of some level of suffering, but on the other hand, there’s very little positive emotion about watching them suffer,” Frazer said.

 

“Those two things seem in tension, but they are both in our findings.”

 

The researchers used a professional panel company to recruit an adult sample that was matched to the U.S. population on age, sex, race/ethnicity and region. The final sample included 932 people that was close to the U.S. population in political affiliation and vaccination status.

 

All participants were shown a series of mock Facebook status updates that mimicked the actual posts found in the Herman Cain Award subreddit.  The status updates were from a person named Terry Adams, with the gender intentionally unspecified.

 

In the first post, Terry expressed uncertainty about the COVID-19 vaccine or was dogmatically opposed to the vaccine.

 

In this case, all participants – Republicans and Democrats included – liked Terry more when he or she was less dogmatic and only expressed uncertainty about the vaccine.

 

But in later posts, when Terry contracted COVID and became critically ill, differences appeared in how people reacted to Terry, depending on whether he or she regretted not getting the vaccine or doubled down on not taking it.

 

Democrats had less positive evaluations of Terry than Republicans. In addition, vaccinated participants regardless of their political party also had less positive evaluations when Terry doubled down on not getting the vaccine.

 

“Republicans were more okay with Terry continuing to question the vaccine and less positive than Democrats when Terry regretted not getting the vaccine,” Grizzard said.

 

In the final Facebook post, Terry’s brother announced that Terry had died of COVID. Participants in the study were asked how “satisfied” they were with Terry’s death.  Overall, participants were more satisfied with his or her death when Terry maintained anti-vaccination views right up to death.

 

Vaccinated participants were more satisfied with Terry’s death than unvaccinated participants, and Democrats were more satisfied than Republicans.

 

But no group showed high levels of satisfaction, the results showed.  Participants rated their satisfaction on a scale of 1 to 7, with 7 being the most satisfied. The average score was 2.93 for Democrats, compared to 2.51 for Republicans.

 

The researchers also asked participants to rate how happy they were with Terry’s death – a question that aimed to get at the German concept of “schadenfreude,” which has been defined as “feelings of pleasure that a person experiences in response to another person’s failures or misfortunes.”

 

Participants rated their happiness on a scale of 0 to 6, with six being the most happy.  Results showed that even participants who thought Terry deserved death had an average happiness rating of only 1.6 on the scale, compared to 0.54 for those who thought Terry deserved to fully recover.

 

“We saw a moral judgment by those who thought Terry deserved some level of suffering or death, and they wanted justice to be served, or at least what they considered justice,” Frazer said.

 

“But even they didn’t express a lot of happiness at Terry’s death.”

 

Overall, the results suggest that most people don’t take pleasure in anti-vaxxers dying, even if they believe they deserve it, Grizzard said.

 

“It is more a feeling that anti-vaxxers acted immorally and maybe put others at risk. And because of that, they deserve some level of suffering. But even those who are judging these anti-vaxxers most harshly are typically not rejoicing in their suffering or death,” Grizzard said.

Excess death rates for Republican and Democratic registered voters in Florida and Ohio during pandemic

JAMA Internal Medicine

Peer-Reviewed Publication

JAMA NETWORK




About The Study:

 In this study evaluating 538,000 deaths in individuals ages 25 and older in Florida and Ohio between March 2020 and December 2021, excess mortality was significantly higher for Republican voters than Democratic voters after COVID-19 vaccines were available to all adults, but not before. These findings suggest that differences in vaccination attitudes and reported uptake between Republican and Democratic voters may have been factors in the severity and trajectory of the pandemic in the U.S. 

Authors: Jacob Wallace, Ph.D., of the Yale School of Public Health in New Haven, Connecticut, is the corresponding author.

(doi:10.1001/jamainternmed.2023.1154)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

#  #  #

 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/10.1001/jamainternmed.2023.1154?guestAccessKey=f5237917-e2bc-4cba-9f0d-ee6d516b3d85&utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_content=tfl&utm_term=072423

Treatment of psychiatric patients in the community requires long-term political and financial support, study shows

R.D.LAING SAID THIS YEARS AGO




UNIVERSITY OF EXETER




Major changes aimed at treating psychiatric patients in the community instead of hospital requires clear and strong leadership, as well as and long-term political and financial commitment, analysis shows.

 

The study has found the transition is usually prolonged and requires adequate planning, sustained support and careful coordination.

 

The successful implementation of these changes relies in careful financing and coordination, as well as the use of available research and evidence, strong and sustained advocacy, comprehensive community services, and a well-trained workforce engaged in the process.

 

The transition requires long-term political and financial support, and understanding local needs and forces is crucial to its success.

 

The paper, authored by Cristian Montenegro and Felicity Thomas from the University of Exeter,Matías Irarrazaval and Jorge Urrutia-Ortiz from the Universidad de Chile and Josefa González-Moller from the Pontificia Universidad Católica de Chile, has been published in the journal Global Mental Health. It reports the result of a scoping review that includes 52 studies on the process of de-institutionalisation.

 

Psychiatric deinstitutionalisation involves the closure or reduction of psychiatric hospitals, reallocation of beds, and the establishment of comprehensive community-based services for individuals with severe and persistent mental health difficulties. The study identifies barriers to success, such as inadequate planning, funding, leadership, limited knowledge, competing interests, insufficient community-based alternatives, and resistance from the workforce, community, and family/caregivers.

 

Countries undergoing the transition and those initiating the process need a detailed understanding of their specific needs and contextual features at the legal, institutional, and political levels.

 

Dr Montenegro said: “Our analysis shows that before hospitals are closed there should be an assessment of the institutionalised population. This assessment should shape existing and new community-based services on their needs and preferences. A thorough analysis of how to overcome institutional inertia is crucial.

 

“Comprehensive and sustainable investment is necessary, and the different aspects of the transition should be adequately costed, including new facilities, support of independent living, training, new professional roles, and the reinforcement of primary health care. 

 

“Training, incentives and guarantees of job stability are required. Curricular changes in psychiatric training, with an increased emphasis on community-based care and recovery-oriented practices, are necessary.”

 

The analysis shows how misconceptions can hinder efforts. One such misconception is the belief that closing psychiatric beds leads to an increase on homelessness or imprisonment among people with mental health problems. However, analysis of existing research shows that homelessness and imprisonment have occurred only sporadically. Most studies reported positive changes in social functioning, stability, improvements in psychiatric symptoms and enhanced quality of life and participant attitudes towards their environment. Instances of deterioration following deinstitutionalisation was rare. This suggests that even long-stay patients, who commonly experience functional impairment due to schizophrenia, can achieve better functioning through deinstitutionalisation.

 

Failure at the process level, including planning and implementation, can result in negative and even fatal outcomes for patients. In South Africa, between October 2015 and June 2016, a poorly executed attempt to relocate 1,711 highly dependent patients led to 144 deaths and 44 missing individuals. This tragedy stemmed from ethical, political, legal, administrative, and clinical errors.

 

Jorge Jorge Urrutia-Ortiz said: “Our work provides a framework for assessing the presence of barriers and facilitators in deinstitutionalization processes. This framework can assist stakeholders and other relevant parties in developing a comprehensive understanding of their unique context.”

 

 

Studying animal behavior without markers


With a new marker less method it is now possible to track the gaze and fine-scaled behaviours of every individual bird and how that animal moves in the space with others.


Peer-Reviewed Publication

UNIVERSITY OF KONSTANZ




Researchers are still puzzling over how animal collectives behave, but recent advances in machine learning and computer vision are revolutionizing the possibilities of studying animal behaviour. Complex behaviours, like social learning or collective vigilance can be deciphered with new techniques.

An interdisciplinary research team from the Cluster of Excellence Centre for the Advanced Study of Collective Behaviour (CASCB) at the University of Konstanz and the Max Planck Institute of Animal Behavior has now succeeded in developing a novel marker less method to track bird postures in 3D just by using video recordings. It is no longer necessary to attach position or movement transmitters to the animals. With this method called 3D-POP (3D posture of pigeons) it is possible to record a group of pigeons and identify the gaze and fine-scaled behaviours of every individual bird and how that animal moves in the space with others. „With the dataset, researchers can study collective behaviour of birds by just using at least two video cameras, even in the wild,” says Alex Chan, PhD student at the CASCB.

 

The dataset was released at the Conference on Computer Vision and Pattern Recognition (CVPR) in June 2023 and available via open access so that it can be reused by other researchers. The researchers Hemal Naik and Alex Chan see two potential application areas: Scientists working with pigeons can directly use the dataset. With at least two cameras they can study the behaviour of multiple freely moving pigeons. The annotation method can be used with other birds or even other animals so that researchers can soon decipher the behaviour of other animals.

 

 

 

Key facts:

  • An interdisciplinary study team from the CASCB and the Max Planck Institute of Animal Behavior with computer scientists, biologists, and comparative psychologists developed a new method for generating large-scale datasets with multiple animals.
  • Publication: Hemal Naik, Alex Hoi Hang Chan, Junran Yang, Mathilde Delacoux, Iain D. Couzin, Fumihiro Kano, Máté Nagy; Proceedings of the IEEE/CVF Conference on Computer Vision and Pattern Recognition (CVPR), 2023, pp. 21274-21284.
    https://openaccess.thecvf.com/content/CVPR2023/html/Naik_3D-POP_-_An_Automated_Annotation_Approach_to_Facilitate_Markerless_2D-3D_CVPR_2023_paper.html
  • The paper was published at the Conference on Computer Vision and Pattern Recognition (CVPR), one of the most prestigious computer science conferences in the world.
  • The dataset and code to apply the annotation method to other birds can be found here: https://github.com/alexhang212/Dataset-3DPOP
  • The study was funded by the Cluster of Excellence Centre for the Advanced Study of Collective Behaviour at the University of Konstanz.

 

 

 

Note to editors:

A photo is available here:
https://www.uni-konstanz.de/fileadmin/pi/fileserver/2023/tierverhalten_zukuenftig_markerlos.jpg

Caption: The posture of pigeons is recognized by automated image recognition, purely from video recordings.

Copyright: Alex Chan

 

BGI Genomics Global Cervical Cancer Insights - Young women have higher vaccination rates but put off by pap smears


Vaccination and screening form a virtuous cycle to combat cervical cancer

Reports and Proceedings

BGI GENOMICS

BGI Genomics Global 2023 State of Cervical Cancer Awareness Report 

IMAGE: BGI GENOMICS GLOBAL 2023 STATE OF CERVICAL CANCER AWARENESS REPORT view more 

CREDIT: BGI GENOMICS




To further motivate action to combat cervical cancer, BGI Genomics today released its State of Cervical Cancer Awareness Report. This report is released on World Self-Care Day, July 24, 2023, as the WHO notes that self-care - including cervical cancer screening - can be practiced "24 hours a day/7 days a week".

This report assesses the level of knowledge, attitudes, and practices related to cervical cancer screening and the human papillomavirus (HPV) vaccine. By examining these key areas, this survey seeks to highlight the associated barriers and opportunities. 1,878 female respondents from six countries and regions were surveyed: Brazil, the Chinese mainland, Saudi Arabia, Serbia, Thailand, and Uruguay.

Despite gaps in cervical cancer awareness such as 40.0% of women worldwide not knowing that cervical cancer is primarily caused by HPV, the report reveals several optimistic findings. For example, for women aged 21-25 years old, 46.0% of them received the HPV vaccine which is higher than the global average of 38.4%.

Other key takeaways from the report include:

HPV awareness affects cervical cancer screening rates: Among women who are unaware cervical cancer is often caused by HPV, 39.1% of them never undertaken cervical cancer screening which is higher than the global average of 31.2%.

More choice, fewer barriers: Age-specific HPV prevalence was highest in young women (<25 years) at 22%. Yet, 43.5% of women aged 21 to 25 years old - highest among the age groups surveyed - are deterred by meeting a male doctor performing a pap smear. Therefore, women, especially young women, should be offered HPV DNA tests in addition to pap smear tests. 

Vaccination and screening form a virtuous cycle: For women who had the HPV vaccine, 82.1% had a cervical cancer screening, significantly higher than 60.6% of unvaccinated women. For women who had undergone screening, 45.8% received the HPV vaccine, which is higher relative to 22.1% of unscreened women. Informing women who missed national vaccination programs about where and when they could get vaccinated and screened is vital.

Cervical cancer is the fourth most common cancer among women globally, with an estimated 604,000 new cases and 342,000 deaths worldwide. Few diseases reflect global inequities as much as cancer of the cervix. Nearly 90% of the deaths in 2020 occurred in low- and middle-income countries. "Early cervical cancer detection is vital to save lives and eventually eliminate this dreaded disease in line with the WHO's global strategy," said Zhang Lin, BGI Genomics Senior Product Manager. "This study shows increased awareness of women could be the missing link to boost vaccination and screening rates further."

To read and view country or region-level comparisons, please see link to access the full BGI Genomics State of Cervical Cancer Awareness Report 2023.

About BGI Genomics

BGI Genomics, headquartered in Shenzhen, China, is the world's leading integrated solutions provider of precision medicine. In July 2017, as a subsidiary of BGI Group, BGI Genomics (300676.SZ) was officially listed on the Shenzhen Stock Exchange.

The CE-certified SENTIS™ HPV test combines self-sampling technology and genotyping assay to detect 14 most important, "high-risk" types of HPV, including HPV -16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68 and 2 "low-risk" types of the virus, HPV -6, 11. HPV genotyping detection is based on Next Generation Sequencing (NGS) technology based on a large sample volume for each run, which decreases the average testing cost. In 2021, the WHO recommends DNA testing as a first-choice screening method for cervical cancer prevention.


 

Cancer among people experiencing homelessness: research into current situation forms basis for prevention program


Peer-Reviewed Publication

MEDICAL UNIVERSITY OF VIENNA




(Vienna, 24 July 2023) Cancer is twice as likely to affect people experiencing homelessness (PEH) as members of the housed population. The disease is the second most common cause of death among PEH, a group that is underserved when it comes to medical care. At the same time, there is a lack of awareness and of structures for targeted cancer screening. Against this backdrop, a team headed by MedUni Vienna has examined the current situation in four European countries and drawn up approaches for the development of a prevention programme. The study has just been published in the journal eClinicalMedicine

For the study, a research team led by Tobias Schiffler and Igor Grabovac from the Department of Social and Preventive Medicine at MedUni Vienna's Center for Public Health collected experiences and viewpoints from directly affected groups, namely people experiencing homelessness who have cancer and those who do not, as well as professionals working at health and social services facilities. Members of these groups in Austria, Greece, the UK and Spain gave insights into the current situation and spoke about the obstacles to cancer prevention among people at the margins of society. “Until now, data on this problem was extremely thin on the ground,” says first author Tobias Schiffler, emphasising just how significant the qualitative research is. 

Check-ups as a luxury 
The study found that awareness of cancer screening is low among both PEH themselves and members of the health and social services community. For example, one unhoused person from Austria spoke about the “luxury of taking care of preventive examinations and check-ups when you have other acute problems to worry about”. Cancer prevention services tailored to specific target groups are also in short supply, as specific local initiatives usually fail to reach sufficient numbers of PEH.

Cancer is often only detected in members of this underserved group when they receive emergency medical care for an acute illness or injury. In some cases, tumour growth is already so advanced that it causes other complaints. The very nature of the life circumstances of PEH means that it can prove difficult to provide regular treatment or follow-up measures that may still be an option at any given time. In some countries, the affected groups also face financial or structural barriers if they need to access the health system. As a result, PEH cannot take steps to look after their health to the degree that they would actually like to, as some of them reported. This leads to diseases often being detected too late.

Life expectancy of 47 years
Data from the UK show that the average life expectancy of PEH is 47 years. This is due to the higher overall burden of disease that this group faces. Cancer affects PEH twice as often as people in the housed population. This is associated with various influences, including a higher prevalence of risk factors (e.g. alcohol and tobacco consumption), the greater frequency of infectious diseases and malnutrition, as well as the access barriers to healthcare services mentioned above.
“Our study is one of the first to look at cancer prevention from the perspective of people who are directly affected by homelessness. The findings could form the basis for tailored and targeted preventive measures that take the needs and circumstances of this target group into account,” explains principal investigator Igor Grabovac. The study was conducted as part of a wide-ranging EU project titled CANCERLESS (Cancer prevention and early detection among the homeless population in Europe: Co-adapting and implementing the Health Navigator Model), which Grabovac also heads and coordinates.

 

Plastic surgery goes to the movies: Journal of Craniofacial Surgery looks at facial disfigurement


Study examines perceptions and outcomes of disfigured characters in film

Peer-Reviewed Publication

WOLTERS KLUWER HEALTH





July 24, 2023 – Characters with facial disfigurement have long been a recurring theme in films. Their characteristics and outcomes lend insights into perceptions of facial deformities and the effects of plastic surgery, reports a study in The Journal of Craniofacial Surgery under the guidance of Editor-in-Chief Mutaz B. Habal, MD, FRCS, FACS of Tampa, Florida. The journal is published in the Lippincott portfolio by Wolters Kluwer.

Movie characters who undergo successful plastic surgery to improve their facial appearance are more likely to have happy endings, according to the new research by Young Suk Kim, BA, and Kun Hwang, MD, PhD, of Armed Forces Capital Hospital, Gyeonggi-do, Korea. They believe their findings relate to the cultural meanings of facial disfigurement, as well as to the psychological benefits of facial plastic surgery.

Film analysis shows negative associations with facial disfigurement

The researchers searched movie databases – IMDb (Internet Movie Database) and TMDB (The Movie Database) – to identify modern visual media depicting characters with disfigured faces. The analysis included 48 characters from 45 films directly related to the theme of facial disfiguration. While most films were from the United States, countries around the world were represented.

The movies were produced between the 1930s to the 2020s, with the highest proportion (20%) from the 1980s. Nearly three-fourths of characters were rated as being in the most severe categories of facial disfigurement. Examples of films with characters having "critical" facial disfigurement included The Elephant Man and Mask.

About 80% of disfigured characters were viewed as negative, described by terms such as demonic, villainous, or violent. Just 20% were described positively – for example, hero or human. "This seems to implicitly reflect the creators' biased view that presents disfigured faces in a negative light," the researchers write. After adjustment for other factors, society's perceptions of disfigured faces were not related to their effect on personality. Rather, the authors suggest, "a negative personality was formed due to psychological atrophy and self-esteem problems, not the disfigured face itself."

Surgery to improve facial appearance linked to happy endings

In the films, 35% of characters underwent surgery in an attempt to overcome their facial disfigurement. Other types of attempts included masks or magic. The attempts improved the character's facial appearance in about 70% of cases, including 94% of those who underwent surgery. Characters who underwent surgery were 56 times more likely to improve than those who tried other treatments.

Overall, 67% of characters had fortunate or happy endings, while the rest had misfortunate endings. Characters whose appearance improved were more likely to have happy endings: nearly eight times more likely than those who did not improve. The researchers add, "It is notable that some characters experienced misfortune even though their facial damage improved, while others became happy without improvement."

The authors discuss their findings in the context of the cultural and psychological meanings of facial disfigurement. The association between successful surgery and happy endings for characters with facial disfigurement is consistent with evidence on the positive psychological effects of plastic surgery for disfigured individuals.

Despite its many risks and side effects, "there is no doubt that facial plastic surgery enhances overall well-being and self-confidence," the researchers conclude. "The results of this film analysis study, which showed plastic surgery can improve the face and improve quality of life, can be seen as realistic and statistically significant."

Read [Disfigured Faces Depicted in Modern Visual Media]

Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students in effective decision-making and outcomes across healthcare. We support clinical effectiveness, learning and research, clinical surveillance and compliance, as well as data solutions. For more information about our solutions, visit https://www.wolterskluwer.com/en/health and follow us on LinkedIn and Twitter @WKHealth.

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About The Journal of Craniofacial Surgery

The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial and maxillofacial surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. Affiliates include 13 major specialty societies around the world, including the American Association of Pediatric Plastic Surgeons, the American Academy of Pediatrics Section of Pediatric Plastic Surgery, the American Society of Craniofacial Surgeons, the Argentine Society of Plastic Surgery Section of Pediatric Plastic Surgery, the Asian Pacific Craniofacial Association, the Association of Military Plastic Surgeons of the U.S., the Brazilian Society of Craniofacial Surgeons, the European Society of Craniofacial Surgery, the International Society of Craniofacial Surgery, the Japanese Society of Craniofacial Surgery, the Korean Society of Craniofacial Surgery, the Thai Cleft and Craniofacial Association, and the World Craniofacial Foundation.

About Wolters Kluwer

Wolters Kluwer (EURONEXT: WKL) is a global leader in professional information, software solutions, and services for the healthcare, tax and accounting, financial and corporate compliance, legal and regulatory, and corporate performance and ESG sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with specialized technology and services.

Wolters Kluwer reported 2022 annual revenues of €5.5 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 20,000 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands.

For more information, visit www.wolterskluwer.com, follow us on LinkedInTwitterFacebook, and YouTube.