Health and Wellness

Health and Wellness

  • Desmond Brian Fernandes added an answer:
    How reliable is the research that has gone into health, wellness and beauty products?

    How reliable is the research that has gone into health, wellness and beauty products? To what extent can we trust the research? Do we have convincing evidence that research with such products was carried out and that the results showed the efficacy of these products?

    Please share your specific views. Thanks.

    Desmond Brian Fernandes · Groote Schuur Hospital and private practice

    I thought I should add some real discussion point.  Because of my interest inhelalthy skin I formulated products for my patients in the beginning and then launched them as Environ Skin Care 25 years ago.  The attached file is a PowerPoint oresentation of what I mean.  Does it work.  Tell Me!

  • Charles Shang added an answer:
    Should healthcare approaches that are outside the domain of conventional medicine be adopted into mainstream clinical practice?
    Overt hostility sometimes arises between physicians and non-allopathic health providers, with caustic diatribes emanating from both sides of the divide – particularly relating to the scientific credibility of various interventions. In an era of evidence-based medicine, should modern clinical care be based on credible untainted research and favorable outcomes for patients and populations rather than what is considered conventional or alternative?
    Charles Shang · Baylor College of Medicine

    The field of integrative medicine is devoted to this very purpose. The real barrier is often due to money/time. For example, acupuncture is superior to conventional medical therapy in treating migraine based on randomized controlled trials and systematic reviews but it generates less revenue for physicians or clinics.

  • Rejina Kamrul added an answer:
    What are the most reliable measures (indicators) of treatment adherence in metabolic syndrome?
    We are looking at predicting adherence to medical and behavioral health care recommendations among individuals with metabolic syndrome. I'm curious if anyone might be able to provide personal insight into specific indicators (behavioral or otherwise) that have been effective/reliable in quantifying the construct of treatment adherence?
    Rejina Kamrul · University of Saskatchewan

    Successful management requires identification and addressing both root cause, barrier. Patient vary considerably in their readiness and capacity. Success can be defied as better quality of life. greater self esteem. higher energy level etc. There is an approach for obesity management from Canadian obesity network:

  • Parashuram Pujari added an answer:
    What outcome measures should be used to demonstrate chronic disease management?

    My team provides disease specialist management of patients living in the community with chronic conditions such as respiratory, cardiovascular and diabetes. In the past we measured disease severity and other biomarkers, but with the move towards self management of chronic disease we want to measure other aspects of health and wellness. Any suggestions? 

    Parashuram Pujari · KLE University

     provide interventional care of health promtion and specific treatment.

  • Anup Patwari added an answer:
    Is it possible to reduce the lead content of Garcinia cambogia extract to the level of 0.05 ppm?

    We tested the raw material and found that the source of lead was lime.

    We used lab grade lime to reduce the lead contamination, but could achieve only a level of 0.4 ppm. We want to reduce this to 0.05ppm.

    Are there any processes to reduce this?

    Anup Patwari · Arpan Herbikem

  • John Tat added an answer:
    What are the effects of sea water bath if taken daily?
    Seawater can have different effects on skin/ human body as compared to normal water bath. How better/adverse that can prove to be?
    John Tat · The Scripps Research Institute

    This question is hard to answer. As Vamshi pointed out, there physiological effects that can be assessed, as well as psychological effects. Let's say for instance we are looking at the physiological effects of sea water. Then you would need to assess something specific, like the effects of different mineral compositions on a clinical outcome, such as acne. 

  • Lois Biggin Moylan added an answer:
    Is anyone working with patient communication skills training, particulary for adolescents?

    I'm working on curriculum for high school health and wellness classes.

    Lois Biggin Moylan · Molloy College

    Professionally, I have taught therapeutic communication skills to both nursing students and to psychiatric nurses. I find the following technique very helpful in allowing the learner to not only  master the knowledge at a cognitive level, but to affective lay internalize the skills. First, I didactically present the content, which is based on communication theory and well accepted in the healthcare professions. I then provide examples and have related discussion. Finally, and very importantly, I divide the group into couples and I provide role playing scenarios which I video tape. 

  • Kathleen A. Turner added an answer:
    How can you isolate curcuminoids in curcumin using ethyl acetate and IPA solvents?

    We are extracting curcuminoids from turmeric using ethyl acetate and IPA solvents.

    The maximum recovery we get is about 55% of the total content of curcuminoids present in the raw material.

    Is there any way to increase the recovery of curcuminoids? 

    Kathleen A. Turner · The Commonwealth Scientific and Industrial Research Organisation

    The recovery may depend on the degree of hydration of your sample(i.e. whether it is fresh or dried).  Ethyl acetate will take up water in a hydrated sample, which will alter its characteristics as a solvent.. 

  • Renzo Bianchi added an answer:
    What is the current global prevalence of job burnout among mental health providers?
    I am researching job wellness with special reference to burnout, engagement and existential fulfillment
  • Tha'er Momani added an answer:
    What would be the operational definition of the age and gender differences of Health-related quality of life in children and adolescents?

    I am writing a thesis on the age and gender differences of Health-related quality of life aspects and the cultural and spiritual differences among children and adolescents.  I would like to know if the scores from the health-related quality of life measures, would be my variable. It is a self-report and a quasi-experimental design.  I was wondering what statistic analysis would I use; comparing means between age and gender.  Would I be able to use ANOVA? The measures are Likert scale.  My independent variables are age and gender, and my dependent variables would be the scores from the measures.

    Tha'er Momani · St. Jude Children's Research Hospital

    Agree with Carlos. An ANCOVA will probably be your best bet. Or you can include both in a univariate model and see how they interact

  • Tatyana Mollayeva added an answer:
    Are there any articles indicating whether using specific questions of the Insomnia Severity Index (ISI) can be used as predictors?
    I am wondering if the specific questions asked by the Insomnia Severity Index (ISI) can be analyzed individually. Is anyone aware of articles that do this? Or, using principle components analysis?
    Tatyana Mollayeva · University of Toronto


    Insomnia represents something of a challenge to measure because there is no generally accepted reference or gold standard. One approach would be to use a carefully constructed questionnaire which incorporates items relevant to the construct of insomnia, where each component score measure a particular aspect of the same construct of insomnia.The developers of the instrument reported that all seven component scores of the ISI showed satisfactory internal consistency, as indicated by a Cronbach’s alpha.

    Principal components analysis of your data can help you factors explaining the most variance in the dataset,  the cumulative percentage of explained variance after each factor, and decide how many factors are relevant in your population.

    Best regards,


  • Vicent Balanzá Martínez added an answer:
    Omega-6: a public health disaster.
    Today I read an article by Emily Deans, M.D entitled "Your Brain on Omega-3." It was published in Psychology Today and can be accessed here:

    The article contains the best summary discussion about the omega-6 hazard I have ever seen. There's growing realization that excessive omega-6 intake is largely responsible for the high incidence of chronic inflammatory disease. Have others in this group been reading about omega-6?
    Vicent Balanzá Martínez · University of Valencia

    Interesting topic. It seems that the omega-3 to omega-6 ratio is relevant in terms of health. In other words, the imbalance of PUFAs in favour of omega-6s would increase the risk for a pro-inflammatory state, for instance. Low-grade systemic inflammation is a common pathway for most common noncommunicable diseases (NCDs), such as diabetes, obesity, cardiovascular disease, depression, and even cancer, to name a few. These chronic conditions are frequently comorbid and, of note, their prevalence has risen significantly in the last decades. Explanations include lifestyle factors, such as nutrition/diet. According to some, secular changes in the fat content of diets might explain this increase, especially in Western countries. For instance, Simopoulos has suggested this from an evolutionary perspective. In addtion, specific nutrients may play a role but it is sensible to take a broader perspective in terms of healthy vs unhealthy dietary patterns. It seems that the shift-away from traditional diets (e.g. Mediterranean diet) towards unhealthy, poor diets (e.g. Western or cafeteria diets) increases the risk for some NCDs. For instance, high adherence to Mediterranean diet has been associated with a decreased risk for CVDs, diabetes, and depression, according to several epidemiological studies, such as the PREDIMED study and the SUN cohort study in Spain. You may want to read some papers by F Jacka on this topic.    

  • Abhishek Pathak added an answer:
    What is the effect of drinking water immediately after eating? Does it have a positive role on digestion?
    Does it dilute the secreted acids?
    Abhishek Pathak · Indian Institute of Technology Delhi

    drinking of little amount of water with the meal helps in digestion. 

  • Rupert Whitaker added an answer:
    What are the similarities and differences between a public health and a community psychology intervention programme?
    Do you know of any intervention programme(s) that tries to address both a public health and a community psychological problem?
    Rupert Whitaker · Tuke Institute

    A brief answer is that public health relies on information or intervention (e.g., vaccination) - both "doing for" - whereas community psychology relies on skills-building on that information - "doing with" - and empowerment

  • Violeta Iguchi added an answer:
    What are the best measures in predicting second appointment return with early dropout clients?
    I was wondering if anybody can assist me with a measure in predicting client drop out after first appointment? I have the WAI, CALPAS and HaQ. Are these the best options? More importantly what are the best ways in managing clients when a connection hasn't been made in the first appointment. Is there research on how to recognise, acknowledge and refer on such clients?
    Violeta Iguchi · Viterbo University

    That sounds really good!  I'd be interested to see the results!

  • Ljubomir Jacić added an answer:
    Do you believe in going sugar free as one of the means to lose weight or check weight gain?
    Artificial sweetners and sugar free foods are quite a star these days. What is your opinion on such products against sugar or natural sweetners?
    Ljubomir Jacić · Technical College Požarevac

    Dear @Hristina, you do have some proposals attached for balanced diet! I do accept the fact  that balanced diet is for maintaining rather than for losing or for gaining weight. Man and woman have different proposals!

  • Terry Richmond added an answer:
    Do you have any information on successful implementations of fall-prevention strategies in your country?
    We will be looking at the implementation of the fall-prevention strategies in the acute sector, primary care and nursing homes.
    Terry Richmond · Kingston General Hospital

    Daily mobility assessments and falls risk assessments by nursing staff .Identification of falls risk patients with use of falling star logos.Daily walking program by 2 personal care assistants on all patients over 65yrs admitted to medicine program that come from home,retirement home or rehab.Frequent audits.Daily discussuins of mobility status and falls risk at board rounds. 

  • Jaesung Heo added an answer:
    What types of statistical analyses are used in the algorithms that are embedded in "smart" wearable sensors?
    There has been a market explosion of smart wearable sensors. The sales are predicted to raise considerably in the next 5 years and several large companies are adopting the technologies to further develop the products. The New York Times has published several pieces in their Science section pointing out the inaccuracies of the devices. Yet it is thought that these gadgets will disrupt clinical research, see ongoing discussion here

    I think that using proper statistical algorithms in these devices will bring us closer to truly personalized medicine. Yet as it stands today they do not seem accurate enough and seem to be using inadequate statistics for individualized assessment. I think that the Researchgate community could actually make a difference and open a platform for data standardization, exchange and analyses with the potential to change the diagnosis, tracking and treatment methods for various disorders of the nervous systems.
    Jaesung Heo · Ajou University
    I think this paper is a good example for mobile health.

    "Outpatient Glycemic Control with a Bionic Pancreas in Type 1 Diabetes"
  • Alan J Lincoln added an answer:
    How are early dropouts managed in psychotherapy?
    I am really interested in how the process of dropouts is managed in psychotherapy. I am writing a thesis on this topic and would really appreciate contributions in thought on the matter. Particularly around how early dropouts (1-3 sessions) are managed in everyday psychotherapy practice. Are there enforced guidelines around follow up? Is there any Australian data on the percentage of dropouts in the first few appointments that have been stratified between resolved status and those that are unsatisfied with their experience? Also what systems do therapists have in place to identify and support unsatisfied dropouts?
    Alan J Lincoln · California School of Professional Psychology
    The term psychotherapy covers a great deal of territory both in terms of specific applications (CBT, DBT, ACT, psychodynamic, Rogerian, Family, Individual, Group, etc.) It also covers many specific diagnostic issues and many without specific diagnoses such as "I just don't feel my life is they way I feel it should be". So the issue of drop out may simply be a patient that isn't ready to fully engage in therapy, or found a therapist that did not really fit well with their needs, or got worse, or realized what they needed after a couple of meetings, or couldn't afford treatment, or lost transportation, or etc. To study this I would focus on a particular form of therapy with particular diagnoses and a particular modality. The way the question is presently framed, is like "why don't plants sometimes grow beyond a few days". Much depends on the plant, the environment, weather conditions, time of year, etc. I think this problem is minimized by therapists who clearly differentiate an evaluation phase that precedes a formal treatment phase. That gives time to carefully select the kind of therapy, understand the nature of the patient's diagnosis and treatment needs, and realistically assess whether the timing is right to start.
  • Rupa Lavanya Kaskurthy added an answer:
    "MORINGA is the only perfect food plant on the Globe" Please comment with relevant evidence
    "Moringa" is an important food source since it can be grown cheaply, has high nutritional value and grows in most tropical countries. Also called as "green super food". Konso people of Ethiopia believe that "There is no life without Moringa"

    It is rich in all essential > 90 amino acid constituents, omega oils, proteins, calcium, iron, Vitamin C and E, Beta-carotene and 64 food nutrients thus acting as a rich nutritional supplement and increasing body immunity. It has anti-oxidant, anti-inflammatory, anti-ulcer, anti-fungal properties thus curing arthritis, cancer, gastrointestinal disorders, respiratory disorders, paralysis, etc.

    Extensive worldwide research on the plant urges me to study "MORINGA" in-depth for its various applications for human benefit. Do contribute to the study.
    Rupa Lavanya Kaskurthy · BioPlus Life Science
    With a beneficial superfood properties:Following few topics are interesting and clinically proven - Moringa species
    The superfood known as Moringa (pods, leaves & leaf powder) is a powerful anti-aging nutrient zeatin & it also has two compounds that prevent cancer and stop tumor growth. A proven tool in the fight against hunger.
    Researchers at the Asian Vegetable Research and Development Center (AVRDC) showed that levels of four Moringa species (oleifera, peregrine, stenopetala and drouhardii) all contained high levels of nutrients and antioxidants.

    The leaves have a strong source of vitamin A and, when raw, vitamin C & B vitamins. Calcium content is very high, Phosphorous is low, as it should be. The content of iron is very good (it is reportedly prescribed for anemia in the Philippines). They are an excellent source of protein and a very low source of fat and carbohydrates. Thus the leaves are one of the best plant foods that can be found." Leaves are incomparable as a source of the sulfur-containing amino acids methionine and cystine, which are often in short supply. It is called "mother's best friend" and "malunggay.

    In a Canadian study, Moringa oleifera (M. oleifera) is an angiosperm plant, native of the Indian subcontinent. It is now cultivated in all tropical and sub-tropical regions of the world. It is recommended as medication in the prevention or treatment of diabetes and CVD.
    AVRDC says that "For a child aged 1-3, a 100 g (same weight as 1/10 of a liter of water) serving of fresh leaves would provide all his daily requirements of calcium, about 75% of his iron and half his protein needs, as well as important supplies of potassium, B complex vitamins, copper and all the essential amino acids. As little as 20 grams of fresh leaves would provide a child with all the vitamins A and C he needs."
    "For pregnant and breast-feeding women, Moringa leaves and pods can do much to preserve the mother's health and pass on strength to the fetus or nursing child. One 100 g portion of leaves could provide a woman with over a third of her daily need of calcium and give her important quantities of iron, protein, copper, sulfur and B-vitamins."

    Laboratory of Herbal Medicine and Cancer Research, Israel with fewer than 6% patients with adenocarcinoma of the pancreas.
    Chemotherapy is currently the standard treatment; however, these tumors often develop drug resistance over time. Agents for increasing the cytotoxic effects of chemotherapy or reducing the cancer cells’ chemo-resistance to the drugs are required to improve treatment outcome. Nuclear factor kappa B (NF-kB), a pro-inflammatory transcription factor, reportedly plays a significant role in the resistance of pancreatic cancer cells to apoptosis-based chemotherapy. This study investigated the effect of aqueous Moringa Oleifera leaf extract on cultured human pancreatic cancer cells - Panc-1, p34, and COLO 357, and whether it can potentiates the effect of cisplatin chemotherapy on these cells. With a conclusion the leaf extract inhibits the growth of pancreatic cancer cells, the cells NF-κB signaling pathway, and increases the efficacy of chemotherapy in human pancreatic cancer cells.
    London School of Hygiene and Tropical Medicine, UK study describes that the plant can be used for different properties, mainly as a nutritional supplement and as a water purifier. Its antibacterial activity against different pathogens has been described
    Moringa oleifera powder in dried and wet application had the same effect as non-medicated soap when used for hand washing. Efficacious and available hand washing products could be useful in developing countries in controlling pathogenic organisms that are transmitted through contaminated hands.
  • Maciej (Mac) S. Buchowski added an answer:
    Does anyone know of a quick and easy field test to estimate aerobic fitness in obese children?
    I'm involved in a multi-venue project that is working with young (11 years +) overweight/obese children/adolescents. I'm after a quick and easy field test that requires minimal resources that can monitor changes over time. I was thinking of the Rockport walk test but in all honesty, I think a mile is going to be too long time wise and potentially too difficult for some of the participants. Any help/advice would be most appreciated. Thanks
    Maciej (Mac) S. Buchowski · Vanderbilt University
    Another possibility is a modified 3 min step test known also as YMCA step test. A good reference to start is: Santo AS, Golding LA. Predicting maximum oxygen uptake from a modified 3-minute step test. Res Q Exerc Sport. 2003 Mar;74(1):110-5.
  • Richard Ohrbach added an answer:
    How is the SF-12 scored?
    I am working on my master's thesis using an existing dataset. I would like to include the PCS and MCS from the SF-12, but I want to confirm that the way these scores were calculated is correct. Are all 12 items used to calculate the PCS and MCS? The directions I found weigh each item differently, with different weights for each component score, and that the sum of the items is added/subtracted from a national norm (or something like that). I want to confirm this is the standard way of generating the PCS and MCS from the SF-12. Thanks in advance for the help!
    Richard Ohrbach · University at Buffalo, The State University of New York
    Quality Metrics, the owner of the SF12, no longer provides the scoring algorithm in order to foster the use of their scoring software for accuracy. We have used both their scoring software and our algorithms for calculating subscale and scale scores; you describe the correct the correct approach, and the older manuals clearly describe the many required steps. You are correct that all 12 items in the SF12 are used for the MCS and PCS. Some folks (and I am one) recommend using only the MCS and PCS from the SF12, and not the subscales, because the subscale reliabilities are lower (and not really acceptable) compared to the corresponding subscales in the SF36 (which has 3 times more items !).
  • Christoph Fusch added an answer:
    Who can help me figure out a way to research the teacher's perspectives on wellness and nutrition at their schools?
    I am currently working on my PhD research prospectus and keep changing my mind on the research method, I was going to do interviews with individuals or groups but then today was thinking of using a survey but have yet to find one that would cover the information and was already valid and reliable (to save time).
    Christoph Fusch · McMaster University
    I suggest to ask Prof. kersting from the German institute of child nutrition in Dortmund.
    You can correspond in English, they will come back to you.
    This research group has worked a lot with schools and day care and kindergarten. They pretty good in nutritional and dietary methods.
    Good luck
  • Tiberio Damiani added an answer:
    Has anyone had experience using the Quality of Life Toolkit for Persons with Severe Mental Illness?
    The information given for data entry is very scarce and there is no information on how to get the BriefQOL.dat file which is necessary for the spss syntax.
    this is our work with qol of psychotic patients. in some weeks we'll have the second year qol results.

    tiberio damiani

    Quality of life (QoL) among psychotic patients, treated from Department of Mental Health Ascoli Piceno in the Amandola district of Regione Marche

    Quality of Life (QoL) in psychiatric care:
    Self-perceived Quality of Life by patients vs. quality of life perceived by key informants. Experience with a group of psychotic patients and their families in the health district of Amandola. Area vasta 4 (Fermo) e 5 (Ascoli Piceno) of ASUR Marche.

    T. Damiani1, B. Ruggeri2, G. Mariani1, M. Passamonti3, T. D’Angelo3, L. Luciani4, M.M. Scoccia4, M. Siliquini4, S. Pacifici5, S. Giannini5, S. Lauri5 M.T. Nespeca6

    1 Dipartimento di Salute Mentale, Area Vasta n° 5 - Ascoli Piceno;
    2 Unità operativa Governo clinico Area vasta 5 Ascoli Piceno, Asur Marche
    3 Distretto di Amandola, Area Vasta n° 4 - Fermo;
    4 Ambito Sociale Territoriale XXIV;
    5 Cooperativa Sociale P.A.Ge.F.Ha., Progetto Sollievo
    6 Coordinamento Unico Distrettuale Ascoli Piceno Area Vasta 5 Ascoli Piceno

    Objectives. The aims of our work are a) to measure the Quality of Life (QoL) of psychotic patients followed by the department of mental health on the territory of the district health Amandola b) to analyze the relationship between the QoL perceived by the patient and this one perceived from the family member, c) to provide further evidence of validity of the questionnaires d) evaluate the impact of the "Progetto Sollievo" on the QOL among psychotic patients.
    Design and methods. In this observational study 45 consecutive psychotic patients have been asked to fill the SF36 (IQOLA SF-36 Italian Version 1.6) questionnaire. The patient’s family member was asked to fill out the QOL-P (Quality of Life - proxy) (WHOQOL-100 italian version) for the assessment of QoL of the patient.
    Results. The two dimensions of SF36 have been explored (physical and mental). The scores for each dimension were divided into three categories: low, medium and high. It was then assessed the mean score for mental health and physical health QOL-P obtained in relation to the three categories identified above is a good correlation for mental health / physical: 46.3, 56.3 and 64.5/50.0, 49.5 and 65.0.
    The report of the mean scores with the levels of indicators of discomfort (alcoholism, drug addiction, dissociality and detrimental acts), measured with the scale HoNOS (Health of the Nation Outcome Scales), and with the hospitalizations has shown that, by increasing of the level indicators of distress, the score of mental health significantly decreases.
    Patients who participated in the Progetto Sollievo of Marche Region showed a value higher than the mean score of mental health (53.8 vs 50.6, ns).
    Conclusions. Both questionnaires, QOL-P (WHOQOL-100 italian version) and SF36 (IQOLA SF-36 Italian Version 1.6) are valuable tools for the assessment of QoL of psychotic patients. The higher average level of mental health shown by the participants in the Progetto Sollievo, although not significant probably due to the insufficient power of the study, indicates not only the opportunity to continue with the work, but also to extend the study of QoL in other areas and other territories of Marche region.
  • Betsy Workman added an answer:
    Extracting medicinal constituents from herbs
    I am hoping someone can point me in the right direction in regards to extracting medicinal constituents from herbs. I realize some properties are water soluble and others are fat soluble, but I am having difficulty understanding which are which and why. Is there a book on the subject that I could get that is essentially chemistry for dummies that can help me understand which herbs are best for infusions and which are best for decoctions?
    Betsy Workman · Chicago School of Professional Psychology
    Hello everyone,
    Thank you so much for all the great suggestions and answers. Forgive me for not replying to everyone earlier as I was on a sabbatical of sorts from my research.
    Also, thank you for taking your personal time to reply and share your knowledge. It is greatly appreciated. I feel that I have a lot of useful information to work from. Again, thank you!
  • Khaled Saad added an answer:
    I am currently researching SIDS and preventative use of dummies (pacifiers).
    I'm looking at information and recommendations to parents. Evidence/research vs custom/old wives tales/folk law.

    Guidelines/leaflets/policies you refer to or recommend would be helpful please.
    Khaled Saad · Assiut University
    You can read this article
  • Luz Huntington-Moskos added an answer:
    Does anyone know of a place they could recommend (in terms of quality and pricing) for getting salivary cortisol assays processed?
    I've heard of only a couple of places to get saliva kits analyzed. Is that because there are not many viable options for researchers? Does anyone have experience using Salimetrics /Kirschbaum/others?
  • Mauro Colombo added an answer:
    What is a good well being measure for people with a dementia?
    I am looking for an easily administered, non-intrusive wellbeing measure for people with dementia. The measure will need to be suitable for repeated measurements during the course of an intervention over several weeks; ideally, it can be used on a tablet computer (Android and iPad).

    The "intervention" is an art viewing activity on a tablet computer. It is essential that the measure be easy to self complete and not take much time. Pre post measures before and after psychosocial programmes/interventions for this population tend not to be particularly valuable, in my experience, because they do not capture 'in the moment' effects, which may be the most relevant aspect of the programme/intervention.

    The population is in the early to mid stages of dementia ( MMSE score >10).
    Mauro Colombo · Golgi - Redaelli
    Having personally met prof. Cameron Camp, I can now trust deeply in him
    best greeetings to everybody, Mauro

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