- 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 fulfillmentFollowing
- Ibtissam Sabbah 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.
please read the article:
Ibtissam Sabbah, , Hala Sabbah, Sanaa Sabbah, Hussein Akoum, Nabil Droubi.
Measurement Properties of the Arabic Lebanon Version of the Pediatric Quality of Life Inventory 4.0 Generic Core Scales for Young Child (5 - 7 Years), and Child Aged 8 - 12 Years: Quality of Life in Urban and Rural Children in Lebanon. Creative Education
2012. Vol.3, Special Issue, 959-970 . http://dx.doi.org/10.4236/ce.2012.326146 .(http://www.SciRP.org/journal/ce.Following
- 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?
drinking of little amount of water with the meal helps in digestion.Following
- 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?
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 empowermentFollowing
- Tanya Packer 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?
I am joining this conversation a bit late. I hope it is not too late. It is interesting that with proliferation of self-management programs there is little consensus on the active ingredient or mechanism for change. Without this it is difficult to know what to measure. The most common non-biomarker variables measured are self-efficacy, patient activation, quality of life, depression. Some of the available tools that are more "self-management" in nature are the Patient Activation Measure, the heiQ, the Partners in Health Scale and many many self-efficacy measures. I thought they measured something similar until I started doing some analysis using three of these tools. The factor analysis seems to indicate that they are all measuring different traits.
Another consideration in choosing tools is the goal of the intervention and not all self-management interventions have the same focus. Some are focused on medication adherence while others are focused on managing pain or social isolation. The tools we use to measure these interventions should not be the same. While in Australia, we developed a tool for the Dept of Health that helps practitioners evaluate the quality of their self-management interventions in 4 broad areas. It might also be a way to analys your interventions and decide on the best outcome measures. It can be found at http://www.selfmanagement.health.wa.gov.au/index.php?option=com_content&view=article&id=118&Itemid=117
In summary, I think we need to be very careful and thoughtful about the measures we use. Without this the results are hard to interpret.Following
- 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?
That sounds really good! I'd be interested to see the results!Following
- 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?
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!Following
- Sheikh Mohammed Shariful Islam 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?
We used Morisky's 8 scale medication adherence tool to measure adherence among patients with type 2 diabetes in Bangladesh. It is a easy tool to use in clinical and research settings.Following
- Chithan C Kandaswami added an answer:What do you think of the practice of capitalizing (using upper case) words (nouns) in the middle of a sentence?
The practice of capitalizing (using upper case) words (nouns) in the middle of a sentence, particularly in science related communications, has become rampant and pervasive.
Representative examples are: Flavonoids in plant cells are protected by “Vitamin” C. The stilbene, “Resveratrol”, is synthesized in grapevine to combat stress. Methylation of DNA in cells occurs through the B “Vitamin”, “Folic acid”. Vitamin E consists of eight forms of “Tocopherols”. The “Enzyme” involved in this response is Cyclooxygenase. This has become a standard procedure in “Molecular Biology”. Plant foods contain “Antioxidant” molecules. Unfolding of “Proteins” may be involved in degenerating disorders. The B vitamin, “Biotin”, promotes “Gene” expression.
The practice has become a norm owing to newspaper journalists (and column writers), health and wellness educators and trade article (associated with commercial outfits) writers, much to the chagrin of scientists. Students of science also appear to have picked up this habit in a large measure.
Thank you very much for the perspective.
British English rules for word capitalization may apply to: 1) individuals, places, and words connected with them; languages, books, films, organizations, special days. Examples include “War and Peace”, “Memorial Day”, “Republic Day”, “Sanskrit”, German”, “National Research Council” ,“British Council”, “British English”, etc. In the example of “The Upper House of Parliament”, connecting word “of” does not get capitalized, 2) abbreviations (including acronyms): UN (the United Nations); UK (the United Kingdom); “PBS” (Public Broadcasting System), 3) acronyms: ATP (adenosine-triphosphate); FAD (flavin adenine dinucleotide), etc. I don’t know if the rules are different for American English.Following
- 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.
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.Following
- 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.I think this paper is a good example for mobile health.
"Outpatient Glycemic Control with a Bionic Pancreas in Type 1 Diabetes"
- Vamshi Saliganti 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?Sea bathing has become one of the most popular hobbies these days. William Buchan wrote in 1701, in his book 'Domestic Medicine', that he advocated the practice of sea bathing as it was thought to have medicinal benefits. The ocean contains all the vital elements, vitamins, mineral salts, trace elements, and amino acids (which is, by the way, a really good reason for using sea salt in our diet, as opposed to 'table' salt). Sea water is bacteriostatic and the cleansing and healing properties of saline have been recognized for many years. Naturopaths believe that bathing in sea water acts directly on chronic health disorders. They believe that cool sea water calms down overwrought nerves, tranquillizing the whole body. By the same token, they believe that warm sea water, during the summer months improves circulation and relaxes muscles. The high salt content also provides natural buoyancy, which also helps with relaxation. It is also considered that the magnesium content of sea water is sufficiently strong to have a nutritional and calming effect on our nerves, which would explain why we find sea water bathing so relaxing. It is easy to see why it would be thought that the motion of the waves in the sea help to massage the body and assist in the removal of toxins.Following
- 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?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.Following
- 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.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.Following
- 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. ThanksAnother 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.Following
- 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!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 !).Following
- Brian D. Gonzalez 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?I haven't seen the ISI items used individually, but that's not to say it can't be done. The items on the ISI ask about difficulty falling asleep, difficulty staying asleep, difficulty waking too early, satisfaction with sleep, how noticeable one's sleep disturbance is, distress re: sleep disturbance, and interference from sleep disturbance. Many of those items would probably be better measured by the subscales of the Pittsburgh Sleep Quality Index (http://www.sleep.pitt.edu/content.asp?id=1484&subid=2316). It has subscales for duration of sleep, sleep disturbance, sleep latency, daytime dysfunction from sleep problems, and overall sleep quality. I haven't checked the literature, but I bet those subscales have better validity and reliability than the individual items of the ISI.
- Shehroz S Khan asked a question:What are the odds of falling down while performing normal activities?We know that fall occurs rarely while doing normal activities of daily living. I am interested to know the odds of falling (or its probability).
WikiAnswers (http://wiki.answers.com/Q/What_are_the_odds_of_falling_down_stairs?#slide=2) says the odds for falling down stairs is 1:20,000, however I am interested in knowing the odds of falling down in general (not necessarily incurring fall while climbing stairs down) and any rational argument to support that number or is there any credible study that provides an empirical evidence at arriving such number?Following
- 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).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.
- Iryna Kuksa asked a question:Design and Personalisation Symposium, Nottingham 19-20th February 2014‘Personalisation’ is rapidly permeating our everyday lives. From advertising to health care, and from clothing to architecture – most services and products can be tailored to suit particular needs and preferences. Where does it leave designers when consumers specify their products? Do personalised health services deliver value to the tax payer?
A fee of £75 allows delegates at Design and Personalisation Symposium, to consider specific instances of personalised designs, their consequences for users, and for society. Speakers will include academics, designers, public service providers, and industry professionals who will explore these conceptual, methodological and practical challenges.
- Barry Turner 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?
I suspect that the conflict is caused by the fact that conventional medicine is highly regulated while snake oil salesmen can sell any kind of 'off the wall' nostrum with impunity.Following
- Lars Louis Andersen asked a question:3rd international Wellbeing at Work conferenceInterested in participating? Abstract submission is open until Dec 15th
- 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.
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.Following
- Betsy Workman added an answer:Extracting medicinal constituents from herbsI 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?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.You can read this articleFollowing
- 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?Following
- Sai Kishore added an answer:What is the relation between adequate hydration and cognitive performance, alertness etc.?It is supposed that adequate intake of fluids improves state of alertness.Says:-
Inadequate hydration leads to hyponatremia, thereby leading to alterations in the homeostatic control of thirst. In simple words --> mood swings are a possibility.
A person with good hydration level can perform better with improved concentration and attention.Following