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Selected AbstractsDepression among mothers of children and adults with an intellectual disability in TurkeyINTERNATIONAL JOURNAL OF NURSING PRACTICE, Issue 3 2010Hatice Yildirim Sari PhD RN Yildirim Sari H, Ba,bakkal Z. International Journal of Nursing Practice 2010; 16: 248,253 Depression among mothers of children and adults with an intellectual disability in Turkey The aim of this study was to determine sociodemographic factors that play a role in depression among mothers of children and adult with an intellectual disability. The research was conducted in 24 special education and rehabilitation centres in Izmir (in Turkey) provincial centre in which intellectually disabled individuals are taught. A total of 355 mothers were reached in the research. Data were collected using face-to-face interviews. Two forms were used for data collection in the research: Family Description Questionnaire Form and Beck Depression Inventory. The mothers included in the study had mean depression scores of 16.7 ± 10.06 (minimum: 0, maximum: 49). There was a significant relation between depression scores of the mothers and education level of the mothers and their spouses and financial status of the families. Mothers with insufficient income and lower education levels were found to be at risk of depression. [source] An environmental evaluation of household garbage processorsELECTRONICS & COMMUNICATIONS IN JAPAN, Issue 7 2010Kazuhito Haruki Abstract The amount of garbage emitted from households and industries has been constantly increasing in recent years, and its treatment cost has been a financial burden to municipal governments in Japan. Many municipal governments recommend that their citizens purchase household garbage processors in order to reduce the volume of garbage transferred to and incinerated at their facilities. Actually, 1535 municipal governments subsidize their citizens' purchase of electrical garbage processors and/or compost containers. These subsidies should be assessed from various points of view, such as the costs and benefits to municipal governments and citizens, and also global or local environmental loads. An environmental planning department of a city office sent questionnaires to its residents to investigate the utilization of the subsidized devices. An environmental organization of citizens supported the department with design of the questionnaire form and analysis of the collected questionnaire data. In this paper, the processes of designing the form and analyzing the data are explained, and then an evaluation of the subsidy is presented. The conclusions are as follows: Electrical garbage processors would be beneficial for dealing with local environmental problems such as lack of a final landfill site. However, the processors will increase CO2 emissions unless their electrical consumption efficiency can be improved. © 2010 Wiley Periodicals, Inc. Electron Comm Jpn, 93(7): 42,52, 2010; Published online in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/ecj.10285 [source] Effectiveness of the PLISSIT model for solving the sexual problems of patients with stomaJOURNAL OF CLINICAL NURSING, Issue 1 2009Sultan Ayaz Aims and objectives., This study was carried out to assess the effectiveness of the PLISSIT model in solving sexual problems of individuals with stoma. Background., Creating a stoma due to intestinal cancer may prolong the life expectancy of individuals. However, the problems resulting from stoma may cause significant changes in an individual's life and adversely affect relations with family members and social and sexual life. Design., Experimental. Methods., The study consisted of individuals with stoma, living in Ankara. The sample consisted of 60 patients. The case group consisted of 30 patients living in Ankara; and the control group consisted of 30 patients living outside Ankara. In data collection, a questionnaire form, the PLISSIT model intervention plan and Golombok,Rust Inventory of Sexual Satisfaction (GRISS) were used. The individuals in the case group were paid eight home visits. During these visits, sexual problems of individuals with stoma were assessed and solutions sought under the guidance of the PLISSIT model intervention plan. Results., Increase of mean scores of Golombok,Rust Inventory of Sexual Satisfaction and subgroups before evaluating the sexual problems by the PLISSIT model and the sixth week scores which the sexual activity is anticipated to start have been observed, but after evaluating the sexual problems by using the model, the mean scores decreased. It was determined that negative effects of concerns related to sexual life; some physical and emotional features and physiological problems have been observed and difference between the groups is significant (p < 0·05). Conclusions., As a result, it can be claimed that decreasing sexual problems can be accomplished by using the PLISSIT model. Relevance to clinical practice., People with stoma can meet sexual problems. However, nurses experience some difficulties while handling sexual problems. It is thought that an intervention plan prepared within the framework of the PLISSIT model will guide nurses in solving sexual problems of individuals with stoma and providing integrated care and help individuals to express their sexual problems. [source] The Difference of Heart Rate Recovery between Males with and without Erectile DysfunctionANNALS OF NONINVASIVE ELECTROCARDIOLOGY, Issue 3 2010M. Tolga Dogru M.D. Aim: In this study, we aimed to investigate the relationship between heart rate recovery (HRR) time and Chronotropic Index (CHIND) parameters, which also reflect autonomic function, after exercise stress test (EST) in males with or without erectile dysfunction (ED), and we investigated the relationship between HRR and CHIND and serum steroid hormone levels. Material and Methods: A total of 135 participants (mean age: 45.0 ± 11.8 years) were enrolled into the study. Detailed biochemical and hormonal analyses, 12-lead electrocardiography and EST (Treadmill) were performed in all participants. Erectile function was assessed using the International Index of Erectile Function (IIEF) questionnaire form. Patients were categorized into two groups according to their IIEF scores as ED (+) (IIEF < 26) and ED (,) (IIEF , 26). Afterward, statistical analyses were performed to evaluate the correlations between ED and HRR and CHIND. Results: A total of 65 patients were ED (+) (mean age 44.9 ± 6.4 years), while 70 patients (mean age 43.7 ± 7.7 years) had normal erectile status. There were statistically significant differences in CHIND (P = 0.015) and HRR time (P = 0.037) between ED (+) and ED (,) patients. In correlation analysis, IIEF score was found positively correlated with HRR and metabolic equivalent (MET) values (rHRR= 0.293, P = 0.037; rMETs= 0.388, P = 0.011, respectively). Linear regression analysis revealed that METs value and total exercise time had a more linear relationship with IIEF score compared to the other EST parameters (pMETs= 0.002 and pTET= 0.015, respectively). Conclusion: Chronotropic incompetence and dynamic postexercise autonomic dysfunction are present in ED patients. This condition may reflect decreased functional capacity and exercise intolerance in these patients. Ann Noninvasive Electrocardiol 2010;15(3):223,229 [source] British HIV Association (BHIVA) national cohort outcomes audit of patients commencing antiretrovirals from naïveHIV MEDICINE, Issue 6 2009E Street Objectives The aim of this work was to audit the extent to which routine HIV care in the UK conforms with British HIV Association (BHIVA) guidelines and specifically the proportion of patients starting highly active antiretroviral therapy (HAART) who achieve the outcome of virological suppression below 50 HIV-1 RNA copies/mL within 6 months. Methods A prospective cohort review of adults with HIV infection who started antiretroviral therapy (ART) for the first time between April and September 2006 was carried out using structured questionnaire forms. Results A total of 1170 adults from 122 clinical sites participated in the review. Of these patients, 699 (59.7%) started ART at CD4 counts <200 cells/,L and 193 (16.5%) had not been tested for HIV drug resistance. Excluding patients with valid reasons for stopping short-term ART, 795 (73.5%) of 1081 patients had an undetectable viral load (VL) at follow-up. Detectable VL was strongly associated with pretreatment CD4 count below 50 cells/,L and pretreatment VL above 100 000 copies/mL, and was not associated with clinic location or case load. About a quarter of patients did not have a VL measurement during the first 6 weeks after starting ART. Conclusions The majority of patients who initiated ART at sites participating in this UK national audit were managed within the BHIVA guidelines and achieved virological suppression below 50 copies/mL around 6 months after commencing treatment. Poor VL outcomes were associated with very low CD4 cell count and/or high VL at baseline but not with clinic case load or location. There is an urgent need to diagnose patients at an earlier stage of their HIV disease. [source] Developing the changes in attitude about the relevance of science (CARS) questionnaire and assessing two high school science classesJOURNAL OF RESEARCH IN SCIENCE TEACHING, Issue 8 2003Marcelle A. Siegel This study has two purposes: (a) methodological,to design and test a new instrument able to reflect changes in attitudes toward science over time, and (b) investigative,to find out the effect of two similar curricular treatments on the attitudes of two classes. Items about the relevance of science to students' lives were developed, pilot-tested, and analyzed using Rasch modeling. We then divided reliable items into three equivalent questionnaire forms. The final three forms of the questionnaire were used to assess high school students' attitudes. Over 18 weeks, one class used a core curriculum (Science and Sustainability) to learn science in the context of making decisions about societal issues. A second class used the same core curriculum, but with parts replaced by computer-based activities (Convince Me) designed to enhance the coherence of students' arguments. Using traditional and Rasch modeling techniques, we assessed the degrees to which such instructional activities promoted students' beliefs that science is relevant to them. Both classes tended to agree more, over time, that science is relevant to their lives, and the increases were statistically equivalent between classes. This study suggests that, by using innovative, issue-based activities, it is possible to enhance students' attitudes about the relevance of science. © 2003 Wiley Periodicals, Inc. J Res Sci Teach 40: 757,775, 2003 [source] | ||||||||||