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Day-to-day Functioning (day-to-day + functioning)
Selected AbstractsOutcomes generated by patients with rheumatoid arthritis: how important are they?MUSCULOSKELETAL CARE, Issue 3 2005Sarah Hewlett PhD MA RGN Arc Senior Lecturer Abstract Background: It has been shown previously that patients with rheumatoid arthritis (RA) can generate a wide range of outcomes that they consider important in treatment. It is not known if these outcomes are generally important in the wider RA patient community. Objectives: (1) To examine whether recent patient-generated outcomes are generalizable within a wider RA population; (2) to assess the relative importance of each outcome; and(3) to explore whether any important outcomes have been omitted. Methods: A questionnaire, listing 23 outcomes previously generated by RA patients, was distributed through three rheumatology centres in the UK. Patients gave an importance score to each outcome (0,3), selected their top three most important outcomes, and then listed any outcomes of personal importance that were missing. Results: 323 questionnaires were returned (65%). All outcomes were deemed important. Independence, pain, and mobility were most frequently selected by patients in their top three outcomes but were not chosen by 61,66% of patients. The next most commonly chosen outcomes related to feeling well and fatigue. Factor analysis revealed six reasonably distinct groupings: general well-being (11.9% explained variance), day-to-day functioning(10.6%), emotional and psychological well-being (10.6%), social role and confidence (10%), physical symptoms (9.5%) and medication issues (7.9%). Conclusion: Outcomes generated by patients as important in RA, are generalizable and inclusive. The most important (independence, pain and mobility) are routinely treated and measured. The next most important (feeling well, fatigue) are infrequently addressed and deserve urgent consideration for measurement, treatment and research. Copyright © 2005 John Wiley & Sons, Ltd. [source] Sensory modulation impairments in children with Williams syndrome,AMERICAN JOURNAL OF MEDICAL GENETICS, Issue 2 2010Angela E. John Abstract The ability to organize information detected by our senses ("sensory modulation") allows us to act or respond effectively to situations encountered, facilitating learning, social behavior, and day-to-day functioning. We hypothesized that children with Williams syndrome (WS) would demonstrate symptoms of poor sensory modulation and that these sensory modulation abnormalities contribute to the phenotype. Participants were 78 children with WS aged 4.00,10.95 years. Based on parent ratings on the Short Sensory Profile [SSP; Dunn, 1999], most children were classified as having definite sensory modulation issues. Cluster analysis identified the presence of two clusters varying in level of sensory modulation impairment. Children in the high impairment group demonstrated poorer adaptive functioning, executive functioning, more problem behaviors, and more difficult temperaments than children in the low impairment group. © 2010 Wiley-Liss, Inc. [source] Ministerial responsibility and the machinery of governmentCANADIAN PUBLIC ADMINISTRATION/ADMINISTRATION PUBLIQUE DU CANADA, Issue 2 2007Nicholas D'Ombrain It discusses how constitutional government and the practical day-to-day functioning of a parliamentary democracy depend on ministerial responsibility as the bedrock principle for the organization and operation of the machinery of government across the range of government organizations. It concludes that ministerial responsibility remains the pivotal constitutional doctrine essential to the functioning of a parliamentary democracy; that notwithstanding the undue concentration of authority in the hands of first ministers, their machinery of government powers ought not to be reduced; and that first ministers in particular should pay closer attention to ministerial responsibility as the foundation of the machinery of government. Sommaire: Le présent article porte sur les relations entre la responsabilité ministéri-elle et l'appareil gouvernemental. Il examine comment le gouvernement constitutionnel et le fonctionnement pratique quotidien d'une démocratie parlementaire reposent sur la responsabilité ministérielle comme principe de base de l'organisation et du fonctionnement de l'appareil gouvernemental dans tous les types d'organismes gouvernementaux. L'auteur conclut que la responsabilité ministérielle demeure la doctrine constitutionnelle cruciale et essentielle au fonctionnement d'une démocratie parlementaire; que malgré la concentration exagérée de pouvoir entre les mains des premiers ministres, les pouvoirs de l'appareil gouvernemental ne devraient pas être réduits; et que les premiers ministres en particulier devraient prêter une plus grande attention à la responsabilité ministérielle en tant que fondement de l'appareil gouvernemental. [source] Health-related quality of life and bullying in adolescenceACTA PAEDIATRICA, Issue 4 2010A Frisén Abstract Objective:, To investigate if adolescents' HRQL (Health-Related Quality of Life) is associated with experiences of school bullying. Method:, A total of 758 adolescents completed a questionnaire to help examine HRQL and the prevalence of bullying. Results:, Associations were found between being bullied and all of the examined aspects of HRQL. To be involved in bullying , both as a bully and bully/victim (both bully and victim) , is related to experiences of physical and emotional difficulties. Being bullied during the latter school years affects aspects of HRQL to a greater extent than being bullied during earlier school years. Conclusion:, Peers have a pronounced influence on the adolescents' life, which can be seen in the association between experiences of bullying and its association with HRQL. Being bullied is associated with significantly poorer ratings of HRQL for adolescents in nearly every aspect of day-to-day functioning and quality of life. [source] | ||||||||||