Return to work after mild-to-moderate stroke: work satisfaction and predictive factors
A large proportion of stroke patients square measure unable to come back to figure (RTW), though figures vary greatly. a complete of 121 mild-to-moderate stroke patients, UN agency had a paid job at the time of their stroke were enclosed (a) to quantify RTW and work satisfaction annual post-stroke (using the city Scale for analysis of Rehabilitation-Participation) and (b) to see factors predicting RTW post-stroke, supported stroke-related, personal and psychology variables. 1/2 the patients weren’t in work (28%) or were operating less (22%) than pre-stroke. Ninety % of these in fulltime employment post-stroke were glad with their activity scenario, against one year of the idle participants. with reference to factors predicting RTW, international psychological feature functioning (r = .19, Montreal psychological feature Assessment) and depressive symptoms (r = −.16, Hospital Anxiety and Depression Scale) at 2 months post-stroke onset were related to come back to figure among one year. solely international psychological feature functioning was associate degree freelance predictor of RTW (11.3% variance, p = .013). though the explained variance wasn’t that top, psychology factors in all probability play a crucial role in returning to figure and will be taken under consideration throughout rehabilitation when gentle and moderate stroke. [1]
Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) Study
Background
The relationship of health risk behavior and disease in adulthood to the breadth of exposure to childhood emotional, physical, or sexual abuse, and household dysfunction during childhood has not previously been described.
Methods
A questionnaire about adverse childhood experiences was mailed to 13,494 adults who had completed a standardized medical evaluation at a large HMO; 9,508 (70.5%) responded. Seven categories of adverse childhood experiences were studied: psychological, physical, or sexual abuse; violence against mother; or living with household members who were substance abusers, mentally ill or suicidal, or ever imprisoned. The number of categories of these adverse childhood experiences was then compared to measures of adult risk behavior, health status, and disease. Logistic regression was used to adjust for effects of demographic factors on the association between the cumulative number of categories of childhood exposures (range: 0–7) and risk factors for the leading causes of death in adult life.
Results
More than half of respondents reported at least one, and one-fourth reported ≥2 categories of childhood exposures. We found a graded relationship between the number of categories of childhood exposure and each of the adult healthrisk behaviors and diseases that were studied (P < .001). Persons who had experienced four or more categories of childhood exposure, compared to those who had experienced none, had 4- to 12-fold increased health risks for alcoholism, drug abuse, depression, and suicide attempt; a 2- to 4-fold increase in smoking, poor self-rated health, ≥50 sexual intercourse partners, and sexually transmitted disease; and a 1.4- to 1.6-fold increase in physical inactivity and severe obesity. The number of categories of adverse childhood exposures showed a graded relationship to the presence of adult diseasesincluding ischemic heart disease, cancer, chronic lung disease, skeletal fractures, and liver disease. The seven categories of adverse childhood experiences were strongly interrelated and persons with multiple categories of childhood exposure were likely to have multiple health risk factors later in life.
Conclusions
We found a strong graded relationship between the breadth of exposure to abuse or household dysfunction during childhood and multiple risk factors for several of the leading causes of death in adults. [2]
Science Literacy or Value Predisposition? A Meta-Analysis of Factors Predicting Public Perceptions of Benefits, Risks, and Acceptance of Nuclear Energy
Nuclear energy is widely regarded as a controversial technology that polarizes public opinion. Guided by the scientific literacy and cognitive miser models, this study systematically identified and examined the magnitude of the effects of 19 predictors on public perceptions of benefits, risks, and acceptance of nuclear energy. We meta-analysed 34 empirical studies, representing a total sample of 32,938 participants and 129 independent correlations. The findings demonstrated that trust substantially affected public perception of benefits regarding nuclear energy. Sex, education, public perception of benefits regarding nuclear energy, trust, and public deliberation substantially influenced public perception of risks regarding nuclear energy. Moreover, sex, education, public perceptions of benefits, risks and costs regarding nuclear energy, knowledge, and trust substantially affected public acceptance of nuclear energy. Country of sample and time period of data collection moderated public perceptions of benefits, risks, and acceptance of nuclear energy. Implications for future research are discussed. [3]
Reaching an evidence-based prognosis for personalized treatment of multiple sclerosis
Personalized treatment is good for induration (MS) as a result of the heterogeneousness of clinical options, however current information gaps, together with validation of biomarkers and treatment algorithms, limit sensible implementation. The modern approach to personalised MS medical aid depends on evidence-based prognostication, AN initial treatment alternative and analysis of early treatment responses to spot the necessity to change medical aid. Prognostication is directed by baseline clinical, environmental and demographic factors, magnetic resonance imaging measures and biomarkers that correlate with long incapacity measures. The initial treatment alternative ought to be a shared call between the patient and MD. additionally to prognosis, this alternative should account for patient-related factors, together with comorbidities, gestation designing, preferences of the patients and their comfort with risk, and drug-related factors, together with safety, value and implications for treatment sequencing. Treatment response has historically been assessed on the idea of relapse rate, magnetic resonance imaging lesions and incapacity progression. Larger longitudinal knowledge sets have enabled development of composite outcome measures and additional rigorous standards for unwellness management. Biomarkers, together with neurofilament light-weight chain, have potential as early surrogate markers of prognosis and treatment response however need any validation. Overall, attainment of personalised treatment for MS is advanced however are refined as new knowledge become out there. [4]
Analysis of Disparity of Key Demographic Factors on Broadband Technology Usage among Teenagers: Gender as Prime Focus
Aims: Broadband web and broadband-enabled devices are thought of as various approaches to extend the productivity of teenagers in their several faculties. However, there’s less or no analysis that establishes interference of some needed factors for usage of broadband technology on the teenagers’ gender. Therefore, the study presents the inequality within the usage of broadband technology among teenagers along side the interference on their gender brought by some factors.
Study Design: The analysis used straightforward sampling approach that gave equal possibilities of choice to the participants.
Place and length of Study: This analysis engaged teenagers World Health Organization ar lyceum students in Kedah state of the northern region of Asian country because the unit of research, because of their ability to supply facts on the web connected problems.
Methodology: A comparative style approach in associate experimental kind is chosen to look at the extent of interference of some demographic factors on the gender of teen users of broadband technology. Over four hundred teenagers were invited to four totally different web centres and 373 participants were elect from the invitees.
Results: The study showed that teenagers’ academic level, living locations, family sizes and their parents’ jobs ar the factors to live the inequality created by the gender of teenagers whereas victimization broadband technology. Hence, higher hands ar with the teenagers World Health Organization ar feminine over the male’s counterparts in terms of usage of broadband technology as brought by the highlighted factors.
Conclusion: Study on the inequality of broadband technology usage by gender may assist the broadband web service suppliers to any perceive the factors that foster variations within the gender of teen users of their services. this can be any studied by that specialize in the approach to bridge the created gaps between the gender of users of broadband technology among teenagers. [5]
Reference
[1] van der Kemp, J., Kruithof, W.J., Nijboer, T.C., van Bennekom, C.A., van Heugten, C. and Visser-Meily, J.M., 2019. Return to work after mild-to-moderate stroke: work satisfaction and predictive factors. Neuropsychological rehabilitation, 29(4), pp.638-653. (Web Link)
[2] Felitti, V.J., Anda, R.F., Nordenberg, D., Williamson, D.F., Spitz, A.M., Edwards, V., Koss, M.P. and Marks, J.S., 2019. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine, 56(6), pp.774-786. (Web Link)
[3] Ho, S.S., Leong, A.D., Looi, J., Chen, L., Pang, N. and Tandoc Jr, E., 2019. Science literacy or value predisposition? A meta-analysis of factors predicting public perceptions of benefits, risks, and acceptance of nuclear energy. Environmental Communication, 13(4), pp.457-471. (Web Link)
[4] Reaching an evidence-based prognosis for personalized treatment of multiple sclerosis
Dalia Rotstein & Xavier Montalban
Nature Reviews Neurology 15, 287–300 (2019) (Web Link)
[5] Hussein, H. and Muraina, I. D. (2018) “Analysis of Disparity of Key Demographic Factors on Broadband Technology Usage among Teenagers: Gender as Prime Focus”, Journal of Scientific Research and Reports, 19(5), pp. 1-6. doi: 10.9734/JSRR/2018/42264. (Web Link)