The Impact of Multidisciplinary Rehabilitation on Depressive Symptoms in Hemodialysis Patients

Depressive symptom is the most frequent psychological problem reported among chronic kidney disease (CKD) patients being treated by hemodialysis. This article evaluates the effectiveness of multidisciplinary rehabilitation on depressive symptoms in hemodialysis patients and clarifies the role of nurses. This quasi-experimental study was done on 30 patients in the hemodialysis center (educational hospital) in 2013. Eight rehabilitation plans were conducted by nurses. Beck Depression Inventory (BDI) was used before and after intervention. Our data were analyzed using descriptive and inferential statistics. Result of this study shows that there was a significant difference between mean depressive symptom score before (36.4 ± 10.9) and after (10.5 ± 3.1) rehabilitation ( p < .001). It is recommended that rehabilitation program be implemented in all hemodialysis centers with the participation of specialists in different fields.

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Efficacy of standard- vs reduced-dose insulin for treatment of hyperkalemia: A quasi-experiment

American Journal of Health-System Pharmacy ◽

10.1093/ajhp/zxab382 ◽

2021 ◽

Author(s):

Sara Catherine Pearson ◽

Kristin O’Connor ◽

Kimberly Keller ◽

T J Hodge ◽

Ross Nesbit

Keyword(s):

Glucose Level ◽

Standard Dose ◽

Additional Treatment ◽

Treatment Pathway ◽

Reduced Dose ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

Stage Renal Disease ◽

The Impact

Abstract Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose Hyperkalemia more commonly affects patients with a glomerular filtration rate of less than 60 mL/min. Using intravenous (IV) insulin to shift potassium intracellularly may cause hypoglycemia, requiring additional treatment or longer hospitalization. Literature on insulin dosing in this context is limited, with one previous study indicating that 5 units of IV insulin might be as effective and result in less hypoglycemia than the standard dose of 10 units of IV insulin. The hyperkalemia treatment pathway at our institution was revised in May 2018 to include a reduced-dose option (5 units of insulin) for patients with end-stage renal disease. This study aimed to compare the prevalence of hypoglycemia between patients who received standard-dose vs reduced-dose IV insulin. Methods This single-center, retrospective, quasi-experimental study evaluated the impact of revision of the hyperkalemia treatment pathway by assessing rates of hypoglycemia during the 6 months before and after implementation of the revised pathway. The primary endpoint was prevalence of hypoglycemia, defined as a blood glucose level of less than or equal to 70 mg/dL. Results There was no statistically significant difference in the occurrence of hypoglycemia when comparing the pre- and postimplementation groups (36 [17.7%] patients vs 34 [18.7%] patients; P = 0.7924). The postimplementation group had a statistically significant lower reduction in potassium levels after treatment than the preimplementation group (mean [interquartile range], –0.9 [–1.3, –0.5] mEq/L vs –0.6 [–1.2, –0.2] mEq/L; P = 0.0095). Baseline potassium levels were similar between the groups. Conclusion Administration of reduced-dose IV insulin for treatment of hyperkalemia was significantly less effective in lowering serum potassium levels and did not decrease prevalence of hypoglycemia. When accounting for potential confounders, the only variable that was associated with hypoglycemia was pretreatment glucose level.

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Use of digital game therapy among elderly persons undergoing dialytic treatment: cognitive aspects and depressive symptoms

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562018021.170184 ◽

2018 ◽

Vol 21 (4) ◽

pp. 447-455

Author(s):

Sirlei Ricarte Bento ◽

Ana Carolina Ottaviani ◽

Allan Gustavo Brigola ◽

Vânia Paula de Almeida Neris ◽

Fabiana de Souza Orlandi ◽

...

Keyword(s):

Depressive Symptoms ◽

Depressive Symptom ◽

Intervention Program ◽

Depression Scale ◽

Elderly Persons ◽

Post Intervention ◽

Therapeutic Game ◽

Significant Difference ◽

Before And After ◽

The Mean

Abstract Objective :to evaluate the presence of depressive symptoms and cognitive disorders before and after an intervention program with a digital therapeutic game among elderly persons undergoing hemodialysis. Method: a quasi-experimental study was carried out with 26 elderly patients on hemodialysis. For the data collection, a questionnaire relating to sociodemographic and health conditions, the Geriatric Depression Scale - 15 items and Addenbrooke’s Cognitive Examination Revised were used. The intervention with the digital therapeutic game was performed over 5 sessions. Results: of the participants, 80.8% were male, with a mean age of 66.7 (± 5.8) years. The mean pre-intervention depressive symptom score was 3.9 (± 3.0) while post-intervention it was 2.8 (± 2.9), representing a statistically significant difference (p = 0.005). Regarding cognitive function, there was no statistically significant difference before and after the intervention. There was a statistically significant difference in the mean of the depressive symptom scores, which were lower after the intervention. In addition, there was no statistically significant difference in the mean of the cognitive assessments. Conclusion: intervention studies with patients undergoing hemodialysis treatment are still scarce and this study describes the positive results of an intervention with a digital therapeutic game, demonstrating improvement in the depressive symptoms of the participants.

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The Impact of Education on Mother’s Knowledge for Stunting Prevention Through Moringa Oleifera in Kuan Noel Village, Fatumnasi District, South Central Timor Regency

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2020.8(3).206-215 ◽

2020 ◽

Vol 8 (3) ◽

pp. 206

Author(s):

IRLIN FALDE RITI

Keyword(s):

Treatment Group ◽

Moringa Oleifera ◽

Sampling Technique ◽

Control Group ◽

South Central ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

The Impact ◽

Educational Aspect

ABSTRAKBackground: One of nutritious problems susceptibly encountred in the world nowadays is kid’s stunting. Stunting is a failure of growth condition and cronical nutritious problems caused by poor nutritious supply because of improper meal provisions in long term growth consumptions. Stunting could be primarily prevented by increasing knowledge about stunting prevention through consuming moringa oleifera regularly. The aim: This study is intended to know the impact of education on mother’s knowledge for stunting prevention through regular moringa oleifera consumption. Research Method: This research applied a quasi experimental design by generating non equivalent control group which complied two groups; 30 subjects (mothers) were considered as treatment group; whereas, other 30 subjects (mothers) were taken as control group. Thus sampling technique applied was consecutive sampling. Results: The study showed that there was a significant impact on education score before and after intervention effects towards the treatment group (p=0,000); whereas there was no significant difference on the control group (p=0,184). The statistical analysis applied independent sample t-test which showed if educational aspect significantly impacted on the increase of mother’s knowledge (p=0,000). Conclusion: Educational aspect impacted on mother’s knowledge for stunting prevention through moringa oleifera.

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EFFECT OF YOGIC EXERCISES AND MEDITATION ON EMOTIONAL WELLNESS AND SPIRITUAL WELLNESS OF WOMEN IN THOOTHUKUDI

International Journal of Research -GRANTHAALAYAH ◽

10.29121/granthaalayah.v4.i9(se).2016.2511 ◽

2016 ◽

Vol 4 (9(SE)) ◽

pp. 63-73

Author(s):

Thanga Selvam ◽

Shunmuga SelvaSivaSankari ◽

A. Nagalakshmi

Keyword(s):

Personal Health ◽

Spiritual Wellness ◽

Health And Wellbeing ◽

Study Results ◽

Significant Difference ◽

Emotional Wellness ◽

Before And After ◽

Post Test ◽

Quasi Experimental ◽

The Impact

Today, yoga is considered as an alternative exercise approach to obtain personal health and wellbeing. Yoga’s holistic methodology strives to unite one’s body, mind, and spirit; it is a method of exercise mirrored in the physical, mental, and emotional benefits which result. The focus of this paper will highlight on the effect of yogic exercises and meditation on emotional wellness and spiritual wellness among women. The objectives of this study were to find out the level of emotional wellness and spiritual wellness of women before and after treatment and to find out the impact of yogic exercises and meditation on the emotional wellness and spiritual wellness of women. The investigators have adopted quasi-experimental method for this study. Results of this study show that there is significant difference between pretest and post test scores on emotional wellness and spiritual wellness of women before and after the yogic exercises and meditation.

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Left prefrontal impact links subthalamic stimulation with depressive symptoms

10.1101/665976 ◽

2019 ◽

Cited By ~ 4

Author(s):

Friederike Irmen ◽

Andreas Horn ◽

Philip Mosley ◽

Alistair Perry ◽

Jan Niklas Petry-Schmelzer ◽

...

Keyword(s):

Depressive Symptoms ◽

Depressive Symptom ◽

Structural Connectivity ◽

Electrode Placement ◽

Validation Dataset ◽

Symptom Change ◽

Test Set ◽

Before And After ◽

The Impact ◽

Stn Dbs

AbstractObjectiveSubthalamic nucleus deep brain stimulation (STN-DBS) in Parkinson’s Disease (PD) not only stimulates focal target structures but also affects distributed brain networks. The impact this network modulation has on non-motor DBS effects is not well characterized. By focusing on the affective domain, we systematically investigate the impact of electrode placement and associated structural connectivity on changes in depressive symptoms following STN-DBS which have been reported to improve, worsen or remain unchanged.MethodsDepressive symptoms before and after STN-DBS surgery were documented in 116 PD patients from three DBS centers (Berlin, Queensland, Cologne). Based on individual electrode reconstructions, the volumes of tissue activated (VTA) were estimated and combined with normative connectome data to identify structural connections passing through VTAs. Berlin and Queensland cohorts formed a training and cross-validation dataset used to identify structural connectivity explaining change in depressive symptoms. The Cologne data served as test-set for which depressive symptom change was predicted.ResultsStructural connectivity was linked to depressive symptom change under STN-DBS. An optimal connectivity map trained on the Berlin cohort could predict changes in depressive symptoms in Queensland patients and vice versa. Furthermore, the joint training-set map predicted changes in depressive symptoms in the independent test-set. Worsening of depressive symptoms was associated with left prefrontal connectivity.InterpretationFibers linking the STN electrode with left prefrontal areas predicted worsening of depressive symptoms. Our results suggest that for the left STN-DBS lead, placement impacting fibers to left prefrontal areas should be avoided to maximize improvement of depressive symptoms.

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The Impact of Digital Storytelling on ESL Narrative Writing Skill

10.31235/osf.io/gbyr8 ◽

2019 ◽

Author(s):

Mohd Azmi Zakaria ◽

Azlina Abdul Aziz

Keyword(s):

Digital Storytelling ◽

Structured Interview ◽

Narrative Writing ◽

School Students ◽

Significant Difference ◽

Writing Skill ◽

Before And After ◽

Quasi Experimental ◽

Tank Test ◽

The Impact

This paper presents a part of a study on the teaching of narrative writing by incorporating Digital Storytelling. Writing skill is an essential component in mastering English because it incorporates all elements in English. By integrating technology in the learning process, students would be able to improve their writing skill. In Malaysia, students’ performance in examination has declined in recent years since the marks are based mostly on students’ writing. This research aims to know the impact of Digital Storytelling towards Malaysian secondary school students by investigating its impact on content, grammar, vocabulary and overall performance. It also explores students' perception of Digital Storytelling. This quasi-experimental study involved 52 Form four students from a fully-residential school in Melaka who were chosen using convenient sampling as part of the controlled and experimental groups. Data were collected from pre-tests, post-tests and a semi-structured interview. The quantitative data were analyzed using mean analysis, Wilcoxon Signed Tank Test and Independent t-Test while qualitative data were analyzed using thematic analysis. Findings show that there is a significant difference in the score before and after the intervention but there is no significant difference between the score of the experimental group and the controlled group. Participants stated that DS motivates them to write and improves their writing. It is hoped that this study would provide an alternative to teaching narrative writing and adds to the current pool of literature. It is suggested for future researchers to conduct purposive sampling which could yield different results.

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The impact of formative assessment on self-regulating learning in university classrooms

Tuning Journal for Higher Education ◽

10.18543/tjhe-4(1)-2016pp99-118 ◽

2016 ◽

Vol 4 (1) ◽

pp. 99 ◽

Cited By ~ 1

Author(s):

Fisseha Mikre Weldmeskel ◽

Dreyer Johann Michael

Keyword(s):

Formative Assessment ◽

Peer Assessment ◽

Self Regulation ◽

Intervention Group ◽

Self Regulated Learning ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

Psychology Course ◽

The Impact

This study describes the extent of which the use of quality formative assessment on lessons of a course involves the students as self-regulated learners. There is an increased interest among educational researchers to observe improvement of student self-regulation on learning. The predominant use of summative assessment remains a challenge to helping students develop self-regulation skills in learning and assessment. Quality formative assessment includes formative feedback, self-assessment and peer assessment. The study followed a partially mixed sequential research design and applied a quasi-experimental intervention that lasted for six weeks where six educators applied quality formative assessment on lessons of a general psychology course for intervention group students (N=191). The quantitative data were collected by self-regulated learning questionnaire before and after the use of quality formative assessment on lessons. The qualitative data were collected by focus group discussions with the students. The students’ perceptions on self-regulating learning were compared between the intervention (N=191) and the comparison (N=187) group of students. The quantitative analysis used t-test and biserial correlation and proved the presence of statistically significant difference between the two groups in perceiving the self-regulation of learning. Moreover, effect size estimate (Cohen’s d) was used to provide a strong validation on the variation between the two groups for the measure of self-regulating learning. Recommendations were made to promote the use of quality formative assessment aiming at the improvement of student self-regulation on learning and assessment in university classes.

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The impact of peer-peer learning and student-lecturer interaction on Biology pre-service teachers’ achievements

Cypriot Journal of Educational Sciences ◽

10.18844/cjes.v16i2.5629 ◽

2021 ◽

Vol 16 (2) ◽

pp. 511-521

Author(s):

Tafirenyika Mafugu

Keyword(s):

Online Learning ◽

Digital Divide ◽

Peer Interaction ◽

Control Group ◽

Tertiary Institutions ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

The Impact ◽

Experimental Group

Because of the outbreak of the COVID-19 pandemic, there was an emergency shift to online learning in tertiary institutions worldwide. Here, I aimed to determine the impact of guided peer-peer interaction on students' achievement. A Biology Achievement Test was used to collect data. I used a quasi-experimental design and analysed the data using the independent sample t-test and one-way ANOVA. A comparison of the experimental group mean marks before and after the lockdown did not reveal significant differences. However, the control group’s mean mark was significantly higher before than during the lockdown period. Before the lockdown, the performance of the experimental group did not show any significant difference with that of the control group. There was a significant difference in performance between the two groups during the lockdown. Lecturer guided interaction had a significant impact while the digital divide did not have a significant impact on students’ performance. Keywords: online learning; tertiary institutions; peer-peer interaction; digital divide

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The impact of clean lifestyle health promotion on the attitude, motivation, and behaviour of village health cadres

Masyarakat Kebudayaan dan Politik ◽

10.20473/mkp.v31i32018.310-317 ◽

2018 ◽

Vol 31 (3) ◽

pp. 310

Author(s):

Tetti Solehati ◽

Agus Rahmat ◽

Cecep Eli Kosasih ◽

Nur Oktavia Hidayati

Keyword(s):

Health Promotion ◽

Local Community ◽

Bivariate Analysis ◽

Hygiene Behaviour ◽

Significant Difference ◽

Before And After ◽

Post Test ◽

Quasi Experimental ◽

The Mean ◽

The Impact

Pangandaran is a popular tourism destination in West Java, which is annually visited by a high number of foreign and domestic tourists. It has set itself the vision of gaining the title ‘Healthy Village’. However, Pangandaran beach is still fighting the problem of waste, which is easily found along the coast. Thus, disease is mushrooming due to the lack of a Clean Lifestyle (Perilaku Hidup Bersih Sehat/PHBS) and the low awareness of PHBS in the Pangandaran local community. The eﬀorts undertaken to overcome the problem of infectious disease due to the lack of PHBS require great support from various parties such as health service centres and via community participation and the role of cadres, who also manage the Community Health Centres (Pos Pelayanan Terpadu/Posyandu). The study aims to determine the eﬀect of the health promotion of PHBS on the attitude, motivation, and behaviour of the health cadres. The study was quasi-experimental, involving a pre-test and post-test design. The study was conducted in Pangandaran Village, Pangandaran Regency. This research involved the health cadres because they are the closest person to the community and they also run a health program. In addition, they are reliable people when it comes to overcoming health problems in the community. The total population of health cadres in Pangandaran Village amounted to 28 people, via total sampling. The instruments used in this study included a questionnaire, observation sheet, and a checklist. The data analysis used univariate and bivariate analysis. The result showed that the mean score of attitude ranged from 65.11 to 74.71 (p = 0,000), the mean score of motivation was 37.39 to 40.71 (p = 0,000), the mean score of genital hygiene behaviour was 67.96 to 80.61 (p = 0,000) and the mean score of the behaviour of CTPS was significant at 32.25 to 35.71 (p = 0,000). This study found there to be significant diﬀerence in the mean attitude, motivation and behaviour of the health cadres before and after the intervention period.

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The Effect of Mental Health and Psychosocial Support (MHPS)Training on The Public Awareness of New Habitual Adaptations (NHA): A Pilot Research

Jurnal Keperawatan Soedirman ◽

10.20884/1.jks.2021.16.3.1869 ◽

2021 ◽

Vol 16 (3) ◽

Author(s):

Susanti Niman ◽

Habsyah Saparidah Agustina ◽

Sri Wahyuni ◽

Niken Yuniar Sari ◽

Retty Octi Syafrini ◽

...

Keyword(s):

Mental Health ◽

Psychosocial Support ◽

Public Awareness ◽

Health Condition ◽

P Value ◽

Increased Risk ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

The Impact

Background: The COVID-19 pandemic has a physical impact and on the mental health condition of the community. The existence of psychological distress due to the Covid 19 pandemic will affect the body's physiological conditions, such as reduced immune system responses and increased risk of infection, and the impact on mental health. The COVID-19 pandemic demands a change in people's behavior. Mental health and psychosocial support training is very important for the community so that the community can actively maintain mental and physical health. The research objective is to identify the effect of DKJPS training on awareness of new adaptation readiness. Method: The research was conducted through a quasi-experimental pre-post-test without control on 44 participants in the DKJPS training. Result: there is a significant difference between awareness of adaptation new habits before and after training (p-value 0.001). Conclusion: Mental health and psychosocial support training conducted in the community can increase public awareness of new adaptation habits independently.

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