Assessment tools measuring health-related empowerment in psychosocially vulnerable populations: a systematic review.

BackgroundMany programs are undertaken to facilitate the empowerment of vulnerable populations across the world. However, an overview of appropriate empowerment measurements to evaluate such initiatives remains incomplete to date. This systematic review aims to describe and summarise psychometric properties, feasibility and clinical utility of the available tools for measuring empowerment in psychosocially vulnerable populations.MethodsA systematic literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was completed. A descriptive approach was used for data analysis. Papers were eligible if they explored the development, validation, cross-cultural translation or the utility of an empowerment measurement tool in the context of psychosocially vulnerable populations.ResultsTwenty-six included articles described twenty-six separate studies in which 16 empowerment measurement tools were developed, validated/translated, or used. There was heterogeneity in empowerment constructs, samples targeted, and psychometric properties measured. The measurement of reliability of the included instruments was satisfactory in most cases. However, the validity, responsiveness, interpretability, feasibility and clinical utility of the identified measurement tools were often not adequately described or measured.ConclusionThis systematic review provides a useful snapshot of the strengths as well as limitations of existing health related empowerment measurement tools used with psychosocially vulnerable populations in terms of their measurement properties, and constructs captured. It highlights significant gaps in empowerment tool measurement, development and evaluation processes. In particular, the results suggest that in addition to systematic assessments of psychometric properties, the inclusion of feasibility and clinical utility as outcome measures are important to assess relevance to clinical practice

Ki-67/MIB-1 as a prognostic marker in cervical cancer - a systematic review with meta-analysis

Background: In cervical cancer patients it has been reported that there in a significant Ki-67/MIB-1 expression is correlated with survival in cervical cancer patients. However, the prognostic value is still not well understood. Materials and Methods: In the present meta-analysis the prognostic value of Ki-67/MIB-1 with regard to overall survival (OS) and disease-free survival (DFS) in cervical cancer was investigated. The databases of PubMed, ISI Web of Science, Cochrane Central Register of Controlled Trials, EMBASE, Science Direct and Wiley Online Library were used to identify appropriate literature. Results: In order to explore the relationship between Ki-67/MIB-1 and cervical cancer, we have included 13 studies covering 894 patients in the current meta-analysis. The effect of Ki-67/MIB-1 on OS for pooled random effects HR estimate was 1.63 (95confidence interval (CI) 1.09-2.45; P0.05) and the subgroup analysis indicated Ki-67/MIB1 was associated with DFS (HR=3.67, 95CI 2.65-5.09) in Asians. Conclusions: According to this meta-analysis, Ki-67/MIB-1 has prognostic value for OS in patients suffering from cervical cancer. For better evaluation of the prognostic role of Ki-67/MIB-1 on DFS, studies with larger numbers of patients are needed to validate present findings in the future

Eigenvalues variation of the p-Laplacian under the Yamabe flow

Abstract: The problem of geometric flow and determining the eigenvalues for nonlinear operators acting on finite-dimensional manifolds is a known problem. In this paper we will consider the eigenvalue problem for the p-Laplace operator acting on the space of functions on closed manifolds. We find the first variation formula for the eigenvalues of p-Laplacian on a closed manifold evolving by the Yamabe flow and find some applications

Phase Diagram of the Electron-Doped Cuprate Superconductors

We investigate the phase diagram of the electron-doped systems in high-Tc cuprates. We calculate the superconducting transition temperature Tc, the antiferromagnetic transition temperature TN, the NMR relaxation rate 1/T1 with the antiferromagnetic fluctuations in the fluctuation-exchange (FLEX) approximation and with the superconducting fluctuations in the self-consistent t-matrix approximation. Obtained phase diagram has common features as those in the hole-doped systems, including the antiferromagnetic state, the superconducting state and the spin gap phenomenon. Doping-dependences of TN, Tc and Tsg (spin gap temperature) are, however, different with those in the hole-doped systems. These differences are due to the intrinsic nature of the ingap states which are intimately related with the Zhang-Rice singlets in the hole-doped systems and are correlated d-electrons in the electron-doped systems, respectively, which has been shown in the d-p model.Comment: 4 pages, 3 figure

Complications and carcinogenic effects of mustard gas - A systematic review and meta-analysis in Iran

Background: Catastrophic effects of mustard gas as a chemical warfare agent have always been a major problem for those exposed to this agent. In this meta-analysis it was tried to evaluate carcinogenesis, ocular, cutaneous and respiratory complications of mustard gas exposure among Iranians who had been exposed to this agent during the Iran-Iraq war. Materials and Methods: In this meta-analysis, the required data were collected using keywords "mustard gas", "sulfur mustard", "cancer", "neoplasm", "respiratory complications", "ocular complications", "lung disease", "chronic complication", "eye", "skin", "cutaneous complication", "carcinogenesis" and their combination with keywords "Iran", "Iranian", "prevalence", "mortality" and their Farsi equivalent terms from the databases of SID, Iranmedex, Magiran, Pubmed, Science Direct, Google Search engine, Gray Literature and Reference of References. To determine the prevalence of each complication and perform meta-analysis, CMA: 2 (Comprehensive Meta-Analysis) software with a randomized model was used. Results: Of the 542 articles found, 7 national articles, consistent with the aims of this study were selected. Metaanalysis of seven papers revealed that cancer risk, especially cancer of the respiratory system was elevated, so that the relative risk (RR) of cancer role of mustard gas was inconsistent from 2/1 to 4 in this survey. Also prevalence of delayed skin disorders due to sulfur mustard was 94.6, pulmonary complications 94.5 and ocular complications 89.9. The incidence of various cancers in victims exposed to mustard gas was 1.7 worldwide where the rate was 2.2 in Iranian victims of the Iraq-Iran war. Conclusions: Based on present study the prevalence of delayed mustard gas related cutaneous, pulmonary and ocular complications is above 90 and risk of carcinogenesis is higher in comparison to worldwide statistics. This may suggest need for long-term and persistent follow-up and rehabilitation procedures es for populations exposed to this agent

Evaluation Of 1d And 2d Texturing Of Monocrystalline Solar Cell

Abstract- The performance of solar cell with periodic surface texture pattern was reported. One and two dimensions texturing with the nitride antireflection coating were compared. An I-V tester calibrated by Sandia National Laboratories was used. A 2 cm 2 bare monocrystalline silicon solar cell was chosen for comparison. 2D surface texturing showed the best output with maximum short current 0.050 mA. A meteoritic 3D microscope was used to check the textured surface as a non distractive test (NDT)

The response of EEG signal on Brain Relaxation Meditation using different type of zikr

Depression and stress are increasingly prevalent in today’s society, owing to people's hectic, competitive, and demanding lifestyles. These illnesses had become very common, particularly among young and middle-aged people, and suicidal ideation had been identified as one of the leading causes of death by the World Health Organization (WHO). Nature sound (sound of downpours or beach) has been linked to depression and anxiety in neurology research, and it has been shown to be an alternative to alleviate anxiety. The electroencephalogram (EEG) waveform has been discovered to possess the potential in identifying information from the brain signal as well as data from the past via Bluetooth communication. The waveform use in the study are the result of a few experiments. In this study, EEG data were collected from eight subjects, four males and four females, in between the age of 20 to 30 years old and in good health, using the BrainLink device. The participants were asked to listen to two playlists of zikr, Allah, Ya Allah, and SubhanAllah, during the experiments. To smooth the signal, the Butterworth filter was used. Later, the extracted features were Alpha, Beta, and Delta waves, which were segmented based on the filtered signal. To complete the decision-making stage, the average value of amplitude differences and the p-value test were performed in the final phase. Based on the results of the experiments, it is clear that zikr is dominant in Delta wave. In terms of data hypothesis analysis, the results of both experiment were differentiated to determine which brain signal was dominant, and pvalue testing was performed. Furthermore, this research is an alternative to current methods because it suggest that zikr has the tendency to alter a person's brain state to be either in a relaxed or calm mode regardless of the type of zikr recitation. As an outcome, the study recommends the relationship of the reaction of EEG signal on brain relaxation with different types of zikr in order to facilitate stress and anxiety patients to achieve relax or calm condition

Podoconiosis and soil-transmitted helminths (STHs): double burden of neglected tropical diseases in Wolaita zone, rural southern Ethiopia

Background Both podoconiosis and soil-transmitted helminth (STH) infections occur among barefoot people in areas of extreme poverty; however, their co-morbidity has not previously been investigated. We explored the overlap of STH infection and podoconiosis in Southern Ethiopia and quantified their separate and combined effects on prevalent anemia and hemoglobin levels in podoconiosis patients and health controls from the same area. Methods and Principal Findings A two-part comparative cross-sectional study was conducted in Wolaita zone, southern Ethiopia. Data were collected from adult patients presenting with clinically confirmed podoconiosis, and unmatched adult neighborhood controls living in the same administrative area. Information on demographic and selected lifestyle factors was collected using interviewer-administered questionnaires. Stool samples were collected and examined qualitatively using the modified formalin-ether sedimentation method. Hemoglobin level was determined using two different methods: hemoglobinometer and automated hematology analyzer. A total of 913 study subjects (677 podoconiosis patients and 236 controls) participated. The prevalence of any STH infection was 47.6% among patients and 33.1% among controls (p<0.001). The prevalence of both hookworm and Trichuris trichiura infections was significantly higher in podoconiosis patients than in controls (AOR 1.74, 95% CI 1.25 to2.42, AOR 6.53, 95% CI 2.34 to 18.22, respectively). Not wearing shoes and being a farmer remained significant independent predictors of infection with any STH. There was a significant interaction between STH infection and podoconiosis on reduction of hemoglobin level (interaction p value = 0.002). Conclusions Prevalence of any STH and hookworm infection was higher among podoconiosis patients than among controls. A significant reduction in hemoglobin level was observed among podoconiosis patients co-infected with hookworm and ‘non-hookworm STH’. Promotion of consistent shoe-wearing practices may have double advantages in controlling both podoconiosis and hookworm infection in the study area

Charge ordering and antiferromagnetic exchange in layered molecular crystals of the theta type

We consider the electronic properties of layered molecular crystals of the type theta-D$_2$A, where A is an anion and D is a donor molecule such as BEDT-TTF [where BEDT-TTF is bis-(ethylenedithia-tetrathiafulvalene)] which is arranged in the theta type pattern within the layers. We argue that the simplest strongly correlated electron model that can describe the rich phase diagram of these materials is the extended Hubbard model on the square lattice at a quarter filling. In the limit where the Coulomb repulsion on a single site is large, the nearest-neighbour Coulomb repulsion, V, plays a crucial role. When V is much larger than the intermolecular hopping integral t the ground state is an insulator with charge ordering. In this phase antiferromagnetism arises due to a novel fourth-order superexchange process around a plaquette on the square lattice. We argue that the charge ordered phase is destroyed below a critical non-zero value V, of the order of t. Slave boson theory is used to explicitly demonstrate this for the SU(N) generalisation of the model, in the large N limit. We also discuss the relevance of the model to the all-organic family beta''-(BEDT-TTF)$_2$SF$_5$YSO$_3$ where Y = CH$_2$CF$_2$, CH$_2$, CHF.Comment: 15 pages, 6 eps figure