Empirical Analysis of Body Constitution and Food Intake in Persons with Type 2 Diabetes from a TCM Perspective

This study examined the correlations between body constitution (BC) and food intake in a sample of persons with Type 2 Diabetes (T2DM) from a perspective of traditional Chinese medicine (TCM). Past research on BC of persons with diabetes (DM) from a TCM perspective revealed imbalanced state of Yin and Yang in terms of Yin-deficiency (YID), Yang-deficiency (YAD), and Yin-Yang-deficiency (YYD). However, no studies have attempted to find out if daily food intake has an influence on Yin-Yang balance. The present study adapted a mixed method, which constituted of two phases. Phase one involved an exploratory case study (n=18) conducted between May and June 2011 and phase two, a descriptive correlation study (n=210) between October and December 2013. Results showed that in phase-one, three cases showed YID and higher food intake in hot/warm nature, 12 cases with YAD and higher food intake in cold/cool nature while three cases with Yin-Yang-deficiency (YYD) and extremely high food intake in cold/cool nature. In phase-two, Spearman's correlation coefficient between food intake and YID presentations (YIDPs) (hot/warm food: rho=0.34, p=0.000; cold/cool food: rho= 0.18, p=0.006); YAD presentations (YADPs) (hot/warm food: rho=0.18, p=0.008; cold/cool food: rho=0.2, p=0.006); and YYD presentations (YYDPs) (hot/warm food: rho=0.29, p=0.006; cold/cool food: rho=0.2, p=0.003) have been noted. The findings concluded that persons with T2DM and YIDPs, YADPs, or YYDPs tend to have food intakes higher in hot/warm nature or cold/cool natur

Training competent and effective Primary Health Care Workers to fill a void in the outer islands health service delivery of the Marshall Islands of Micronesia

BACKGROUND: Human resources for health are non-existent in many parts of the world and the outer islands of Marshall Islands in Micronesia are prime examples. While the more populated islands with hospital facilities are often successful in recruiting qualified health professionals from overseas, the outer islands generally have very limited health resources, and are thus less successful. In an attempt to provide reasonable health services to these islands, indigenous people were trained as Health Assistants (HA) to service their local communities. In an effort to remedy the effectiveness of health care delivery to these islands, a program to train mid-level health care workers (Hospital Assistants) was developed and implemented by the Ministry of Health in conjunction with the hospital in Majuro, the capital city of the Marshall Islands. METHODS: A physician instructor with experience and expertise in primary health care in these regions conducted the program. The curriculum included training in basic health science, essentials of endemic disorders and their clinical management appropriate to the outer islands. Emphasis was given to prevention and health promotion as well as to the curative aspects. For clinical observation, the candidates were assigned to clinical departments of the Majuro hospital for 1 year during their training, as assistants to the nursing staff. This paper discusses the details of the training, the modalities used to groom the candidates, and an assessment of the ultimate effectiveness of the program. RESULTS: Out of 16 boys who began training, 14 candidates were successful in completing the program. In 1998 a similar program was conducted exclusively for women under the auspices of Asian Development Bank funding, hence women were not part of this program. CONCLUSION: For developing countries of the Pacific, appropriately trained human resources are an essential component of economic progress, and the health workforce is an important part of human resources for sustainable progress and development

Factors associated with resilience of adult survivors five years after the 2008 Sichuan earthquake in China.

Given the paucity of quantitative empirical research on survivors' resilience and its predictors in the context of long-term recovery after disasters, we examined how resilience predictors differed by gender among adult survivors five years after the Sichuan earthquake. This was a cross-sectional survey study of adult survivors (N = 495; aged 18-60) living in reconstructed communities five years into the recovery process after the Wenchuan earthquake. The instruments we used included assessments of sociodemographic characteristics and earthquake exposure level, the Connor-Davidson Resilience Scale, and the Social Support Rating Scale. Support-seeking behaviors emerged as a significant predictor of male survivors' resilience, while subjective support and marital status were found to be predictors of female survivors' resilience. Annual household income and chronic disease were predictors for both male and female groups. The findings of this study can be used in devising methods to boost survivors' resilience by promoting their satisfaction with social support and their ability to obtain effective support. Additionally, the results suggest how to assist survivors who may have relatively poor resilience

Means and standard deviations of social support and Pearson correlations between resilience and social support.

<p>Means and standard deviations of social support and Pearson correlations between resilience and social support.</p

Multiple hierarchical linear regression analysis predicting resilience.

<p>Multiple hierarchical linear regression analysis predicting resilience.</p

Sociodemographic characteristics of the participants.

<p>Sociodemographic characteristics of the participants.</p

Descriptive and univariate analysis of resilience by sociodemographic characteristics and gender.

<p>Descriptive and univariate analysis of resilience by sociodemographic characteristics and gender.</p