Community Input on an Enhanced Care Planning Tool Addressing Health Behaviors, Mental Health Needs, and Social Risks

Background: Many patients with multiple chronic conditions (MCC) have social risks, mental health needs, and/or unhealthy behaviors. These interfere with their ability to manage their MCC. A care planning tool was created to help address these needs; this study solicited feedback from stakeholder groups and incorporated it into improving the tool. Methods: Instrument: The Enhanced Care Planning (ECP) tool screens patients for social risks, mental health needs, and unhealthy behaviors. They are shown where their responses revealed risk, then select 1-2 to improve upon. Next, patients set personal goals and select strategies to support them. Patients are supported by the clinical care team and a community health worker to connect them to community resources. Procedures: Four stakeholder groups provided feedback on the ECP tool: community members, community service professionals (CSPs), researchers, and patients. A community review board of community members reviewed the ECP process. Researchers and CSPs then reviewed ECP content. Feedback was incorporated into revisions of the ECP content and process, then patients provided final feedback. Results: All stakeholder groups provided unique feedback. Community members desired visuals, the ability to individualize and receive support throughout the process. Researchers and CSPs recommended removing jargon. While researchers were interested in specific evidence-based strategies, CSPs suggested strategies with anecdotal support. Patients expressed positive overall impressions of the tool, interest in using it, and increased awareness of domains that influence their health. Conclusion: Feedback from all groups significantly altered the ECP tool’s design, and is likely to improve its usability and impact.https://scholarscompass.vcu.edu/gradposters/1109/thumbnail.jp

Effects of washing bouts and times on surimi quality prepared from common carp (Cyprinus carpio)

To prepare common carp surimi, washing was done in different steps (1, 2 and 3 steps) and times (5, 10 and 15 minutes) and the treatments were tested statistically. The results showed that the 10 minutes washing for 3 times produced surimi that was superior to minced meat in color desirability (1 for surimi versus 7 for minced meat), odor desirability (2 versus 7), flavor desirability (0 versus 5.5) and on the general properties. The process of surimi production also increased water binding capacity from 0.14 to 0.64, pH from 6.21 to 7.34 and gel forming ability from A score to AA score. Tests of moisture content, protein, fat, ash, and total volatile nitrogenous bases (TVB-N) were performed on the samples of the minced meat and the selected treatment of the produced surimi. The extent of changes of these parameters were calculated and compared with available standards. We found that the common carp surimi lacks undesirable flavor and smell of fish and has suitable rheological properties for preparation of different kinds of fish paste products

Study of genetic structure of Rutilus frisii kutum in Golestan province coastal waters using microsatellite markers

To determine the genetic diversity of Rutilus frisii kutum, 25 samples were collected from Gharesou and Gorgan-rud rivers in April 2008. The genomic DNA was extracted from the caudal fin using phenol- chloroform method and investigated with 10 microsatellite loci. All the 10 investigated loci were polymorphic and showed variability in the two populations of the rivers. The mean number of allele per locus at population level and the observed heterozygosity ranged from 4 to 13 and 0.22 to 1.00, respectively. The FST value between populations was 0.014 (P<0.05), and the analysis of genetic variation distribution indicated a very high within population variation (99%) while among population variation is low (1%). Highly significant deviation from hardy-Weinberg equilibrium was observed in both populations which can be attributed either to the presence of null alleles or to the genetic bottleneck. The results indicated a high level of genetic variation in this species and we concluded that there is more than one population of Rutilus frisii kutum in Golestan coastal waters

Antioxidant properties of sodium acetate, sodium citrate and sodium lactate on lipid oxidation in rainbow trout (Onchorhynchus mykiss) sticks during refrigerated storage (4˚C)

This study was carried out to investigate the rate of lipid oxidation in fresh rainbow trout (Onchorhynchus mykiss) and in the sticks treated by (2.5% w/v) sodium acetate (NaA), sodium citrate (NaC) and sodium lactate (NaL). The pH value, free fatty acid (FFA), thiobarbituric acid (TBA) and sensory evaluation (odor, flavor and color) were determined on 0, 3, 6, 9 and 12 days of storage. The results showed that TBA and FFA in control were significantly higher than those in the other groups (P<0.05). Sticks immersed in NaA indicated a significant difference in formation of free fatty acids in comparison with other sodium salt-treated samples on 9 and 12 days after storage. Sticks dipped in NaL had a maximum level of pH at the end of the storage, whereas samples treated by NaA achieved significantly the lowest value of pH, 9 days after storage. Organoleptic assessments of the samples expressed more acceptability of sticks immersed in sodium salt solutions than the control after 3 days of storage. These indicated that sodium salts, particularly sodium acetate, have antioxidant properties

Análisis comparativo de legislar en base a la ideología de género y su impacto en la sociedad - periodo 2018 -2019

La presente investigación lleva por titulo “Análisis comparativo de Legislar en base a la ideología de genero y su impacto en la sociedad periodo 2018 - 2019” . La presente investigación tuvo por objetivo general determinar, analizar y comparar si legislar en base a la ideología de genero impacta positiva o negativamente en la sociedad – periodo 2018 - 2019 . La metodología a seguir en la presente investigación fue de enfoque cualitativa documental y de campo. Se postuló como hipótesis general: Legislar en base a la ideología de genero, genera impactos negativos en la sociedad. La discusión de los resultados se realizó a través de la argumentación jurídica. Las hipótesis fueron validadas, y las principales conclusiones arribadas fueron: Legislar en base a la ideología de genero impacta negativamente en la sociedad, ya que al legislar en base a conceptos ideológicos, se esta legislando no en base a realidades sino en base a una manera de ver la realidad (ideología) lo cual al no ser una causa real, hace que cualquier tipo de legislación que se tome desde este punto de vista sea negativo, ya que afecta directamente libertades individuales y derechos consagrados en la constitución, como la libertad de expresión, la libertad de elección, o derechos a a presunción de la inocnecia o al derecho a la defensa en general. La recomendación es que para atacar una problemática social se vaya a una identificación real de las causas que la producen y no ir al facilismo de respuestas fáciles en base a la ideología, esto permitirá políticas publicas y leyes eficaces que realmente lograran solucionar los problemas en favor de la paz social y el bienestar común de la sociedad.This research is titled “Comparative Analysis of Legislation based on gender ideology and its impact on society from 2018 to 2019”. The purpose of this research was to determine, analyze and compare whether legislating based on gender ideology has a positive or negative impact on society - period 2018 – 2019 The methodology to be followed in this research was a qualitative documentary and field approach. It was postulated as a general hypothesis: Legislation based on gender ideology, generates negative impacts on society. Legislation based on gender ideology has a negative impact on society, since by legislating based on ideological concepts, it is legislating not based on realities but based on a way of seeing reality (ideology) which, not being a real cause, makes any type of legislation taken from this point of view negative, since it directly affects individual liberties and rights enshrined in the constitution, such as freedom of expression, freedom of choice, or rights to presumption of ignorance or the right to defense in general. The recommendation is that in order to attack a social problem, go to a real identification of the causes that produce it and not go to the facilitation of easy answers based on ideology, this will allow effective public policies and laws that will actually solve the problems in favor of social peace and the common welfare of society.Tesi

Harnessing Information Technology to Inform Patients Facing Routine Decisions: Cancer Screening as a Test Case

PURPOSE Technology could transform routine decision making by anticipating patients’ information needs, assessing where patients are with decisions and preferences, personalizing educational experiences, facilitating patient-clinician information exchange, and supporting follow-up. This study evaluated whether patients and clinicians will use such a decision module and its impact on care, using 3 cancer screening decisions as test cases. METHODS Twelve practices with 55,453 patients using a patient portal participated in this prospective observational cohort study. Participation was open to patients who might face a cancer screening decision: women aged 40 to 49 who had not had a mammogram in 2 years, men aged 55 to 69 who had not had a prostate-specific antigen test in 2 years, and adults aged 50 to 74 overdue for colorectal cancer screening. Data sources included module responses, electronic health record data, and a postencounter survey. RESULTS In 1 year, one-fifth of the portal users (11,458 patients) faced a potential cancer screening decision. Among these patients, 20.6% started and 7.9% completed the decision module. Fully 47.2% of module completers shared responses with their clinician. After their next office visit, 57.8% of those surveyed thought their clinician had seen their responses, and many reported the module made their appointment more productive (40.7%), helped engage them in the decision (47.7%), broadened their knowledge (48.1%), and improved communication (37.5%). CONCLUSIONS Many patients face decisions that can be anticipated and proactively facilitated through technology. Although use of technology has the potential to make visits more efficient and effective, cultural, workflow, and technical changes are needed before it could be widely disseminated

Aqueous extract of Echlum amoenum elevate CSF serotonin and dopamine level in depression rat

Based on a traditional belief, Echlum amoenum (Boraginaceae) dried flowers are used In Iran as an anxiolytic remedy and also as a mood enhancer. But Interfering mechanisms unknown, In this study, efficacy of an aqueous extract of E.amoenum in depressive rat was evaluated, using measurement the changes level CSF serotonin and dopamine as indicator mood. Four groups of male wistar rats each group of seven rats were enrolled in this study. Depressive induced with intraperitoneal injection of reserpine (5mg/kg) and assessment depression by swimming test, the next two weeks of oral performing aqueous extract Echlum amoenum, CSF serotonin and dopamine concentration of rats were measured using ELISA kit. Our finding indicated, performing aqueous extract Echlum amoenum increased CSF serotonin and dopamine concentration in depression rats. The level of CSF serotonin enhanced in control group receiving Echlum amoenum compared control group alone. These results showed the serious changes of neurotransmitters due to Echlum amoenum which can be translated as mood enhancer. It can be concluded, Echlum amoenum induce antidepressant effective In part by increasing level CSF serotonin and dopamine

An Overview on Principles for Energy Efficient Robot Locomotion

Despite enhancements in the development of robotic systems, the energy economy of today's robots lags far behind that of biological systems. This is in particular critical for untethered legged robot locomotion. To elucidate the current stage of energy efficiency in legged robotic systems, this paper provides an overview on recent advancements in development of such platforms. The covered different perspectives include actuation, leg structure, control and locomotion principles. We review various robotic actuators exploiting compliance in series and in parallel with the drive-train to permit energy recycling during locomotion. We discuss the importance of limb segmentation under efficiency aspects and with respect to design, dynamics analysis and control of legged robots. This paper also reviews a number of control approaches allowing for energy efficient locomotion of robots by exploiting the natural dynamics of the system, and by utilizing optimal control approaches targeting locomotion expenditure. To this end, a set of locomotion principles elaborating on models for energetics, dynamics, and of the systems is studied