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ItemThe effects of mindfulness and health education programs on the emotional state and cognitive function of elderly individuals with mild cognitive impairment: A randomized controlled trial(Journal of Neuroscience, 2019)This study aimed to determine the efficacy of mindfulness practice on emotional state and cognitive function of community-living elderly with mild cognitive impairment. A randomized controlled trial was conducted with the experimental group undergoing a Mindfulness Awareness Program (MAP) and an active control group undergoing a Health Education Program (HEP) over a nine month period. Sessions were conducted weekly for the first three months and monthly for the remaining six months. Self-reported questionnaires in English and Chinese were administered through face-to-face interviews to collect data at baseline, three months and nine months. Descriptive statistics and analysis of covariance (ANCOVA) were used to analyse data. Fifty-five elderly participants aged sixty and above, were randomized to MAP (N = 28) and HEP (N = 27) programs. Participants in both intervention arms experienced decreases in depressive and anxiety symptoms over the nine -month period. A significant improvement occurred in the HEP group in depression scores at three months and anxiety scores at both three and nine months. There were no statistically significant changes on cognitive function in both groups over the nine month period. Both the MAP and HEP can benefit the emotional states of community-living elderly with mild cognitive impairment. Our study supports the usefulness of group-based HEP as a low cost intervention for promoting active aging and psychological health in a community setting.
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ItemComparative study on patient satisfaction on healthcare service delivery in selected private and government hospitals(Enfermeria Clinica, 2020-07-15)Health service delivery is considered a way of rendering care to patients by health care institutions either primary, secondary, or tertiary hospitals which sustains their day-to-day operations. This is also the arena where quality service is a factor that attracts a patient’s satisfaction. The study aims to assess and compare patient satisfaction in selected level 1 hospital institutions in Mabalacat and Angeles City, Philippines via SERVQUAL dimensions. Descriptive evaluative and descriptive-comparative design were employed. A total of 147 patients both in private and public hospitals participated via purposive sampling technique. An adopted questionnaire was utilized and the data were analyzed using SPSS version 23. Results showed that the majority of the patients are very satisfied in overall dimensions (x = 4.34, SD = .822). In terms of comparisons between hospitals, only the assurance ( 2 (2) = 3.96, p = .047) and tangible ( 2 (2) = 6.700, p = .010) revealed significance among other dimensions. It showed that the level 1 hospital both in public and private institutions, even they are considered lacking of resources than other higher-level hospitals, they’re still able to provide the necessary quality care to their patients which is evident in overall satisfaction results.
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ItemREDUCCTION - an evidence implementation national project(Renal Society of Australia, 2021-06-18)
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ItemIntrauterine exposure to pre-eclampsia and the risk of autism spectrum disorder in offering: A meta-analysis(European Psychiatry, 2018-03-06)Background: Evidence about the effect of intrauterine exposure to pre-eclampsia on offspring autism-spectrum disorder (ASD) is not well established. Aims To examine the association between pre-eclampsia and ASD. Method: PubMed, Embase and PsycINFO databases were searched. Pooled relative risks (RR) with 95% confidence intervals were calculated. Subgroup and sensitivity analyses were performed. Heterogeneity was assessed using Cochran's Q- and the I 2-test. The presence of publication bias was evaluated by Egger's test and visual inspection of the symmetry in funnel plots. Results: Ten studies meet the inclusion criteria. The risk of ASD was 32% higher in offspring who had intrauterine exposure to pre-eclampsia compared with those not exposed (RR = 1.32, 95% CI 1.20-1.45). Sensitivity analysis revealed consistent pooled estimates ranging from RR = 1.30 (95% CI 1.17-1.44) to RR = 1.37 (95% CI 1.26-1.48). We found no significant heterogeneity and evidence of publication bias. Conclusion: Pre-eclampsia increased the risk of ASD in offspring. The finding suggests a need for early screening for ASD in offspring of women with pre-eclampsia. Declaration of interest None.