1,720,965 research outputs found

    Dark chocolate consumption on anxiety, depression and health-related quality of life of patients with cancer: a randomised clinical investigation

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    Objective: Anxiety and depressive symptoms are common among cancer patients and have been shown to adversely affect their health-related quality of life (HRQoL). Dark chocolate is popular for its beneficial effects on mood regulations. This study aimed to assess the effects of dark chocolate consumption on anxiety and depressive symptoms and the HRQoL status among cancer patients. Methods: A sample of 133 cancer patients was recruited from 3 public hospitals in the East Coast Peninsular of Malaysia. The anxiety and depressive symptoms was assessed by the Malay Hospital Anxiety and Depression Scale (HADS) while HRQoL was measured via the Malay McGill Quality of Life questionnaire (MMQoL). Patients were randomly assigned to Study Group (SG) and Control Group (CG) whereby dark chocolate (50g) was administered to SG while CG consumed mineral water for 3 consecutive days. Results: Specifically, the anxiety and depressive symptoms was significantly reduced after dark chocolate consumption. The HRQoL score was also significantly increased in SG at post-intervention. Conclusion: These findings indicated that a 3-day dark chocolate consumption may reduce anxiety, depressive symptoms and thus also improved the HRQoL status in hospitalised cancer patients

    Multimodal nutrition education intervention: a cluster randomised controlled trial study on weight gain and physical activity pattern among university students in Terengganu, Malaysia

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    Introduction: This cluster randomised controlled study design aimed to evaluate the effectiveness of implementing nutrition education intervention (NEI) that targeted at incremental reduction of body weight and increased physical activity level among university students. Methods: Body weight and physical activity level were assessed before and after intervention. A total of 417 university students from four public universities in Terengganu participated in the study. They were randomly selected and assigned into two arms, that is, intervention group (IG) or control group (CG) according to their cluster. The IG received 10 weeks intervention focused on NEI promotion using three modes which were conventional lecture, three brochures as take-home messages and text messages for intervention reinforcement while CG did not receive any intervention. Analysis of covariance (ANCOV A) and adjusted effect size were used to determine differences in body weight and physical activity levels between groups and time. Results: No significant changes in body weight were observed among both groups. The average weight and body mass index (BMI) were slightly reduced in IG compared to CG after the 10-week intervention (p>0.05). Nevertheless, physical activity level improved significantly among IG participants compared to CG with increased metabolic equivalent (MET) min/week spent for walking, moderate and vigorous activities and significantly decreased sitting time. The largest adjusted effect size was shown in total physical activity (0.75). Conclusion: The multimodal NEI had a positive influence on physical activity outcomes among university students. NEI should be continuously implemented in this particular population group

    Work-Related Stress Among Healthcare Providers of Various Sectors in Peninsular Malaysia

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    Objectives: Occupational stress among healthcare workers is an important concern due to its crucial contribution in attaining maximum job output and optimal quality of working life. Our study aims to compare job stress levels of healthcare employees based on 1) sector, 2) category and 3) specialisation. Methods: Stress severity and frequency were evaluated using the 9-point scale Job Stress Survey (Job Stress, Job Pressure, Lack of Support). A crosssectional sample of 223 healthcare providers were enrolled from seven health institutions in Peninsular Malaysia (East Coast = 55%mean age = 30 yearsfemale = 78.9%< 2 years experience = 35.9%government-based = 48

    HRQoL profile and psychometric properties assessment of caregiver quality of life instrument among HIV/AIDS family caregivers in Terengganu

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    Objective: This preliminary investigation intended to evaluate the healthrelated quality of life (HRQoL) profile of HIV/AIDS family caregivers residing in Kuala Terengganu, Malaysia and to explore the psychometric properties of the Malay Caregiver Quality of Life (MCQoL) questionnaire in this sample. Methods: A convenient sample of family caregivers of HIV/AIDS patients who were aware of the diagnosis was enrolled. They were recruited from the Infectious Disease Clinic, Hospital Sultanah Nur Zahirah, Terengganu. Data was analysed using SPSS16 employing descriptive and non-parametric statistical methods. Results: Thirty respondents consented participation [median age = 43.0 years (range 19.0-81.0)female = 63.3%, married = 70.0%? primary school qualification = 46.7%self-employed = 66.7% and rural residents = 56.7%]. Across all patients, the highest domain score was for Disruptiveness (median = 3.3range 1.4-4.0) while Burden was the lowest (median = 2.

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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