Posts Tagged ‘well’
Development and preliminary psychometric properties of a well-being index for medical students
Background:Psychological distress is common among medical students but manifests in a variety of forms. Currently, no brief, practical tool exists to simultaneously evaluate these domains of distress among medical students. The authors describe the development of a subject-reported assessment (Medical Student Well-Being Index, MSWBI) intended to screen for medical student distress across a variety of domains and examine its preliminary psychometric properties.Methods:Relevant domains of distress were identified, items generated, and a screening instrument formed using a process of literature review, nominal group technique, input from deans and medical students, and correlation analysis from previously administered assessments. Eleven experts judged the clarity, relevance, and representativeness of the items. A Content Validity Index (CVI) was calculated. Interrater agreement was assessed using pair-wise percent agreement adjusted for chance agreement. Data from 2248 medical students who completed the MSWBI along with validated full-length instruments assessing domains of interest was used to calculate reliability and explore internal structure validity.Results:Burnout (emotional exhaustion and depersonalization), depression, mental quality of life (QOL), physical QOL, stress, and fatigue were domains identified for inclusion in the MSWBI. Six of 7 items received item CVI-relevance and CVI-representativeness of [greater than or equal to]0.82. Overall scale CVI-relevance and CVI-representativeness was 0.94 and 0.91. Overall pair-wise percent agreement between raters was [greater than or equal to]85% for clarity, relevance, and representativeness. Cronbach’s alpha was 0.68. Item by item percent pair-wise agreements and Phi were low, suggesting little overlap between items. The majority of MSWBI items had a [greater than or equal to]74% sensitivity and specificity for detecting distress within the intended domain.Conclusions:The results of this study provide evidence of reliability and content-related validity of the MSWBI. Further research is needed to assess remaining psychometric properties and establish scores for which intervention is warranted.
H1N1 Vaccine Administration Goes Well In Northwest Alabama
Staff members of Public Health Area 1 in Northwest Alabama have administered 11,700 doses of H1N1 influenza vaccine at county health departments and school-based clinics. Vaccine is being made available before the Christmas break in school-based clinics for children under age 10 at schools throughout the area…
Eating Well Boosts Your Immunity
With cold and flu season upon us, certain nutrients such as vitamin C, zinc and selenium are often touted by some to provide protection against seasonal illness. While it’s true that these nutrients do boost the immune system, more is not better! “Almost all vitamins and minerals play some role in ensuring an optimal immune response,” says Catherine Field, registered dietitian and spokesperson for DC, “but high doses do not help and may do harm.
Unsedated Colonoscopy For Colorectal Cancer Screening Well Accepted By Patients, Study Shows
Researchers from Taiwan report in a new study that unsedated colonoscopy for primary colorectal cancer screening is well accepted in a majority of patients. Sedation is typically used for colonoscopy to make the patient feel comfortable during the procedure. In Taiwan, colonoscopy is performed less frequently than sigmoidoscopy for colorectal cancer screening due to concerns over cost and availability. Researchers compared unsedated colonoscopy with sigmoidoscopy to analyze factors associated with acceptance of the procedures and need for sedation.
How A Well-Known Epilepsy And Pain Drug Works
A Duke University Medical Center researcher who spent years looking for the signals that prompt the brain to form new connections between neurons has found one that may explain precisely how a well-known drug for epilepsy and pain actually works. The finding may also point to new therapies for brain injury and neuropathic pain. The role of neurons in the brain and nervous system is well known, but astrocytes, a different type of brain cell, still are largely a mystery.
Nation’s Nursing Home Caregivers: Health And Well-Being Of America’s Most Vulnerable Seniors At Stake As Medicare Cuts Debated In Washington
At a news conference during its annual National Association of Health Care Assistants (NAHCA) convention, America’s front-line nursing home caregivers gathered to urge Congress to significantly scale back attempts to cut seniors’ Medicare benefits in any final health reform bill, and said arguments being made that funding reductions to providers will not harm the quality of care provided to seniors is flatly incorrect.
Novel H1N1 Influenza Is Widespread In Alabama; Health Care System Is Handling It Well
The novel H1N1 virus remains the dominant virus in Alabama, with more than 99 percent of the recently circulating influenza viruses confirmed as that strain. The frequency of disease shows that there has been a dramatic increase in people presenting with H1N1 influenza, with the percent of people with influenza-like symptoms seen in doctors’ offices increasing from less than 1 percent on July 25 to almost 8 percent on Aug. 29.
Anti Flu Drug Did Well In Final Stage Trials Says Japan’s Daiichi Sankyo
Tokyo-based global pharmaceutical company Daiichi Sankyo Limited announced today, Monday, that their new anti flu drug CS-8958 (generic name laninamivir) has shown “positive top line results” in a phase III trial that compared its safety and effectiveness with Tamiflu.
Pregnant Women With H1n1 Flu Should Start Antiviral Treatment As Soon As Possible, While Those Who Are Well Should Be Vaccinated
An Article published Online First (http://www.thelancet.com) and in an upcoming edition of The Lancet shows that pregnant women could be at increased risk for complications from H1N1 flu. Furthermore, the study, from the USA, shows that the rate of hospitalisation for pregnant women is more than four times that of the general population.
New York Life Well-Prepared For Pandemic, Stress Test Reveals
Recently, the World Health Organization raised the pandemic alert to level 6, which officially declared the H1N1 flu outbreak a pandemic. New York Life Insurance Company, the largest mutual life insurance company in the United States, announced that the company is well prepared to meet its commitments to policyholders in a pandemic, even one as severe as the highly lethal 1918 flu pandemic.



