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( Desiree F Baaleman ),( Carlos A Velasco-benítez ),( Laura M Méndez-guzmán ),( Marc A Benninga ),( Miguel Saps ) 대한소화기기능성질환·운동학회 2021 Journal of Neurogastroenterology and Motility (JNM Vol.27 No.4
Background/Aims To investigate the intra-rater (test-retest) reliability of the diagnosis of functional gastrointestinal disorders (FGIDs) as measured by the Questionnaire on Pediatric Functional Gastrointestinal Disorders, Rome IV version (QPGS-IV) in children. Methods A prospective cohort study was conducted in a public school in Cali, Colombia. Children and adolescents between 11 and 18 years of age were given the self-report Spanish version of the QPGS-IV at day 0 (baseline) and at day 2 (48 hours later). Results The study protocol was completed by 215 children, of which 97 (45%) were excluded from analysis due to the inability to follow the questionnaire’s instructions. The final analysis included data of 118 children (mean age 15.0 ± SD 1.8 years old, 58.5% boys). The most common diagnoses were functional dyspepsia, functional constipation, and irritable bowel syndrome. We found a moderate intra-rater reliability (κ = 0.61-0.65) for diagnosing an FGID in general, a functional abdominal pain disorder, and the diagnosis of functional dyspepsia. We found a weak intra-rater reliability (κ = 0.46-0.54) for diagnosing a functional defecation disorder, functional constipation, irritable bowel syndrome, and the postprandial distress syndrome subtype of functional dyspepsia. Conclusions Our study shows that a large proportion of children cannot adequately complete the QPGS-IV and that the intra-rater reliability among those who did adequately follow the instructions is moderate. We advise to test the children’s understanding of the instructions prior to completion of questionnaires and recommend to not rely exclusively on a self-reported questionnaire to select, recruit, or evaluate pediatric patients for FGIDs for research purposes. (J Neurogastroenterol Motil 2021;27:626-631)
Desiree F Baaleman,Mana H Vriesman,,Ilan J N Koppen,Kim M Osborne,Marc A Benninga,Miguel Saps,Desale Yacob,Peter L Lu,Frederick W Woodley,Carlo Di Lorenzo 대한소화기 기능성질환∙운동학회 2022 Journal of Neurogastroenterology and Motility (JNM Vol.28 No.2
Background/AimsTo assess the effectiveness and feasibility of a brief session of hypnosis to reduce distress in children with functional constipation undergoing anorectal manometry (ARM). MethodsA partially-blinded randomized controlled pilot trial was conducted in children 4-18 years old scheduled for ARM. Children were randomized to receive a brief session of hypnosis prior to ARM or standard care. Non-blinded and blinded observers rated the child’s level of distress using the Observation Scale of Behavioral Distress and a 4-point-Likert scale, respectively. Differences between groups were analyzed using Fisher’s exact test or Mann-Whitney U test as appropriate. ResultsData from 32 children (15 hypnosis and 17 standard care) were analyzed. Prior to insertion of the catheter, the observed mean levels of distress were lower in the hypnosis group according to both the non-blinded observer (median 0.0 [interquartile range {IQR} 0.0-0.3] vs 1.4 [IQR 0.3-2.4]; P = 0.009) and the blinded observer (median 0.0 [IQR 0.0-0.0] vs 0.5 [IQR 0.0-1.0]; P = 0.044). During ARM, observed and reported levels of distress did not differ significantly. In the hypnosis group, 92.9% of parents and children reported that hypnosis helped the child to relax. There were no significant differences in resting pressure, squeeze pressure, or duration of the procedure between both groups. ConclusionA brief session of hypnosis for children before ARM is an easily incorporable intervention that lowers distress levels prior to the procedure and is positively perceived by children and parents.
Desiree López,Michelle Torres,Jammy Vélez,Jhensen Grullon,Edwin Negrón,Cynthia M. Pérez,Cristina Palacios 대한의료정보학회 2017 Healthcare Informatics Research Vol.23 No.1
Objectives: This study developed a smartphone nutritional application (app) for making smart and healthy choices when purchasing food in grocery stores and tested its feasibility, usability, satisfaction and acceptability. Methods: “MyNutriCart” was developed following the ADDIE (analysis, design, development, implementation, and evaluation) model. The goals of the app were to improve food selection when purchasing foods in the grocery stores based on a pre-defined budget, to improve dietary patterns based on the Dietary Guidelines for Americans, and to improve weight status. It was evaluated within a pilot randomized trial using a convenient sample of 26 overweight or obese adults aged 21–45 years for 8 weeks. Results: The developed app provided a grocery list of healthy foods to meet the individual requirements of all family members within a budget following the recommendations of the Dietary Guidelines for Americans. The average use of the app was 75% on each purchase and only 37% of the recommended products were purchased. The main reasons for not purchasing the recommended items were that participants did not like these (28.5%) and that the item was unavailable in the supermarket (24.3%). Over 50% of participants considered the app as feasible, usable, satisfactory, and acceptable (p < 0.05). Conclusions: “MyNutriCart” is the first available app for making smart and healthy choices when purchasing food in grocery stores. This app could be used as a tool to translate recommendations into a practical grocery list that meet the needs of a family within a budget.
Secondary human impacts on the forest understory of Ulleung Island, South Korea, a temperate island
Andersen, Desiree The Ecological Society of Korea 2019 Journal of Ecology and Environment Vol.43 No.2
Oceanic islands are biologically important for their unique assemblages of species and high levels of endemism and are sensitive to environmental change because of their isolation and small species source pools. Habitat destruction caused by human landscape development is generally accepted as the main cause of extinction on islands, with exotic species invasion a secondary cause of extinction, especially on tropical islands. However, secondary impacts of human development (e.g., general degradation through resource use and exotic species introduction) are understudied on temperate islands. To determine secondary impacts of human development on the understory vegetation community, 90 field sites on Ulleung Island, South Korea, were sampled during the summer of 2016. Understory vegetation was chosen as it is a proxy for ecosystem health. Diversity and percent cover of introduced, native, and endemic species were tested against proximity to developed areas and trail usage using a model selection approach. Diversity was also tested against percent cover of three naturalized species commonly found in survey plots. The main finding was that distance to development, distance to town, and trail usage have limited negative impacts on the understory vegetation community within best-supported models predicting native and introduced cover and diversity. However, endemic species cover was significantly lower on high usage trails. While there are no apparent locally invasive plant species on the island at the time of this study, percent cover of Robinia pseudoacacia, a naturalized tree species, negatively correlated with plot diversity. These findings indicate that forests on Ulleung Island are not experiencing a noticeable invasion of understory vegetation, and conservation efforts can be best spent preventing future invasions.
재미 한인청소년의 집에 대한 장소애착, 문화적응 스트레스와 심리적 적응에 대한 연구
이진숙(Jin Suk Lee),데지레 친(Desiree B. Qin) 한국아동학회 2011 아동학회지 Vol.32 No.6
This study examined the relationships between place attachment to home, acculturative stress, and psychological adjustment among Korean youth in the United States. In particular, this study sought to better understand how place attachment to home and acculturation stress impacts upon youth`s psychological adjustment, as measured by depression and self-esteem. The subjects consisted of 225 Korean youths (113 males and 111 females) residing in Michigan in the USA, of whom 47.6% attended middle school while 52.4% of whom attended high school. The instruments utilized were the acculturative stress scale (Sandhu and Asrabadi, 1994), the place attachment scale (Choi, Lee, & Han, 2009), Radloff`s depression scale (CES-D), and Rosenberg`s self-esteem scale. Hierarchical multiple regression analyses were used to assess the predictive effects of place attachment to home and acculturative stress on youth`s psychological adjustment, alongside controlling demographic variables. The findings indicated that place attachment to home and acculturative stress impacted upon depression and self-esteem, as experienced by the youths examined. These results have implications for our understanding of the importance of both youths` place attachment to home and acculturative stress in the acculturation process.