1.Development and Validation of the Japanese Version of the Constitution in Chinese Medicine Questionnaire (CCMQ)
Yanbo ZHU ; Hideki ORIGASA ; Kazuo UEBABA ; Fenghao XU ; Qi WANG
Kampo Medicine 2008;59(6):783-792
Objectives : The objective of this study is to develop a Japanese version of the Constitution in Chinese Medicine Questionnaire (CCMQ) in Chinese, which is comprised of 60 items with 9 sub-scales, and evaluate its reliability and validity. Methods : We conducted a survey of 130 participants in the Toyama area of Japan from Dec. 2005, to Feb. 2006. A test-retest method was used. Feasibility was evaluated by the response times to the questionnaire, and the response rates of the CCMQ items. Internal consistency within the sub-scales was assessed by Cronbach's α coefficient. Reproducibility was confirmed between the first and second occasions using weighted kappa and Spearman correlation. Lastly, criterion validity was evaluated by correlation between CCMQ and SF-36 sub-scales. Results : Response time was 8 minutes on average and its rate was nearly 100%. Internal consistency was achieved for each of the 9 sub-scales with a 0.65 to 0.79 α coefficient. Reproducibility ranged from 0.41 to 0.81 for the items, and from 0.79 to 0.88 for the sub-scales. Regarding the criterion validity, the “Gentleness type” sub-scale was positively correlated with SF-36 (0.46, P<0.001), while other 8 pathological constitutional types of the CCMQ were negatively correlated with SF-36 (-0.35 to -0.50, P<0.001) as expected. Conclusions : We developed a Japanese version of the CCMQ and found acceptable levels of reliability and validity using a survey of 130 subjects in Japan. This suggests that the CCMQ could be a useful tool in comparing the constitution profiles between Chinese and Japanese.
Japanese language
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Chinese People
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Questionnaires
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SF Brand of Topical Fluoride
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Medicine
2.Quality of Life of Patients with Acute Myocardial Infarction Treated with Percutaneous Coronary Intervention: Comparison of Quality of Life at Discharge and 6 Months after Discharge
Kenzo Shibayama ; Yasuko Yoshikawa
Journal of Rural Medicine 2007;3(2):45-48
Objective: The present study investigated the health-related quality of life (QOL) of patients with acute myocardial infarction (AMI) who were treated with percutaneous coronary intervention (PCI). Methods: Forty-three patients were asked to complete the SF-36 questionnaire at discharge and 6 months after discharge. The SF-36 consists of 8 subscales: Physical Functioning (PF), Role Physical (RP), Bodily Pain (BP), General Health perception (GH), Vitality (VT), Social Functioning (SF), Role Emotional (RE), and Mental Health (MH). We calculated mean scores and standard deviations for these 8 subscales at discharge and 6 months after discharge. Values were compared using the paired student t-test. Results: The PF and BP scores after 6 months were significantly higher than those at discharge, but there were no significant differences in the other subscales. Conclusions: Some of the physical parameters of health-related QOL may improve 6 months after discharge in AMI patients treated with PCI. Since PCI may relieve symptoms such chest pain and chest discomfort, these patients can gradually extend their daily activities. While the physical state may improve, mental health-related QOL does not appear to improve 6 months after discharge.
month
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Discharge, Body Substance, Sample
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Perceived quality of life
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Myocardial Infarction
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SF Brand of Topical Fluoride
3.Validation of nutritional screening tools against anthropometric and functional assessments among elderly people in Selangor.
Suzana Shahar ; Siti Saifa Hussain
Malaysian Journal of Nutrition 2007;13(1):29-44
This cross sectional study was conducted to determine the validity of three screening tools, Mini Nutritional Assessment Short Form (MNA-SF), Malnutrition Risk Screening Tool for Community (MRST-C) and Malnutrition Risk Screening Tool for Hospital (MRST-H) among elderly people at health clinics. The screening tools were validated against anthropometric and functional assessments. The anthropometric assessments that were carried out included body weight, height, arm span, body mass index (BMI), calf circumference (CC) and mid upper arm circumference (MUAC). A set of questionnaire on manual dexterity, muscular strength, instrumental activities daily living (IADL) and cognitive status was used to assess functional abilities. A total of 156 subjects were recruited from rural (38 subjects) and urban (118 subjects) health clinics at Sabak Bernam and Cheras respectively. Subjects’ age ranged from 60 to 83 years old, with 44.2% were men and 55.8% women. The prevalence of muscle wasting among the subjects assessed from MUAC and CC were both 7.0%. MNA-SF had the highest correlation with BMI (r = 0.497, p<0.001), followed by MUAC (r = 0.398, p<0.001), CC (r = 0.473, p<0.001), cognitive assessment (r = 0.229, p<0.001) and handgrip strength (r = 0.209, p<0.001). Whilst MRST-C had the highest correlation with IADL score (r = -0.320, p<0.001) and MRST-H had the highest correlation with the lock and key test (r = -0.325, p<0.01). Sensitivity was the highest for MNA-SF (93.2%), followed by MRST-H (52.5%) and MRST-C (25.8%). Specificity was the highest for MRST-H (97.3%), followed by MRST-C (90.8%) and MNA-SF (79.4%). Positive predictive value (PPV) for MRST-H, MNA-SF and MRST-C was 55.5%, 18.2% and 14.1%, respectively. In conclusion, among the screening tools being validated, MNA-SF is considered the most appropriate tool to be used in health clinics for identification of elderly individuals who are at high risk of malnutrition.
Lower case are
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lower case pea
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SF Brand of Topical Fluoride
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Carbon ion
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upper case aitch