Adaptation Of Guidelines Research Articles

Mixed methods study into social impacts of work-related heat stress on Ghanaian mining workers: A pragmatic research approach

Although mixed methods research proves significant in understanding complex social phenomenon, inadequate research has explored its utility in heat exposure studies. The convergent mixed methods analysis comprising 320 surveys and two focus group interviews were used to evaluate the social impacts of occupational heat stress on Ghanaian mineworkers to enlighten policy choices for the purpose of complementarity. The study contributes to mixed methods study by affirming the practical use of between-method triangulation and complementarity. The merged quantitative and qualitative results also showed adequate corroboration and complementarity between both data, to illustrate the social impacts of work-related heat stress on mining workers as heat-related comorbidity, productive capacity loss, anxiety, slow pace of work, and inadequate social well-being. The mixed methods results would inform policy options on the health and safety of work settings, managing occupational heat stress, and adaptation guidelines in the mining industry.

Urban geometry as an adaptation strategy to improve the outdoor thermal performance in hot arid regions: Aswan University as a case study

Due to the lack of a comprehensive multiscale campus planning guideline, new universities in Upper Egypt are associated with a lack of environmental considerations of the surrounding climatic conditions. Additional extensions planned for the Aswan University campus located in New Aswan city provide an opportunity to explore thermal improvements in a hot arid environment. This study presents analytical and empirical findings that highlight the potential for their implementation in outdoor spaces. Most of the previous literature address the urban geometry from a single scale perspective. However, in this study coupled scales were adopted to get more effective thermal adaptation guidelines; urban form planning (cluster scale), and geometrical details (canyon scale). The study investigates five urban forms and 18 urban geometry scenarios to quantify their thermal impacts on outdoor spaces. All scenarios were evaluated according to the differences in geometrical variables, with data introduced based on on-site measurements and microclimate simulations using ENVI-met software. The results are ranked according to its influence on pedestrian thermal comfort. The suggested strategy could reduce the average PET value with 6.8 °C in the NS canyons and 4.2 °C in the EW during the peak hour. Design guides are introduced for planners and decision-makers.

Protocol for the adaptation of clinical practice guidelines for the management of physical restraints in critically ill patients.

The effectiveness of physical restraints (PRs) in the prevention of unplanned extubation has been increasingly questioned, and several countries have developed clinical practice guidelines for reducing the use of PRs. However, some countries, including China, have failed to establish their guidelines, and the adaptation of existing guidelines to local circumstances may be an attractive alternative. Following the guideline definition of Institute of Medicine, the guideline will be adapted following the CAN-IMPLEMENT©. Guideline scope and clinical questions will be established based on an integrative review, retrospective study, and stakeholder interviews. The guideline's quality will be assessed by the Appraisal of Guidelines for Research and Evaluation II and Appraisal of Guidelines Research and Evaluation-Recommendations Excellence. A systematic review and meta-analysis will be evaluated by A Measurement Tool to Assess Systematic Reviews. The guidelines will meet the criteria of the RIGHT-Ad@pt Checklist. This study describes the proposed protocol for adapting clinical practice guidelines on PRs in critically ill patients. We believe the guideline will help health professionals, especially critical care nurses, deliver safe, high-quality patient care by reducing the implementation of PRs in China. The guideline has been registered at the International Practice Guidelines Registry Platform (http://www.guidelinesregistry.org/). The registration number is IPGRP-2019CN094, registration date 27-Dec-2019.

Stress of artists before a performance: a study based on materials from the Institute of Psychology at the University of Leipzig

In the last decades the concept of resilience was described to characterize a person, who has higher stability to resist against negative threats of the environment. Purpose of the research: 1. To show key contributions from the Leipzig University’s Institute of Psychology for research on stress and. 2. To summarize some theoretical point of views for the further assessment and research of stress. Methods. Theoretical and methodological analysis of stress, logical and structural research method. Results. More dangerous and more harmful can be chronic stress. Stressors are objective and hinder people’s need fulfillment. Stress coping should have always two starting points, external and directed to the stressing environment: to be informed, to seek solutions to problems and to collect friends and technics to become able to act and internal: the feelings, excitement, to bring activism into self-control. Conclusions. Stress is only in this one way positive, because it’s possible to collect experiences in the coping process of stress and have new abilities to cope with stress. Stress – is a normal reaction even among artists. A stress-related paraclinical disorder is podium anxiety. Even a negative evaluation by other people can threaten the positive view of oneself and abilities – the self-esteem. Today, stress is a recognized risk factor for the development of diseases and many disorders. Stress is closely linked to negative performance parameters, operational errors and reduced performance. Stress mediates the biopsychosocial chain of causation between health and disease. Extreme forms of stress can be stressful for all people. However, many stressors are effective individually, resource-dependent, individual or populationspecific. The relation of stress and coping is essential for stressmanagement activities of humans. Resilience is generally viewed as a quality of character, personality, and coping ability which is a resource contra stress and can reduce the stress reactivity and sensitivity for stress. Our Research provides some guidelines for intervention, adaptation and prevention of stress.

THE EFFECTIVENESS OF THE LAW ENFORCEMENT OF HEALTH PROTOCOLS IN EFFORTS TO PREVENT AND CONTROL COVID-19 BY SATPOL PP, BANDUNG CITY

SARS-CoV-2 or better known as the Corona Virus is the virus that causes the Covid-19 pandemic. In several countries, including Indonesia, the problem of handling the spread of the corona virus pandemic (Covid-19) continues to be carried out. Since August 2020, the Regional Government of Bandung City has effectively implemented Bandung City Regulation Number 37 of 2020 concerning Guidelines for Adaptation of New Habits in the Context of Prevention and Control of Corona Virus Disease 2019. As a leading sector in suppressing the level of spread of the virus, the Bandung City Satpol PP has carried out .
 One of the efforts made by the Satpol PP as the implementer of the Bandung City government policy is by making several efforts ranging from socialization, appeals to enforcement. The Satpol PP, assisted by the joint apparatus of the National Police and the National Police, enforces restrictions in several areas that have the potential to accumulate masses at one point, such as areas that are densely populated with street vendors, cafes, parks etc. Law enforcement carried out by the Satpol PP is solely carried out to provide an understanding of the citizens of the importance of maintaining personal health and the environment during the current pandemic. The enactment of the Bandung mayor Regulation, Number 37 of 2020 concerning Guidelines for Adaptation of New Habits in the Context of Prevention and Control of Corona Virus Disease 2019. The number of people exposed to not using a mask is still a lot. The effectiveness of implementing health protocols becomes a question when the level of spread and the level of violations of health protocols is still relatively high.

Validity and Reliability of Lymphoedema Functioning, Disability and Health Questionnaire (Lymph-ICF) Thai Version

Objective: The study objective is to adapt the Lymphoedema functioning, disability and health questionnaire (Lymph-ICF) for use in the Thai language and to investigate the validity and reliability of the Thai version. Materials and Methods: This study was done in 5 stages in line with established guidelines for cross-cultural adaptation of self-report measures; 1) Initial translation 2) Synthesis of the translations 3) Back translation 4) Expert committee review and 5) Test of the prefinal version. The face validity was assessed by interview content experts. In the assessment of the validity of the construct, the Spearman correlation coefficient was used to examine the correlations between the scores of the Thai Lymph-ICF and the scores of the Thai EQ-5D-5L. The intraclass correlation coefficient (ICC) was used to establish test-retest reliability while Cronbach’s alpha was used to determine the internal consistency of the whole questionnaire and of each domain. Results: Fifty participants were evaluated for validity and reliability. Face validity was supported. Construct validity showed strong correlations between the scores of the Thai Lymph-ICF and the scores of the Thai EQ-5D-5L. Internal consistency and test-retest reliability were both excellent. Conclusion: The Lymph-ICF Thai version was shown to be both valid and reliable for evaluating the quality of life of patients with breast cancer-related lymphoedema.

Protocol for the Cultural Translation and Adaptation of the World Endometriosis Research Foundation Endometriosis Phenome and Biobanking Harmonization Project Endometriosis Participant Questionnaire (EPHect)

Endometriosis affects 10% of women worldwide and is one of the most common causes of chronic pelvic pain and infertility. However, causal mechanisms of this disease remain unknown due to its heterogeneous presentation. In order to successfully study its phenotypic variation, large sample sizes are needed. Pooling of data across sites is not always feasible given the large variation in the complexity and quality of the data collected. The World Endometriosis Research Foundation (WERF) Endometriosis Phenome and Biobanking Harmonization Project (EPHect) have developed an endometriosis participant questionnaire (EPQ) to harmonize non-surgical clinical participant characteristic data relevant to endometriosis research, allowing for large-scale collaborations in English-speaking populations. Although the WERF EPHect EPQs have been translated into different languages, no study has examined the cross-cultural translation and adaptation for content and face validity. In order to investigate this, we followed the standard guidelines for cross-cultural adaptation and translation of the minimum version of the EPQ (EPQ-M) using 40 patients who underwent laparoscopic surgery in Turkey and 40 women in Northern Cyprus, aged between 18 and 55. We assessed the consistency by using cognitive testing and found the EPHect EPQ-M to be comprehensive, informative, and feasible in these two Turkish-speaking populations. The translated and adapted questionnaire was found to be epidemiologically robust, taking around 30–60 min to complete; furthermore, participants reported a similar understanding of the questions, showing that common perspectives were explored. Results from the cognitive testing process led to minor additions to some items such as further descriptive and/or visuals in order to clarify medical terminology. This paper illustrates the first successful cross-cultural translation and adaptation of the EPHect EPQ-M and should act as a tool to allow for further studies that wish to use this questionnaire in different languages. Standardized tools like this should be adopted by researchers worldwide to facilitate collaboration and aid in the design and conduction of global studies to ultimately help those affected by endometriosis and its associated symptoms.

Long-term adaptation of European viticulture to climate change: an overview from the H2020 Clim4Vitis action

Climate change is a major challenge to viticulture worldwide. The adaptation potential of the different strategies to cope with climate change still embraces many uncertainties (e.g., unpredictable social-economic developments and land-use changes), particularly in the long-term. However, adaptation strategies adjusted to local terroirs and regional climate change projections will contribute to the sustainable development of the winemaking sector. The Clim4Vitis action (https://clim4vitis.eu/) recommends some guidelines for long-term adaptation (Figure 1).

Systematic adaptation of the Thai version of the supportive and palliative care indicators tool for low-income setting (SPICT-LIS)

BackgroundIdentification of patients who might benefit from palliative care among countries with different socioeconomic and medical contexts is challenging. The Supportive and Palliative Care Indicators Tool for a Low-income Setting (SPICT-LIS) was designed to help physicians identify patients in low-income setting who might benefit from palliative care. We aimed to systematically adapt and refine the SPICT-LIS for Thai general palliative care providers.MethodsWe followed the WHO guidelines for translation, cross-cultural adaptation and validation of an instrument for the SPICT-LIS. Three expert panel members did the initial adaptation using forward and backward translations with pretested data. Two iterations of pretesting were conducted to test for applicability and reliability. The case vignettes which were used in the pretesting were modified hospital medical records. The pretesting was done with 30 respondents from various specialties in a community health center and 34 general palliative care providers from a regional referral hospital in the first and second iterations, respectively. To examine instrument reliability, interrater reliability and internal consistency were evaluated. Cognitive interviewing was conducted using semi-structured interviews with general practitioners (GPs) using the “think aloud strategy” and “probing questions”.ResultsThe adapted Thai SPICT-LIS had a total of 34 indicators which included 6 general and 28 clinical indicators. The assessment of the adapted Thai SPICT-LIS found that it provided consistent responses with good agreement among the GPs, with a Fleiss kappa coefficient of 0.93 (0.76–1.00). The administration time was 2.3–4.3 min per case. Most respondents were female. The 8 interviewed GPs said they felt that the SPICT-LIS was appropriate for use in a general setting in Thailand.ConclusionThe study found that the Thai SPICT-LIS could be an applicable, acceptable, and reliable tool for general palliative care providers in Thailand to identify patients who might benefit from palliative care.

Protocol for process evaluation of integration of mental health into primary healthcare in two states in Nigeria: the mhSUN programme.

Current international recommendations to address the large treatment gap for mental healthcare in low- and middle-income countries are to scale up integration of mental health into primary care. There are good outcome studies to support this, but less robust evidence for effectively carrying out integration and scale-up of such services, or for understanding how to address contextual issues that routinely arise. This protocol is for a process evaluation of a programme called Mental Health Scale Up Nigeria. The study aims are to determine the extent to which the intervention was carried out according to the plans developed (fidelity), to examine the effect of postulated moderating factors and local context, and the perception of the programme by primary care staff and implementers. We use a theoretical framework for process evaluation based on the Medical Research Council's Guidelines on Process Evaluation. A Theory of Change workshop was carried out in programme development, to highlight relevant factors influencing the process, ensure good adaptation of global normative guidelines and gain buy-in from local stakeholders. We will use mixed methods to examine programme implementation and outcomes, and influence of moderating factors. Data sources will include the routine health information system, facility records (for staff, medication and infrastructure), log books of intervention activities, supervision records, patient questionnaires and qualitative interviews. Evidence from this process evaluation will help guide implementers aiming to scale up mental health services in primary care in low- and middle-income countries.

Adapting evidence-based clinical practice guidelines for people with attention deficit hyperactivity disorder in Saudi Arabia: process and outputs of a national initiative

BackgroundWe recently adapted the published National Institute for Health and Care Excellence (NICE) Attention deficit hyperactivity disorder (ADHD) diagnosis and management guideline to the Saudi Arabian context. It has been postulated that adaptation of evidence-based clinical practice guidelines to the local healthcare context rather than de-novo development will improve their adoption and implementation without imposing a significant burden on resources. The objective of this paper is to describe the adaptation process methodology utilized for the generation of the first national guideline for management of people with ADHD in Saudi Arabia.MethodsWe used the KSU-Modified-ADAPTE methodology for the guideline adaptation process. We describe the full process in detail including the three phases of set-up, adaptation, and finalization. The process was conducted by a multidisciplinary guideline adaptation group in addition to an external review for the clinical content and methodology.ResultsThe group adapted ten main categories of recommendations from one source CPG (NICE). The recommendations include: (i) service organisation and training, (ii) recognition, identification and referral, (iii) diagnosis, (iv) support, (v) managing ADHD, (vi) dietary advice, (vii) medication, (viii) maintenance and monitoring, (ix) adherence to treatment, and (x) review of medication and discontinuation. Several implementation tools were compiled and developed to enhance implementability including a clinical algorithm, quality measures, coding system, medication tables, translations, patient information, and online resources.ConclusionsThe finalized clinical practice guideline provides healthcare providers with applicable evidence-based guidance for the management of people with ADHD in Saudi Arabia. The project also demonstrated the effectiveness of KSU-Modified-ADAPTE, and emphasized the value of a collaborative clinical and methodological expert group for adaptation of national guidelines.

Tradução para o português brasileiro e adaptação cultural da Definição de Pontuações de Componentes (Component Scores Definition) pertencentes ao Modified Barium Swallow Impairment Profile – MBSImP(™)

Translate into Brazilian Portuguese and culturally adapt the component scores definition from the Modified Barium Swallow Impairment Profile - MBSImP videofluoroscopy protocol. This study was conducted based on international guidelines for creation, translation and transcultural adaptation according to domestic publications for the validation of international speech-language pathology tests. A specialist committee was convened with two otorhinolaryngologists and three speech-language pathologists familiar with videofluoroscopy examinations. Translation into Brazilian Portuguese was carried out by two otorhinolaryngologists with subsequent back translation performed independently by two U.S.-born translators. The final Brazilian Portuguese version was written by speech-language pathologists after revision of translations and back translations resolved semantic, idiomatic, conceptual, linguistic and contextual inconsistencies. This version was tested by committee members, who assessed subjects with no disease, with head and neck cancer and with mild cognitive impairment. Translation of the component scores definition from MBSImP was performed independently and translators agreed on a final version. The MBSImP protocol was renamed "Martin-Harris scale for swallowing videofluoroscopy". Some terms were adapted for the final Brazilian Portuguese version. Use of the translated protocol did not reveal any deviations from the original. Translation of the MBSImP fragment into Brazilian Portuguese was consistent with the original version. Approval from specialist committee members refined the protocol adaptation, allowing precise concepts to be accurately translated.

Cultural adaptations of cognitive behaviour therapy for the Orthodox Jewish community: a qualitative study of therapists’ perspectives

Abstract Cultural factors are influential in the prevalence, diagnosis and treatment efficacy of mental health conditions. Although the literature has advanced substantially towards the development of cultural adaptations of cognitive behavioural therapy (CBT) for various minority cultural groups, research into cultural adaptations of CBT for the Orthodox Jewish community has been scarce. This qualitative study interviewed five CBT therapists about their experiences working with clients from the London Orthodox Jewish community and uncovered several key practical implications for the clinical practice of CBT with this client group. This study indicates that CBT is a culturally appropriate psychological treatment for this client group that accords with Orthodox Jewish teachings and religious beliefs. CBT therapists are encouraged to become familiar with Orthodox Jewish cultural practices and beliefs and adopt a culturally sensitive approach to treatment. Despite the reduced mental health stigma within the community, this study recommends that CBT therapists normalise mental health conditions and therapy with Orthodox Jewish clients. Due to the close-knit nature of the community, it is suggested that CBT therapists display heightened confidentiality with this client group. To overcome the mistrust of their Orthodox Jewish clients, CBT therapists are advised to display cultural sensitivity and genuine respect for the Orthodox Jewish way of life, in addition to building a strong therapeutic alliance. Further qualitative research exploring different perspectives is necessary to produce evidence-based guidelines for the cultural adaptation of CBT for the Orthodox Jewish community. Key learning aims (1) To explore how CBT therapists work with the religious beliefs and practices of Orthodox Jewish clients. (2) To discover the challenges faced by Orthodox Jewish clients when accessing psychological treatment. (3) To consider the ways in which CBT can be culturally adapted to meet the needs of the Orthodox Jewish community.

Translation and Validation of the Korean Version of the Forgotten Joint Score.

BackgroudThe Forgotten Joint Score (FJS) is a newly developed patient-reported outcome measure designed to evaluate clinical outcome after total knee arthroplasty (TKA). The FJS is known as a sensitive test with a low ceiling effect. It has been recently translated into many languages. However, no study has reported the validity or reliability of a Korean version of the FJS (K-FJS). Thus, the purpose of this study was to address this issue.MethodsAccording to guidelines for cross-cultural adaptation, translation of the English version of the FJS was performed. After obtaining a license from the original developer, 150 patients who had undergone TKA at more than 1 year to less than 5 years ago completed the K-FJS, visual analog scale, Western Ontario and McMaster Universities Osteoarthritis index (WOMAC), and the 36-Item Short Form (SF-36) health survey. To measure test-retest reliability, the K-FJS was completed twice by telephone survey for 100 patients. Responsiveness was retrospectively calculated based on a survey of 50 patients at 3 months and 1 year after surgery.ResultsThe K-FJS exhibited an excellent reliability (Cronbach's α, 0.967; intraclass correlation coefficient, 0.958; 95% confidence interval, 0.930–0.974). The ceiling effect of the K-FJS was 8.7% (n = 13), which was lower than the WOMAC's ceiling effect (10%). There was no floor effect. The correlation coefficients with WOMAC and SF-36 (physical function) were 0.708 and 0.682, respectively, indicating good construct validity. However, its correlation with mental health subscale of SF-36 was low (r = 0.143). At 3 to 12 months after TKA, the standardized response mean (SRM) was 0.67, which was lower than the SRM of WOMAC (1.03) obtained in the same period. The K-FJS demonstrated strong measurement properties in terms of good construct validity and reliability.ConclusionsThis study suggests that the K-FJS is an excellent instrument that can be used to monitor clinical outcomes after TKA. Using this standardized K-FJS, it would be possible for medical institutions to share more accurate clinical results.

A General Methodology for Adapting Industrial HMIs to Human Operators

Modern production systems are becoming more and more complex to comply with diversified market needs, flexible production, and competitiveness. Despite technological progress, the presence of human operators is still fundamental in production plants, since they have the important role of supervising and monitoring processes, by interacting with such complex machines. The complexity of machines implies an increased complexity of human–machine interfaces (HMIs), which are the main point of contact between the operator and the machine. Thus, HMIs cannot be considered anymore an accessory to the machine and their improvement has become an important part of the design of the whole machines, to enable a nonstressful interaction and make them easy to also use less skilled operators. In this article, we present a general framework for the design of HMIs that adapt to the skills and capabilities of the operator, with the ultimate aim of enabling a smooth and efficient interaction and improving user’s situation awareness. Adaptation is achieved by considering three different levels: perception (i.e., how information is presented), cognition (i.e., what information is presented), and interaction (i.e., how interaction is enabled). For each level, general guidelines for adaptation are provided, thus defining a meta-HMI independent of the application. Finally, some examples of how the proposed adaptation patterns can be applied to the case of procedural and extraordinary maintenance tasks are presented. Note to Practitioners —This article was motivated by the problem of facilitating the interaction of human operators with human–machine interfaces (HMIs) of complex industrial systems. Standard industrial HMIs are static and do not consider the user’s characteristics. As a consequence, least-skilled operators are prevented from their use and/or have poor performance. In this article, we suggest a novel methodology to the design of adaptive industrial HMIs that adapt to the skills and capabilities of operators and compensate their limitations (e.g., due to age or inexperience). In particular, we propose a methodological framework that consists of general rules to accommodate the user’s characteristics. Adaptation is achieved at three different levels: perception (i.e., how information is presented), cognition (i.e., what information is presented), and interaction (i.e., how interaction is enabled). The presented rules are independent of the target application. Nevertheless, we establish a relationship between such design rules and user’s impairments and capabilities and kind of working tasks. Hence, designers of HMIs are called to instantiate them considering the specific requirements and characteristics of the users and the working tasks of the application at hand.

Korean Clinical Imaging Guidelines for the Appropriate Use of Chest MRI

MRI는 방사선 위험이 없으며, 높은 연조직 대조도 및 기능 정보 획득의 장점을 가지고 있다. 과거 기술적 한계로 흉부 분야에서 MRI의 사용이 제한되었으나, 최근 기술 발전 및 흉부 MRI의 보험 적용 확대로 흉부 MRI의 적응증과 수요가 급증할 것으로 예상된다. 이에 대한 영상의학회는 한국의 의료 실정에 맞는 흉부 MRI의 적절한 활용과 관련된 지침의 개발이 필요하다고 보고 개발위원회, 실무위원회 및 자문위원회의 의견을 모아 한국형 흉부 MRI 정당성 가이드라인을 개발하였다. 5가지 문장형 핵심질문을 선정하고, 근거기반 임상영상 가이드라인 수용개작 방법론에 의거하여 권고안을 작성하였다. 권고 내용은 다음과 같다. 우연히 발견된 전종격동 병변 환자에서 비종양성 질환 진단을 위하여 흉부 MRI를 권장한다. 폐 종괴가 발견된 진폐증 환자에서 악성 종양과 진행성거대섬유증의 감별 진단을 위하여 흉부 MRI를 권장한다. 악성 흉막 중피종 또는 비소세포 폐암 환자에서 흉벽, 척추, 횡격막 또는 혈관 침범이 의심되는 경우 흉부 MRI를 권장한다. 임산부에서 임상적으로 폐색전증이 의심되나, 다른 검사가 불충분할 경우 비조영 흉부 MRI 혹은 중등도 또는 저위험군 조영제를 가능한 최소한의 용량으로 사용하여 조영증강 흉부 MRI를 고려할 수 있다. 폐첨부 폐암 환자에서 근치적 절제술을 고려할 경우 혈관 및 경막 외 공간의 종양 침범을 확인하기 위해 흉부 MRI를 권고한다.

Development of the Nursing Practice Guidelines for Preventing Postoperative Pulmonary Complications using the Guideline Adaptation Process

Development of the Nursing Practice Guidelines for Preventing Postoperative Pulmonary Complications using the Guideline Adaptation Process

Prevalence of anxiety and depression in dizzy patients using Arabic hospital anxiety and depression scale

ObjectivesTo develop an Arabic version of the hospital anxiety and depression scale (HADS) to detect and measure anxiety and depression prevalence in dizzy patients.BackgroundDizziness is a common complaint that has many causes and may be related to psychiatric disorders like anxiety and depression. Early detection of anxiety and depression in dizzy patients helps in proper management and a better outcome. The HADS is a valid screening tool, and having an Arabic version will be of great help.Patients and methodsThe original English HADS was translated following the cross-cultural adaptation guidelines into Arabic. The final Arabic version of HADS was administered to samples of 100 healthy control persons, 30 anxious patients, and 30 depressed patients. Reliability and validity of the translated Arabic HADS were examined. The prevalence of anxiety and depression in dizzy patients were assessed through 100 dizzy patients who were asked to complete the validated Arabic HADS.ResultsThe translated Arabic HADS was found to be reliable with strong internal consistency (Cronbach's alpha was 0.811 for the anxiety group and 0.758 for the depression group). The test–retest reliability was high (Spearman's correlation was 0.980 for the anxiety group and 0.928 for the depression group). There was a good correlation between psychiatric assessment and HADS for anxiety and depression using the Mann–Whitney test, indicating its validity. We performed the receiver operating characteristics curve, and the most sensitive cutoff point for HADS anxiety subscale was 8.5 and for HADS depression subscale was 9.5. In the dizzy group, 32% gave positive HADS scores for anxiety subscale and 22% gave positive HADS scores for depression subscale.ConclusionsThis version of the Arabic HADS is a reliable and valid psychological screening tool for anxiety and depression. The anxiety and depression prevalence in the dizzy patients was 32% and 22%, respectively.

Hospital Reconversion of the Gastrointestinal Endoscopy Service at The National Medical Center November 20 Issste During the Covid-19 Pandemic

In the gastrointestinal Endoscopy Service at the National Medical Center 20 de Noviembre; adaptation of facilities and internal guidelines and protocols were performed accordingly to the WHO, the National Health Department (SSA) and the Gastrointestinal Endoscopy Mexican Association (AMEG) guidelines and recommendations for the proper care of uninfected, suspected and confirmed COVID-19 patients

Cross cultural adaptation, reliability and validity of the Greek version of Identification of Functional Ankle Instability (IdFAI) questionnaire

BackgroundThe objectives of our study were to develop the Greek version of the Identification of Functional Ankle Instability (IdFAI) questionnaire and to evaluate its psychometric properties. MethodsThe IdFAI was translated and adapted into Greek according to the guidelines for cross-cultural adaptation of self report measures. It was tested for test-retest reliability, validity, internal consistency and floor-ceiling effects in 141 participants (54 males, 87 females; 23.5 ± 7.2 years). All participants were asked to fill the Greek IdFAI (IdFAI-GR), the Cumberland Ankle Instability Tool (CAIT), and the Lower Extremity Functional Scale (LEFS), in order to determine construct validity. To determine the test-retest reliability, fifty randomly selected individuals re-filled IdFAI seven days after the first session. ResultsThe IdFAI-GR had high internal consistency (Cronbach alpha = 0.94) and excellent test-retest reliability (ICC2,1 = 0.97; SEM = 0.7). The IdFAI-GR had strong correlation with the CAIT (r = 0.7; p < 0.001) and moderate correlation with the LEFS (r = 0.5; p < 0.001). No ceiling or floor effects were observed. ConclusionThe Greek IdFAI questionnaire has proven to be a valid and reliable instrument to identify functional ankle instability. It can therefore, be used for both clinical and research purposes in Greek-speaking individuals.