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Messages - Lorenzo

#13701
#13702
#13703
#13704
Travel and Tours / The Pine Barrens, New Jersey
May 16, 2012, 04:23:28 PM
#13705
Travel and Tours / Re: The Bayou, Louisiana
May 16, 2012, 04:22:26 PM
#13706
Travel and Tours / Re: The Bayou, Louisiana
May 16, 2012, 04:21:34 PM
#13707
Travel and Tours / Re: The Bayou, Louisiana
May 16, 2012, 04:20:49 PM
#13708
Travel and Tours / Re: The Bayou, Louisiana
May 16, 2012, 04:19:49 PM
#13709
Travel and Tours / Re: The Bayou, Louisiana
May 16, 2012, 04:18:57 PM
#13710
Travel and Tours / Re: The Bayou, Louisiana
May 16, 2012, 04:18:31 PM
#13711
Travel and Tours / Re: The Bayou, Louisiana
May 16, 2012, 04:18:14 PM
#13712
Travel and Tours / The Bayou, Louisiana
May 16, 2012, 04:17:54 PM
#13713
Travel and Tours / The perfect fishing ground
May 16, 2012, 04:16:52 PM
#13714
Travel and Tours / Lake Basin, Colorado USA
May 16, 2012, 04:15:48 PM
#13716


Thanks Isles.
#13717
Tira-Pasagad | Saksak-Sinagol / Re: Wantaym ra
May 16, 2012, 04:04:01 PM
Isug bitaw ning Valencianhon. Ug ma awayaway na ahong mama og papa ma hipos gajod si dad. Isug si mommy,..aww Valencianhon gud. ;)
#13718
Tira-Pasagad | Saksak-Sinagol / Re: Wantaym ra
May 16, 2012, 04:02:37 PM
Quote from: islander on May 15, 2012, 11:22:43 AM
incidentally, during those times, i held the dubious distinction of being a girl who would not go away from a fistfight with boys.  ako ang tunay nga balingsyanhon...

gawas bitaw kog sulong ni roldan for my brother's cause.  siyagit ug hagit.  unya kay neighborhood bully man to si roldan, labaw pod nga di mo-back out.  pagduol niya, gisipa dayon nako ang tiyan.  eh, hinan-aw ug tv ang tonto.  abtik pa sa iring nga nidakop sa akong tiil.  tuwad diretso si islander.  wa ko mohilak, abi pa lang, gisakitan.  arang sakita gyod hinoon maayo gani kay wa madakdak akong ulo.

kuyawa pod uy! imbes chiks tirada, kuan diay ka , isles, sumbag tirada. ;D

isug jamo gajyud ning Valencianhon da!

ha, ha, ha, ha!
#13719
Question and Answer / Re: Motuo Ka ug Barang?
May 16, 2012, 03:54:54 PM
ha ha ha ha! oh this makes sense. yea, one thing i notice about Filipinos or Bolanons is that they can be very indirect at times.

When I was in Bohol, Isles, a friend of my auntie, Eddie Borja, tried to introduce me to his niece. So I met up with her Tagbilaran for lunch ka gi arrange man mi duha to meet up. When I first met her , I asked her if she was hungry, she said, "Dili man, uhaw lang gamay, Bran..."

So, I ordered her fruit juice, then some buko salad. When I ordered lunch, she then got hungry. So, i decided to get her food, and i mean, i bought a lot for her. I was surprised that she ate everything. I joked with her and said, "Ingon ka you were not hungry, pero, gutom man diay kaayo..."

She kept on laughing and smiling. :)

Boholana girls are truly very sweet. They will refuse an offer until you give it to them, then they will take it openly.
#13720
By not drinking enough, one could endanger oneself in having hypovolemia. Patients who have Diabetes Insipidus should beware of this as they need to drink enough fluids.
#13721
Quote from: Kayang on May 16, 2012, 03:44:23 PM
thankssssssssssssss

Walay Sapayan. Sige, ayo ayo ka dinha.


#13722
I will pray that your mother will have a change of heart, Kayang. She should be more considerate of her daughter's passion to find her father. Keep it up,...and don't stop asking her.

Sige, I have to get back to work now. Best of luck and keep us all updated on your search result.
#13723
Question and Answer / Re: Motuo Ka ug Barang?
May 16, 2012, 03:36:23 PM
He he he, I really learn a lot just by reading your postings here, Isles. One can't help but be amazed by the terminology our fellow Bol-anon use in their daily speech. All this time, I never really asked what was the meaning of 'Pwera Bujag', I had always thought it meant "Thank You" , pero wrong man to'ng assumption nako. :P
#13724
I see, well that's good to hear that. I commend you for your drive to find out the true identity of your father. I wish you the best of luck !
#13725
Question and Answer / Re: Motuo Ka ug Barang?
May 16, 2012, 03:29:06 PM
Very interesting. Thank you for explaining that, Isles. :)

#13726
Quote from: Kayang on May 16, 2012, 03:22:20 PM
tapos naa syay gilitok nga famila name pero dili sya cigurado , tapos iya napod gibaliktad nga Gabriel ang family name  . . .kaya sabi ko dili ko sure ...thankssss

You need to confront your mother and demand she tell the truth. It is unfair for you to conduct a geneological trace when you are going about unsure information from your mother. I empathize for you in this. But, again, you need to ask her to give you the full information.
#13727
Quote from: Kayang on May 16, 2012, 03:21:10 PM
ang sister sa akong Papa nga nag adap nako ang niingon nga morag CELSO ang name sa akong father  . . . pero akong inahan mismo ang niingon nga Gabriel ang name sa akong amahan tapos ang family name nalimot na sya ...

Please correct me if I am wrong, so you are saying that your father's sister is the one who adopted you. And that she does not remember whether or not Celso is the name of her brother? Or are you saying that your mother's sister is the one who adopted you? Please correct me if I am wrong.
#13728
Quote from: Kayang on May 16, 2012, 02:09:31 PM
First time in my life nga nag meet mi sa akong  mother  nga si DIOSA PAULIN  that was year 2002 .  Gibisita nako sya sa Australia , and I asked her alrealy for how many times , but she don´t want to tell me the name of my father  . . .sad . . sad . . .sad   >:( >:( >:( >:(

Kayang,

You met your mother in 2002? Where you raised in the Philippines or abroad? If you get the chance, do try to ask your mother to give you the name of your father's brother. You should also convince your mother to tell you the truth and not keep anything from you.  As you need all information in order to properly conduct a genealogical trace. That is my honest opinion.
#13729
Kayang,

I recommend you do the following:

1. Talk to your mother again, and insist that she give you the full name, ask her where she met your father. Additionally, ask her what part of the Philippines your dad was from. Ask her also the name of your father's brother and your father's sister.

2. When you get these names; then search their names in the US yellow pages or the US white pages.

3. In order for you to properly trace him and his relatives; find out the names of his brother and sister. It will help reduce your search and pin point his whereabouts.

#13730
Question and Answer / Re: Motuo Ka ug Barang?
May 16, 2012, 03:12:03 PM
I remember when I was in Valencia, while I was buying food supplies in the merkado, I couldn't help but overhear a converesation between two old women selling fish in the fish market. One woman said, "Hoy Nisya! Naka kita ka in Jeboy? Ay susmarihosep na daku na gajod." The other lady replied, "Mao lagi." Ingon pod ang usang baji, "Nisya, guwapo lagi si Jeboy...liwat lagi sa imong kagwapa.."

The other lady then said, "Pwerja Bujag!"

#13731
Question and Answer / Re: Motuo Ka ug Barang?
May 16, 2012, 03:08:35 PM
I never heard of the term "barang" until I scanned through this thread. It's interesting to read about this.

Isles, do you know why people say "Pwera Bujag" ? What is the meaning of that? Is it supposed to reverse a curse or something?
#13732
You can contact him yourself , call the Philippine Court of Appeals Office. I would also advise you to talk to your mother and to ask her for the true name of your father. If your father is supposed to be in the United States, it would benefit you to use the US Yellow Pages and search his name.



Good Luck!

PS. My uncle is the only child, he has no brother nor does he have a sister. So , he cannot be your father as you said that your mother knew your father's brother.
#13734
No, my uncle does not have 3 kids, he only has 1 child. Uncle Boy does not have a sister living in the United States, either. And additionally, he does not live in the United States. 

I do wish you luck in your search for your father. Best of luck!

#13735
In addition, he is of the Torrero and the Ingles clan of Tagbilaran City, Bohol. He is the 1st degree cousin of my grandmother. He has no relation to a surname of "Gabriel or Gabril".
#13736
Quote from: Kayang on May 16, 2012, 02:28:49 PM
wala namoy kontak ni Mr. Gabriel Ingles ?

Judge Gabriel Ingles is a Justice of the Philippine Court of Appeals and is my grand-uncle. I highly doubt he is your father. He is already married, and is a father and is living in the Philippines. He is not in the U.S.A.
#13737
Quote from: fabiandavis285 on May 16, 2012, 12:22:35 PM
Russians dishes are very delicious in taste. In Russian restaurants, the names of the dishes are written in Russian Language. So, if you do not know Russian, you will find it difficult to choose the dishes.

It really depends on the dish. I like the pierogis, but i don't like the borsh. I tried that when I was in The Ukraine back in 2006 and  I got sick.

#13738
Quote from: Lorenzo on May 16, 2012, 02:22:52 PM
Ang trait sa Bol-anon is that they over-emphasize their poorness or lack of wealth. In the hospital where I work, there is a nurse who I am friends with (she is an older lady, in her late 50's).

One day I came in to start my duty and I saw her in the ICU. I said to her, "Kummusta Tita, how are you doing today?"

Her response to my salutation was, "Pareho ragajod , Dong! Datung Pobre!"

:P

Ha ha ha. So to counter her, ingon pod ko, "Maayo man ka , Tita, kai datung pobre man ka, ako, pobreng pobre"

Perting ning bahakhak gajod to si Tita.

Na kuratan ang mga obang American MDs og RNs. Ning ingon, "What's going on over here? Whose laughing so hard?"

Ha, ha, ha, ha, ha!
#13739
Quote from: islander on May 15, 2012, 12:37:12 AM
maybe it's simply our tendency to self-flagellate.  it could be cultural, this negative humility.  but others better take care.  we may tend to self-flagellate, but when others do it to us, heaven help them.

Ang trait sa Bol-anon is that they over-emphasize their poorness or lack of wealth. In the hospital where I work, there is a nurse who I am friends with (she is an older lady, in her late 50's).

One day I came in to start my duty and I saw her in the ICU. I said to her, "Kummusta Tita, how are you doing today?"

Her response to my salutation was, "Pareho ragajod , Dong! Datung Pobre!"

:P
#13740
Quote from: chicogon on May 15, 2012, 04:48:44 PM
Mora sag mga itum. Kung itum ray mobira sa kaugalingon OK ra pero kung lain race na, LAGOT! Besides it being a crime  :P



He he he he! Tinuod gajod. African American man will call another African American man, "Niggaa", but if a White-American or an Asian-American calls them that, then ma suko gajod. Mo ingon dajon, "Oh hellls naww, yo ass dun juz said da N word , oh helllz nawww"

:P
#13741
Very interesting read. Thanks, Isles ! :)
#13742
Very beautiful engineer at that! ;)

#13743
#13744
Pacquiao angered the Liberal News Media with his statement. I commend Manny for speaking out his heart's conviction. He's not afraid of the world's reaction to Scriptural Truth. More Power to you, Manny ! :)
#13745
USS North Carolina: "Hello, Philippines! Guess who's back in town?"  ;)


#13746
To answer the question, yes the USS North Carolina is a nuclear attack submarine of the US Navy. That sub has the capability, if it was ordered to, to pulverize China's coast.

The arrival of the USS North Carolina in the Philippines is the United States indirectly saying to the Chinese, "Touch these Filipinos, and you'll pay Big Time, Madda Pakka ! "


;)
#13747
Quote from: TUBAGBOHOL.com on May 16, 2012, 01:30:33 PM
comment from Philippine Star:
Reyes shut you fu**ing mouth you are a fu**ing s**t, what you will do with the Shoal we will give to the ar**gant chinese. If you have nothing to do. S**t up . . . or go to Bajo de masinloc and defend the Shoal you are always complaning but you did nothing good to our country.

Bwahahahaha! Approve ko ani ! ;D
#13748
Talk of the Town / Re: Racism Against Filipinos
May 16, 2012, 12:13:09 AM
In fact, we are commanded by The Lord when he said , " There will always be poor people in the land. Therefore, I command you to be openhanded toward your brothers and toward the poor and needy in your land." (Deuteronomy 15:11)


#13749
Quote from: chicogon on May 15, 2012, 04:44:14 PM
Your dad and I pareha mig crush sa una... hmmmm, does that make me a Balingsyanon, bwahahaha!!!  :D




Bwahahahahahahahhaha!!!
#13750
He he he! If i'm ever stressed from work, when i come back home, what i do is go to my fridge and open a bottle of chenin blanc and pour myself a glass. I then go to my living room and sit in my sofa and play Chade's "Smooth Operator" and Enya's "Wild Child" and allow myself to relax. It works all the time. :)
#13751
Quote from: chicogon on May 15, 2012, 04:12:01 PM
Unsa man ni, "This one's for China?"  ;D



He he he ! Most of the sailors with him in that picture are Pinoy-Americans serving in the US Navy. Kining USS Carl Vinson, Father R, it is a nuclear-powered superaircraft carrier. This massive ship has over 6,000 soldiers inside of it. It has a contingent of some 3,000 Marines, some 60-90 attack air craft, point defense missile shields, anti-submarine capability. It serves as the nucleus of the Carl Vinson Carrier Battle Group of some 30 ships. The firepower that the USS Carl Vinson has is more powerful than half of the navies of the world combined. Thank goodness, this mighty beast is a protector of the Philippines.

I can only imagine the intimidation the Chinese must feel if they ever have the unfortunate circumstance of knowing their naval ships are being targetted by the Carl Vinson Carrier Battle Group.
#13752
Quote from: islander on May 15, 2012, 06:20:46 PM
God is not on the side of the big battalions, but on the side of those who shoot best. (Voltaire)

Correct!

In 1979, China sent in a force of over 150,000 troops to invade Vietnam because of Vietnam's toppling of the Khmer Rouge in Cambodia (incidentally, the Khmer Rouge were responsible for the genocide of over 2 Million of their own people; and incidentally, the CCP of China had backed and supported the Khmer Rouge-led by Pol Pot).

Because of the strategic situation Vietnam was in in that war, Vietnam had over 150,000 regular soldiers of its army in Cambodia fighting the Khmer Rouge and propelling them to the border of Thailand. China invaded Vietnam in an attempt to force the Vietnamese out of Cambodia. Vietnam knew of this, and so, kept in reserve the 300,000 of its regular troops in the defense of Hanoi , and had activated Vietnamese paramilitary units and militia to defend the provinces of Northern Vietnam against the oncoming Chinese Army.

Crack units of the Chinese PLA were reduced to tatters, and within less than a year, over 30,000 Chinese soldiers were killed by Vietnamese militia. The losses were so high for China that China had to save face and retreat out of Vietnam and declared a "unilateral" victory stating that China had "taught" a lesson to Vietnam and the was was over.

It is quite hilarious to think that the mighty PLA was incapable of taking Vietnam and even taking Hanoi. China sent in human wave tactics to Vietnam , and sending in its best soldiers, but were halted by mere militia.

The proverbial saying holds true, its not quantity that matters, but quality. In this case, China sent in quality and quantity, but still failed in its strategic and tactical goal. China invaded Vietnam in an attempt to force Vietnam out of Cambodia and to protect the Khmer Rouge Regime. Not only did China fail to prevent the topling of the Khmer Rouge, but Vietnam still maintains a strong influence in present day Cambodia as well as in neighbouring Communist Laos. In addition, China lost over 30,000 crack units of the PLA to mere militia. In 1 year, the PLA lost 3 divisions of men.  Of course, to the detriment of Chinese strategic interest in the Mekong Region.

An example of a failed forward policy. :)
#13753
Talk of the Town / Re: Racism Against Filipinos
May 15, 2012, 11:34:23 PM
You both make a good point; Isles is pointing out that even in a country like the United States where the GDP per capita is over $40,000 , still there are poor amongst the people living in the United States. Priscilla makes a point in indicating that there are more Americans or Pinoy-Americans that send goods back home to the Philippines via balikbayan boxes. Both point out a strong point and see things in different sides of the coin.

Yes, Filipinos do recieve balikbayan boxes from their friends and relatives abroad, however, this is done so (accepted and received) with open arms and in recognition of the sacrifices of the relatives abroad to help family members back home. I prefer to implement a meta-analysis of the situation. The humanistic drive to help one's fellow is a universal trait. The Pinoys abroad who send balikbayan boxes as well as money back home to the Philippines do so in an attempt to better the lives of their relatives, and loved ones. It is the same driving force that propelled these Pinoys to g abroad in the first place. The same kind of drive is seen in the Americans who partake in food drive and donation drives to help communities that have poor and homeless who are stricken in the streets. The very same drive that compels hospitals to provide MEDICAID for homeless or poor patients who cannot afford to pay medical care in the United States. Wherever we go, there will always be poor, that is just a fact. What we do about it, is what matters.

Thank You, Isles and Priscilla, for making your points. Thanks for sharing with all of us two different points of view.



Sincerely,
Lorenzo
#13754
Quote from: hubag bohol on May 15, 2012, 09:02:43 PM
Sushimaryoseppuku! :P

bwahahaha ! sushinansumanningiro-agi-adadmanintawn. ;D :P
#13755
Health and Food / Re: Mang Inasal
May 15, 2012, 11:24:05 PM
Quote from: chicogon on May 15, 2012, 03:43:04 PM
Suka and sili is all you need, bwahahaha!!!  ;D




he he he he ! ;)
#13757
It is just amazing how we have now paved ways to treat diseases previously thought of as "incurable". Truly, amazing.
#13759
Absolutely amazing.
#13761
Absolutely Amazing !! Please watch, guys!
#13764
Recent trends in spending for depression care show an increased reliance on psychotropic medications, particularly antipsychotics, while corresponding benefits in patients’ quality of care remain limited.

The cost of treating Medicaid patients for depression has risen in recent years, despite a decrease in the use of inpatient and outpatient mental health services and an increase in the availability of generic versions of many antidepressant medications.

These findings come from a study published in the December 2011 Archives of General Psychiatry that examined trends in spending and quality of care for 56,805 Florida Medicaid enrollees diagnosed with depression between July 1, 1996, and June 30, 2006.

For the study, Catherine Fullerton, M.D., M.P.H., of Harvard Medical School and Cambridge Health Alliance led a team from Harvard Medical School’s departments of Psychiatry and Health Care Policy in pooling data on individuals aged 18 to 64 who were either hospitalized for depression or had at least two outpatient claims for depression during the 10-year study period.


While the percentage of patients hospitalized for depression dropped from 9.1 percent to 5.1 percent over the study period, and the percentage of individuals receiving psychotherapy declined from 56.6 percent to 37.5 percent, the use of antidepressants increased from 80.6 percent to 86.8 percent and the use of antipsychotics jumped from 25.9 percent to 41.9 percent.

The researchers noted that the increased use of psychotropic medications was associated with a 110 percent rise in spending per patient throughout the study’s 10 years, including a 949 percent increase in antipsychotic expenditures and a 328 percent increase in the amount of money spent on classes of psychotropics other than antidepressants and antianxiety agents (see chart).

By the end of the study period, Medicaid enrollees with depression were costing a mean of $3,610 per year in mental health services, up 29 percent from $2,802 at the outset of the study. These figures are adjusted for inflation.

In light of the increased spending on antipsychotic medications, the researchers recommended that guidelines be developed and cost analyses conducted on the use of these drugs in treating individuals with depression.

To assess the quality of care for individuals receiving treatment during the acute phase of depression, the researchers considered patients’ adherence to prescribed medication regimens, access to psychotherapy, and number of follow-up visits with a mental health care clinician.

The study found an increase from 65.1 percent to 75.2 percent in the number of acute-phase episodes of depression for which psychotropic medications were prescribed. But while the percentage of patients receiving “minimally adequate drug treatment” (defined as filling an anti-depressant prescription for 75 percent of the days in treatment) rose from 58.7 percent to 68.2 percent during the course of the study, the percentage receiving three or more follow-up visits dropped from 19.4 percent to 10.9 percent.

Additionally, the percentage of acute-phase episodes in which patients received psychotherapy dropped from 42.6 percent to 26.9 percent.

Among patients hospitalized for acute depression, the percentage of episodes in which antidepressants were prescribed remained relatively constant, while the percentage of episodes involving psychotherapy dropped from 32.3 percent to 18.6 percent.

The researchers acknowledged several limitations to their study, including a focus on only patients receiving a diagnosis of depression, a lack of information on patient outcomes, and treatment practices that may have changed in the past five years with the introduction of new medication options.

The study was funded by grants from the National Institute of Mental Health.


http://psychnews.psychiatryonline.org/newsArticle.aspx?articleid=481194
#13765
Master concert pianist and psychiatrist Richard Kogan, M.D., performed Gershwin's "Rhapsody in Blue" at this year's World Economic Forum, held in Davos, Switzerland, January 28 to February 1.

Kogan, who has for a number of years brought his talents to APA's annual meeting, also delivered an address titled "The Power of Music in Healing Mind and Body." And he participated in the panel discussions" Recession, Depression, and the Road to Recovery" and" Political Art: What Now?"

The latter was a discussion of how art has shaped political agendas and promoted global causes.

"I was invited as a psychiatrist and as a musician to talk about the healing impact of music and its unparalleled capacity to soothe anxiety, reduce pain, and lift spirits," Kogan told Psychiatric News." This was at a time when a fair amount of the meeting was by most accounts more somber than it has been in the past 30 years because of the global economic crisis."

Kogan is codirector of the Human Sexuality Program at Weill Cornell Medical College and cochair of the Weill Cornell Music-Medicine Initiative.

Also speaking at the session on "Recession, Depression, and the Road to Recovery" was Thomas Insel, M.D., director of the National Institute of Mental Health. Insel presented data suggesting an association between economic downturns and the incidence of depression and anxiety.

Kogan emphasized in his remarks that music, at its most powerful, is a communal experience. "Much music today is consumed in an isolated way, but music is most healing when it is experienced in a communal manner, when people are listening or singing in groups."

He also spoke about the relationship between music and resiliency, citing the example of Ludwig van Beethoven. His adult-onset deafness was the source of a profound trauma for the composer, but he went on to compose his greatest music.

George Gershwin experienced behavioral problems as a child stemming from what today would likely be diagnosed as attention-deficit/hyperactivity disorder, Kogan said. "But he discovered music early on and was completely transformed by it," he said.

The World Economic Forum is an independent, international organization incorporated as a Swiss not-for-profit foundation. The annual forum brings together world leaders in diverse fields to discuss global economic development. The theme of this year's forum was "Shaping the Post-Crisis World."




http://psychnews.psychiatryonline.org/newsArticle.aspx?articleid=112548
#13766
This is a very POWERFUL point for all of us in the Medical Profession. I recommend this article for all the MD's and the RN's in this forum to read.
#13767
It should come as no surprise that today’s psychiatrists and primary care physicians are struggling to “integrate” primary care and mental health care. For one thing, “mental health care” typically does not follow the medical model of disease identification and treatment, relying instead upon a social-disease perspective and orientation. While neither good nor bad, it is not compatible with the traditional medical model by which physicians are trained and paid.

Another factor is that residency training in psychiatry has evolved, in most programs, to the point of having virtually four years of intensive psychiatric training, at the expense of rigorous training in, and experience with, general medicine. Previous generations of psychiatrists who benefitted from the requirement to have their first year of postgraduate training in a rotating internship (no specialty focus) were perhaps better able to integrate mental health care with primary care and to identify with primary care physicians, ultimately adding to the benefit of their patients.

Primary care (family practice, internal medicine, pediatrics) training programs could also benefit from more dedicated requirements for inpatient and outpatient psychiatric rotations, including opportunities to maintain caseloads of patients with primary psychiatric conditions, especially since these patients frequently have coexisting “medical” problems.

Integrated care begins with an integrated educational focus, historically the best model.

JOHN H. RENNICK, M.D.
Brownsville, Texas





http://psychnews.psychiatryonline.org/newsArticle.aspx?articleid=1130409
#13768
So , basically, what this paper is stating is that pregnant women taking anti-depressant drugs such as Citalopram , an SSRI (Selective Serotonin Reuptake Inhibitor) have a risk of their children developing fetal lung development problems as compared to pregnant women who do not take SSRI.

This should be considered and noted for all women in the Philippines who are pregnant and are also incidentally depressed and taking anti-depressant medications.

#13769
Clinicians must weigh the risks of untreated depression during pregnancy and possible adverse effects of SSRIs.

Do the risks of antidepressant therapy during pregnancy outweigh the advantages? Does a pregnant woman’s use of selective serotonin reuptake inhibitors (SSRIs) do harm to her baby? Those are questions researchers based at the Department of Psychiatry at Weill Cornell Medical College kept in mind as they performed a critical review of clinical and translational findings regarding the relationship between persistent pulmonary hypertension of the newborn (PPHN) and exposure to SSRIs during pregnancy.

Lead author Mallay Occhiogrosso, M.D., an assistant professor of psychiatry at Weill Cornell Medical College, and her colleagues published their findings in the February American Journal of Psychiatry.

“Recent animal and clinical studies have illuminated the role of serotonin in the development of pulmonary hypertension and the possible differential effects of SSRIs on pulmonary vasculature in adults and fetuses,” they noted. “Informed clinical judgment is needed to balance the risk of this rare condition against the risk of untreated or undertreated depression.”

They found that the clinical literature on PPHN due to SSRI exposure consists of six studies and identifies a total of 50 infants with PPHN among an estimated 25,000 who were exposed to SSRIs. Two of the studies examined the same population databaseâ€"with the second study including additional, more recent birthsâ€"finding overall relative risks of 3.44 and 3.57. A third study found an increased risk only if exposure occurred in the second half of pregnancy. The other three studies found no increased risk of PPHN related to SSRI exposure.

“It is difficult to study SSRI-associated PPHN because the condition is so rare,” the researchers concluded.

They also found it a challenge to distinguish the impact of SSRIs from the impact of depression on the risk for PPHN, citing studies showing that obesity and smokingâ€"established risk factors for PPHNâ€"occur more commonly in depressed women, and those that show both unmedicated depression and treatment with SSRIs during pregnancy have been linked to reduced length of gestation and increased risk of premature birth, another risk factor for PPHN.

Another study of the effects of SSRIs on pregnancy outcomes was published online March 5 in the Archives of General Psychiatry. Hanan El Marroun, Ph.D., a postdoctorate fellow in the Department of Child and Adolescent Psychiatry at Sophia Children’s Hospital and Erasmus Medical Center in Rotterdam, the Netherlands, and colleagues examined the effects of maternal SSRI use during pregnancy on fetal growth and birth outcomes as part of the Generation R Study, a prospective population-based study from fetal life onward that included 7,696 pregnant women.

SSRI use in the study population was assessed by questionnaires in each trimester and verified by pharmacy records. Using depressive symptom scores from the Brief Symptom Inventory, 8,027 pregnant mothers (91.3 percent) had no or low depressive symptoms, 570 pregnant mothers (7.4 percent) had clinically relevant depressive symptoms and used no SSRIs, and 99 pregnant mothers (1.3 percent) used SSRIs.

To assess the babies, fetal sonography was performed in each trimester. Fetal body and head growth was determined with repeated assessments of body and head size, and birth outcomes studied were preterm birth, small for gestational age, and low birth weight. The researchers found that untreated maternal depression was associated with slower rates of fetal body and head growth. Pregnant mothers treated with SSRIs had fewer depressive symptoms, and their fetuses had no delay in body growth but had delayed head growth and were at increased risk for preterm birth.

“Our findings further raise the question of whether maternal SSRI treatment during pregnancy is better or worse for the fetus than untreated maternal depression. Clinicians must carefully weigh the known risk of untreated depression during pregnancy and the possible adverse effects of SSRIs,” they wrote, noting that further research on the implications of these findings is needed.

In an editorial that accompanied the work of Occhiogrosso and colleagues in the American Journal of Psychiatry, Margaret Spinelli, M.D., an associate professor of clinical psychiatry at the College of Physicians and Surgeons of Columbia University and a research psychiatrist at the New York State Psychiatric Institute, agreed. “We now need to communicate clearly about the risks and benefits of treatment of depressed pregnant women if we wish to avoid similar adverse consequences to their well-being and the well-being of their infants,” wrote Spinelli, who is also the director of the Women’s Program in Psychiatry at Columbia University.


http://psychnews.psychiatryonline.org/newsArticle.aspx?articleid=1130406
#13770
Since a protein called HDAC2 seems to be a a factor in the development of Alzheimer’s, an HDAC2 inhibitor might have therapeutic value for Alzheimer’s patients.

Although beta-amyloid plaques are the best-known potential risk factor for Alzheimer’s disease, a protein made by neurons and called histone deacetylase 2 (HDAC2) also seems to be involved in the disease development process.

So reported Li-Huei Tsai, Ph.D., director of the Picower Institute for Learning and Memory at the Massachusetts Institute of Technology, and colleagues February 29 in Nature.

Tsai and her team found that HDAC2 accumulates in the learning and memory regions of the brain early in the course of Alzheimer’s, both in people with the disease and in mouse models of it. They also found that when mouse neurons were exposed to beta-amyloid, the neurons produced more HDAC2. But the most intriguing thing that the scientists discovered was that reducing levels of HDAC2 in mouse models of Alzheimer’s countered memory loss.

Tsai and her colleagues are now trying to identify HDAC2 inhibitors that could be developed into drugs and tried in clinical trials to see whether they might fight memory loss in individuals with Alzheimer’s. “Our lead compound is not HDAC2-selective, but is very potent in enhancing memory and does not show toxicity,” Tsai told Psychiatric News. “We think that it is a good candidate for clinical trials.”

“Intriguingly, our findings may also provide a potential explanation, at least in part, as to why, in some clinical trials, cognitive impairments in Alzheimer’s patients persist despite successful beta-amyloid clearance,” the scientists said. In other words, once HDAC2 builds up in the learning and memory regions of the brain, reducing beta-amyloid alone may not be sufficient to restore cognitive function. They thus foresee that their lead HDAC2 inhibitorâ€"memory booster might serve as a complementary treatment to a drug that could reduce beta-amyloid plaques in the brains of people with Alzheimer’s.

Exactly how HDAC2 interferes with learning and memory is not known. But Tsai and her colleagues did find, in mouse Alzheimer’s models, that HDAC2 appears to reduce the expression of genes important for learning and memory. Moreover, they found that their lead HDAC2 inhibitorâ€"memory booster increased the expression of these genes.

The researchers will now try to identify all the HDAC2 target genes in the brain, attempt to unmask the role of HDAC2 in different types of memory, and investigate whether HDAC2 plays a role in memory impairment caused by neurological disorders other than Alzheimer’s.

The study was funded by the National Institutes of Health

http://psychnews.psychiatryonline.org/newsArticle.aspx?articleid=1130398
#13771
Good Job, Governor Chatto !
#13772
Requiem In Pacem...
#13773
Address the situation to the project manager or the industrial / organizational psychologist in the company. The instance of bullying affects the work-team dynamic and will, inherently, affect the efficacy of the group. If you are a victim of bullying at work, report the incident to the I/O psychologist or the conflict resolution management specialists.

#13774
tsk tsk tsk, yet another example of "assassins for hire" being used in the public sector....
#13775
Jokes and Humor / Re: Bagis ang gwardya...
May 15, 2012, 01:49:13 PM
Ha ha ha ! Delikado gajod ning situwasyon. :P
#13776
Health and Food / Re: Mang Inasal
May 15, 2012, 01:47:02 PM
Quote from: TUBAGBOHOL.com on May 14, 2012, 11:41:47 AM

Mang Inasal

he he he! better to take simvastatin prior to eating this ! ;D
#13777
Addendum: Overall, my view is that treating patients with a host of psychopathologies can be done not just on psychopharmacology, but should be done in conjunction with effective forms of psychodynamic psychotherapy. It is apparent that with the extreme forms of cognitive disorders, psychotherapy is much more effective long term.

There really is no "short way" or "fast cure" to extreme cognitive aberrations. Long term therapy is best. The field of psychiatry really needs to invest in this again.
#13778
Reference:



Murphy, B. C., & Dillon, C. (2011). Interviewing in action in a multicultural world (4th ed.). Belmont, CA: Brooks/Cole.


Seligman, L. W. & Reichenberg, L. W. (2009). Theories of counseling and psychotherapy: Systems,    strategies, and skills (3rd ed.). Boston: Pearson.
#13779
By: A. Lorenzo Lucino Jr



Roger’s Person Centered Therapeutic approach is rather interesting in that besides the three core values of unconditional positive regard, empathic understanding and congruence; it also is supported by the underlying therapeutic concepts of humanism, human potential, conditions of worth, organismic valuing, fully functioning persons and phenomenological perspective. Humanism is the theory that focuses on emotions rather than background or cognition. Humanism shares the following beliefs that the person should be viewed holistically, that each person has an innate self-actualization tendency and that humans have free will and are able to make choices and the issue of free will. Humanism, as proscribed by Rogers, noted that people are strong and capable and trusted their ability to handle their difficulties, grow, and develop and realize their potential.

The concept of Human potential and actualization is a concept that surmises that in the human potential is the inherent tendency of people to develop in positive ways that enhance and maintain themselves as well as humans. The concept of conditions of worth is also important because this shapes their lives and the messages they receive from people. Person Centered Therapy requires the condition of worth because this treatment module tries to provide the climate of acceptance, free of conditions of worth, counteract negative messages that people have rejected and enable them to have complete freedom to be and to choose for themselves. This provides the basis for their ability to self-actualize. Another essential aspect of Person Centered Therapy is the Phenomenological perspective. This perspective is required for person-centered therapists in thinking. This perspective declares that each person has his or her own unique perception of the world and it is this perception that determines the person’s beliefs, behaviors, emotions and relationships (Seligman and Reichenberg, 2010).


   The three core aspects of Person Centered Therapy include congruence, unconditional positive regard and empathy. Congruence refers to the clinician’s ability to be genuine and authentic, well integrated and aware of themselves and how they are perceived by others around them; either patients or other fellow clinicians. Persons who are congruent transmit messages that are clear and coherent; their inner and outer selves are consistent. It is important, as therapists, to be genuine, real and to not put a professional front or façade for the client. It is important to note that the careful and deliberate use of self-disclosure can enhance the therapeutic alliance and advance treatments. In order for congruence to take effect and succeed in treatment, it requires sensitivity, openness, and self-awareness on part of the clinician (Murphy and Dillon, 2011).


   The concept of unconditional positive regard was introduced to the field of psychology by Rogers. Rogers stated that unconditional positive regard is caring about, respecting, liking, and accepting people for who they are without placing any requirements on them to act, feel, or think in a certain way to please the clinician (Seligman and Reichenberg, 2010).  The communication of warmth and positive regard is essential to helping people like themselves, emphasize their positive impulses and emotions, feel powerful enough to successfully cope with their difficulties, and become more fully functioning .


   Empathy was defined by Rogers as, “entering the private perceptual world of the other and becoming thoroughly at home in it. It involves being sensitive, moment by moment, to the changing felt meanings which flow in this other person, to the fear or range or tenderness or confusion or whatever that he or she is experiencing. It means temporarily living in the other’s life, moving about in it delicately without making judgments; it means sensing meanings of which he or she is scarcely aware, but not trying to uncover totally unconscious feelings, “ (Seligman and Reichenberg, 2010, p. 154). Empathy is actually powerful. Empathic listening showed one’s ability to deeply grasp the subjective world of another person and transmitting understanding of that world to enhance the client’s self-awareness and thus was a powerful force for change (Seligman and Reichenberg, 2010).


   It is effective to apply these aspects universally across all treatment approaches as it has been shown to be effective and popular. The reasons why it is popular are because the outcome research  on the core conditions continues to verify that Rogers was correct in that empathy, unconditional positive regard and a sound therapeutic alliance have all been shown to be effective in positive therapeutic outcomes. Broad application of this approach and ease of integration into other treatment models is also seen. One also has to note that the positive and optimistic nature of Person-Centered Therapy; this is the basis of new styles of therapy shaping the current practice of therapy in general and experiential therapy. Person-Centered Therapy can be used in the group setting, child therapy setting, and even in individual settings.


   Existential therapy does not really focus on pathology so to say. This form of therapy has broadened the reaches of psychotherapy beyond pathology and symptoms and legitimized inclusion in the treatment process of deep and philosophical issues such as existential anxiety, isolation, fear of death, actualization, freedom and the meaning of life. Existential therapy puts more emphasis people’s commonalities and also attends to the importance of each person’s experience within his or her cultural context (Seligman and Reichenberg, 2010). What I really like about existential therapy is that it tries to connect with others across cultural, national, racial and other boundaries on a spiritual level. One of the interesting aspects that I do like about clinical psychology is that there are a plethora of therapeutic modules that we can utilize to assess the initial complaint that the client has. In cases of severe psychopathology, it might be pertinent to use other modules such as psychodynamic psychotherapy or even perhaps classical psychoanalytical psychotherapy for persons with say Obsessive Compulsive Disorders, Schizophrenia, Depression, Phobias etc.



#13780
Reference:



American Psychological Association. (2010). Ethical principles of psychologists and code of
conduct: 2010 amendment. Standard 8: Research and Publication. Available:
http://www.apa.org/ethics/code/index.aspx.

Houser, R. (2009). Counseling and educational research: Evaluation and application (2nd ed.).
Thousand Oaks, CA: Sage.

Lowman, R. (2006). Case 29. Accurately Reporting Research Results. In R. L. Lowman,
R. L. Lowman (Eds.) , The ethical practice of psychology in organizations (2nd ed.) (pp.
121-124). American Psychological Association. doi:10.1037/11386-036

Nte, N., Okeke, N., & Irikana, G. (2011). Challenges Of Deception In Intelligence
Process: A Case Study Of Novena University, Nigeria. Franklin Business & Law
Journal, (1), 3-33.

Parks, C. M. (2005). Conducting Behavioral Research With Animals at Smaller
Institutions: Veterinary Care and Facilities. In C. K. Akins, S. Panicker, C. L. 
Cunningham, C. K. Akins, S. Panicker, C. L. Cunningham (Eds.) , Laboratory
animals in research and teaching: Ethics, care, and methods (pp. 69-83). American
Psychological Association. doi:10.1037/10830-004

Smith, N., Kimmel, A. J., & Klein, J. (2009). Social Contract Theory and the Ethics of
Deception in Consumer Research. INSEAD Working Papers Collection, (4), 2-52.
#13781
In the field of psychological research, an important factor that should govern and dictate how a scientist gathers data and analyzes the results is the ethical standards in psychology. There has been an outstanding amount of violations on federal and institutional rules and regulations and the ethical issues in human participant researched has been source of contention for the past 5 decades. The abuse of privileges and power has resulted ethical violations. In the field of psychology, the core ethical principles that governs research is respect, integrity, fidelity and justice (Houser, 2009).


Respect is a state in which a person or group of persons behaves accordingly and through good conduct in front of someone or something in a manner that would show good attitude. Integrity refers to a quality of a person’s character; it is a concept that relates to consistency of actions, values, methods, measures and outcomes. The concept of integrity refers to a person’s honesty, thoughtfulness and trueness of one’s actions (Houser, 2009). Fidelity refers to one’s faithfulness or loyalty; and in the field of research it refers to the degree to which a simulation reproduces the state and behavior of real world conditions. Justice is the quality of being just, equitable and morally right (Houser, 2009).


Standard 8: Research and Publication of the APA Ethics Code discusses a plethora of sub-standards that should be addressed in research. Three sub-standards that have an essential role in research activity includes Human Care and Use of Animals in Research, Reporting Research Results and Deception in Research (APA, 2010) . When dealing with human care and use of animals, psychologists are dealing with animals in their study and thus acquire, care for, use, and dispose of animals’ vis-à-vis compliance with federal, state, and local laws and regulations (APA, 2010). To prevent the abuse of animals in scientific research, there are laboratory animal programs to guide students and faculty in the proper animal care, one of this is the Institutional Animal Care and Use and Committee, which is responsible for the oversight of the entire animal care use program (Parks, 2010, p. 70). To prevent ethical abuses on animals, personnel have to go through a rigorous qualification program and training process, which teaches students and personnel how to care for the animals and dispose of them after sacrificing them to retrieve data result (Parks, 2010, p. 71-72).


   Reporting Research Results is another substandard mentioned in the APA Ethics Code, which deals with psychologists reporting any data they find and not fabricating data , even if it is countering their hypothesis. If psychologists discover any significant errors in their study, then they are responsible for correcting these errors through correction, retraction, erratum or other appropriate publication means (APA, 2010). Researchers are supposed to report their research findings in their paper or to their employers either to support a hypothesis or even to counter a proposed hypothesis. Psychologists who do not report their findings and try to cover it up to try to suppress non-confirmatory data risk their professional standards. (Lowman, 2006). If a clinical researcher collects data and finds out that the data result are negative, one should report it immediately. Even if the results are negative, it is ethically desirable to propose a meta-analytic strategy or a combined meta-analytic and empirical strategy (Lowman, 2006). It is important to note that if one does not report the research results properly, one can lose credibility, integrity.


   Another substandard that should be taken into consideration is the issue of Deception in research. The APA Code of Ethics states that psychologists do not conduct a study involving deception unless they have determined that the use of deception techniques is justified by the study’s significant prospective scientific, educational or applied value and that effective non-deceptive alternative procedures are not feasible (APA, 2010). The APA Code of Ethics also stresses the fact that psychologists are not permitted in any way to deceive prospective participants about research that is reasonably expected to cause physical pain or severe emotional stress (APA, 2010).


   The ability to decipher deception in intelligence practice is critical in determining validity and usefulness of information brought back as feedback. Deceiving participants who have no knowledge in the background information can be tempting, however, should be evaded because it is the antithesis of integrity, fidelity, respect towards participants and absence of justice (Nte et al, 2011).


   The pervasive use of deception in research can be hard to control because researchers have little guidance on the acceptability of specific cases on how this applies to the broad spectrum of psychological research. As a result, many researchers turn to moral philosophy and use of social contract theory to identify conditions in which deception may be justified as morally permissible (Smith et al, 2009). In order to effectively counter deception, reviewers and editors should adjust perception of what constitutes good research; to do this, researchers should be encouraged to conduct studies that are both ethical and valid (Smith et al, 2009). Researchers that are conducting trials that might be physically or emotional draining should have respondents read a consent form of the possible side effects at least this way, the respondents know (APA, 2010).


   One proposed research study that I have an interest in would be to see the effects of the drug metformin on those reducing sugar levels for rats and whether this drug is effective in animals as it is in humans. Considering we are dealing with a pharmacological drug, metformin, as well as deal with live rats, one is looking for a relationship. Human care and use of animals, reporting research results and deception in research will be observed. Since we are dealing with at least 30 some lab rats for this study, one should be trained in rat inventory, proper feeding, proper injection times, proper recording of blood sugar levels in a present interval. The data that one records would be recorded and reported accordingly. If results are positive, one should forward the result to the chair of the research department. If, however, the results are non-confirmatory, then, one should do a combined meta and empirical analysis. The prevention of deception would be attained by telling all researchers and personnel involved of every specifics of the study; there would be no manipulation of data or research protocol. It is possible to conduct research in a ethically sound manner.
#13782
Written by: A. Lorenzo Lucino Jr
Abstract:


The research field has been inundated with instances of ethical violations, which affects the research direction as well as the substance of the study. Some key sub-standards mentioned in Section 8 of the APA Code of Ethics include human care and use of animal research, reporting research results and deception in research. Animal care and proper training with animals should be enforced so as to make sure that research is morally sound when sacrificing animals for data. Researchers should divulge their research results even when it is countering their original points and not try to suppress results that can be considered ethically questionable. Deception of respondents and protocol should be evaded with emphasis in providing a consent form and debriefing the test subjects. The said three sub-standards were considered in the research involving metformin’s effects on reducing animal sugar levels.  





#13783
I will post any pertinent qualitative results I find in this thread. For those who are interested to know. I am actually collaborating with another student who is going to be doing the quantitative analysis of my qualitative results. he he he ! We decided to collaborate do do a "mixed" qualitative and quantitative analysis on the clinical pilot trial.

#13784
Right now, I am currently performing qualitative trials methodology on patients , and developing a multibattery unbiased questionnaire to be applied in the pilot trial. I just want to know if I have covered grounds....I would like to know if there is any weakness in my points, please, be generous with the editorial, guys. Again, i appreciate all and any help.


Sincerely,
Lorenzo


#13785
The article that is of interest is entitled Using Qualitative Methods to Guide Clinical Trial Design: Parent Recommendations for Intervention Modification in Type I Diabetes, which is written by Mauren Monaghan, Risa E. Sanders, Katherine Kelly, Fran Cogen and Randi Streisand. Monaghan, Sanders, Kelly, Cogen and Streisand (2011) present the fact that Diabetes Mellitus Type I is a disease that is currently one of the most prevalent childhood chronic illnesses and the incidence is rising for children that are under the age of 5. This disease, Diabetes Mellitus Type I, is a disease that manifests as polydipsia, polyuria, polyphagia, weight loss, diabetic ketoacidosis, coma, as well as unopposed secretion of growth hormone and epinephrine (Monaghan et al, 2011) due to the loss of the Beta-cells of the pancreas, which leads to the deficiency in the production of insulin.

   The researchers of the study efficiently provided the background information of the disease and also provided the rationale of the study, which basically was to address the fact that the management of diabetes in younger children, below the age of 5, was rather different than for children who were of older. Because of this difference, the parents of the younger children with Type I Diabetes Mellitus experienced significantly higher levels of stress and also about 20% of them reported symptoms of anxiety as well as depression (Monaghan et al, 2011). The researchers state that there was a limited support intervention for parents of younger children with Diabetes Mellitus Type I, the researchers implemented qualitative as well as quantitative study to evaluate the best type of intervention strategies to use for parents of children with DMI and what particular strategy works for specific parents. The study deigns to make sure to evaluate the program, with the qualitative methods coming into hand in determining which strategy will be useful and using the results of the qualitative data to change or modify any existing intervention strategies.

In the field of pediatric psychology and pediatric endocrinology, there is very little data available on the issues regarding parental intervention strategies for parents of diabetic patients, this research, with the expanded use of qualitative methods will be particularly useful in pediatric psychology. Considering the fact that the data on the subject matter is quite limited, any and all information gathered through qualitative study will provide important information and evidence on the value of anticipatory guidance when transferring Diabetes Mellitus responsibility to the adolescents and adjustment following the diagnosis of Type I Diabetes Mellitus (Monaghan et al, 2011).  The study is rather revolutionary for the field of pediatric psychology and will provided guidance for parents in what to do when they are experiencing stress as they care for their children with Type I Diabetes Mellitus.  The researchers were rather comprehensive and thorough in their analysis.

In the field of psychological research, bias is a concept that should be taken into consideration. Bias in testing refers to the presence of systematic error in the measurement of certain factors, which include academic potential, intelligence, psychopathology, among certain individuals or groups. It is important to make sure that bias is limited as a plethora of bias can lead to the decrease in validity in a particular research study ( Aiken & Groth-Marnat, 2006). Considering the fact that the study focused on the effects of caring for a child with Diabetes Mellitus Type I, it is important for the participants to understand the concept of Diabetes, how it affects the body in terms of physiology as well as how the physical and mental stress affects the caregiver. There bias  in that the participants selected were parents of children with diabetes mellitus type I, not of parents of children with Diabetes Mellitus Type II or any other type of Diabetes.

Monaghan, Sanders, Kelly, Cogen and Streisand (2011) were quite precise in how they presented the information about Diabetes Mellitus Type I in children through vis-à-vis etiology and mechanisms of action. The researchers also explained that qualitative data collection would be beneficial in pediatric psychological studies by highlighting critical components for study refinement and guide future directions for parents of affected children.


   The purpose statement of the article was clearly expressed. . Monaghan, Sanders, Kelly, Cogen and Streisand (2011) state the purpose statement as, “Program evaluation, an integral component of clinical trial research, incorporates quantitative and qualitative methods, with qualitative methods being particularly useful in modifying existing interventions, evaluating intervention delivery, determining for whom the intervention is most beneficial, and assessing what components may be downsized
or enhanced. Expanded use of qualitative methods can be particularly useful in pediatric psychology.  The study will provide a mixed-methods program evaluation data from participants who will complete  a 5 session intervention designed to promote parent mastery of diabetes-related tasks and increase social and emotional support.” The purpose statement is clearly based on the argument developed in the literature review.


   This study used a qualitative study design which used a case study of participants drawn from an ongoing RCT for parents of young children from ages 1 to 6 who had Diabetes Mellitus Type I. Considering the fact that the participants were randomized to either the supporting parents intervention group or the diabetes education comparison group, there was an effort on the researchers’ part to reduce bias in the methods aspect. There were 12 participants in the supporting parents program evaluation, of which, some 75% of them were women and also married and of Caucasian or African American origin. So in regards to methods, the study was quite representative of the general public; the participants were also randomized.  There didn’t seem to be any instance of bias in sampling as all participants were volunteers and the grouping of the participants were done so in a randomized manner.  (Monaghan et al, 2011). 


   One has to take into consideration that the sample size was rather limited, considering the fact that this study was one of the first of its kind in the field of pediatric psychology, the participant numbers were small and the amount of those who completed their programs were not reported, indicating that there needs to be more follow-up study( Houser, 2009).  The program evaluation consisted of two parts; a general intervention satisfaction survey completed by all parents, 12, and an in-depth telephone interview with a smaller sample of 4 participants. The reason why this was done was because it follows the aspect of qualitative research in which sampling is designed to ensure a range of perspective as compared to probability sampling designed to allow for statistical inferences in a quantitative research. The qualitative research was augmented with the use of a 6 item semi structured interview guide that the research team probed to details related to satisfaction survey results (Monaghan et al, 2011).  The limitation in the data collection was the fact that there were only 12 participants who took part in the general program and only 4 took part in the phone interview; there should have been more participants to provide a wider and greater point of view.


   The qualitative data was analyzed through the review of audio tapes and transcribed parent answers to interview questions into key phrases, which constituted the units for analysis. The phrases were coded by a study author for broad thematic areas and reviewed later by other authors to reach a consensus of 100%. The teams that reviewed the data engaged in the larger ongoing RCT (Monaghan et al, 2011). The researchers were quite efficient in linking the results analysis to the themes discussed; they showed that there were high levels of program satisfaction. An overwhelming amount of participants reported feeing “very” to “extremely” satisfied with their experience in the supporting parents programs at a rate of 91.7%. The participants also endorsed that their individual phone counselors were “very” to “extremely” happy and knowledgeable about the background information and the kinds of stresses that the parents were experiencing. It was also important to note that qualitative feedback by the participants coalesced into two overarching themes, which included “timing of intervention delivery”, which represented parents’ belief that the program would be of greatest benefit closer to the time of initial diagnosis and “increased resources/ support”, which describes the parents’ desire for increased education and information and support for themselves and other caregivers (Managhan et al, 2011). 


   The researchers were able to clearly restate the purpose and research questions. They reiterated the fact that by using qualitative data one can help augment quantitative satisfaction data in evaluating interventions within pediatric psychology for parents of children with Diabetes Mellitus Type I. The researchers are able to discuss the implication of the test result, which shows that qualitative data procurement can be efficient in identifying strong points in interventions for parents of children with DMI, the study also espouses the importance of using a dual quantitative and qualitative study. Some questions that were used in the study included, “What was your experience with the project?”, “What topics that were not covered should have been included?”, “Who do you think would best benefit from the participation in the project?”, “How has diabetes affected your family life?”, “Any suggestions for increasing connections among participants?”, “Any other recommendations or suggestions?”


Qualitative data collection can be a useful addition to pediatric psychology (Heiman, 2001), particularly for intervention research and can highlight critical components for study refinement and guide future directions. The study highlights the importance of using a larger RCT. It is important to note that because of these findings, the researchers are modifying the existing Young Child Project for parents of young children newly diagnosed with TID and are now conducting a pilot trial.  

#13786
Abstract


The disease called Diabetes Mellitus Type I is a rather pernicious disease that affects a great deal of American juveniles and children. The disease is caused by the inability of the B-cell of the pancreas to produce insulin, rendering the child to unable produce insulin and thus is dependent on drugs and care from parents. The study focuses on what types of intervention protocols can be used for parents of children with DMI and exposes what can be done to improve intervention strategies for parents. The results were gathered via a qualitative format, focusing on the specifics and descriptive, thereby improving and paving new ground for a subset of pediatric psychological issues
#13787
The following is a rough draft of a qualitative study research I am working on right now. This is just the rough draft and am in no ways done. I would really appreciate all the editorial remarks / comments, recommendations etc.

This paper is for my Ph.D doctoral class on Advanced Research Design. Please, be generous with the comments or editorial review. Salamat daan!


Sincerely,
Lorenzo L
#13788

US Navy's Supercarrier USS Carl Vinson steams through the Surigao Strait, 2012.


USS Carl Vinson of the US Naval Pacific Command's 7th Fleet, deep inside Philippine Waters on regular patrol.


Republic of the Philippines President Benigno Aquino III discusses operations with Commander, Carrier Strike Group One Rear Adm. Samuel Perez in the Task Force Command Center aboard the Nimitz-class aircraft carrier USS Carl Vinson (CVN 70). Carl Vinson and Carrier Air Wing (CVW) 17 are currently underway in the U.S. 7th Fleet area of responsibility.


Republic of the Philippines President Benigno Aquino III meets Sailors and has his photo taken in the hangar bay aboard the Nimitz-class aircraft carrier USS Carl Vinson (CVN 70). Carl Vinson and Carrier Air Wing (CVW) 17 are currently underway in the U.S. 7th Fleet area of responsibility.


Commander, Carrier Strike Group One Rear Adm. Samuel Perez and Republic of the Philippines President Benigno Aquino III pose for a photo with Sailors inside the hangar bay aboard the Nimitz-class aircraft carrier USS Carl Vinson (CVN 70). Carl Vinson and Carrier Air Wing (CVW) 17 are currently underway in the U.S. 7th Fleet area of responsibility.
#13789

The US Navy Pacific Commands'  USS Ronald Reagan Carrier Strike Force travels through the Pacific Ocean with other ships assigned to Rim of the Pacific. This Super Carrier Strike Force patrols around the Philippine Waters in the Western Pacific. It will be mobilized and will steam towards the Philippines if China fires on a Philippine navy ship.
#13790
Quote from: hubag bohol on May 12, 2012, 03:31:50 PM
Ang concern sa Amerika naa sa pagseguro nga magpadayon sila nga number one in the world militarily and economically. Ang Phl-US MDT usa lang sa baratohong mga instrumento aron mapatuman kining maong tinguha.

Absolutely correct. The United States will use this Philippines-Chinese standoff and milk it for all its money's worth. The United States will use this scenario to rebuild the tarnished Philippine-American military relationship , and by doing this, will inject itself into ASEAN state affairs as well as regionally.

The Chinese are foolish for  instigating the Philippines, by flexing their muscles, they have invited an unwanted power into the region again, The United States. With American military and economic interests in South Korea, Japan, Taiwan, the Philippines, Malaysia, Singapore, Thailand, and Australia, the Chinese have allowed themselves to be placed in a situation where they are being contained.

The geopolitical development in the region is quite interesting.
#13791
Quote from: Way Nada on May 11, 2012, 04:32:05 PM
Kining gikabingkilan nga pulo mao ning gitawag ug "Scarborough Shoal". Kini walay tawo gapuyo ini ug mao ni gihimong "target practice bombing" sa mga merkano sa panahon nga diha pa ang military bases dinhi sa Pinas. Dool kaayo ni sa Zambales, Bataan ning [mga] islaha. Niadtong panahona wa jud moingon ang China nga amoa ang Scarborough Shoal. Wa sila mo-angkon ug wa'y gisuwat nga record nga hing-angkon sila ining islaha.

Karon mao ni ang nahitabo! Sa nahimong propesor sa UP si Jose Maria Sison iyang gi brainwashed ang iyang mga estudyante nga dautan ang pamaagi sa pamulitika sa Amerika ug komo kay kuno "itoy" man kuno ang mga Pinoy sa Amerika hing sunod kuno ta sa dautan nga pamulitika. Busa ang iyang tudlo sa mga estudyante sa panahon sa mga tuig 1960's nga kinahanglan makakat-on ang Pilipino sa panghuna-hunang pulitikanhon ni Lenin ug ni Mao Tse Tung. Tan-awa ra gud na!

Mao na ni karon nga sa hing kat-ag sa Pinas ang gitawag ug "romanticism" sa mga bata nga wa pa masakto ang ilang panghuna-huna sa pulitika ug migakos lang sila dayon sa usa ka pagtoong pulitikanhong komunista nga wa pa mamatud-i ug sakto ba kung  itandi sa demokrasya. Ang mga bata kaniadto gimaayo ug panton ang ilang huna-huna nga kita matud pa sa mga aktibista nga dili kuno nato kontra ang Tsina. Ang kontra kuno sa Tsina mao ang Amerika ug ang mga missile sa Tsina nakati-on na kuno sa Pilipinas tungod kay ang military bases nia man kuno sa Pilipinas. Mao ni gitawag ug "scare tactic" sa mga aktibista. Pareho karon ang "scare tactic" nila karon mao nang global warming.

Tuod man tungod sa maayong brainwashing nga gihimo nila mao nga nahimong isyu nga papahawa-on nato ang US bases. Ug kalingaw nato makita ang mga demonstrasyon ug rally batok sa mga Merkano. Ambot lang kung may nasayud ba kaninyo nga mo-abot sa Pilipinas ang ubang "leftist" sa tibook kalibutan para mo-uban sa rally.

Karon nga ming hawa na US bases nag pakita na karon ang Tsina sa iyang kabangis ug gusto na mangaw-kaw ug yuta nga dili iya. Ang pangutana; saa na man ang mga tawo nga gusto mopapahawa sa US Bases? Nganong dili man sila mag rally sa tugkaran sa Chines Embassy? Dili mahimo nila tungod kay ang China maoy hing tabang nila ug padala ug armas sa mga rebelde didto sa La Union sakay sa barkong M/S Karagatan.

Numdum mo ining hitaboa? Para ni Joma Sison mas maayo pang sakop ta sa insik kay sa mga Amerkano.

WN 

Good points, Sir Way Nada. I would just like to reiterate that China will not fire the first shot, as it will not want to bring international arbitration into this situation, which it knows perfectly well will happen if it attacks the Philippines, considering the PH-USA MDT. Beijing knows that any war by proxy with the Philippines will be a war that will eventually invite the US Navy's powerful USN Pacific Command. At this time, China cannot sustain a conventional war with the United States Navy, especially the mobilization of 11 US Naval Carrier Battle Groups.

China's tactical and strategic policy , to its best interest right now, is to bide for time. Now is not the time for them to engage the US or any of the US' strategic allies, the Philippines is included in this fray. This will be rather interesting because the United States Armed Forces is now adopting a "Strategic Shift" to place emphasis and focus in the Asia-Pacific Region.

As far the Philippines is concerned, there will be no war with China. The two sides (The Philippine and China) should just resolve this issue diplomatically. The Philippines is 'untouchable' as it is protected by an American Nuclear Umbrella. The United States sacrificed 65,000 American boys to retake the Philippines from Imperial Japan in 1944 (tho it could have saved the men had it not retaken the Philippines and just "bypassed" it). America has a long-term interest in the Philippines, as a former-colony and also in terms of strategic interests. It will never allow a foreign power to threaten the Philippines.
#13792
Photos Unlimited / Re: Ready for Dinner
May 15, 2012, 11:19:37 AM
Quote from: hubag bohol on May 12, 2012, 10:13:14 PM



Mas payts ni... ;D

Lami gajod ni, Bai Hubag, kuan ni Honey Bahalina from the Boholano Bee Farm in Dauis:


#13794
Quote from: hubag bohol on May 13, 2012, 06:56:01 AM
Di kaha ni siya albino Wookiee baby? ;D

he he he! cute lagi kaajo no?
#13795
Quote from: chicogon on May 13, 2012, 09:41:18 AM
Sushimaryosep mo dire!!!  ;D



ha ha ha ha! sushimaryosep !
#13796
Anonymous Diary Blog / Re: What Did You Do Today?
May 15, 2012, 11:13:04 AM
Quote from: chicogon on May 12, 2012, 03:09:07 PM
Hmmm... may I add, today we went to Saigon Pho, a Vietnamese restaurant... akong ge treat daan ang 2 ka mothers for Mother's Day - mama sa akong house keeper ug my Meemaw, the old lady who took me in after the floods of Hurricane Katrina in 2005 - kay adto man sila with their families this coming Sunday. I invited the whole family (6 of us) early this evening... and food, as always, was terrific.  ;)

That's so sweet of you, Fr. R! God Bless you ! :)
#13797
Anonymous Diary Blog / Re: What Did You Do Today?
May 15, 2012, 11:12:43 AM
Hello Tita Sol, I hope you got better now. Kumusta naman ka? :)
#13798
Tira-Pasagad | Saksak-Sinagol / Re: Wantaym ra
May 15, 2012, 11:11:29 AM
Quote from: bugsay on May 15, 2012, 11:08:38 AM
awww...kon moingon nga unhan....unhan pod.....bwahahaha

bwahahahaha! isug gajod ning Valencianhon da!
#13799
Fashion Trend / Re: Bigote Style
May 15, 2012, 11:10:19 AM
#13800
Tira-Pasagad | Saksak-Sinagol / Re: Wantaym ra
May 15, 2012, 11:06:40 AM
Ha, Ha, Ha...ah the passionate battle of Bai Balong and Bai Hubag?

I wonder who would win in a boxing battle between Bai Balong and Bai Bugsay.