Graded Exercise Therapy Guided Self-Help Trial for Patients with Chronic Fatigue Syndrome (GETSET): Protocol for a Randomized Controlled Trial and Interview Study

Background: Chronic fatigue syndrome, also known as myalgic encephalomyelitis (CFS/ME), is characterized by chronic disabling fatigue and other symptoms, which are not explained by an alternative diagnosis. Previous trials have suggested that graded exercise therapy (GET) is an effective and safe treatment. GET itself is therapist-intensive with limited availability. Objective: While guided self-help based on cognitive behavior therapy appears helpful to patients, Guided graded Exercise Self-help (GES) is yet to be tested. Methods: This pragmatic randomized controlled trial is set within 2 specialist CFS/ME services in the South of England. Adults attending secondary care clinics with National Institute for Health and Clinical Excellence (NICE)-defined CFS/ME (N=218) will be randomly allocated to specialist medical care (SMC) or SMC plus GES while on a waiting list for therapist-delivered rehabilitation. GES will consist of a structured booklet describing a 6-step graded exercise program, supported by up to 4 face-to-face/telephone/Skype™ consultations with a GES-trained physiotherapist (no more than 90 minutes in total) over 8 weeks. The primary outcomes at 12-weeks after randomization will be physical function (SF-36 physical functioning subscale) and fatigue (Chalder Fatigue Questionnaire). Secondary outcomes will include healthcare costs, adverse outcomes, and self-rated global impression change scores. We will follow up all participants until 1 year after randomization. We will also undertake qualitative interviews of a sample of participants who received GES, looking at perceptions and experiences of those who improved and worsened. Results: The project was funded in 2011 and enrolment was completed in December 2014, with follow-up completed in March 2016. Data analysis is currently underway and the first results are expected to be submitted soon. Conclusions: This study will indicate whether adding GES to SMC will benefit patients who often spend many months waiting for rehabilitative therapy with little or no improvement being made during that time. The study will indicate whether this type of guided self-management is cost-effective and safe. If this trial shows GES to be acceptable, safe, and comparatively effective, the GES booklet could be made available on the Internet as a practitioner and therapist resource for clinics to recommend, with the caveat that patients also be supported with guidance from a trained physiotherapist. The pragmatic approach in this trial means that GES findings will be generalizable to usual National Health Service (NHS) practice.

Utilizing ICT to prevent loneliness and social isolation of the elderly. A literature review

Ageing of the population is a worldwide phenomenon. Numerous ICT-based solutions have been developed for elderly care but mainly connected to the physiological and nursing aspects in services for the elderly. Social work is a profession that should pay attention to the comprehensive wellbeing and social needs of the elderly. Many people experience loneliness and depression in their old age, either as a result of living alone or due to a lack of close family ties and reduced connections with their culture of origin, which results in an inability to participate actively in community activities (Singh & Misra, 2009). Participation in society would enhance the quality of life. With the development of information technology, the use of technology in social work practice has risen dramatically. The aim of this literature review is to map out the state of the art of knowledge about the usage of ICT in elderly care and to figure out research-based knowledge about the usability of ICT for the prevention of loneliness and social isolation of elderly people. The data for the current research comes from the core collection of the Web of Science and the data searching was performed using Boolean? The searching resulted in 216 published English articles. After going through the topics and abstracts, 34 articles were selected for the data analysis that is based on a multi approach framework. The analysis of the research approach is categorized according to some aspects of using ICT by older adults from the adoption of ICT to the impact of usage, and the social services for them. This literature review focused on the function of communication by excluding the applications that mainly relate to physical nursing. The results show that the so-called ‘digital divide’ still exists, but the older adults have the willingness to learn and utilise ICT in daily life, especially for communication. The data shows that the usage of ICT can prevent the loneliness and social isolation of older adults, and they are eager for technical support in using ICT. The results of data analysis on theoretical frames and concepts show that this research field applies different theoretical frames from various scientific fields, while a social work approach is lacking. However, a synergic frame of applied theories will be suggested from the perspective of social work.

La popularización del fútbol en España. Análisis del fenómeno a través de la literatura especializada del fútbol (1920-1936)

La consolidación del fútbol en España se produjo a partir de los años veinte del siglo pasado. Entre 1920 a 1936 el fútbol adquirió todos los rasgos personales que hoy le caracterizan. En esta época surgió una literatura técnica y periodística especializada que se configuró como uno de los pilares más importantes para el desarrollo técnico deportivo y del espectáculo de masas. En torno a esta cuestión, el presente artículo busca un doble objetivo: recopilar la literatura técnica y periodística especializada publicada durante el período de 1920 a 1936, y reconocer el alcance social, técnico e ideológico de esta literatura futbolística en el proceso de configuración del fútbol en España. Para abordar este propósito hemos utilizado una metodología heurística y de análisis documental de las fuentes originales. Apreciamos que a través de estas obras podemos conocer mejor el contexto del espacio socio-deportivo del fútbol en España y, también, despertar nuevas líneas potenciales de investigación.

Designing Massive Open Online Learning Processes: The importance of the social element

This is a pre-print for personal use only. Please refer to the Springer website for the official, published version http://www.springer.com/978-3-662-52923-2

El principio de oportunidad como posible solución ante la crisis del sistema de justicia penal en Colombia

El reconocimiento de la crisis por el que atravesaba el sistema de administración de justicia Colombiano, permitió concluir como verdad contundente, la crisis del principio de legalidad para la persecución del delito y de la pena de prisión como principal respuesta frente al delito ejecutado, de manera que resultó necesario buscar otras soluciones, plateándose el legislador colombiano, la consagración del principio de oportunidad, que en aplicación de un derecho penal mínimo, fragmentario y de última ratio, permitiera interrumpir, suspender o renunciar al ejercicio de la acción penal, diseñando un nuevo modelo de investigación, imprimiendo mayor celeridad, rebajando los costos y el empleo de recursos, lo que conlleva activar la persecución penal hacia los delitos más graves y perseguir las organizaciones criminales sin descuidar los fines del Estado Social y Democrático de Derecho. La aplicación del principio de oportunidad no puede implicar el desconocimiento de los derechos de la víctimas, pues si bien es cierto que se trata de un medio a través del cual la Fiscalía puede renunciar al ejercicio dela acción penal, suspenderlo o interrumpirlo, su ejercicio debe ser compatible con el mandato constitucional que implica el respeto a los derechos de la víctimas de las conductas delictivas.

Behavioral and neuroimaging research of reading: A case of Japanese

Behavioral studies showed that AS, an English-Japanese bilingual was a skilled reader in Japanese but was a phonological dyslexic in English. This behavioral dissociation was accounted for by the Hypothesis of Transparency and Granularity postulated by Wydell & Butterworth. However, a neuroimaging study using MEG (magnetoencephalography) revealed that AS has the same functional deficit in the left superior temporal gyrus (STG). This paper therefore offers an answer to this intriguing discrepancy between the behavioral dissociation and the neural unity in AS by reviewing existing behavioral and neuroimaging studies in alphabetic languages such as English, Finnish, French, and Italian, and nonalphabetic languages such as Japanese and Chinese.

Gambling and violence in a nationally representative sample of UK men

The relationship between violence and problem gambling in general population samples is under-researched and requires further attention to inform treatment and prevention efforts. We investigated the relationship between gambling problems and violence among men and sought to determine if the link can be accounted for by mental disorders, alcohol and drug dependence and impulsivity.

The era of smartphones: Back to our biological makeup?

SIN FINANCIACIÓN

Reflections on using a community-based and multisystem approach to transforming school-based intervention for children with developmental motor disorders

Evidence-based management of Developmental Coordination Disorder (DCD) in school-age children requires putting into practice the best and most current research findings, including evidence that early identification, self-management, prevention of secondary disability, and enhanced participation are the most appropriate foci of school-based occupational therapy. Partnering for Change (P4C) is a new school-based intervention based upon these principles that has been developed and evaluated in Ontario, Canada over an 8-year period. Our experience to date indicates that its implementation in schools is highly complex with involvement of multiple stakeholders across health and education sectors. In this paper, we describe and reflect upon our team’s experience in using community-based participatory action research, knowledge translation, and implementation science to transform evidence-informed practice with children who have DCD.

OCUPAÇÃO DO BAIRRO BELVEDERE III: HISTÓRICO E ASPECTOS LEGAIS BELO HORIZONTE/MINAS GERAIS/BRASIL

O presente artigo se configura como um estudo de caso e apresenta uma discussão a partir da análise do contexto do rápido crescimento do bairro Belvedere III, localizado na cidade de Belo Horizonte, no estado de Minas Gerias, no Brasil. O bairro que era ocupado por residências unifamiliares se verticalizou a partir da mudança da legislação realizada pelo prefeito Sérgio Ferrara, em 1988 e se tornou alvo de intensa polêmica envolvendo a associação de moradores, a prefeitura e os interesses imobiliários na construção de condomínios verticais destinados a uma camada da população com elevado poder aquisitivo. A análise apresenta discussões sobre a legalidade da verticalização do bairro Belvedere III que vêm sendo apresentadas nas duas últimas décadas, em função da não observação da legislação ambiental vigente, pois o bairro é vizinho à Serra do Curral, uma área de reserva ambiental de grande importância na recarga fluvial do sistema hídrico da região, protegida por diversos instrumentos legais e tombada desde 1960. Instrumentos jurídicos de coerção e de punição só foram acrescidos às leis ambientais na última década, impedindo assim que estas leis retroagissem para sanar os problemas que hoje se apresentam.

VICENTE ARAÑA SAAVEDRA - JOSÉ LÓPEZ RUIZ: VULCANISMO, DINAMICA Y PETROLOGIA DE SUS PRODUCTOS

Esta nota corresponde a resumen del libro Vulcanismo, Dinámica y petrología de sus productos de ediciones Istmo, Madrid, España, 1974 de 1481 páginas.