A Mixed Methods Approach to Vulnerability and Quality of Life Assessment of Waste Picking in Urban Nigeria

Quality of life (QoL) studies have become acceptable globally as indicators of how well a people are living. They are increasingly being used to identify and design areas of intervention to raise the wellbeing of a population. While studies on livelihoods in the informal waste recycling system of developing country cities have also been on the increase in recent years, assessments of the QoL expectations within the livelihoods framework in the informal waste recycling sector seem surprisingly few. Studies of this nature have also not been undertaken in the context of Nigerian socio-political, cultural and economic environment. Applying qual-dominant mixed methods approach to the livelihood activity of waste picking in the commercial city of Aba in southeastern Nigeria, this paper identifies predominant social indicators relevant to the Aba scavengers, waste pickers?? perceptions and QoL expectations, and potential outcomes of meeting the QoL expectations of waste pickers in the area. It also categorizes pickers?? vulnerabilities into four levels of increasing magnitude. Given that African social dynamics do not always or often find expression, fully or partially, in figures, the paper stresses the need to apply ethnographic and qualitative research methods in assessment of QoL and wellbeing in the informal waste recycling system. It further argues that integrating QoL assessments into public decision-making and social policy in Nigeria will contribute significantly towards meeting some of the Millennium Development Goals (MDGs) while also engendering sustainable urban livelihood outcomes.     

Asset-Based,Sustainable Local Economic Development: Using Community Participation to Improve Quality of Life Across Rural,Small-Town,and Urban Communities

Applied Research in Quality of Life - We analyze survey data from 5,487 residents of 85 Texas communities, including rural communities, small towns, medium-sized cities, and the five largest urban...     

Association Between Fulfilment of Expectations and Health-related Quality of Life after Gastric Bypass

The objective was to examine the relationship between fulfilment of expectations and health-related quality of life 4 and 12 months after gastric bypass. A follow-up study based on patients undergoing gastric bypass at Aalborg Hospital – Aarhus University Hospital during February 2008 to December 2009. Health-related quality of life was assessed by Short Form 36 and summarized into the physical component summary and the mental component summary. Information on expectations was questionnaire based. Associations were analysed by linear regression. Included were 87 gastric bypass patients. Compared with patients with fulfilled expectations having expectations partly fulfilled ?7.3 (?11.3; ?3.3) or not having expectations fulfilled ?11.2 (?18.8 ; ?3.5) was associated with low a mental component summary 4 months after surgery. At 12 months follow-up patients who reported not to have expectations fulfilled had a low mental component summary score ?16.3 (?26.5; ?6.2) when compared to their counterparts with fulfilment of expectations. Not having expectations to changes in general well-being fulfilled is associated with low mental component summary. This is seen at follow-up points 4 and 12 months after gastric bypass.     

Optimism and Prostate Cancer-Specific Expectations Predict Better Quality of Life after Robotic Prostatectomy

We examined the relations among generalized positive expectations (optimism), prostate-cancer specific expectations, and prostate cancer-related quality of life in a prospective sample of 83 men who underwent robotic assisted laparoscopic prostatectomy (RALP) for prostate cancer. Optimism was significantly associated with higher prostate cancer-specific expectations, β = .36, p < .001. In addition, optimism and prostate cancer-specific expectations were independent prospective predictors of better scores on the following prostate cancer-related quality of life scales: Sexual Intimacy and Sexual Confidence; Masculine Self-Esteem (specific expectations only), Health Worry, Cancer Control, and Informed Decision Making (βs > .21, ps < .05). When considered simultaneously, both optimism and specific expectations contributed uniquely to better Health Worry and Cancer Control scores, optimism was a unique predictor of better Sexual Intimacy and Sexual Confidence scores, and specific expectations uniquely predicted higher scores on Informed Decision Making. Although optimism and prostate-cancer specific expectations are related, they contribute uniquely to several prostate cancer-related quality of life outcomes following RALP and may be important targets for quality of life research with this population.     

肿瘤病人生活质量的临床量表评定

肿瘤临床生活质量评定的组合模式,包括两个基本原则“核心”问卷用于不受癌症种类限制的癌症病人,便于不同研究之间进行比较诊断特异和／或治疗特异问卷作为核心问卷的附加问卷,用于某一种癌症和／或某一种治疗的癌症病人,满足临床特殊问题的研究和运用。在组合模式指导下编制的生活质量核心问卷(QLQ-C30)和肺癌附加问卷(QLQ-LC13)已成熟地运用于肿瘤临床。     

Quality of Life Assessment for Physical Activity and Health Promotion

Despite the clear relationship of physical activity and quality of life (QoL), QoL measures are seldom targeted for physical activity and health promotion. The current research attempted to address that gap by developing a QoL measure based on a conceptual model that reflects positive health and is relevant for physical activity and health promotion programs. In the project, which extended over three phases, an initial 70-item QoL survey was administered to university students and community program participants (total n = 512) along with measures of satisfaction with life and physical activity. Exploratory and confirmatory factor analyses revealed clear social, emotional, cognitive, physical, spiritual and functional (ADL) QoL factors as well as integrated QoL. The resulting 32-item QoL Survey fits the conceptual model, demonstrates logical relationships with physical activity and has sufficient psychometric properties for use in related research and health promotion programs.     

Illness coping behaviour of outpatients with depression or diabetes mellitus in two tertiary hospitals in Enugu state,southeast Nigeria

The study aims to compare the coping styles of patients with diabetes with those with depression. A total of 224 patients, 112 with depression and an equal number with diabetes were recruited. Sociodemographic variables were determined with the sociodemographic questionnaire, and coping styles with the Mental Adjustment to Cancer (MAC) adapted and Brief Religious Coping (Brief RCOPE) Scales. Fighting Spirit and MAC Summary Positive Adjustment were used more by participants with depression. Both groups of participants used the Brief RCOPE positive method to the same extent. Brief RCOPE negative was used more by participants with depression. Positive coping skills were used more by participants with depression than those with diabetes. This underscores the need for clinicians to explore the coping resources available to their patients, both religious and non-religious, and projecting them to their patients for enhancement and application as an adjunct for the purpose of a better clinical outcome.     

Principles and Problems in the Assessment of Quality of Life in Health Care

A remarkable surge in efforts to assess the quality of life of patients has occurred in recent years in medical research. Philosophical discussions of these developments have focused, on the one hand, on epistemological reservations about the plausibility of measuring quality of life and, on the other hand, on moral and ethical qualms about the meaning of life conveyed in such assessments. Whilst providing an important note of caution, such critiques fail to recognise two basic principles of quality of life in medical research. Firstly it is intended to provide understanding about groups and categories of patients rather than individuals. Secondly the purpose of such research is to produce generalisations about the relative costs and benefits of specific health care interventions rather than absolute judgements regarding the quality of life of patients per se. Selecting a good quality of life measure for a clinical trial requires balancing criteria such as validity with practical feasibility. Such measures will play an increasingly central role in providing research evidence to improve health care.     

In Their Own Words: Mental Health and Quality of Life of West African Refugees in Nigeria

Refugees are exposed to extreme stressors and are therefore at risk of mental health and social problems. Other issues refugees have to cope with include the loss of their country, culture, language, profession, family, friends, and future plans. Much of the studies that have been done on refugee mental health have not attempted to explain what these experiences mean to these individuals. Thus, this study provides explorative data on the mental health and quality of life of West African refugees living in Nigeria in order to understand their views and perspectives. This study carried out in 2010 employed qualitative methods; a total of four focus group discussions (FGDs) were conducted among adult male and female refugees purposively selected at the Oru Refugee Camp, Ogun State, Nigeria. Respondents described quality of life as a major determinant of mental health status. Most of the participants believed that women were more predisposed to mental ill health due to their sensitive emotional make-up. Factors identified by respondents as affecting mental health and quality of life among refugees included poverty, unemployment, physical health, housing and environment, discrimination, stigmatization, and insecurity. Refugees rated their mental health and quality of life as poor due to the aforementioned factors. Recommendations were made to the international community, national and local governments to invest more on education, provision of vocational and entrepreneurial skills as well as adequate housing in order to improve the mental health and quality of life of refugees.     

Health-Related Quality of Life of Asylum Seekers and Refugees in Germany: a Cross-Sectional Study with Data from the German Socio-Economic Panel

The purpose of this study was to estimate the health-related quality of life (HrQoL) of asylum seekers and refugees that arrived during the European migrant and refugee crisis in Germany between 2014 and 2017. The analysis was based on the 2016 and 2017 refugee samples of the German Socio-Economic Panel (n = 6821). HrQoL was measured using a modified version of the SF-12v2 questionnaire and presented as physical (PCS) and mental (MCS) component summary scores. PCS and MCS scores for the total sample, males and females were calculated by sociodemographic characteristics. Associations between PCS and MCS scores and sociodemographic variables were examined by a linear regression with bootstrapped standard errors. The mean PCS and MCS scores of the sample were 53.4 and 47.9, respectively. Female sex was statistically significantly associated with lower PCS and MCS scores. The SF-12 subscale general health was valued highest with a score of 55.4, whereas the subscale role emotional was valued lowest with a score of 46.9. Employment was statistically significantly associated with higher PCS and MCS scores. Persons from Afghanistan had statistically significantly lower MCS scores than persons from Syria, whereas MCS scores were statistically significantly higher for persons from Eritrea. Physical and mental HrQoL of asylum seekers and refugees that arrived during the European migrant and refugee crisis in Germany between 2014 and 2017 was higher and lower than the German norm, respectively. Female sex, older age, unemployment and being separated, divorced or widowed were negatively associated with HrQoL. The three largest ethnical groups of asylum seekers and refugees, Syrians, Afghans and Eritreans, differ inherently in their HrQoL.

     

Impacts of Flooding on the Quality of Life in Rural Regions of Southern Slovakia

Human activity has significantly influenced energy flows in the landscape. Physical and geographical features of an area in the context of natural processes highlight their influence on the human lives in the affected regions of Slovakia. The paper aimed on the influence of the extraordinary flooding impact in June 2013 on the quality of life in Slovak rural regions. We have investigated the impact of the resulting damage on human activities in the rural municipality of Ch?aba. The case study of southern Slovakia can provide a more realistic view at regularly flooded areas in Slovak geographical conditions. The target of our research was to map and monitor the situation during the floods and shortly after them and to draw proposals leading to a more operative approach in the context of comprehensive flood protection in Slovakia. The added value of the research is a creation of such graphical supporting documents, which could be served as a basis for creating the plan of flood prevention management in rural territories, as a part of negative impacts of floods reduction on human activities.     

Recovering after a Natural Disaster: Differences in Quality of Life across Three Communities after Hurricane Sandy

Applied Research in Quality of Life -     

Review of the Book Child Street Life. An Inside View of Hazards and Expectations of Street Children in Peru (SpringerBriefs in Well-Being and Quality of Life Research)

Applied Research in Quality of Life -     

晚期癌症患者生存质量评估体系建立及放弃治疗与安乐死的合法化

癌症的病因涉及一系列不同的基因和引起突变的各种遗传和环境因素.其发病的内在因素是细胞内的病毒感染或由于原癌基因突变产生的活跃癌基因.环境致癌论已普遍被人关注.癌症村是环境因素所致的一种群体疾病现象.晚期癌症患者的生存质量令人堪忧.切合晚期癌症患者生命意义治疗的研究越来越显示出其价值.医生有权对癌症晚期患者进行生存质量评估后做出放弃治疗的医嘱.建立一套完善的生存质量评估体系是临床决策放弃治疗和合法化安乐死的前提.正确而适当的临床放弃治疗和合法化安乐死是人性化选择的需要.     

Bonds, Bridges and Quality of Life in Small Towns

This paper examines the relationship between two types of social capital (bonding and bridging) and quality of life in small Iowa communities. Social capital literature suggests potentially differing community outcomes depending on the type of social capital present in each community. I utilize longitudinal data from 1994 to 2004 to assess the relationship between social capital and the amount of change in quality of life and overall levels of quality of life. The findings provide partial support of the hypotheses, namely that aspects of bridging (between group) social capital are significant and more useful in explaining variations in overall levels of quality of life and changes in levels of quality of life over a 10 year period compared with bonding (within group) social capital.     

Consciousness, the Vegetative State, and the Intrinsic Value of Life

Using the controversy surrounding the views of the Princeton University ethicist Peter Singer as a foil, the authors address the commonly held view that the appropriate time to terminate the life of a human being is when the individual has lost consciousness and there is no hope that he or she will regain it. They make an admittedly dubious case for the vegetative state, with which loss of consciousness is commonly equated, in order to clear the way for a more defensible basis for the termination of a human life, that of the person’s own personal, even if idiosyncratic view of when his or her life is no longer worth living.