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A Cost-Benefit Analysis Of Hollow Water's Community Holistic Circle Healing Process
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Once you have placed an order with us, you can rest assured that we will deliver your paper on time and follow all your assignment instructions to the letter. Our mission is to ensure that you have a place to turn to every time you have an assignment regardless of how urgent it appears. Contact us for cheap writing assistance. No matter what kind of academic paper you need, it is simple and secure to hire an essay writer for a price you can afford at Course Scholars. Save more time for yourself.- Corresponding author. This article has been cited by other articles in PMC. Modifying known dietary and behavioural risk factors through behaviour changing interventions BCI may help to reduce childhood overweight and obesity. This is an update of a review published in Objectives To assess the effects of diet, physical activity and behavioural interventions for the treatment of overweight or obese adolescents aged 12 to 17 years. We checked references of identified studies and systematic reviews. There were no language restrictions. The date of the last search was July for all databases. Selection criteria We selected randomised controlled trials RCTs of diet, physical activity and behavioural interventions for treating overweight or obesity in adolescents aged 12 to 17 years.
- Data collection and analysis Two review authors independently assessed risk of bias, evaluated the overall quality of the evidence using the GRADE instrument and extracted data following the guidelines of the Cochrane Handbook for Systematic Reviews of Interventions. We contacted trial authors for additional information. Main results We included 44 completed RCTs participants and 50 ongoing studies. Participants ages ranged from 12 to Most of the trials used a multidisciplinary intervention with a combination of diet, physical activity and behavioural components. The content and duration of the intervention, its delivery and the comparators varied across trials. The studies contributing most information to outcomes of weight and body mass index BMI were from studies at a low risk of bias, but studies with a high risk of bias provided data on adverse events and quality of life.
- There were no subgroup differences between interventions with and without parental involvement or by intervention type or setting health care, community, school or mode of delivery individual versus group. The rate of adverse events in intervention and control groups was unclear with only five trials reporting harms, and of these, details were provided in only one low quality evidence. Trials were inconsistent in how they measured dietary intake, dietary behaviours, physical activity and behaviour. Authors' conclusions We found low quality evidence that multidisciplinary interventions involving a combination of diet, physical activity and behavioural components reduce measures of BMI and moderate quality evidence that they reduce weight in overweight or obese adolescents, mainly when compared with no treatment or waiting list controls. Inconsistent results, risk of bias or indirectness of outcome measures used mean that the evidence should be interpreted with caution.
- We have identified a large number of ongoing trials 50 which we will include in future updates of this review. Background Across the world, more adolescents are becoming overweight and obese. These adolescents are more likely to suffer from health problems in later life. More information is needed about what works best in treating this problem. Study characteristics We found 44 randomised controlled trials clinical studies where people are randomly put into one of two or more treatment groups comparing diet, physical activity and behavioural where habits are changed or improved treatments interventions to a variety of control groups delivered to overweight or obese adolescents aged 12 to 17 years.
- Our systematic review reports on the effects of multidisciplinary interventions, dietary interventions and physical activity interventions compared with a control group no intervention, 'usual care,' enhanced usual care or some other therapy if it was also delivered to the intervention group. Key results The average age of adolescents ranged from 12 to Most studies reported the body mass index BMI. We summarised the results of 28 studies in adolescents reporting BMI, which on average was 1. We summarised the results of 20 studies in adolescents reporting weight, which on average was 3. No study reported on death from any cause, morbidity illnesses or socioeconomic effects such as days away from school. Three studies reported no side effects, one reported no serious side effects, one did not provide details of side effects and the rest of the studies did not report whether side effects occurred or not.
- We identified 50 ongoing studies which we will include in future updates of our review. Currentness of evidence This evidence is up to date as of July Quality of the evidence The overall quality of the evidence was rated as low for most of the outcomes results measured, mainly because of limited confidence in how studies were performed, inconsistent results between the studies and the way that some outcomes used do not capture obesity outcomes directly. Also, there were just a few studies for some outcomes, with small numbers of included adolescents.
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Physical Training Improves Physical Fitness And The Quality Of Life Of Patients On Hemodialysis
Although a cost-benefit analysis can be undertaken, it is particularly difficult to ascertain the costs associated with community wellness strategies, and, therefore, any potential savings to policing, administrating justice and corrections. While integrating elements for a number of federal and provincially funded services i. Clearly, Aboriginal culture, value-system and process differ significantly from the dominant society. In order to perform research that is ethical, careful and thorough, comparable linkages between Justice and Aboriginal criteria must be explored in different ways.Journal Of Physics: Conference Series, Volume , - IOPscience
The real value of CHCH work can only be identified by the community members impacted by the healing process; typically, however, the benefits of this process have not been acknowledged nor measured by the dominant society. Yet, the benefits of the CHCH activity have touched all aspects of life in Hollow Water, many of which, cannot be given a specific dollar value. It is very difficult, if not impossible, to adequately place a dollar value on the depth, quality, commitment and sustainability of the substantial healing work achieved in Hollow Water, and the impressive track record CHCH holds. This collaboration resulted in a clear comparison of some aspects of the CHCH process with mainstream judicial, victim and family services available in Manitoba.- In addition, it provided an indication of many value-added benefits of the CHCH program, which are difficult to measure, unique and have far-reaching community healing implications. Staff activities are a part of a larger flow of action that contributes to the entire healing process - a process that is based on the seven Midewin teachings of the Anishnabe people, which are the foundation for the 13 step CHCH healing process.
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