WorldWideScience

Sample records for active living study

  1. Kinase Activity Studied in Living Cells Using an Immunoassay

    Bavec, Aljos?a

    2014-01-01

    This laboratory exercise demonstrates the use of an immunoassay for studying kinase enzyme activity in living cells. The advantage over the classical method, in which students have to isolate the enzyme from cell material and measure its activity in vitro, is that enzyme activity is modulated and measured in living cells, providing a more…

  2. Risk Factors of Active Tuberculosis in People Living with HIV/AIDS in Southwest Ethiopia: A Case Control Study

    Taha, Mohammed; Deribew, Amare; Tessema, Fasil; Assegid, Sahilu; Duchateau, Luc; Colebunders, Robert

    2011-01-01

    Background Determinants of active tuberculosis among People Living with HIV/AIDS (PLHA) are not well elucidated in countries with limited resources. The objective of this study was to assess distal and proximate determinants of active tuberculosis among people living with HIV/AIDS in southwest Ethiopia. Methods A case-control study was conducted from January to March, 2009 in South West Ethiopia. The study population consisted of 162 cases and 647 controls. Cases were adult people living with...

  3. Energy Expenditures for Activities of Daily Living in Korean Young Adults: A Preliminary Study

    2016-01-01

    Objective To investigate the energy expenditure (EE) of Korean young adults based on activities refined to a deskbound lifestyle. Methods Sixty-four healthy office workers aged between 25 and 46 years participated in this study. EE was expressed as metabolic equivalent of task (MET). Participants were evaluated in terms of their EE during physical activities of sleeping (n=22), typing (n=37), folding laundry (n=34), dishwashing (n=32), studying (n=18), mopping (n=35), walking (n=33), stair climbing (n=23), and running (n=29). Volume of oxygen consumption was measured by indirect calorimetry K4b2 (COSMED). The results were compared to the established Compendium MET. Results The MET of activities were: sleeping, 1.24±0.43; typing, 1.35±0.25; folding laundry, 1.58±0.51; dishwashing, 2.20±0.51; studying, 2.11±0.90; mopping, 2.72±0.69; walking at 4 km/hr, 3.48±0.65; stair climbing of five stories, 6.18±1.08; and running at 8 km/hr, 7.57±0.57. The values of typing and mopping were similar to those in the Compendium, whereas those of sleeping, folding laundry, dishwashing, studying, walking, stair climbing and running were different. Conclusion To our knowledge, this estimation of EE in MET during activities of daily living is the first data of young adults in Korea. These data could be used as a reference to modify the guidelines of physical activities for the age group examined in this study. PMID:27606280

  4. Comparative study of active and inactive elderly persons through the assessment of activities of daily living and quality of life

    S. Caporicci

    2011-01-01

    Full Text Available This study aimed at evaluating the activities of daily living and quality of active and inactive seniors’ life. This is a descriptive research of a quantitative nature. Participants were 24 seniors, 12 physical activity practitioners (PPA and 12 non-practitioners (NPPA. The instrument was a demographic questionnaire and SF-36 for measuring the quality of life and tests proposed by GDLAM. SPSS 15.0 was used for data analysis. The results obtained by the sociodemographic questionnaire for PPA and NPPA groups were, respectively: age − 69.5 and 70.0 years, marital status − 50.0% widower and 41.7% were married; education − 50.0% with complete elementary school and 58.3% with incomplete elementary school; health problems − 25.0% and 58.33% hypertension. In functional autonomy tests, the PPA group had shorter execution time when compared with the NPPA group; however, both groups found themselves in the rating of "weak" according to the protocol GDLAM. We concluded that there was no statistical difference between groups.

  5. Comparative Study on Living Library Activities at Home and Abroad%国内外图书馆开展Living Library服务比较研究

    王旻霞

    2011-01-01

    Living Library以“人”为书,是图书馆界一种崭新的读者服务活动.从活动举办者、活动主题和目的、活体图书等方面对国内外图书馆开展Living Library的现状进行比较分析,并对Living Library在中国的进一步开展策略进行了初步探讨.%Taking "person" as books, living library is a new service activity for reader in library. This paper compared and analyzed the current development situation of living library activities in library at home and abroad from organizers, titles, activity aims, books and so on. Moreover, some further development measures in China are explored preliminarily in this article.

  6. Assistive devices in activities of daily living used by persons with age-related macular degeneration: a population study of 85-year-olds living at home.

    Dahlin Ivanoff, S; Sonn, U

    2005-03-01

    The purpose of this study was to investigate the overall use of assistive devices among persons with age-related macular degeneration (ARMD) and how it is related to dependence in daily activities. This was a retrospective, descriptive, cross-sectional population study of 85-year-olds. The most common category of assistive devices was bathing devices followed by mobility devices. The overall use of assistive devices was 82%, and around 80% of the device users were independent in activities of daily living. They were multiple device users (57%) and used more mobility devices and personal assistance in mobility. In conclusion, the ARMD group comprises very frequent users of assistive devices and uses assistive devices to remain independent. This implies that health services should provide assistive devices at an early stage in the disablement process to avoid the development of dependence and should consider the likelihood of multiple health problems when assessing the needs of assistive devices among persons with ARMD.

  7. Live birth after artificial oocyte activation using a ready-to-use ionophore: a prospective multicentre study.

    Ebner, Thomas; Montag, Markus; Montag, M; Van der Ven, K; Van der Ven, H; Ebner, T; Shebl, O; Oppelt, P; Hirchenhain, J; Krüssel, J; Maxrath, B; Gnoth, C; Friol, K; Tigges, J; Wünsch, E; Luckhaus, J; Beerkotte, A; Weiss, D; Grunwald, K; Struller, D; Etien, C

    2015-04-01

    Artificial oocyte activation has been proposed as a suitable means to overcome the problem of failed or impaired fertilization after intracytoplasmic sperm injection (ICSI). In a multicentre setting artificial oocyte activation was applied to 101 patients who were diagnosed with fertilization abnormalities (e.g. less than 50% fertilized oocytes) in a previous conventional ICSI cycle. Female gametes were activated for 15 min immediately after ICSI using a ready-to-use Ca(2+)-ionophore solution (A23187). Fertilization, pregnancy and live birth rates were compared with the preceding cycle without activation. The fertilization rate of 48% in the study cycles was significantly higher compared with the 25% in the control cycles (P splitting of the historical control group into failed (0%), low (1-30%) and moderate fertilization rate (31-50%) showed that all groups significantly benefitted (P embryo transfer cancelled compared with their previous treatments (1/101 versus 15/101). In total, 99% of the patients had an improved outcome with A23187 application resulting in a 28% live birth rate (35 babies). These data suggest that artificial oocyte activation using a ready-to-use compound is an efficient method.

  8. Strategies to support engagement and continuity of activity during mealtimes for families living with dementia; a qualitative study

    2015-01-01

    Background Mealtimes are an essential part of living and quality of life for everyone, including persons living with dementia. A longitudinal qualitative study provided understanding of the meaning of mealtimes for persons with dementia and their family care partners. Strategies were specifically described by families to support meaningful mealtimes. The purpose of this manuscript is to describe the strategies devised and used by these families living with dementia. Methods A longitudinal qua...

  9. Advocating for active living on the rural-urban fringe: a case study of planning in the Portland, Oregon, metropolitan area.

    Adler, Sy; Dobson, Noelle; Fox, Karen Perl; Weigand, Lynn

    2008-06-01

    This case study is about the politics of incorporating active-living elements into a concept plan for a new community of about 68,000 people on the edge of the Portland, Oregon, metropolitan area. Development on the rural-urban fringe is ongoing in metropolitan areas around the United States. In this article, we evaluate the product of the concept-planning process from the standpoint of the extent to which environmental elements conducive to active living were included. We also analyze four issues in which challenges to the incorporation of active-living features surfaced: choices related to transportation facilities, the design and location of retail stores, the location of schools and parks, and the location of a new town center. Overall, the Damascus/Boring Concept Plan positions the area well to promote active living. Analyses of the challenges that emerged yielded lessons for advocates regarding ways to deal with conflicts between facilitating active living and local economic development and related tax-base concerns and between active-living elements and school-district planning autonomy as well as the need for advocates to have the capacity to present alternatives to the usual financial and design approaches taken by private- and public-sector investors.

  10. A Case Study: Analyzing City Vitality with Four Pillars of Activity-Live, Work, Shop, and Play.

    Griffin, Matt; Nordstrom, Blake W; Scholes, Jon; Joncas, Kate; Gordon, Patrick; Krivenko, Elliott; Haynes, Winston; Higdon, Roger; Stewart, Elizabeth; Kolker, Natali; Montague, Elizabeth; Kolker, Eugene

    2016-03-01

    This case study evaluates and tracks vitality of a city (Seattle), based on a data-driven approach, using strategic, robust, and sustainable metrics. This case study was collaboratively conducted by the Downtown Seattle Association (DSA) and CDO Analytics teams. The DSA is a nonprofit organization focused on making the city of Seattle and its Downtown a healthy and vibrant place to Live, Work, Shop, and Play. DSA primarily operates through public policy advocacy, community and business development, and marketing. In 2010, the organization turned to CDO Analytics ( cdoanalytics.org ) to develop a process that can guide and strategically focus DSA efforts and resources for maximal benefit to the city of Seattle and its Downtown. CDO Analytics was asked to develop clear, easily understood, and robust metrics for a baseline evaluation of the health of the city, as well as for ongoing monitoring and comparisons of the vitality, sustainability, and growth. The DSA and CDO Analytics teams strategized on how to effectively assess and track the vitality of Seattle and its Downtown. The two teams filtered a variety of data sources, and evaluated the veracity of multiple diverse metrics. This iterative process resulted in the development of a small number of strategic, simple, reliable, and sustainable metrics across four pillars of activity: Live, Work, Shop, and Play. Data during the 5 years before 2010 were used for the development of the metrics and model and its training, and data during the 5 years from 2010 and on were used for testing and validation. This work enabled DSA to routinely track these strategic metrics, use them to monitor the vitality of Downtown Seattle, prioritize improvements, and identify new value-added programs. As a result, the four-pillar approach became an integral part of the data-driven decision-making and execution of the Seattle community's improvement activities. The approach described in this case study is actionable, robust, inexpensive

  11. Physical Activity Measurement by Accelerometry Among Older Malay Adults Living in Semi-Rural Areas-A Feasibility Study.

    Zainol Abidin, Nurdiana; Brown, Wendy J; Clark, Bronwyn; Muhamed, Ahmad Munir Che; Singh, Rabindarjeet

    2016-10-01

    We evaluated feasibility of physical activity measurement by accelerometry among older Malay adults living in semi-rural areas in Malaysia. Results showed that 95% of 146 participants (aged [SD] 67.6 [6.4] years) were compliant in wearing the accelerometer for at least five days. Fifteen participants were asked for re-wear the accelerometer because they did not have enough valid days during the first assessment. Participants wore the accelerometer an average of 15.3 hr in a 24-hr day, with 6.5 (1.2) valid wear days. No significant difference in valid wear day and time was found between men and women. Participants who are single provide more valid wear days compared with married participants (p physical activity level among older Malay adults living in semi-rural areas.

  12. Hierarchical Hidden Markov Model in Detecting Activities of Daily Living in Wearable Videos for Studies of Dementia

    Karaman, Svebor; Dovgalecs, Vladislavs; Mégret, Rémi; Pinquier, Julien; André-Obrecht, Régine; Gaëstel, Yann; Dartigues, Jean-François

    2011-01-01

    This paper presents a method for indexing activities of daily living in videos obtained from wearable cameras. In the context of dementia diagnosis by doctors, the videos are recorded at patients' houses and later visualized by the medical practitioners. The videos may last up to two hours, therefore a tool for an efficient navigation in terms of activities of interest is crucial for the doctors. The specific recording mode provides video data which are really difficult, being a single sequence shot where strong motion and sharp lighting changes often appear. Our work introduces an automatic motion based segmentation of the video and a video structuring approach in terms of activities by a hierarchical two-level Hidden Markov Model. We define our description space over motion and visual characteristics of video and audio channels. Experiments on real data obtained from the recording at home of several patients show the difficulty of the task and the promising results of our approach.

  13. A longitudinal study of change in asylum seekers Activities of Daily Living ability while in asylum centre

    Morville, Anne-Le; Amris, Kirstine; Eklund, Mona;

    2015-01-01

    The aim was to assess change in Activities of Daily Living (ADL) ability amongst asylum seekers and if there were any difference between tortured and non-torture following a 10 months post-arrival period, and if self-reported health and exposure to torture were factors related to changes in ADL...... participated. ADL-ability was measured using Assessment of Motor and Process Skills and questionnaires about exposure to torture, self-reported mental health and pain. ADL motor and process measures, well-being and self-rated health declined from baseline to follow-up. Measures of pain and depression increased...

  14. Status of Daily Living Activities among Older People in Maku

    Mehdi Abbasian

    2016-12-01

    Full Text Available Introduction: One of the most popular methods for evaluating old people’s health condition is to assess their functional practice. The aim of this study was to assess the status of daily living activities among the older people of Maku, Iran. Methods: The present cross-sectional study was accomplished among 216 older people in Maku via simple random sampling. Participant’s subjective and demographic information were gathered and their daily living activities status was measured by the KATZ index. Results: The participants' mean age was 70.09±7.98. Most of the elderlies were men (59.3% and illiterate (38.4%. Of them, 10.6% were dependent, 6% needed help or were partially dependent, and 82.9% were independent in their daily living activities. Significant associations were observed between daily living activities and age, education level, marital status and living condition (p<0.001. Married old adults were more dependent than other ones living alone (p<0.001. Conclusion: Although most of the participants were independent, they needed assistance for few of their daily living activities. Also, since age was significantly correlated with daily living activities, it is necessary to implement educational health living programsfor older people suffering from functional restrictions. Also, providing suitable facilities, convenience and human resources should  be taken into consideration.

  15. Physical activity and the built environment among 11-15 yr olds living in Denmark: cross-sectional study

    Svastisalee, Chalida; Schipperijn, Jasper; Holstein, Bjørn Evald

    Purpose: To investigate the association between odds of less than 7 hours/week of physical activity (PA) and opportunities for exercise (recreation facilities and green space). Methods: We measured self-reported hours of PA in boys and girls using the Health Behavior in School-Aged Children 2006...... survey (n = 6046). We conducted multi-level logistic analyses to examine the relationship between the odds of less 7 hours weekly PA and road connectivity, green space ratio, and number of recreation facilities surrounding each school (n = 80). We controlled for confounding variables at the individual...... hours of PA/week. Girls living in poor areas or of low affluence had greater odds (OR = 3.13 and 2.23) of not reaching PA recommendations. Fewer parks was significantly related to greater odds of not exercising daily for boys (OR = 1.35) but not for girls. Conclusions: The odds of exercising less than 7...

  16. Neuropsychological rehabilitation of memory deficits and activities of daily living in patients with Alzheimer's disease: a pilot study

    Ávila R.

    2004-01-01

    Full Text Available Patients with Alzheimer's disease (AD gradually lose their cognitive competence, particularly memory, and the ability to perform daily life tasks. Neuropsychological rehabilitation is used to improve cognitive functions by facilitating memory performance through the use of external aids and internal strategies. The effect of neuropsychological rehabilitation through memory training - motor movements, verbal association, and categorization - and activities of daily living (ADL training was tested in a sample of 5 elderly out-patients (mean age: 77.4 ± 2.88 years, with mild AD (Mini-Mental State Examination score: 22.20 ± 2.17 and their caregivers. All patients had been taking rivastigmine (6-12 mg/day for at least 3 months before being assigned to the rehabilitation sessions, and they continued to take the medication during the whole program. Just before and after the 14-week neuropsychological rehabilitation program all patients were assessed by interviewers that did not participate in the cognitive training, using the Mini-Mental State Examination, Montgomery-Alsberg Depression Rating Scale, Hamilton Anxiety Scale, Interview to Determine Deterioration in Functioning in Dementia, Functional Test, Memory Questionnaire of Daily Living for patient and caregiver, Quality of Life Questionnaire for patient and caregiver, and a neuropsychological battery. The results showed a statistically significant improvement in ADL measured by Functional Test (P = 0.04, and only a small improvement in memory and psychiatric symptoms. Our results support the view that weekly stimulation of memory and training of ADL is believed to be of great value in AD treatment, not only delaying the progress of the disease, but also improving some cognitive functions and ADL, even though AD is a progressively degenerative disease.

  17. Associations of quality of life with physical activity, fruit and vegetable consumption, and physical inactivity in a free living, multiethnic population in Hawaii: a longitudinal study

    Horwath Caroline

    2010-11-01

    Full Text Available Abstract Introduction High intake of fruit and vegetables and being physically active are associated with reduced risk of chronic diseases. In the current study, we examined the associations of physical activity, fruit and vegetable consumption, and TV/video watching (indicator for physical inactivity with perceived quality of life (QOL in a sample of free living adults. Methods A cohort (N = 139 from a random, multi-ethnic sample of 700 adults living in Hawaii was evaluated at 3-month intervals for the first year and 6-month intervals for the second year. QOL was assessed from self-reports of mental or physical health at the end of the study. Results Overall, the cohort participants appeared to maintain relatively constant levels of physical activity, fruit and vegetable intake, and TV/video watching. Physical activity was positively related to mental health (p-values Conclusion Our study supports that physical activity is positively associated with mental health. Fruit and vegetable consumption and TV/video watching may be too specific to represent an individual's overall nutritional status and physical inactivity, respectively.

  18. Single-Molecule Studies in Live Cells

    Yu, Ji

    2016-05-01

    Live-cell single-molecule experiments are now widely used to study complex biological processes such as signal transduction, self-assembly, active trafficking, and gene regulation. These experiments' increased popularity results in part from rapid methodological developments that have significantly lowered the technical barriers to performing them. Another important advance is the development of novel statistical algorithms, which, by modeling the stochastic behaviors of single molecules, can be used to extract systemic parameters describing the in vivo biochemistry or super-resolution localization of biological molecules within their physiological environment. This review discusses recent advances in experimental and computational strategies for live-cell single-molecule studies, as well as a selected subset of biological studies that have utilized these new technologies.

  19. Disability in activities of daily living, depression, and quality of life among older medical ICU survivors: a prospective cohort study

    Pisani Margaret A

    2011-02-01

    Full Text Available Abstract Background Accurate measurement of quality of life in older ICU survivors is difficult but critical for understanding the long-term impact of our treatments. Activities of daily living (ADLs are important components of functional status and more easily measured than quality of life (QOL. We sought to determine the cross-sectional associations between disability in ADLs and QOL as measured by version one of the Short Form 12-item Health Survey (SF-12 at both one month and one year post-ICU discharge. Methods Data was prospectively collected on 309 patients over age 60 admitted to the Yale-New Haven Hospital Medical ICU between 2002 and 2004. Among survivors an assessment of ADL's and QOL was performed at one month and one-year post-ICU discharge. The SF-12 was scored using the version one norm based scoring with 1990 population norms. Multivariable regression was used to adjust the association between ADLs and QOL for important covariates. Results Our analysis of SF-12 data from 110 patients at one month post-ICU discharge showed that depression and ADL disability were associated with decreased QOL. Our model accounted for 17% of variability in SF12 physical scores (PCS and 20% of variability in SF12 mental scores (MCS. The mean PCS of 37 was significantly lower than the population mean whereas the mean MCS score of 51 was similar to the population mean. At one year mean PCS scores improved and ADL disability was no longer significantly associated with QOL. Mortality was 17% (53 patients at ICU discharge, 26% (79 patients at hospital discharge, 33% (105 patients at one month post ICU admission, and was 45% (138 patients at one year post ICU discharge. Conclusions In our population of older ICU survivors, disability in ADLs was associated with reduced QOL as measured by the SF-12 at one month but not at one year. Although better markers of QOL in ICU survivors are needed, ADLs are a readily observable outcome. In the meantime, clinicians

  20. Implementing living room theatre activities in the care for people with dementia on nursing home wards: a process evaluation study

    van Haeften-van Dijk, A.M.; van Weert, J.C.M.; Dröes, R.M.

    2015-01-01

    Objectives: A new communication method, the ‘Veder Method’, was implemented in the Netherlands. This method uses theatrical stimuli in combination with proven person-centred communication methods. Care staff was trained to apply the Veder Method in a ‘living room theatre activity’ for people with de

  1. Ultrasound study of the motion of the residual femur within a trans-femoral socket during daily living activities other than gait.

    Convery, P; Murray, K D

    2001-12-01

    This study analyses the residual femur motion of a single amputee within a transfemoral socket during a series of daily living activities. Two simultaneously transmitting, socket mounted transducers were connected to two ultrasound scanners. Displacement measurements of the ultrasound image of the femur were video recorded and measured on "paused" playback. Abduction/adduction and flexion/extension of the residual femur within the socket at any instant during these activities were estimated, knowing the relative positions of the two transducers and the position of the residual femur on the ultrasound image. Consistent motion patterns of the residual femur within the trans-femoral socket were noted throughout each monitored daily living activity of the single amputee studied. Convery and Murray (2000) reported that during level walking, relative to the socket, the residual femur extends 6 degrees and abducts 9 degrees by mid-stance while flexing 6 degrees and adducting 2 degrees by toe-off. Uphill/downhill, turning to the right and stepping up/down altered this reported pattern of femoral motion by approximately 1 degree. During the standing activity from a seated position the femur initially flexed 4 degrees before moving to 7 degrees extension, while simultaneously adducting 6 degrees. During the sitting activity from a standing position the femur moved from 7 degrees extension and 6 degrees adduction to 3 degrees flexion and 1 degree abduction. The activity of single prosthetic support to double support introduced only minor femoral motion whereas during the activity of prosthetic suspension the femur flexed 8 degrees while simultaneously adducting 9 degrees. Additional studies of more amputees are required to validate the motion patterns presented in this investigation.

  2. Exploiting arm posture synergies in activities of daily living to control the wrist rotation in upper limb prostheses: A feasibility study.

    Montagnani, Federico; Controzzi, Marco; Cipriani, Christian

    2015-01-01

    Although significant technological advances have been made in the last forty years, natural and effortless control of upper limb prostheses is still an open issue. Commercially available myoelectric prostheses present limited Degrees of Freedom (DoF) mainly because of the lack of available and reliable independent control signals from the human body. Thus, despite the crucial role that an actuated wrist could play in a transradial prosthesis in terms of avoiding compensatory movements, commercial hand prostheses present only manually adjustable passive wrists or actuated rotators controlled by (unnatural) sequential control strategies. In the present study we investigated the synergies between the humeral orientation with respect to the trunk and the forearm pronation/supination angles during the execution of a wide range of activities of daily living, in healthy subjects. Our results showed consistent postural synergies between the two selected body segments for almost the totality of the activities of daily living under investigation. This is a promising result because these postural synergies could be exploited to automatically control the wrist rotator unit in transradial prostheses improving the fluency and the dexterity of the amputee.

  3. A longitudinal study of changes in asylum seekers ability regarding activities of daily living during their stay in the asylum center.

    Morville, Anne-Le; Amris, Kirstine; Eklund, Mona; Danneskiold-Samsøe, Bente; Erlandsson, Lena-Karin

    2015-06-01

    The aim was to assess change in activities of daily living (ADL) ability amongst asylum seekers and if there were any difference between tortured and non-torture following a 10 months post-arrival period, and if self-reported health and exposure to torture were factors related to change in ADL-ability. The study was a combined baseline, follow-up correlational study amongst individuals from Afghanistan, Iran and Syria, living in Danish asylum centers. Forty-three persons aged 20-50, were invited and participated in the baseline study. Twenty-two were still in asylum center at the follow-up and 17 of them participated. ADL-ability was measured using Assessment of Motor and Process Skills and questionnaires about exposure to torture, self-reported mental health and pain. ADL motor and process measures, well-being and self-rated health declined from baseline to follow-up. Measures of pain and depression increased. Exposure to physical torture and change in ADL motor (r = 0.525) measures were associated, as well as change in current pain and change in ADL process (r = 0.525) measures. Due to preponderance of torture survivors analysis of group difference was not applicable. Health care workers should be aware of ADL concerns and exposure to torture in this population to best address their needs within rehabilitation settings.

  4. Disability in activities of daily living: a multifactorial approach

    den Ouden, M.E.M.

    2013-01-01

    Activities of daily living (ADL), such as bathing and doing groceries are essential for maintaining independence in the community. Previous longitudinal studies have shown that about 20 to 30% of older persons (70 years and older) experience ADL disability. Older persons who are ADL disabled have hi

  5. Living science: Science as an activity of living beings.

    MacLennan, Bruce J

    2015-12-01

    The philosophy of science should accommodate itself to the facts of human existence, using all aspects of human experience to adapt more effectively, as individuals, species, and global ecosystem. This has several implications: (1) Our nature as sentient beings interacting with other sentient beings requires the use of phenomenological methods to investigate consciousness. (2) Our embodied, situated, purposeful physical interactions with the world are the foundation of scientific understanding. (3) Aristotle's four causes are essential for understanding living systems and, in particular, the final cause aids understanding the role of humankind, and especially science, in the global ecosystem. (4) In order to fulfill this role well, scientists need to employ the full panoply of human faculties. These include the consciousness faculties (thinking, sensation, feeling, intuition), and therefore, as advocated by many famous scientists, we should cultivate our aesthetic sense, emotions, imagination, and intuition. Our unconscious faculties include archetypal structures common to all humans, which can guide scientific discovery. By striving to engage the whole of human nature, science will fulfill better its function for humans and the global ecosystem.

  6. The effect of a school-centered multicomponent intervention on daily physical activity and sedentaary behavior in primary school children : The Active Living study

    Kann, Dave Van; Kremers, Stef P.J.; Vries, N.K. de; Vries, S.I. (Sanne); Jansen, M.W.J.

    2016-01-01

    The aim of the current study was to examine the effectiveness of a school-centered multicomponent PA intervention, called ‘Active Living’, on children's daily PA levels. A quasi-experimental design was used including 9 intervention schools and 9 matched control schools located in the Netherlands. T

  7. NMR Dynamic Studies in Living Systems

    闫永彬; 范明杰; 罗雪春; 张日清

    2002-01-01

    Nuclear magnetic resonance (NMR) can noninvasively monitor the intracellular concentrations and kinetic properties of numerous inorganic and organic compounds. These characteristics have made NMR a useful tool for dynamic studies of living systems. Applications of NMR to living systems have successfully extended to many areas, including studies of metabolic regulation, ion transport, and intracellular reaction rates in vivo. The major purpose of this review is to summarize the results that can be obtained by modern NMR techniques in living systems. With the advances of new techniques, NMR measurements of various nuclides have been performed for specific physiological purposes. Although some technical problems still remain and there are still discrepancies between NMR and traditional biochemical results, the abundant and unique information obtained from NMR spectra suggests that NMR will be more extensively applied in future studies of living systems. The fast development of these new techniques is providing many new NMR applications in living systems, as well as in structural biology.

  8. Magnitude and determinants of nonadherence and nonreadiness to highly active antiretroviral therapy among people living with HIV/AIDS in Northwest Ethiopia: a cross - sectional study

    Mulu Andargachew

    2010-01-01

    Full Text Available Abstract Background Adequate antiretroviral drug potency is essential for obtaining therapeutic benefit, however, the behavioral aspects of proper adherence and readiness to medication, often determine therapeutic outcome. Therefore, this study aimed to assess the level and determinants of nonadherence and nonreadiness to highly active antiretroviral therapy (HAART among people living with HIV/AIDS (PLWHA at Gondar University Teaching Hospital and Felege Hiwot Hospital in Northwest Ethiopia. Methods A cross-sectional study was conducted between July and September 2008 using structured interviewer-administered questionnaire. All consecutive adult outpatients who were receiving antiretroviral treatment for at least three months, seen at both hospitals during the study period and able to give informed consent were included in the study. Multivariate logistic regression was used to determine factors associated with nonadherence and nonreadiness. Results A total of 504 study subjects were included in this study. The prevalence rates of nonadherence and nonreadiness to HAART were 87 (17.3% and 70 (13.9% respectively. Multivariate logistic regression analysis revealed that medication adverse effects, nonreadiness to HAART, contact with psychiatric care service and having no goal had statistically significant association with nonadherence. Moreover, unwillingness to disclose HIV status was significantly associated with nonreadiness to HAART. Conclusions In this study the level of nonadherence and nonreadiness to HAART seems to be encouraging. Several factors associated with nonadherance and nonreadiness to HAART were identified. Efforts to minimize nonadherence and nonreadiness to HAART should be integrated in to regular clinical follow up of patients.

  9. A longitudinal study of change in asylum seekers Activities of Daily Living ability while in asylum centre

    Morville, Anne-Le; Amris, Kirstine; Eklund, Mona;

    2014-01-01

    Abstract WFOT Title: Occupational performance amongst asylum seekers in Denmark Introduction: Increased health problems are reported among asylum seekers, often related to torture, but there is no knowledge regarding occupational performance and whether there are any changes in asylum seekers...... occupational performance during time spent in a centre. Objectives: Our aim was to assess if newly arrived asylum seekers had impaired occupational performance and if this was associated with previous exposure to torture and/or self-reported psychological symptoms and pain measures. We also wanted to evaluate...... changes in occupational performance and general health over time. Methods: At baseline 43 newly arrived asylum seekers, age 20-43, were consecutively enrolled in the study. All participants were assessed using AMPS and the questionnaires WHO-5, Major Depression Inventory, Pain Detect Questionnaire...

  10. Effects of donepezil on activities of daily living: integrated analysis of patient data from studies in mild, moderate and severe Alzheimer's disease

    Gauthier, Serge; Lopez, Oscar Lopez; Waldemar, Gunhild

    2010-01-01

    We aimed to develop a standardization method to pool data recorded on different activities of daily living (ADL) scales in order to reduce variability of functional outcome data from Alzheimer's disease (AD) clinical trials and to better evaluate the effect of donepezil treatment on function...

  11. Developing obesity prevention interventions among minority ethnic children in schools and places of worship: The DEAL (DiEt and Active Living study

    Anderson Annie

    2009-12-01

    Full Text Available Abstract Background Childhood obesity is a major public health concern with serious implications for the sustainability of healthcare systems. Studies in the US and UK have shown that ethnicity is consistently associated with childhood obesity, with Black African origin girls in particular being more vulnerable to overweight and obesity than their White peers. Little is known, however, about what promotes or hinders engagement with prevention programmes among ethnic minority children. Methods/Design This paper describes the background and design of an exploratory study conducted in London, UK. The aim of the study was to assess the feasibility, efficacy and cultural acceptability of child- and family-based interventions to reduce risk factors for childhood and adolescent obesity among ethnic minorities. It investigated the use of a population approach (in schools and a targeted approach (in places of worship. We used a mixture of focus group discussions, in-depth interviews and structured questionnaires to explore what children, parents, grandparents, teachers and religious leaders think hinder and promote engagement with healthy eating and active living choices. We assessed the cultural appropriateness of validated measures of physical activity, dietary behaviour and self efficacy, and of potential elements of interventions informed by the data collected. We are also currently assessing the potential for wider community support (local councils, community networks, faith forums etc of the intervention. Discussion Analysis of the data is ongoing but the emergent findings suggest that while the school setting may be better for the main implementation of healthy lifestyle interventions, places of worship provide valuable opportunities for family and culturally specific support for implementation. Tackling the rise in childhood and adolescent obesity is a policy priority, as reflected in a range of government initiatives. The study will enhance such

  12. Opinions Toward Physical Activity, Sedentary Behavior, and Interventions to Stimulate Active Living During Early Retirement: A Qualitative Study in Recently Retired Adults.

    Van Dyck, Delfien; Mertens, Lieze; Cardon, Greet; De Cocker, Katrien; De Bourdeaudhuij, Ilse

    2017-04-01

    This study aimed to obtain qualitative information about physical activity (PA) and sedentary behaviors (SB)and their determinants, and about recently retired adults' needs regarding PA interventions. Four focus group interviews were organized. The most commonly reported PA types were walking, cycling, swimming and fitness. The most commonly reported SB were reading, TV viewing, and computer use. Car use was limited. Most adults agreed their habits had changed during retirement. The most striking PA determinant was the feeling of being a 'forgotten group' and therefore having too few tailored PA initiatives available. Furthermore, participants were not aware of the negative health effects of SB and not motivated to decrease their SB. Concerning new PA interventions, very diverse ideas were put forward, reflecting the diversity of the target group. It seems that a dynamic intervention in which participants can choose which PA type they want to increase is preferable for recently retired adults.

  13. eWall for Active Long Living

    Mihovska, Albena D.; Kyriazakos, Sofoklis; Prasad, Ramjee

    2014-01-01

    Independent living of senior citizens is one of the main challenges linked to the ageing population, due to the impact on: (1) the life of the elderly people, (2) the national health systems, (3) the insurance companies, (4) the relatives and (5) the care-givers. Senior citizens may suffer from...... citizens may suffer from a decline of memory function, less ability to orientate and a declined ability to cope with complex situations. This paper describes work in progress and proposes a novel architecture design for eHealth services in support of independent living and compensating for prevailing age...

  14. Providing Daily Oral Infection Control to Persons Dependent on others for Activities of Daily Living: A Semi-Qualitative Descriptive Study

    Wiener, R Constance; Dinsmore, Rebecca R; Meckstroth, Richard; Marshall, William

    2017-01-01

    Background The purpose of this study is to evaluate caregiver assessment of the ease of use of a specially designed toothbrush for providing daily oral infection control (toothbrushing) to persons dependent upon others for activities of daily living. Method Eighty-eight caregivers accepted surveys and multi-surface toothbrushes to provide daily oral infection control to the person to whom they assisted. They were asked to evaluate the ease of use of the multi-surface toothbrush, and provide comments about it. Results There were 30 surveys returned (34.1% response rate). In terms of the ease of use, 90.0% of the caregivers agreed (63.3% strongly agreed, and 26.7% agreed) that the multi-surface toothbrush was easier to use than their previous toothbrush. Comments about the toothbrush were predominantly positive. Conclusion It is difficult to provide daily oral infection control to another individual. Having an efficient oral health aid which makes it easier to do so is important to caregivers. With the overwhelming positive response to the multi-surface toothbrush, it is important to disseminate the information about its ease of use. PMID:28191548

  15. Lived experiences of self-care among older physically active urban-living individuals

    Sundsli K

    2013-01-01

    Full Text Available Kari Sundsli,1,2 Geir Arild Espnes,3 Olle Söderhamn21Department of Social Work and Health Science, Faculty of Social Sciences and Technology Management, NTNU, Trondheim, Norway, 2Centre for Caring Research, Southern Norway, Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway, 3Research Centre for Health Promotion and Resources HiST-NTNU, Department of Social Work and Health Science, Faculty of Social Sciences and Technology Management, NTNU, Trondheim, NorwayBackground: Promoting physical activity is a public health priority in most industrial countries, and physical function is an important factor when taking into consideration older people’s self-care and health. Despite the increasing challenges associated with urbanization and the aging population, urban life appears to be positive in many ways for urban dwellers. However, the manner in which older people live in urban settings and how this influences their ability to take care of themselves should be considered important knowledge for health professionals and politicians to acquire. The aim of this study was to describe the lived experiences of self-care and features that may influence health and self-care among older urban home-dwelling individuals who are physically active.Methods: Ten subjects, three women and seven men, who were aged 65–82 years and identified to be physically active, were interviewed. The interviews were recorded, transcribed verbatim, and analyzed according to the descriptive phenomenological method devised by Giorgi.Results: Our findings showed beneficial self-care. The participants lived active everyday lives and were frequently physically active. They were part of a supportive, inclusive, and promoting fellowship, and they had the opportunity to travel. They utilized their competence and experienced making themselves useful. It was a privilege to be part of a family life as a husband, wife, parent, and/or a grandparent. They

  16. A longitudinal study of changes in asylum seekers ability regarding activities of daily living during their stay in the asylum center

    Morville, Anne-Le; Amris, Kirstine; Eklund, Mona;

    2015-01-01

    The aim was to assess change in activities of daily living (ADL) ability amongst asylum seekers and if there were any difference between tortured and non-torture following a 10 months post-arrival period, and if self-reported health and exposure to torture were factors related to change in ADL...... participated. ADL-ability was measured using Assessment of Motor and Process Skills and questionnaires about exposure to torture, self-reported mental health and pain. ADL motor and process measures, well-being and self-rated health declined from baseline to follow-up. Measures of pain and depression increased...

  17. Improving activities of daily living in danish centenarians--but only in women: A comparative study of two birth cohorts born in 1895 and 1905

    Engberg, Henriette; Christensen, Kaare; Andersen-Ranberg, Karen;

    2008-01-01

    BACKGROUND: The number of centenarians has increased rapidly since the 1950s. In Denmark, 42% more of the 1905 birth cohort made it to 100 years of age compared to the 1895 cohort. We tested whether this increased survival proportion has resulted in an increased disability level in the more recent......) and Physical Activities of Daily Living (PADLs) were assessed in both cohorts. RESULTS: The 1905 cohort displayed better self-reported ADLs than the 1895 cohort did. Stratified by gender, this apparent cohort advantage was due to women in the 1905 cohort performing significantly better than their female...

  18. Optical Control of Living Cells Electrical Activity by Conjugated Polymers.

    Martino, Nicola; Bossio, Caterina; Vaquero Morata, Susana; Lanzani, Guglielmo; Antognazza, Maria Rosa

    2016-01-28

    Hybrid interfaces between organic semiconductors and living tissues represent a new tool for in-vitro and in-vivo applications. In particular, conjugated polymers display several optimal properties as substrates for biological systems, such as good biocompatibility, excellent mechanical properties, cheap and easy processing technology, and possibility of deposition on light, thin and flexible substrates. These materials have been employed for cellular interfaces like neural probes, transistors for excitation and recording of neural activity, biosensors and actuators for drug release. Recent experiments have also demonstrated the possibility to use conjugated polymers for all-optical modulation of the electrical activity of cells. Several in-vitro study cases have been reported, including primary neuronal networks, astrocytes and secondary line cells. Moreover, signal photo-transduction mediated by organic polymers has been shown to restore light sensitivity in degenerated retinas, suggesting that these devices may be used for artificial retinal prosthesis in the future. All in all, light sensitive conjugated polymers represent a new approach for optical modulation of cellular activity. In this work, all the steps required to fabricate a bio-polymer interface for optical excitation of living cells are described. The function of the active interface is to transduce the light stimulus into a modulation of the cell membrane potential. As a study case, useful for in-vitro studies, a polythiophene thin film is used as the functional, light absorbing layer, and Human Embryonic Kidney (HEK-293) cells are employed as the biological component of the interface. Practical examples of successful control of the cell membrane potential upon stimulation with light pulses of different duration are provided. In particular, it is shown that both depolarizing and hyperpolarizing effects on the cell membrane can be achieved depending on the duration of the light stimulus. The reported

  19. Imaging proteolytic activity in live cells and animal models.

    Stefanie Galbán

    Full Text Available In addition to their degradative role in protein turnover, proteases play a key role as positive or negative regulators of signal transduction pathways and therefore their dysregulation contributes to many disease states. Regulatory roles of proteases include their hormone-like role in triggering G protein-coupled signaling (Protease-Activated-Receptors; their role in shedding of ligands such as EGF, Notch and Fas; and their role in signaling events that lead to apoptotic cell death. Dysregulated activation of apoptosis by the caspase family of proteases has been linked to diseases such as cancer, autoimmunity and inflammation. In an effort to better understand the role of proteases in health and disease, a luciferase biosensor is described which can quantitatively report proteolytic activity in live cells and mouse models. The biosensor, hereafter referred to as GloSensor Caspase 3/7 has a robust signal to noise (50-100 fold and dynamic range such that it can be used to screen for pharmacologically active compounds in high throughput campaigns as well as to study cell signaling in rare cell populations such as isolated cancer stem cells. The biosensor can also be used in the context of genetically engineered mouse models of human disease wherein conditional expression using the Cre/loxP technology can be implemented to investigate the role of a specific protease in living subjects. While the regulation of apoptosis by caspase's was used as an example in these studies, biosensors to study additional proteases involved in the regulation of normal and pathological cellular processes can be designed using the concepts presented herein.

  20. Theoretical Studies of Long Lived Plasma Structures

    Dvornikov, Maxim

    2010-01-01

    We construct the model of a long lived plasma structure based on spherically symmetric oscillations of electrons in plasma. Oscillations of electrons are studied in frames of both classical and quantum approaches. We obtain the density profile of electrons and the dispersion relations for these oscillations. The differences between classical and quantum approaches are discussed. Then we study the interaction between electrons participating in spherically symmetric oscillations. We find that this interaction can be attractive and electrons can form bound states. The applications of the obtained results to the theory of natural plasmoids are considered.

  1. Cognitive Activities and Instrumental Activity of Daily Living in Older Adults with Mild Cognitive Impairment

    Takehiko Doi

    2013-10-01

    Full Text Available Aims: This study aimed to identify differences in the implementation of cognitive activities and instrumental activities of daily living (IADLs between healthy individuals and subjects with mild cognitive impairment (MCI. Methods: The study included 2,498 cognitively healthy subjects (mean age, 71.2 ± 5.1 years and 809 MCI subjects (mean age, 71.8 ± 5.4 years. The subjects were interviewed regarding their participation in cognitive activities and the implementation of IADLs. Results: We found a significant association between participation in any cognitive activities (p Conclusions: Our study revealed that greater participation in cognitive activity was associated with lower odds of MCI. Participation in cognitive activities may reflect differences between healthy and MCI subjects. To clarify the causal relationship between cognitive activities and MCI, further studies are required.

  2. Poverty and impairment in activities of living among elderly Hispanics.

    Tran, T V; Williams, L F

    1998-01-01

    This study employed data from a prior national survey of elderly Hispanics to examine the relationship between poverty and functionally impaired status, i.e., impairment in activities of daily living (IADL). The sample for this study consists of 1,685 Hispanics age 65 and older, representing four ethnic groups: Mexicans, Cubans, Puerto Ricans, and other Hispanics. Ethnic comparisons based on personal characteristics, poverty status and IADL found there were differences among the groups analyzed in terms of marital status, language, religion, age, education, poverty, and IADL. Logistic regression findings revealed that elderly Hispanics who were married, bilingual, and had higher educational achievement were more likely to live above the poverty level than were their counterparts. Findings from an ordinary least squares regression analysis revealed that poor elderly Hispanics had more IADL problems; that men had more IADL problems than women; that IADL problems tended to increase with age; that more educated people had fewer IADL problems; that Cubans had fewer IADL problems than other Hispanics; and that Puerto Ricans had more IADL problems than all other Hispanics. Implications for social work practice are discussed.

  3. Physical Activity among Older People Living Alone in Shanghai, China

    Chen, Yu; While, Alison E; Hicks, Allan

    2015-01-01

    Objective: To investigate physical activity among older people living alone in Shanghai, People's Republic of China, and key factors contributing to their physical activity. Methods: A cross-sectional questionnaire survey was administered in nine communities in Shanghai, using a stratified random cluster sample: 521 community-dwelling older…

  4. Physical Activity among Older People Living Alone in Shanghai, China

    Chen, Yu; While, Alison E; Hicks, Allan

    2015-01-01

    Objective: To investigate physical activity among older people living alone in Shanghai, People's Republic of China, and key factors contributing to their physical activity. Methods: A cross-sectional questionnaire survey was administered in nine communities in Shanghai, using a stratified random cluster sample: 521 community-dwelling older people…

  5. Summarizing activity limitations in children with chronic illnesses living in the community: a measurement study of scales using supplemented interRAI items

    Phillips Charles D

    2012-01-01

    Full Text Available Abstract Background To test the validity and reliability of scales intended to measure activity limitations faced by children with chronic illnesses living in the community. The scales were based on information provided by caregivers to service program personnel almost exclusively trained as social workers. The items used to measure activity limitations were interRAI items supplemented so that they were more applicable to activity limitations in children with chronic illnesses. In addition, these analyses may shed light on the possibility of gathering functional information that can span the life course as well as spanning different care settings. Methods Analyses included testing the internal consistency, predictive, concurrent, discriminant and construct validity of two activity limitation scales. The scales were developed using assessment data gathered in the United States of America (USA from over 2,700 assessments of children aged 4 to 20 receiving Medicaid Early and Periodic Screening, Diagnostic and Treatment (EPSDT services, specifically Personal Care Services to assist children in overcoming activity limitations. The Medicaid program in the USA pays for health care services provided to children in low-income households. Data were collected in a single, large state in the southwestern USA in late 2008 and early 2009. A similar sample of children was assessed in 2010, and the analyses were replicated using this sample. Results The two scales exhibited excellent internal consistency. Evidence on the concurrent, predictive, discriminant, and construct validity of the proposed scales was strong. Quite importantly, scale scores were not correlated with (confounded with a child's developmental stage or age. The results for these scales and items were consistent across the two independent samples. Conclusions Unpaid caregivers, usually parents, can provide assessors lacking either medical or nursing training with reliable and valid information

  6. (Instrumental) Activities of Daily Living in Older Adults with Intellectual Disabilities

    Hilgenkamp, Thessa I. M.; van Wijck, Ruud; Evenhuis, Heleen M.

    2011-01-01

    Daily living skills are important to ageing adults with intellectual disabilities (ID). The purpose of this study was to investigate the level of these skills in older adults with ID and to investigate the influence of gender, age, level of ID and mobility on these skills. Daily living skills were measured with the Barthel Index (for Activities of…

  7. Differences in ability to perform activities of daily living among women with fibromyalgia

    von Bülow, Cecilie; Amris, Kirstine; la Cour, Karen

    2015-01-01

    OBJECTIVE: To investigate whether the Assessment of Motor and Process Skills (AMPS), the physical function subscales of the Fibromyalgia Impact Questionnaire (FIQ PF) and the 36-item Short Form (SF-36 PF) can identify subgroups of women with fibromyalgia with clinically relevant differences...... in ability to perform activities of daily living. DESIGN: Cross-sectional study. SUBJECTS: A total of 257 women with fibromyalgia. METHODS: Participants were evaluated with the AMPS (measuring activities of daily living motor and activities of daily living process ability), FIQ and SF-36. AMPS independence...

  8. Expatriate Compound Living: An Ethnographic Field Study

    Lauring, Jakob; Selmer, Jan

    2009-01-01

    ethnographic field-work methodology, including interviews and participant observation during a period of three months, this exploratory study investigated 16 Danish business expatriates of a large Danish corporation and their families living in the same compound in Saudi Arabia. They shared their spare time...... and the expatriates had the same working hours in the same subsidiary. Results show that a Danish national group was established and maintained. This in-group dominated life in the compound and at work it may have contributed to the perceptual bias and discriminatory behaviour demonstrated by the Danish expatriates......In certain countries, closed expatriate compounds have developed.  They serve to provide resident expatriates and accompanying family members with a comfortable and safe environment. Unfortunately, not much is known about compound life since associated empirical research is scarce. Through...

  9. Activities of daily living, instrumental activities for daily living and predictors of functional capacity of older men in Jamaica

    Paul Andrew Bourne

    2009-09-01

    Full Text Available Background: An extensive search of the literature found no studies that have examined functional capacity [Activities of Daily Living (ADL and Instrumental Activities for Daily Living (I ADL] of Jamaican older men as well as factors that determine their functional capacity. Aims: The current study examines 1 ADL, 2 (I ADL, 3 self-reported health status, 4 functional capacity, and 5 factors that determine functional capacity of older men. Methods and Method: Stratified multistage probability sampling technique was used to draw a sample of 2,000 55+ year men. A132-item questionnaire was used to collect the data. Descriptive statistics provide background information on the sample, cross tabulations were used to examine non-metric variables and logistic regression provides a model of predictors of functional capacity. Result: Fifty-five percent of sample indicated good current health status. Four percent was mostly satisfied with life; 21.7% had moderate dependence; 77.1% had high dependence (i.e. independence; 1.2% had low dependence; 21.9% were ages 75 years and older; 35.6% were ages 65 to 74 years and 42.6% reported ages 55 to 64 years. Functional capacity can be determined by church attendance (β=0.245; 95% CI: 0.264, 1.291; social support (β=0.129; 95% CI: 0.129, 0.258, area of residence (β=-0.060; 95% CI: -0.427, -0.061 and lastly by age of respondents. Conclusion: Ageing in explains deterioration in their (I ADL, suggesting the challenges of ageing men’s independence. More rural men were rarely satisfied with life; but more of them had a greater functional capacity than urban men. Depression was found to negatively relate to functional capacity, and church attendees had a greater functional status than non-attendees

  10. Fostering Activities of Daily Living by Intact Nursing Home Residents

    Blair, Charles E.; Glaister, Judy; Brown, Alston; Phillips, Carolyn

    2007-01-01

    We assessed effectiveness of four education programs in providing nursing assistants with ability to produce a therapeutic milieu supportive of intact residents' activities of daily living, positive self-esteem and mood: (1) a combination of Orem's Systems of Nursing Care and Skinner's Applied Behavioral Analysis, (2) Applied Behavioral Analysis,…

  11. Water activity in dry foods containing live probiotic bacteria should be carefully considered: a case study with Lactobacillus rhamnosus GG in flaxseed.

    Vesterlund, Satu; Salminen, Kari; Salminen, Seppo

    2012-07-02

    This study evaluated the effect of water activity on the long-term storage stability of the probiotic Lactobacillus rhamnosus GG (LGG) in a dry food matrix. Viability of LGG was further studied in a crushed flaxseed matrix - a new possible product matrix to deliver probiotics - as well as in reference matrices as maltodextrin. Three different water activities (a(w)=0.11, 0.22 and 0.43) were used, and preparations were stored at room temperature for up to 14months. The viability of LGG was less dependent on the matrix used, but strongly dependent on the water activity. Viability in flaxseed was lost rapidly with a(w) 0.43: with a(w) 0.22 the reduction was 2.4 log(10) units and with a(w) 0.11 the reduction of viability was only 0.29 log(10) units during the entire storage time. Taken together, regulating water activity to a low value may offer possibilities for extending the shelf life of dry probiotic products.

  12. Marshall Islands: a study of diet and living patterns

    Naidu, J. R.; Greenhouse, N. A.; Knight, G.; Craighead, E. C.

    1980-07-01

    This study summarizes information on diet and living patterns for the Marshallese. The data was derived from literature, answers to questionnaires, personal observations while living with the Marshallese for periods extending from months to years, and from direct participation in their activities. The results reflect the complex interactions of many influences, such as, the gathering of local foods the receipt of food aid through programs, such as, school-lunch, typhoon-relief, food distributed to populations displaced as a result of nuclear testing, and in recent times the availability of cash for the purchase of imported foods. The results identify these influences and are therefore restricted to local food diets while recognizing that the living patterns are changing as local food gathering is replaced by other food supplies. The data will therefore provide the necessary information for input into models that will assess the radiological impacts attributable to the inhabitation of the Marshall Islands. It is recommended that this study should be continued for at least two to three years in order to more accurately identify trends in local food consumption and living patterns.

  13. Happier People Live More Active Lives: Using Smartphones to Link Happiness and Physical Activity

    Lathia, Neal; Sandstrom, Gillian M.; Mascolo, Cecilia; Rentfrow, Peter J.

    2017-01-01

    Physical activity, both exercise and non-exercise, has far-reaching benefits to physical health. Although exercise has also been linked to psychological health (e.g., happiness), little research has examined physical activity more broadly, taking into account non-exercise activity as well as exercise. We examined the relationship between physical activity (measured broadly) and happiness using a smartphone application. This app has collected self-reports of happiness and physical activity from over ten thousand participants, while passively gathering information about physical activity from the accelerometers on users' phones. The findings reveal that individuals who are more physically active are happier. Further, individuals are happier in the moments when they are more physically active. These results emerged when assessing activity subjectively, via self-report, or objectively, via participants' smartphone accelerometers. Overall, this research suggests that not only exercise but also non-exercise physical activity is related to happiness. This research further demonstrates how smartphones can be used to collect large-scale data to examine psychological, behavioral, and health-related phenomena as they naturally occur in everyday life. PMID:28052069

  14. Making Health Easier: Active Living in Los Angeles, CA

    2013-03-05

    Childhood obesity now affects about one in six kids and disproportionately affects low-income and minority populations. This podcast highlights one preschool teacher who teaches kids about active living and is incorporating small, healthy changes that can be made in any classroom—like teaching fun dances and yoga classes.  Created: 3/5/2013 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 3/5/2013.

  15. A 10-year follow-up study on subjective well-being and relationships to person-environment (P-E) fit and activity of daily living (ADL) dependence of older Swedish adults.

    Werngren-Elgström, Monica; Carlsson, Gunilla; Iwarsson, Susanne

    2009-01-01

    In order to investigate how well-being and ill health is affected by the process of aging, the main aim was to investigate these self-perceived aspects of health over a 10-year period among older Swedish adults. The aim was also to study how these aspects correlated with objectively assessed functional limitations, use of mobility device, person-environment (P-E) fit (also denoted accessibility), problems in housing, and activity of daily living (ADL) dependence. Using the Swedish national po...

  16. Estimates of adherence and error analysis of physical activity data collected via accelerometry in a large study of free-living adults

    Baer David J

    2008-06-01

    Full Text Available Abstract Background Activity monitors (AM are small, electronic devices used to quantify the amount and intensity of physical activity (PA. Unfortunately, it has been demonstrated that data loss that occurs when AMs are not worn by subjects (removals during sleeping and waking hours tend to result in biased estimates of PA and total energy expenditure (TEE. No study has reported the degree of data loss in a large study of adults, and/or the degree to which the estimates of PA and TEE are affected. Also, no study in adults has proposed a methodology to minimize the effects of AM removals. Methods Adherence estimates were generated from a pool of 524 women and men that wore AMs for 13 – 15 consecutive days. To simulate the effect of data loss due to AM removal, a reference dataset was first compiled from a subset consisting of 35 highly adherent subjects (24 HR; minimum of 20 hrs/day for seven consecutive days. AM removals were then simulated during sleep and between one and ten waking hours using this 24 HR dataset. Differences in the mean values for PA and TEE between the 24 HR reference dataset and the different simulations were compared using paired t-tests and/or coefficients of variation. Results The estimated average adherence of the pool of 524 subjects was 15.8 ± 3.4 hrs/day for approximately 11.7 ± 2.0 days. Simulated data loss due to AM removals during sleeping hours in the 24 HR database (n = 35, resulted in biased estimates of PA (p Conclusion Although estimated adherence was good, measurements of PA can be improved by relatively simple imputation of missing AM data.

  17. Active Cellular Mechanics and Information Processing in the Living Cell

    Rao, M.

    2014-07-01

    I will present our recent work on the organization of signaling molecules on the surface of living cells. Using novel experimental and theoretical approaches we have found that many cell surface receptors are organized as dynamic clusters driven by active currents and stresses generated by the cortical cytoskeleton adjoining the cell surface. We have shown that this organization is optimal for both information processing and computation. In connecting active mechanics in the cell with information processing and computation, we bring together two of the seminal works of Alan Turing.

  18. Antiretroviral effect of lovastatin on HIV-1-infected individuals without highly active antiretroviral therapy (The LIVE study: a phase-II randomized clinical trial

    Montoya Carlos J

    2009-06-01

    Full Text Available Abstract Background Highly active antiretroviral therapy produces a significant decrease in HIV-1 replication and allows an increase in the CD4 T-cell count, leading to a decrease in the incidence of opportunistic infections and mortality. However, the cost, side effects and complexity of antiretroviral regimens have underscored the immediate need for additional therapeutic approaches. Statins exert pleiotropic effects through a variety of mechanisms, among which there are several immunoregulatory effects, related and unrelated to their cholesterol-lowering activity that can be useful to control HIV-1 infection. Methods/design Randomized, double-blinded, placebo controlled, single-center, phase-II clinical trial. One hundred and ten chronically HIV-1-infected patients, older than 18 years and naïve for antirretroviral therapy (i.e., without prior or current management with antiretroviral drugs will be enrolled at the outpatient services from the most important centres for health insurance care in Medellin-Colombia. The interventions will be lovastatin (40 mg/day, orally, for 12 months; 55 patients or placebo (55 patients. Our primary aim will be to determine the effect of lovastatin on viral replication. The secondary aim will be to determine the effect of lovastatin on CD4+ T-cell count in peripheral blood. As tertiary aims we will explore differences in CD8+ T-cell count, expression of activation markers (CD38 and HLA-DR on CD4 and CD8 T cells, cholesterol metabolism, LFA-1/ICAM-1 function, Rho GTPases function and clinical evolution between treated and not treated HIV-1-infected individuals. Discussion Preliminary descriptive studies have suggested that statins (lovastatin may have anti HIV-1 activity and that their administration is safe, with the potential effect of controlling HIV-1 replication in chronically infected individuals who had not received antiretroviral medications. Considering that there is limited clinical data available on

  19. Dynamic hyperinflation during activities of daily living in COPD patients.

    Silva, Cláudia S; Nogueira, Fabiana R; Porto, Elias F; Gazzotti, Mariana R; Nascimento, Oliver A; Camelier, Aquiles; Jardim, José R

    2015-08-01

    The objective of this study was to investigate whether some activities of daily living (ADLs) usually related to dyspnea sensation in patients with chronic obstructive pulmonary disease (COPD) are associated with dynamic lung hyperinflation (DH) and whether the use of simple energy conservation techniques (ECTs) might reduce this possible hyperinflation. Eighteen patients (mean age: 65.8 ± 9.8 years) with moderate-to-severe COPD performed six ADLs (walking on a treadmill, storing pots, walking 56 meters carrying a 5-kilogram weight, climbing stairs, simulating taking a shower, and putting on shoes) and had their inspiratory capacity (IC) measured before and after each task. The patients were moderately obstructed with forced expiratory volume in 1 second (FEV1): 1.4 ± 0.4 L (50% ± 12.4); FEV1/forced vital capacity: 0.4 ± 8.1; residual volume/total lung capacity: 52.7 ± 10.2, and a reduction in IC was seen after all six activities (p < 0.05): (1) going upstairs, 170 mL; (2) walking 56 meters carrying 5 kilogram weight, 150 mL; (3) walking on a treadmill without and with ECT, respectively, 230 mL and 235 mL; (4) storing pots without and with ECT, respectively, 170 mL and 128 mL; (5) taking a shower without and with ECT, respectively, 172 mL and 118 mL; and (6) putting on shoes without and with ECT, respectively, 210 mL and 78 mL). Patients with moderate to severe COPD develop DH after performing common ADLs involving the upper and lower limbs. Simple ECTs may avoid DH in some of these ADLs.

  20. Study on data acquisition system for living environmental information for biofication of living spaces

    Shimoyama, Norihisa; Mita, Akira

    2008-03-01

    In Japan's rapidly aging society, the number of elderly people living alone increases every year. Theses elderly people require more and more to maintain as independent a life as possible in their own homes. It is necessary to make living spaces that assist in providing safe and comfortable lives. "Biofication of Living Spaces" is proposed with the concept of creating save and pleasant living environments. It implies learning from biological systems, and applying to living spaces features such as high adaptability and excellent tolerance to environmental changes. As a first step towards realizing "Biofied Spaces", a system for acquisition and storing information must be developed. This system is similar to the five human senses. The information acquired includes environmental information such as temperature, human behavior, psychological state and location of furniture. This study addresses human behavior as it is the most important factor in design of a living space. In the present study, pyroelectric infrared sensors were chosen for human behavior recognition. The pyroelectric infrared sensor is advantageous in that it has no limitation on the number of sensors put in a single space because sensors do not interfere with each other. Wavelet analysis was applied to the output time histories of the pyroelectric infrared sensors. The system successfully classified walking patterns with 99.5% accuracy of walking direction (from right or left) and 85.7% accuracy of distance for 440 patterns pre-learned and an accuracy of over 80% accuracy of walking direction for 720 non-learned patterns.

  1. A STUDY ON DISABILITIES AMONGST THE ELDERLY IN THE URBAN AND RURAL AREAS IN THE KAMRUP DISTRICT, ASSAM BASED ON THE ACTIVITIES OF DAILY LIVING (ADL AND FUNCTIONAL LIMITATIONS

    Jhankar

    2014-06-01

    Full Text Available INTRODUCTION: Health problems are a major concern for the elderly and they are prone to diseases and disabilities more than the younger age groups which can make them physically and economically dependent. The increasing number of elderly in the country means that they are going to make contributions to the economy. Elderly persons, being one of the most vulnerable groups of the society have more chances of chronic disease, infections, as well as disabilities. Disability has been defined as a restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being.[1] It reflects how well an individual is able to function in general areas of life. Disability in elderly can be grouped in three large groups. First - who can manage in their daily activities with the help of mechanical devices. Second - who have multiple health problems and severe limitations in mental and/or physical functioning who require very intensive levels of care. Third-in between above two groups, they are functionally disabled in one or two ADLs, or have mild cognitive impairments.[2] OBJECTIVE OF THE STUDY: 1. To assess disability related to Activities of Daily Living(ADL amongst the elderly in the urban and rural area. 2. To determine the use of physical aids by the elderly in both the urban and rural areas. MATERIAL AND METHODS: This community-based cross-sectional study was conducted among persons aged 60 years and above, in urban and rural areas in the Kamrup district, Assam. In the study, 400 no.s of elderly are under study of which 200 are from the urban area and 200 from the rural areas. The urban area is from the Guwahati city which consists of 60 municipalty blocks. Out of the sixty municipalty blocks, 10 no.s of blocks are randomly selected and 20 elderly are chosen from each block totaling a mark of 200.The kamrup rural area of Rani Community Development block is choosen from where 20 no.s of villages are

  2. Evaluation of Daily Living Activities of the Individuals with Osteoarthritis

    Kenan Gümüş

    2014-12-01

    Full Text Available Objective: Osteoarthritis (OA is one of the most commonly seen joint diseases and chronic diseases. This research was conducted in order to evaluate daily living activities of the individuals who were diagnosed as OA. Materials and Methods: It is a descriptive research in which 200 individuals who were diagnosed as OA participated. A questionnaire form including personal descriptive information and patient’s knowledge about the disease, Activities of Daily Living Scale (ADLs and Instrumental Activities of Daily Living Scale (IADLs were used as data collection tools. Data were statistically analyzed with descriptive statistics (numbers, means, standard deviation, median, percentages, Kolmogorov-Smirnov Test, Shapiro-Wilk Test, Kruskal-Wallis Variance Analysis, MannWhitney U Test, Cronbach’s Alpha Coefficient and Spearman’s Correlation Analysis. Results: 95.0% and 71.0% of the individuals told that they were independent while performing ADLs and IADLs, respectively. It was found that individuals who were female, at 77-89 years old, single, illiterate, housewife, had a low income level, had the disease for more than 15 years, had joint deformity and with an accompanying disease with OA or had an idea that OA affected ADLs had lower ADLs score than other groups (p<0.05. Individuals who were single, at 77-89 years old, illiterate, had joint deformity or who defined that OA affected ADLs and who received help while performing ADLs had lower ADLs score than other groups (p<0.05. Conclusions: It was concluded that individuals with OA should be helped, they should be supported in OA adaptation and the negative effects of the disease should be controlled. (Turkish Journal of Osteoporosis 2014;20: 117-24

  3. Moving Real Exergaming Engines on the Web: The webFitForAll case study in an active and healthy ageing living lab environment.

    Konstantinidis, Evdokimos; Bamparopoulos, Giorgos; Bamidis, Panagiotis

    2016-04-27

    Exergames have been the subject of research and technology innovations for a number of years. Different devices and technologies have been utilized to train the body and the mind of senior people or different patient groups. In the past we presented FitForAll, the protocol efficacy of which was proven through widely taken (controlled) pilots with more than 116 seniors for a period of two months. The current piece of work, expands this and, presents the first truly web exergaming platform, which is solely based on HTML5 and JavaScript without any browser plugin requirements. The adopted architecture (CAC-framework) combines a unified solution for input devices such as MS Kinect and Wii Balance Βoard which may seamlessly be exploited through standard physical exercise protocols (American College of Sports Medicine guidelines) and accommodate high detail logging; this allows for proper pilot testing and usability evaluations in ecologically valid Living Lab environments. The latter type of setups is also used herein for evaluating the web application with more than a dozen of real elderly users following quantitative approaches.

  4. Sensory integration and activities of daily living in children with developmental coordination disorder

    Elbasan Bülent

    2012-07-01

    Full Text Available Abstract Objective The aim of our study was to evaluate sensory integration and activities of daily living in children with developmental coordination disorder Subjects and methods 37 cases with developmental coordination disorder and 35 healthy age-matched peers were included in this study. Ayres Southern California Sensory Integration Test was used for evaluating the sensory integration and Functional Independence Measure for Children (WeeFIM was used for evaluating the activities of daily living. Results Significant differences were found in the visual shape perception, position in space, and design copying (p p p p p = 0.002 between the groups. Discussion Special education and rehabilitation programs including sensory integration therapy and motor performance will increase independence in the activities of daily living in children with developmental coordination disorder.

  5. Effectiveness of interventions influencing activities of daily living on visually impaired patients: a systematic review.

    Poot, E.; Mistiaen, P.; Hickox, S.; Wagner, C.

    2003-01-01

    Visually impaired patients have difficulty in performing the activities of daily living (ADL). For example, one study found that 21% of the participants had trouble with dressing or undressing, 25 % with mobility at home, and 31 % with eating and drinking. Another study showed that 27,5% experience

  6. Relationship between cognitive status and activities of daily living among the elderly of nursing homes

    Heiman Nazari

    2015-03-01

    Full Text Available In recent years, increased life expectancy has caused the emergence of aging phenomenon in Iran. This study was conducted on 79 elderly in nursing homes. Data were collected by the demographic questionnaire, Abbreviated Mental Test Score (AMTs and Barthel Activities of Daily Living (ADL Index. The mean score of AMT was 4.06 (SD: 3.05 and the mean of Barthel Index was 66.15 (SD: 33.27. Results indicated a significantly positive correlation between cognitive status and activities of daily living (P=0.001, r=0.354. Accordingly, cognitive status can be a good predictor of functional independence in activities of daily living for the elderly.

  7. Using cadence to study free-living ambulatory behaviour.

    Tudor-Locke, Catrine; Rowe, David A

    2012-05-01

    The health benefits of a physically active lifestyle across a person's lifespan have been established. If there is any single physical activity behaviour that we should measure well and promote effectively, it is ambulatory activity and, more specifically, walking. Since public health physical activity guidelines include statements related to intensity of activity, it follows that we need to measure and promote free-living patterns of ambulatory activity that are congruent with this intent. The purpose of this review article is to present and summarize the potential for using cadence (steps/minute) to represent such behavioural patterns of ambulatory activity in free-living. Cadence is one of the spatio-temporal parameters of gait or walking speed. It is typically assessed using short-distance walks in clinical research and practice, but free-living cadence can be captured with a number of commercially available accelerometers that possess time-stamping technology. This presents a unique opportunity to use the same metric to communicate both ambulatory performance (assessed under testing conditions) and behaviour (assessed in the real world). Ranges for normal walking cadence assessed under laboratory conditions are 96-138 steps/minute for women and 81-135 steps/minute for men across their lifespan. The correlation between mean cadence and intensity (assessed with indirect calorimetry and expressed as metabolic equivalents [METs]) based on five treadmill/overground walking studies, is r = 0.93 and 100 steps/minute is considered to be a reasonable heuristic value indicative of walking at least at absolutely-defined moderate intensity (i.e. minimally, 3 METs) in adults. The weighted mean cadence derived from eight studies that have observed pedestrian cadence under natural conditions was 115.2 steps/minute, demonstrating that achieving 100 steps/minute is realistic in specific settings that occur in real life. However, accelerometer data collected in a large

  8. The combined effect of neuropsychological and neuropathological deficits on instrumental activities of daily living in older adults: A systematic review

    Overdorp, E.J.; Kessels, R.P.C.; Claassen, J.A.H.R.; Oosterman, J.M.

    2016-01-01

    To date, studies have consistently demonstrated associations between either neuropsychological deficits or neuroanatomical changes and instrumental activities of daily living (IADL) in aging. Only a limited number of studies have evaluated morphological brain changes and neuropsychological test perf

  9. The Combined Effect of Neuropsychological and Neuropathological Deficits on Instrumental Activities of Daily Living in Older Adults: a Systematic Review

    Overdorp, E.J.; Kessels, R.P.C.; Claassen, J.A.; Oosterman, J.M.

    2016-01-01

    To date, studies have consistently demonstrated associations between either neuropsychological deficits or neuroanatomical changes and instrumental activities of daily living (IADL) in aging. Only a limited number of studies have evaluated morphological brain changes and neuropsychological test perf

  10. Disability, Activities of Daily Living and Self Efficacy in Dialysis Patients

    Mukadder Mollaoglu

    2011-04-01

    Full Text Available Purpose: The purpose of this study is to assess patients’ disability, activities of daily living and self-efficacy patients undergoing hemodialysis (HD and continuos ambulatory peritoneal dialysis (CAPD, to examine the relationship between them. Material and Methods: This study was carried with 152 patients as sample group. In this study, three instruments were used: Personal Information Form, Brief Disability Questionnaire, Katz\\'s Activity\\'s of Daily Living Index and Lawton and Brody\\'s Instrumental Activities of Daily Living Index and Self-efficacy Assessment Form. Data collected from the study was analyzed using percent, mean, Tukey test, significance test of two means, One-way variant analysis and Kruskal-Wallis test. Results: The study results demonstrate that while there is a correlation between self-care ability and age, education level, marital status and additional health problems, factors such as age, gender, education level, work status, income level, social insurance status and frequency of hemodialysis application determine self-efficacy. Furthermore, a negative correlation was found between patients’ disability and activities of daily living , self-efficacy. It was determined that as the level of disability increases self-efficiacy level decreases. Conclusions: Dialysis application affects patients’ disability, activities of daily living and self-efficacy levels. In view of this study’s results, it is recommended to organize education programs to increase self-efficacy levels of dialysis patients and prepare comprehensive plans including patients’ families. [TAF Prev Med Bull 2011; 10(2.000: 181-186

  11. Engaging Youth in Learning about Healthful Eating and Active Living: An Evaluation of Educational Theater Programs

    Cheadle, Allen; Cahill, Carol; Schwartz, Pamela M.; Edmiston, John; Johnson, Sarah; Davis, Larry; Robbins, Curtis

    2012-01-01

    Objective: To compare knowledge gains and knowledge retention of healthful eating and active living behaviors in elementary school children participating in Educational Theatre Programs (ETP). Methods: The study sample included 47 schools (2,915 third- or fourth-grade students) in 8 Kaiser Permanente regions. Children's knowledge of 4 healthful…

  12. Early Prediction of Outcome of Activities of Daily Living After Stroke A Systematic Review

    Veerbeek, Janne M.; Kwakkel, Gert; van Wegen, Erwin E. H.; Ket, Johannes C. F.; Heymans, Martijn W.

    2011-01-01

    Background and Purpose-Knowledge about robust and unbiased factors that predict outcome of activities of daily living (ADL) is paramount in stroke management. This review investigates the methodological quality of prognostic studies in the early poststroke phase for final ADL to identify variables t

  13. A STUDY OF PEOPLE LIVING WITH HIV-AIDS [PLHA] ON FIRST LINE HIGHLY ACTIVE ANTIRETROVIRAL THERAPY [HAART] WITH IMMUNOLOGICAL FAILURE

    Natarajan Kandasamy

    2016-07-01

    Full Text Available BACKGROUND Follow-up of patients with First line antiretroviral therapy, Cluster Differentiation (CD4 counts are done every 6 months. Viral load is not possible in resource poor settings like India. Non-Governmental Organisation (NGO’s, Human Immunodeficiency Virus (HIV treating physicians and international guidelines recommend viral load as the follow-up method for first line failure, so to study the impact of national program with immunological criteria and its sensitivity to identify virological failure is needed at this juncture. METHODS A total of 170 patients from northern districts of Tamilnadu referred to Government Hospital for Thoracic Medicine (GHTMTambaram Sanatorium State AIDS Clinical Expert Panel (SACEP committee with suspected first line ART failure were included in the study [after fulfilling the inclusion and exclusion criteria]. Viral load done for these patients were compared with Immunological criteria for concordance or discordance. RESULTS In our study we conclude that Virological discordance was noted in 51% of all cases. CD4 falling greater than 50% of on treatment peak value has the highest sensitivity to detect virological failure. The ODD’s ratio for immunological criteria CD4 falling more than 50% was three times more than other criteria with significant P-value 0.002. Immunological criteria CD4 persistently below 100 had highest specificity. CONCLUSION Immunological criteria CD4 falling more than 50% had highest sensitivity. 2. Immunological criteria CD4 persistently below 100 had had highest specificity. 3. The ODD’s ratio for immunological criteria CD4 falling more than 50% of on treatment peak value was three times more than other criteria with significant P-value 0.002. 4. Immunological and virological discordance was 51% of all cases. 5. Differences in age and duration of ART was not associated with virological failure between males and females. 6. An economical lab test with low cost to detect the viral

  14. Activities of daily living and lesion position among multiple sclerosis patients by Bayes network

    Zhifang Pan; Hongtao Lu; Qi Cheng

    2013-01-01

    Magnetic resonance imaging is a highly sensitive approach for diagnosis of multiple sclerosis, and T2-weighted images can reveal lesions in the cerebral white matter, gray matter, and spinal cord. However, the lesions have a poor correlation with measurable clinical disability. In this study, we performed a large-scale epidemiological survey of 238 patients with multiple sclerosis in eleven districts by network member hospitals in Shanghai, China within 1 year. The involved patients were scanned for position and size of lesions by MRI. Results showed that lesions in the cerebrum, spinal cord, or supratentorial position had an impact on the activities of daily living in multiple sclerosis patients, as assessed by the Bayes network. On the other hand, brainstem lesions were very unlikely to influence the activities of daily living, and were not associated with the position of lesion, patient's gender, and patient's living place.

  15. Physical fitness is predictive for a decline in the ability to perform instrumental activities of daily living in older adults with intellectual disabilities : Results of the HA-ID study

    Oppewal, Alyt; Hilgenkamp, Thessa I. M.; van Wijck, Ruud; Schoufour, Josje D.; Evenhuis, Heleen M.

    2015-01-01

    The ability to perform instrumental activities of daily living (IADL) is important for one's level of independence. A high incidence of limitations in IADL is seen in older adults with intellectual disabilities (ID), which is an important determinant for the amount of support one needs. The aim of t

  16. A Two-Generation Study of Body Mass Index, Energy Balance and Specific Physical Activity of College Students and Their Respective Parents Living in the Same Household at Los Angeles, California, U.S.A.

    Liang, Ying; Lee, Judy; Tam, Chick F.; Bridges, Elizabeth; Keating, Xiaofen D.

    2007-01-01

    The purpose was to compare the differences in body mass index (BMI), energy balance (EB) and specific physical activity (SPA) between 30 CSULA college students (Y) and their respective parents (O) living in the same household at Los Angeles, California, U.S.A. Each student completed a 24-hour dietary record with SPA journal, and the same for…

  17. Rising Price of Opioid OD Antidote Could Cost Lives: Study

    ... fullstory_162410.html Rising Price of Opioid OD Antidote Could Cost Lives: Study Investigators identify strategies for ... called attention to skyrocketing prices for the lifesaving antidote, noting: Hospira (a Pfizer Inc. company) charges $142 ...

  18. New Lives: Some Case Studies in Minamata.

    Tsurumi, Kazuko

    Three case studies of young Japanese adults who fell ill with Minamata disease (a form of methyl-mercury poisoning) are presented and the adjustment of the individuals to the disease is analyzed in terms of a model of creativity. The model distinguishes three types of creativity: identificational (in which one identifies with old ideas and…

  19. Health smart home for elders - a tool for automatic recognition of activities of daily living.

    Le, Xuan Hoa Binh; Di Mascolo, Maria; Gouin, Alexia; Noury, Norbert

    2008-01-01

    Elders live preferently in their own home, but with aging comes the loss of autonomy and associated risks. In order to help them live longer in safe conditions, we need a tool to automatically detect their loss of autonomy by assessing the degree of performance of activities of daily living. This article presents an approach enabling the activities recognition of an elder living alone in a home equipped with noninvasive sensors.

  20. Both deterioration and improvement in activities of daily living are related to falls: a 6-year follow-up of the general elderly population study Good Aging in Skåne

    Stenhagen M

    2014-10-01

    Full Text Available Magnus Stenhagen, Henrik Ekström, Eva Nordell, Sölve Elmståhl Department of Health Sciences, Division of Geriatric Medicine, Lund University, Skåne University Hospital, Malmö, Sweden Objectives: To determine the relationship between long-term change in activities of daily living (ADL and falls in the elderly and to identify characteristics of groups at risk for falls.Methods: This was a 6-year, prospective cohort study using data from the Good Aging in Skåne study in southern Sweden, involving 1,540 elderly subjects, including the oldest-old (age, 60–93 years. The subjects were recruited from the general population. ADL was measured at a baseline and follow-up assessment, using Sonn and Åsberg’s revised scale and the ADL staircase. Falls were recorded in a period of 6 months before the follow-up assessment. The association between falls and change in ADL was calculated using adjusted, multiple logistic regression analysis and presented in odds ratios (ORs.Results: Thirteen percent of the study population reported one or several falls in the measured period. Over the course of 6 years, one in four participants changed their ADL status, and parts of this category had an increased risk for falls compared with those who stayed independent in ADL or who had no change in the ADL staircase. Groups with different characteristics had a prominent risk for falls: those with a reduction of two to eight steps in the ADL staircase (OR, 4.05; 95% confidence interval [CI], 1.62–10.11 and those becoming independent from dependency in instrumental ADL (OR, 4.13; 95% CI, 1.89–9.00. The former group had advanced age with a greater burden of cognitive impairment, gait disability, arrhythmia, and fall risk medications. The latter group had a higher prevalence of ischemic heart disease and low walking speed. Conclusion: Both deterioration and improvement in ADL over the course of 6 years increased the risk for falls in a general elderly population

  1. Disability in instrumental activities of daily living among older adults: gender differences

    Alexandre, Tiago da Silva; Corona, Ligiana Pires; Nunes, Daniella Pires; Santos, Jair Lício Ferreira; Duarte, Yeda Aparecida de Oliveira; Lebrão, Maria Lúcia

    2014-01-01

    OBJECTIVE To analyze gender differences in the incidence and determinants of disability regarding instrumental activities of daily living among older adults. METHODS The data were extracted from the Saúde, Bem-Estar e Envelhecimento (SABE – Health, Wellbeing and Ageing) study. In 2000, 1,034 older adults without difficulty in regarding instrumental activities of daily living were selected. The following characteristics were evaluated at the baseline: sociodemographic and behavioral variables, health status, falls, fractures, hospitalizations, depressive symptoms, cognition, strength, mobility, balance and perception of vision and hearing. Instrumental activities of daily living such as shopping and managing own money and medication, using transportation and using the telephone were reassessed in 2006, with incident cases of disability considered as the outcome. RESULTS The incidence density of disability in instrumental activities of daily living was 44.7/1,000 person/years for women and 25.2/1,000 person/years for men. The incidence rate ratio between women and men was 1.77 (95%CI 1.75;1.80). After controlling for socioeconomic status and clinical conditions, the incidence rate ratio was 1.81 (95%CI 1.77;1.84), demonstrating that women with chronic disease and greater social vulnerability have a greater incidence density of disability in instrumental activities of daily living. The following were determinants of the incidence of disability: age ≥ 80 and worse perception of hearing in both genders; stroke in men; and being aged 70 to 79 in women. Better cognitive performance was a protective factor in both genders and better balance was a protective factor in women. CONCLUSIONS The higher incidence density of disability in older women remained even after controlling for adverse social and clinical conditions. In addition to age, poorer cognitive performance and conditions that adversely affect communication disable both genders. Acute events, such as a stroke

  2. Identification and super-resolution imaging of ligand-activated receptor dimers in live cells

    Winckler, Pascale; Giannone, Gregory; De Giorgi, Francesca; Ichas, François; Sibarita, Jean-Baptiste; Lounis, Brahim; Cognet, Laurent

    2013-01-01

    Molecular interactions are key to many chemical and biological processes like protein function. In many signaling processes they occur in sub-cellular areas displaying nanoscale organizations and involving molecular assemblies. The nanometric dimensions and the dynamic nature of the interactions make their investigations complex in live cells. While super-resolution fluorescence microscopies offer live-cell molecular imaging with sub-wavelength resolutions, they lack specificity for distinguishing interacting molecule populations. Here we combine super-resolution microscopy and single-molecule F\\"orster Resonance Energy Transfer (FRET) to identify dimers of receptors induced by ligand binding and provide super-resolved images of their membrane distribution in live cells. By developing a two-color universal-Point-Accumulation-In-the-Nanoscale-Topography (uPAINT) method, dimers of epidermal growth factor receptors (EGFR) activated by EGF are studied at ultra-high densities, revealing preferential cell-edge sub-...

  3. Cognitive Functioning and Walking Speed in Older Adults as Predictors of Limitations in Self-Reported Instrumental Activity of Daily Living: Prospective Findings from the Obu Study of Health Promotion for the Elderly

    Hyuma Makizako

    2015-03-01

    Full Text Available Our aim was to determine whether baseline measures of cognitive functioning, walking speed, and depressive status are independent predictors of limitations in instrumental activities of daily living (IADL in older adults. The cross-sectional study involved 1329 community-dwelling adults, aged 75 years or older. At baseline, the Mini-Mental State Examination (MMSE, Symbol Digit Substitution Test (SDST, Geriatric Depressive Scale (GDS, and a word list memory task were completed, and self-reported IADLs and walking speed were recorded. The longitudinal study involved 948 participants without baseline IADL limitation, which was assessed at baseline and 15-month follow up, using the three Kihon Checklist subitems. In cross-sectional analyses, participants with IADL limitation demonstrated greater GDS scores, slower walking speeds, and lower MMSE, word list memory task, and SDST (only for women scores relative to those without IADL limitation. In the longitudinal analyses, baseline walking speed (men: OR 0.98; women: OR 0.97, p < 0.05 and word list memory task scores (men: OR 0.84; women: OR 0.83, p < 0.05 in both sexes and SDST scores in women (OR 0.96, p = 0.04 were independent predictors of subsequent IADL limitation. Walking speed, memory, and processing speed may be independent predictors of IADL limitation in older adults.

  4. Assessment of adherence to highly active antiretroviral therapy and associated factors among people living with HIV at Debrebrihan Referral Hospital and Health Center, Northeast Ethiopia: a cross-sectional study

    Ketema AK

    2015-03-01

    Full Text Available Abush Kebede Ketema,1 Zewdu Shewangizaw Weret21Regional Monitoring and Evaluation Advisor, Management Sciences for Health, Addis Ababa, Ethiopia; 2College of Medicine and Health Sciences, Arbaminch University, Arbaminch, EthiopiaAbstract: Patient adherence to antiretroviral combination therapy is a critical component to successful treatment outcome. Nonadherence to antiretroviral therapy (ART is a major challenge to AIDS care, and the risks associated with it are extensive. The intention of this study was to determine prevalence and associated factors with adherence to highly active ART among people living with HIV/AIDS (PLWHA at the Debrebrihan Referral Hospital and Health Center, Northeast Ethiopia. A cross-sectional study design with systematic random sampling conducted by the use of a structured, pretested self-rating adherence questionnaire was used to conduct the study among 422 respondents from the Debrebrihan Referral Hospital and Health Center. A single population proportion formula at 95% CI with 5% of marginal error at 50% of prevalence of occurrence was used to determine sample size. Adherence was defined as not missing a single ART dose during the 30-day period prior to filling out the self-report. Adherence was measured by self-reports by the patients. These results were then used in binary logistic regression analysis. Covariates were analyzed by bivariate and multivariate logistic regression with SPSS statistical software. The total number of respondents in this study was 422; their median age was 35 years. Among the participants, 95.5% were taking their medication without missing a dose. Factors such as having emotional or practical support positively encouraged ART adherence (adjusted odds ratio 0.16 [95% CI 0.05–0.49]. However, users of traditional, complementary, and alternative medicine (TCAM (adjusted odds ratio 4.7 [95% CI 1.06–21.22] had nearly a five times higher risk for ART nonadherence (P<0.05 than those not using

  5. Influence of peripheral arterial disease on daily living activities in elderly women.

    Cucato, Gabriel Grizzo; Ritti-Dias, Raphael Mendes; Franco, Fábio Gazelato de Mello; de Mattos, Luciana Diniz Nagem Janot; Cendoroglo, Maysa Seabra; Wolosker, Nelson; Nasri, Fábio; Costa, Maria Luiza Monteiro; de Carvalho, José Antônio Maluf

    2016-06-01

    Aging has been associated with decreases in physical and cognitive functions. Peripheral artery disease (PAD) has been associated with further impairments in these functions, especially in women. However, no detailed information is available indicating whether PAD leads to further impairment in these functions in elderly women. Thus, the aims of this study were 1) to compare the capacity to perform daily living activities between elderly women with and without PAD and 2) to identify the factors related with the performance in daily activities. Twenty-seven elderly women with PAD and 22 elderly non-PAD women were surveyed in a geriatric hospital. Women aged ≥65 years and with no signal of dementia were included. PAD was identified by the ankle-brachial index ≤0.90, whereas elderly non-PAD women presented ankle-brachial index >1.0. Patients were interviewed to obtain information regarding basic (Katz questionnaire) and instrumental daily living activities (Lawton-Brody scale) and performed the mini-mental state examination, handgrip strength test, and timed up and go tests. PAD and non-PAD women had similar age, clinical characteristics, handgrip strength test, and cognitive function (P > 0.05). The capacity to perform basic and instrumental daily living activities was similar between PAD and non-PAD women (P > 0.05). In PAD and non-PAD, the instrumental daily living activities were significantly correlated with cognitive function (r = 0.44, P elderly women present similar capacity to perform basic and instrumental daily activities than non-PAD women. In addition, in both groups, the capacity to perform instrumental daily activities was related with cognitive function.

  6. SALSA: SAving Lives Staying Active to Promote Physical Activity and Healthy Eating

    Rebecca E. Lee

    2011-01-01

    Full Text Available Physical inactivity, poor dietary habits, and obesity are vexing problems among minorities. SAving Lives, Staying Active (SALSA was an 8-week randomized controlled crossover design, pilot study to promote regular physical activity (PA and fruit and vegetable (FV consumption as a means to preventing weight gain among women of color. Participants completed measures of demographics, PA, and dietary habits. Women (=50;=42 years who participated were overweight (BMI=29.7 kg/m2; bodyfat=38.5% and reported low levels of leisure time PA (=10.7 MET-min/wk and FV consumption (=4.2 servings/day. All were randomized to a four-week (1 semiweekly Latin dance group or (2 internet-based dietary education group. All participants reported a significant increase in weekly leisure time PA from baseline (=10.7 MET-min/wk to follow up (=34.0 MET-min/wk, <.001, and FV consumption increased over time by group (=.02. Data suggest that Latin dance interventions to improve PA and web-based interventions to improve dietary habits show promise for improving health among women of color.

  7. Environmental Stressors: The Mental Health Impacts of Living Near Industrial Activity*

    Downey, Liam; VAN WILLIGEN, MARIEKE

    2005-01-01

    A growing literature examines whether the poor, the working class, and people of color are disproportionately likely to live in environmentally hazardous neighborhoods. This literature assumes that environmental characteristics such as industrial pollution and hazardous waste are detrimental to human health, an assumption that has not been well tested. Drawing upon the sociology of mental health and environmental inequality studies, we ask whether industrial activity has an impact on psycholo...

  8. Prevalence of headache and its interference in the activities of daily living in female adolescent students

    Alaine Souza Lima; Rodrigo Cappato de Araújo; Gomes, Mayra Ruana de A.; Ludmila Remígio de Almeida; Souza, Gabriely Feitosa F. de; Samara Barreto Cunha; Pitangui, Ana Carolina R.

    2014-01-01

    OBJECTIVE: To describe the prevalence of headache and its interference in the activities of daily living (ADL) in female adolescent students. METHODS: This descriptive cross-sectional study enrolled 228 female adolescents from a public school in the city of Petrolina, Pernambuco, Northeast Brazil, aged ten to 19 years. A self-administered structured questionnaire about socio-demographic characteristics, occurrence of headache and its characteristics was employed. Headaches were classified acc...

  9. 居住环境内儿童活动空间的设计研究%Study on the Design of Children's Activity Space in the Living Environment

    孙语聪; 孙丽丽; 杨洪雁

    2016-01-01

    Children activity space is a very important part of modern children’s growth environment, lively is the nature of children, space diversity is the inevitable requirement to realize the healthy growth of children. Therefore, a good indoor activity space in the living environment is indispensable for children. How to ensure the children’s safety in the process of indoor activities, and fully meet the needs of children’s physical and mental aspects has become the key consideration elements of the living environment design and planning. This article will expand the analysis and discussion for the environment and living space for children in the design of this issue.%儿童活动空间是现代儿童成长环境中十分重要的一个组成部分,活泼好动是儿童的天性之一,因此空间的多样性是儿童实现健康成长的必然要求。因此,在居住环境中良好的室内活动空间对于儿童来说是不可或缺的。而如何能够保证儿童在室内活动过程中的安全性,并充分满足儿童身心方面的需求,也成为了居住环境设计与规划中要重点考量的要素,本文针对居住环境及儿童活动空间的设计这一问题展开分析与探讨。

  10. Relationship between perinatal characteristics and later activities of daily living in Chinese elderly people

    XU Tao; ZHANG Zhen-xin; HAN Shao-mei; XIAO Xin-hua; GONG Xiao-ming; CHEN Xia; HU Hong-tao; WANG Zi-shi; LIU Ai-min

    2009-01-01

    Background There are no reports on the association between perinatal characteristics and comprehensive physical function in Chinese elderly people. In this study, we traced 875 subjects who were born at the Peking Union Medical College Hospital (PUMCH) of China from 1921 to 1941. The purpose of this study was to determine the effects of perinatal characteristics on activities of daily living (ADL) function in the geriatric period. Methods Birth data of 875 subjects were obtained from obstetric birth records of PUMCH. Adulthood data collection was conducted in the outpatient clinics of PUMCH. During the clinic visits, trained research staff administered physical examinations, activities of daily living scale and a demographic questionnaire. ADLs of all subjects were assessed with the activities of daily living scale.Results There were 101 subjects whose ADL function was limited and the rate of ADL limitation was 11.5%. Binary logistic regression analyses results showed that the main influencing factors of ADL were age, maternal age at birth, occupation, daily exercise and chronic disease. Subjects whose maternal age at their birth exceeded 35 years were at 2.202 times (1.188-4.083) greater risk of ADL limitation when we applied multivariate logistic regression models. Conclusions This study validated the relationship between perinatal characteristics and ADL in the geriatric period. An older maternal age at birth could predict a higher ADL limitation rate in the geriatric period.

  11. Relationships between event-related potentials (P300) and activities of daily living in Parkinson's disease.

    Maeshima, Shinichiro; Itakura, Toru; Komai, Norihiko; Matsumoto, Tomoko; Ueyoshi, Akitaka

    2002-01-01

    The correlation between event-related potentials (P300) and activities of daily living was studied in Parkinson's disease. The P300 of 30 patients with Parkinson's disease and 118 normal subjects were recorded. All patients were evaluated by the Mini-Mental State, Kana-hiroi Test, word fluency, Raven's Coloured Progressive Matrices, Osaka Memory Scale, revised Wechsler Adult Intelligence Scale, self-rating depression scale, state-trait anxiety inventory, and Functional Independence Measure. Eight patients showed prolonged P300 latencies. P300 latency showed relationships to the Mini-Mental State (p Raven's Coloured Progressive Matrices (p < 0.01) and motor items of the Functional Independence Measure (p < 0.05). It was concluded that P300 should be useful in predicting difficulties with activities of daily living in patients with Parkinson's disease.

  12. Environmental stressors: the mental health impacts of living near industrial activity.

    Downey, Liam; Van Willigen, Marieke

    2005-09-01

    A growing literature examines whether the poor, the working class, and people of color are disproportionately likely to live in environmentally hazardous neighborhoods. This literature assumes that environmental characteristics such as industrial pollution and hazardous waste are detrimental to human health, an assumption that has not been well tested. Drawing upon the sociology of mental health and environmental inequality studies, we ask whether industrial activity has an impact on psychological well-being. We link individual-level survey data with data from the US. Census and the Toxic Release Inventory and find that residential proximity to industrial activity has a negative impact on mental health. This impact is both direct and mediated by individuals' perceptions of neighborhood disorder and personal powerlessness, and the impact is greater for minorities and the poor than it is for whites and wealthier individuals. These results suggest that public health officials need to take seriously the mental health impacts of living near industrial facilities.

  13. The Development of Preschoolers' Living Kinds Concept: A Longitudinal Study.

    Margett-Jordan, Tessa; Falcon, Rachael G; Witherington, David C

    2016-12-19

    Given limitations in the integrative scope of past research, basic questions about the organization and development of preschoolers' living kinds concept remain open to debate. This study was designed to address past limitations through use of a longitudinal design, extensive stimulus set, and alternate indices of understanding. Thirty-five English-speaking 3-year-olds from middle-class families in Albuquerque, NM participated in four testing sessions over 1 year. Indices of understanding included statements that preschoolers generated about various living and nonliving objects, biological properties they attributed to the objects, and their characterization of objects as "alive" or not. Results reveal a multifaceted picture of developmental change in preschoolers' living kinds concept involving both the construction and elaboration of a core biological understanding.

  14. Physical fitness is predictive for a decline in the ability to perform instrumental activities of daily living in older adults with intellectual disabilities: Results of the HA-ID study.

    Oppewal, Alyt; Hilgenkamp, Thessa I M; van Wijck, Ruud; Schoufour, Josje D; Evenhuis, Heleen M

    2015-01-01

    The ability to perform instrumental activities of daily living (IADL) is important for one's level of independence. A high incidence of limitations in IADL is seen in older adults with intellectual disabilities (ID), which is an important determinant for the amount of support one needs. The aim of this study was to assess the predictive value of physical fitness for the ability to perform IADL, over a 3-year follow-up period, in 601 older adults with ID. At baseline, an extensive physical fitness assessment was performed. In addition, professional caregivers completed the Lawton IADL scale, both at baseline and at follow-up. The average ability to perform IADL declined significantly over the 3-year follow-up period. A decline in the ability to perform IADL was seen in 44.3% of the participants. The percentage of participants being completely independent in IADL declined from 2.7% to 1.3%. Manual dexterity, balance, comfortable and fast gait speed, muscular endurance, and cardiorespiratory fitness were significant predictors for a decline in IADL after correcting for baseline IADL and personal characteristics (age, gender, level of ID, and Down syndrome). This can be interpreted as representing the predictive validity of the physical tests for a decline in IADL. This study shows that even though older adults with ID experience dependency on others due to cognitive limitations, physical fitness also is an important aspect for IADL, which stresses the importance of using physical fitness tests and physical fitness enhancing programs in the care for older adults with ID.

  15. Lived Experience of Women Suffering from Vitiligo: A Phenomenological Study

    Borimnejad, Leili; Yekta, Zohreh Parsa; Nasrabadi, Alireza Nikbakht

    2006-01-01

    Vitiligo is a chronic skin disease, which through change of appearance and body image, exerts a devastating effect on people, especially women. The objective of this study is to explore lived experience of women with Vitiligo by the hermeneutic phenomenology method. The purposive sample consisted of 16 Iranian women. Data analysis followed…

  16. Entrepreneurial university activity can field or living labs be supportive?

    Van Geenhuizen, M.S.

    2011-01-01

    „Field labs‟ („living labs‟) are explored to determine their role in bringing new knowledge from university to market. The case is the Netherlands, a country facing an innovation system in which much new knowledge is created by universities but small amounts are brought to market, apparently caused

  17. Relationship between physical activity and markers of oxidative stress in independent community-living elderly individuals.

    Fraile-Bermúdez, A B; Kortajarena, M; Zarrazquin, I; Maquibar, A; Yanguas, J J; Sánchez-Fernández, C E; Gil, J; Irazusta, A; Ruiz-Litago, F

    2015-10-01

    The aim of the present study was to examine the relationship between objective data of physical activity and markers of oxidative stress in older men and women. Participants were old adults, aged≥60years (61 women and 34 men) who were all capable of performing basic daily activities by themselves and lived on their own. To describe physical activity we used objective data measured by accelerometers which record active and sedentary periods during everyday life for five days. Determination of oxidative stress was conducted from three perspectives: determination plasma total antioxidant status (TAS), plasma antioxidant enzyme activities, i.e., glutathione peroxidase (GPx), catalase (CAT) and superoxide dismutase (SOD), and membrane lipid peroxidation (TBARS). In the group of women, those who met physical activity recommendations (WR) had lower level of TAS. In addition, the moderate to vigorous physical activity (MVPA) was negatively correlated with TAS. Simultaneously, MVPA was correlated with increase in the GPx antioxidant enzyme activity, and the counts per minute were positively correlated with CAT activity. In the group of men, the cpm and the MVPA were negatively correlated with lipid peroxidation while lifestyle physical activity was positively correlated with CAT activity. These findings suggest that MVPA in the elderly although it is related to a decrease in the TAS in women, induces adaptive increase in antioxidant enzyme activity and decreases lipid peroxidation in both women and men. These results suggest that at this time of life, it is not only the amount of physical activity performed that is important but also its intensity.

  18. Effect of Crime Prevention through Environmental Design (CPTED Measures on Active Living and Fear of Crime

    Jae Seung Lee

    2016-08-01

    Full Text Available Crime prevention through environmental design (CPTED has become a popular urban planning approach to preventing crime and mitigating fear of crime through the improvement of physical neighborhood environments. CPTED is widely used to improve deteriorated neighborhoods that suffer from crime. However, few studies have empirically examined the complex relationships among CPTED, fear of crime, and active living. Our study, therefore, investigated the effects of CPTED measures on walking frequency and fear of crime, analyzing behavioral data of residents living in participatory neighborhood regeneration areas and matched neighborhoods. We analyzed survey data from 12 neighborhoods that implemented CPTED approaches and 12 matched neighborhoods in Seoul, Korea, using structural equation modeling, which could consistently estimate complex direct and indirect relationships between a latent variable (fear of crime and observable variables (CPTED measures and walking frequency. We designed the survey instrument as a smartphone app. Participants were recruited from 102 locations within the 24 selected neighborhoods; in total, 623 individuals returned surveys. The results revealed that sufficient closed-circuit television, street lighting, and maintenance played a significant role in mitigating fear of crime. This study has implications for planning and policy issues related to CPTED, mental health, and active living.

  19. Measuring Disability: Application of the Rasch Model to Activities of Daily Living (ADL/IADL).

    Sheehan, T. Joseph; DeChello, Laurie M.; Garcia, Ramon; Fifield, Judith; Rothfield, Naomi; Reisine, Susan

    2001-01-01

    Performed a comparative analysis of Activities of Daily Living (ADL) items administered to 4,430 older adults and Instrumental Activities of Daily Living administered to 605 people with rheumatoid arthritis scoring both with Likert and Rasch measurement models. Findings show the superiority of the Rasch approach over the Likert method. (SLD)

  20. Theta burst stimulation reduces disability during the activities of daily living in spatial neglect.

    Cazzoli, Dario; Müri, René M; Schumacher, Rahel; von Arx, Sebastian; Chaves, Silvia; Gutbrod, Klemens; Bohlhalter, Stephan; Bauer, Daniel; Vanbellingen, Tim; Bertschi, Manuel; Kipfer, Stefan; Rosenthal, Clive R; Kennard, Christopher; Bassetti, Claudio L; Nyffeler, Thomas

    2012-11-01

    Left-sided spatial neglect is a common neurological syndrome following right-hemispheric stroke. The presence of spatial neglect is a powerful predictor of poor rehabilitation outcome. In one influential account of spatial neglect, interhemispheric inhibition is impaired and leads to a pathological hyperactivity in the contralesional hemisphere, resulting in a biased attentional allocation towards the right hemifield. Inhibitory transcranial magnetic stimulation can reduce the hyperactivity of the contralesional, intact hemisphere and thereby improve spatial neglect symptoms. However, it is not known whether this improvement is also relevant to the activities of daily living during spontaneous behaviour. The primary aim of the present study was to investigate whether the repeated application of continuous theta burst stimulation trains could ameliorate spatial neglect on a quantitative measure of the activities of daily living during spontaneous behaviour. We applied the Catherine Bergego Scale, a standardized observation questionnaire that can validly and reliably detect the presence and severity of spatial neglect during the activities of daily living. Eight trains of continuous theta burst stimulation were applied over two consecutive days on the contralesional, left posterior parietal cortex in patients suffering from subacute left spatial neglect, in a randomized, double-blind, sham-controlled design, which also included a control group of neglect patients without stimulation. The results showed a 37% improvement in the spontaneous everyday behaviour of the neglect patients after the repeated application of continuous theta burst stimulation. Remarkably, the improvement persisted for at least 3 weeks after stimulation. The amelioration of spatial neglect symptoms in the activities of daily living was also generally accompanied by significantly better performance in the neuropsychological tests. No significant amelioration in symptoms was observed after sham

  1. Activities of daily living in children with developmental coordination disorder: dressing, personal hygiene, and eating skills.

    Summers, Janet; Larkin, Dawne; Dewey, Deborah

    2008-04-01

    In order to understand how age, culture, and problems in motor coordination impact the performance of activities of daily living, we used focus groups and in-depth interviews with Australian and Canadian parents to examine activities of daily living of younger (5-7 years of age) and older (8-9 years of age) children with and without DCD. By comparison with their typically developing age group, children with DCD had more difficulty with dressing, personal hygiene, and eating skills. Difficulties with postural control and fine-motor skills were reported to contribute to poorer performance of activities of daily living. As expected, competence in the performance of activities of daily living improved in the older children with and without DCD and there were few differences in the performance of daily living tasks between typical children in Australia and Canada. Overall, the motor difficulties of children with DCD had a significant impact on performance of a wide range of daily activities.

  2. The Role of Psychogeriatrics in Healthy Living and Active Ageing.

    Molinari, Enrico; Spatola, Chiara; Pietrabissa, Giada; Pagnini, Francesco; Castelnuovo, Gianluca

    2014-01-01

    A healthy and active life is a key issue for elderly citizens, above all when psychological complications such as depression and anxiety disorders, late delusion or loneliness can be observed. Moreover, medical pathologies in elderly patients often have a multi-factorial etiology and many psychopathological dimensions and psychosocial risk factors are underestimated. From the perspective of clinical health psychology, psychogeriatrics could play an important role in promoting active ageing and a healthy lifestyle in elderly persons through tailored clinical approaches based on specific research and advanced professional training in this area. More research is needed in order to study which determinants affect the process of an active and functional ageing. Possible research ageing areas are: 1) evaluation of psychosocial risk-protective factors related to the individual's biography and personality. 2) Evaluation of enrichment programs and clinical protocols focused on the management of different topics such as health system areas, behavioral areas, social and physical environment areas, psychological factors and economic determinants. The goal of Psychogeriatrics endeavors to develop and evaluate interventions designed to stimulate improvement in friendship, self-esteem and subjective well-being, as well as to reduce loneliness among older citizens. 3) Evaluation of self-management programs in chronic disease conditions (such as obesity, diabetes, hypertension, poor nutrition, physical inactivity, alcohol abuse and tobacco smoking), that could enhance risk factors for health in elderly citizens. Typical key elements of self-management, such as decision making, problem solving, motivation, self-efficacy, resource utilization, and citizen's empowerment have to be studied.

  3. Recruiting Older Adults into a Physical Activity Promotion Program: "Active Living Every Day" Offered in a Naturally Occurring Retirement Community

    Hildebrand, Mary; Neufeld, Peggy

    2009-01-01

    Purpose: This article explores recruitment strategies based on the transtheoretical model (TTM) with older adults living in a naturally occurring retirement community (NORC) to encourage enrollment in a physical activity promotion program, "Active Living Every Day" (ALED). Reasons for participation or nonparticipation are identified. Design and…

  4. Examining the Effects of Video Modeling and Prompts to Teach Activities of Daily Living Skills.

    Aldi, Catarina; Crigler, Alexandra; Kates-McElrath, Kelly; Long, Brian; Smith, Hillary; Rehak, Kim; Wilkinson, Lisa

    2016-12-01

    Video modeling has been shown to be effective in teaching a number of skills to learners diagnosed with autism spectrum disorders (ASD). In this study, we taught two young men diagnosed with ASD three different activities of daily living skills (ADLS) using point-of-view video modeling. Results indicated that both participants met criterion for all ADLS. Participants did not maintain mastery criterion at a 1-month follow-up, but did score above baseline at maintenance with and without video modeling. • Point-of-view video models may be an effective intervention to teach daily living skills. • Video modeling with handheld portable devices (Apple iPod or iPad) can be just as effective as video modeling with stationary viewing devices (television or computer). • The use of handheld portable devices (Apple iPod and iPad) makes video modeling accessible and possible in a wide variety of environments.

  5. Active mechanics reveal molecular-scale force kinetics in living oocytes

    Ahmed, Wylie W; Almonacid, Maria; Bussonnier, Matthias; Verlhac, Marie-Helene; Gov, Nir S; Visco, Paolo; van Wijland, Frederic; Betz, Timo

    2015-01-01

    Unlike traditional materials, living cells actively generate forces at the molecular scale that change their structure and mechanical properties. This nonequilibrium activity is essential for cellular function, and drives processes such as cell division. Single molecule studies have uncovered the detailed force kinetics of isolated motor proteins in-vitro, however their behavior in-vivo has been elusive due to the complex environment inside the cell. Here, we quantify active force generation in living oocytes using in-vivo optical trapping and laser interferometry of endogenous vesicles. We integrate an experimental and theoretical framework to connect mesoscopic measurements of nonequilibrium properties to the underlying molecular-scale force kinetics. Our results show that force generation by myosin-V drives the cytoplasmic-skeleton out-of-equilibrium (at frequencies below 300 Hz) and actively softens the environment. In vivo myosin-V activity generates a force of $F \\sim 0.4$ pN, with a power-stroke of len...

  6. Protein nonenzymatic modifications and proteasome activity in skeletal muscle from the short-lived rat and long-lived pigeon.

    Portero-Otín, Manel; Requena, Jesús R; Bellmunt, Maria Josep; Ayala, Victoria; Pamplona, Reinald

    2004-10-01

    What are the mechanisms determining the rate of animal aging? Of the two major classes of endothermic animals, bird species are strikingly long-lived compared to similar size mammalian counterparts. Since oxidative stress is causally related to the basic aging process, markers of different kinds of oxidative damage to proteins (glutamic semialdehyde, aminoadipic semialdehyde, N(epsilon)-(carboxyethyl)lysine; N(epsilon)-(carboxymethyl)lysine, N(epsilon)-(malondialdehyde)lysine and dinitrophenylhydrazyne-reactive protein carbonyls, peptidase activities of the proteasome, and amino acid and membrane fatty acyl composition were identified and measured in skeletal muscle from the short-lived rat (maximum life span, 4 years) and compared with the long-lived pigeon (maximum life span, 35 years). Skeletal muscle from pigeon showed significantly higher levels of glutamic semialdehyde, protein carbonyls (by western blot), N(epsilon)-(carboxyethyl)lysine and N(epsilon)-(carboxymethyl)lysine. No differences were observed for aminoadipic semialdehyde, whereas the lipoxidation marker N(epsilon)-(malondialdehyde)lysine displayed a significant low steady-state level, probably related with their significantly lower membrane unsaturation. The amino acid compositional analysis revealed that arginine, serine, threonine and methionine showed significantly lower levels in pigeon. Finally, pigeon samples showed also significantly lower levels of the peptidase activities of the proteasome. These results reinforces the role of structural components such as membrane unsaturation and protein composition in determining the longer maximum life span showed by birds compared with mammals of similar body size.

  7. Size-dependent regulation of synchronized activity in living neuronal networks

    Yamamoto, Hideaki; Kubota, Shigeru; Chida, Yudai; Morita, Mayu; Moriya, Satoshi; Akima, Hisanao; Sato, Shigeo; Hirano-Iwata, Ayumi; Tanii, Takashi; Niwano, Michio

    2016-07-01

    We study the effect of network size on synchronized activity in living neuronal networks. Dissociated cortical neurons form synaptic connections in culture and generate synchronized spontaneous activity within 10 days in vitro. Using micropatterned surfaces to extrinsically control the size of neuronal networks, we show that synchronized activity can emerge in a network as small as 12 cells. Furthermore, a detailed comparison of small (˜20 cells), medium (˜100 cells), and large (˜400 cells) networks reveal that synchronized activity becomes destabilized in the small networks. A computational modeling of neural activity is then employed to explore the underlying mechanism responsible for the size effect. We find that the generation and maintenance of the synchronized activity can be minimally described by: (1) the stochastic firing of each neuron in the network, (2) enhancement in the network activity in a positive feedback loop of excitatory synapses, and (3) Ca-dependent suppression of bursting activity. The model further shows that the decrease in total synaptic input to a neuron that drives the positive feedback amplification of correlated activity is a key factor underlying the destabilization of synchrony in smaller networks. Spontaneous neural activity plays a critical role in cortical information processing, and our work constructively clarifies an aspect of the structural basis behind this.

  8. Size-dependent regulation of synchronized activity in living neuronal networks.

    Yamamoto, Hideaki; Kubota, Shigeru; Chida, Yudai; Morita, Mayu; Moriya, Satoshi; Akima, Hisanao; Sato, Shigeo; Hirano-Iwata, Ayumi; Tanii, Takashi; Niwano, Michio

    2016-07-01

    We study the effect of network size on synchronized activity in living neuronal networks. Dissociated cortical neurons form synaptic connections in culture and generate synchronized spontaneous activity within 10 days in vitro. Using micropatterned surfaces to extrinsically control the size of neuronal networks, we show that synchronized activity can emerge in a network as small as 12 cells. Furthermore, a detailed comparison of small (∼20 cells), medium (∼100 cells), and large (∼400 cells) networks reveal that synchronized activity becomes destabilized in the small networks. A computational modeling of neural activity is then employed to explore the underlying mechanism responsible for the size effect. We find that the generation and maintenance of the synchronized activity can be minimally described by: (1) the stochastic firing of each neuron in the network, (2) enhancement in the network activity in a positive feedback loop of excitatory synapses, and (3) Ca-dependent suppression of bursting activity. The model further shows that the decrease in total synaptic input to a neuron that drives the positive feedback amplification of correlated activity is a key factor underlying the destabilization of synchrony in smaller networks. Spontaneous neural activity plays a critical role in cortical information processing, and our work constructively clarifies an aspect of the structural basis behind this.

  9. Lived experiences of elderly home residents: a qualitative study

    Mohsen Adib-Hajbaghery

    2011-11-01

    Full Text Available Background: Increasing elderly population has been lead to increased number of hospices and their customers. However, the lived experiences of elderly home residents have been less noticed. This study aimed to investigate the lived experiences of elderly residents of Kashan's Golabchi elderly hospice.Methods: In this qualitative study based on phenomenological approach data collected using purposive sampling and deep open interview, narrative collection method until data saturation was obtained. Data were analyzed using Van Manen’s six step method.Results: Fifteen elderly with age range 65-73 years and average length of stay of 2.5 years participated in the study. Five items were extracted from data, including of "rejection and isolation", "feel failure and disgrace", "adaptation", "satisfaction" and "being monotonous and waiting". Most of the participants felt that were rejected by their families and the community. Their life was tedious and this had reduced their life passion and they were waiting for the end of life. Conclusion: Most of the elderly had not positive experiences of living in the hospice. Inattention of the family and the condition of the hospice environment made them a feel of “isolation and being rejected” along with a “feel of failure and disgrace”. Improving the validity of elderly home residents, may be achieved by improving communication culture of this population, elderly hospices condition and appropriate training of geriatric nurses.

  10. A Comparison of Two Motion Sensors for the Assessment of Free-Living Physical Activity of Adolescents

    Roman Cuberek

    2010-04-01

    Full Text Available This study assessed and compared the daily step counts recorded by two different motion sensors in order to estimate the free-living physical activity of 135 adolescent girls. Each girl concurrently wore a Yamax pedometer and an ActiGraph accelerometer (criterion measure every day for seven consecutive days. The convergent validity of the pedometer can be considered intermediate when used to measure the step counts in free-living physical activity; but should be considered with caution when used to classify participants’ step counts into corresponding physical activity categories because of a likelihood of ‘erroneous’ classification in comparison with the accelerometer.

  11. The Influence of Climacteric Symptoms on Women’s Lives and Activities

    Agnieszka Bień

    2015-04-01

    Full Text Available In the present study, we performed an analysis of the influence of climacteric symptoms on women’s lives and activities, i.e. their quality of life (QoL. The study was performed between October 2011 and February 2012. It included 148 women aged 44–62. The study used a diagnostic survey with questionnaires. The research instrument was the Blatt-Kupperman index. The respondents were asked to complete a questionnaire on socio-demographic data, quality of life, and the influence of climacteric symptoms on life and its various aspects. The respondents experiencing moderate or severe climacteric symptoms also had stronger feelings of failure (p = 0.005, feeling that opportunities are still available (p = 0.002, of losing their youth and beauty (p < 0.0001, compared to those who had slight or no symptoms. The intensity of climacteric symptoms significantly affects women’s lives and activities, i.e., their QoL. The reported intensity of climacteric symptoms is influenced by the respondents’ education, residence, marital status and professional activity. The more severe the climacteric symptoms, the lower the women’s quality of life, as evidenced for example by the feeling of failure and of losing one’s youth, beauty and opportunities.

  12. Assessment of glutamine synthetase activity by [13N]ammonia uptake in living rat brain.

    Momosaki, Sotaro; Ito, Miwa; Tonomura, Misato; Abe, Kohji

    2015-01-01

    Glutamine synthetase (GS) plays an important role in glutamate neurotransmission or neurological disorder in the brain. [(13) N]Ammonia blood flow tracer has been reported to be metabolically trapped in the brain via the glutamate-glutamine pathway. The present study investigated the effect of an inhibitor of GS on [(13) N]ammonia uptake in order to clarify the feasibility of measuring GS activity in the living brain. l-Methionine sulfoximine (MSO), a selective GS inhibitor was microinjected into the ipsilateral striatum in rats. [(13) N]Ammonia uptake was quantified by autoradiography method as well as small animal positron emission tomography (PET) scans. The GS activity of the brain homogenate was assayed from the γ-glutamyl transferase reaction. Autoradiograms showed a decrease of [(13) N]ammonia radioactivity on the MSO-injected side compared with the saline-injected side of the striatum. This reduction could be detected with a small animal PET scanner. MSO had no effect on cerebral blood flow measured by uptake of [(15) O]H2 O. The reduction of [(13) N]ammonia uptake was closely related to the results of GS activity assay. These results indicated that [(13) N]ammonia may enable measurement of GS activity in the living brain.

  13. Loneliness in elderly individuals, level of dependence in activities of daily living (ADL) and influential factors.

    Hacihasanoğlu, Rabia; Yildirim, Arzu; Karakurt, Papatya

    2012-01-01

    This study has been carried out to investigate the level of loneliness, determine the level of dependence in the ADL and influential factors in the elderly people. This descriptive, cross-sectional study was conducted in 5 Family Healthcare Centers (FHC) located in central Erzincan, Turkey between March and June 2010. The data of the research was collected using a questionnaire that determined the descriptive and UCLA Loneliness Scale (UCLA-LS). Mean score of the UCLA-LS was determined as 51.59 ± 4.44. It was determined that 2% of the elderly ADL were completely dependent, 14.5% were semi-dependent. Factors such as being old, a widow/divorced, having a lower level of education and/or income, living alone, having a chronic disease, poor self-perceived health, lack of visits by relatives or acquaintances, dissatisfaction with the place of living, and being fully dependent while performing daily activities were determined as factors which increased the level of loneliness. Furthermore, factors such as being old, a female, a widow/divorced, living together with a daughter/son, having a chronic disease and poor self-perceived health were found to be influential in dependency. Elderly people who are alone and dependent in fulfilling their ADL should be monitored more closely.

  14. Living alone and antidepressant medication use: a prospective study in a working-age population

    Pulkki-Råback Laura

    2012-03-01

    Full Text Available Abstract Background An increasing proportion of the population lives in one-person households. The authors examined whether living alone predicts the use of antidepressant medication and whether socioeconomic, psychosocial, or behavioral factors explain this association. Methods The participants were a nationally representative sample of working-age Finns from the Health 2000 Study, totaling 1695 men and 1776 women with a mean age of 44.6 years. In the baseline survey in 2000, living arrangements (living alone vs. not and potential explanatory factors, including psychosocial factors (social support, work climate, hostility, sociodemographic factors (occupational grade, education, income, unemployment, urbanicity, rental living, housing conditions, and health behaviors (smoking, alcohol use, physical activity, obesity, were measured. Antidepressant medication use was followed up from 2000 to 2008 through linkage to national prescription registers. Results Participants living alone had a 1.81-fold (CI = 1.46-2.23 higher purchase rate of antidepressants during the follow-up period than those who did not live alone. Adjustment for sociodemographic factors attenuated this association by 21% (adjusted OR = 1.64, CI = 1.32-2.05. The corresponding attenuation was 12% after adjustment for psychosocial factors (adjusted OR = 1.71, CI = 1.38-2.11 and 9% after adjustment for health behaviors (adjusted OR = 1.74, CI = 1.41-2.14. Gender-stratified analyses showed that in women the greatest attenuation was related to sociodemographic factors and in men to psychosocial factors. Conclusions These data suggest that people living alone may be at increased risk of developing mental health problems. The public health value is in recognizing that people who live alone are more likely to have material and psychosocial problems that may contribute to excess mental health problems in this population group.

  15. Neuropathic pain in neuromyelitis optica affects activities of daily living and quality of life.

    Zhao, Sizheng; Mutch, Kerry; Elsone, Liene; Nurmikko, Turo; Jacob, Anu

    2014-10-01

    Though pain in neuromyelitis optica (NMO) has been described in two recent reports, the proportion with true neuropathic pain (NP), its features, impact on activities of daily living (ADL) and quality of life has not been well characterised. A cross-sectional study of 50 NMO patients with transverse myelitis was performed using Douleur Neuropathique 4, Brief Pain Inventory, Extended Disability Status Scale and Short Form 36. NP was identified in 62% of patients. Pain was constant in 68% affecting most ADL. Pain was associated with significant reduction of the SF36 Mental Composite Score. The high prevalence of NP and associated disability necessitates an in-depth enquiry in patients with NMO.

  16. User Modeling for Activity Recognition and Support in Ambient Assisted Living

    Hossain, Shabbir; Valente, Pedro Ricardo da Nova; Hallenborg, Kasper;

    intelligent technologies to support people with special demands to live longer periods in their proffered environment [2]. The prime challenges of the AAL are recognition of the assisted person’s current activity and providing appropriate support to the person [3]. But these systems need extensive studies...... on user modeling to be more efficient to adapt the changes of user capabilities and preferences which is strongly correlated with the prime challenges of AAL. In this paper, a user model has been proposed that tends to be used in the autonomous and reliable recognition....

  17. O desempenho de idosos institucionalizados com alterações cognitivas em atividades de vida diária e mobilidade: estudo piloto Performance in daily living activities and mobility among institutionalized elderly people with cognitive impairments: pilot study

    DLC Oliveira

    2006-01-01

    and Go" (TUG test, and daily living activities (DLA via the Katz Index. Results: There was no statistically significant correlation between mobility assessed by TUG and performance in the MMSE (Pearson's r = 0.234; p = 0.232. A positive association was detected between the elderly people's performance in the TUG test and their achievement in bathing, dressing and transferal tasks measured by the Katz Index (p = 0.039; p = 0.000; p = 0.001, respectively; ANOVA. There was no significant association between cognitive impairment detected by MMSE and the elderly people's performance in the five activities of the Katz Index (bathing: p= 0.774; dressing: p = 0.567; hygiene: p = 0.857; transferal: p = 0.824; continence: p= 0.947; ANOVA. Increasing age did not demonstrate any significant correlation with performance in any of the tests (TUG: p = 0.466, r = 0.144; MMSE: p = 0.841, Pearson's r = 0.040. Conclusion: The cognitive impairment of these elderly people, detected via the MMSE, did not have any association with their performance in the mobility and DLA tests. However, there was a significant association between their performance in the mobility test and their achievement in bathing, dressing and transferal activities.

  18. Liver regeneration after living donor transplantation: adult-to-adult living donor liver transplantation cohort study.

    Olthoff, Kim M; Emond, Jean C; Shearon, Tempie H; Everson, Greg; Baker, Talia B; Fisher, Robert A; Freise, Chris E; Gillespie, Brenda W; Everhart, James E

    2015-01-01

    Adult-to-adult living donors and recipients were studied to characterize patterns of liver growth and identify associated factors in a multicenter study. Three hundred and fifty donors and 353 recipients in the Adult-to-Adult Living Donor Liver Transplantation Cohort Study (A2ALL) receiving transplants between March 2003 and February 2010 were included. Potential predictors of 3-month liver volume included total and standard liver volumes (TLV and SLV), Model for End-Stage Liver Disease (MELD) score (in recipients), the remnant and graft size, remnant-to-donor and graft-to-recipient weight ratios (RDWR and GRWR), remnant/TLV, and graft/SLV. Among donors, 3-month absolute growth was 676 ± 251 g (mean ± SD), and percentage reconstitution was 80% ± 13%. Among recipients, GRWR was 1.3% ± 0.4% (8 Graft weight was 60% ± 13% of SLV. Three-month absolute growth was 549 ± 267 g, and percentage reconstitution was 93% ± 18%. Predictors of greater 3-month liver volume included larger patient size (donors and recipients), larger graft volume (recipients), and larger TLV (donors). Donors with the smallest remnant/TLV ratios had larger than expected growth but also had higher postoperative bilirubin and international normalized ratio at 7 and 30 days. In a combined donor-recipient analysis, donors had smaller 3-month liver volumes than recipients adjusted for patient size, remnant or graft volume, and TLV or SLV (P = 0.004). Recipient graft failure in the first 90 days was predicted by poor graft function at day 7 (HR = 4.50, P = 0.001) but not by GRWR or graft fraction (P > 0.90 for each). Both donors and recipients had rapid yet incomplete restoration of tissue mass in the first 3 months, and this confirmed previous reports. Recipients achieved a greater percentage of expected total volume. Patient size and recipient graft volume significantly influenced 3-month volumes. Importantly, donor liver volume is a critical predictor

  19. Human activity understanding for robot-assisted living

    N. Hu

    2016-01-01

    This thesis investigated the problem of understanding human activities, at different levels of granularity and taking into account both the variability in activities and annotator disagreement. To be able to capture the large variations within each of the action classes, we propose a model that uses

  20. U.S. congregations' provision of programs or activities for people living with HIV/AIDS.

    Frenk, Steven M; Trinitapoli, Jenny

    2013-06-01

    Using data from a nationally representative sample of U.S. congregations, this study estimates the proportion of congregations that provide programs or activities that serve people living with HIV/AIDS (PLWHA) and examines the effects of congregational characteristics on the likelihood of having them. The analysis finds that 5.6% (95% confidence interval [CI], 0.034-0.078) of U.S. congregations (roughly 18,500 (95% CI, 11,300-25,800) congregations) provide programs or activities to PLWHA. Numerous congregational characteristics increase the likelihood that congregations provide them: the presence of openly HIV positive people in the congregation, having a group that assesses their community's needs, religious tradition, and openness to gays and lesbians. By building on previous research, this study provides further information about the scope of religious congregations' involvement with PLWHA and also insight into which congregations may be willing to collaborate with other organizations to provide care for PLWHA.

  1. Children’s drawing activities and narratives from their everyday lives

    Nielsen, Anne Maj

    In the Scandinavian countries it has become common to make children’s perspectives on their own lives in family and child care part of research in these areas. This raises questions about what methods to use when we study young children. In this session the presenter will – together with Grethe...... Kragh-Müller and Dorte Kousholt – discuss drawing activities as a research method in the study of young children. This presentation focus on how children’s interaction and visual experiences contribute to the construction and transformation of meanings and narratives as they are mediated in children....... In the drawing activity and situation in the specific context various events and material tools and artefacts may appeal to the drawing child in ways that affect the drawing. This is important to take into consideration in research. The presentation includes examples from two research projects that aimed...

  2. Quantitative impedimetric NPY-receptor activation monitoring and signal pathway profiling in living cells.

    te Kamp, Verena; Lindner, Ricco; Jahnke, Heinz-Georg; Krinke, Dana; Kostelnik, Katja B; Beck-Sickinger, Annette G; Robitzki, Andrea A

    2015-05-15

    Label-free and non-invasive monitoring of receptor activation and identification of the involved signal pathways in living cells is an ongoing analytic challenge and a great opportunity for biosensoric systems. In this context, we developed an impedance spectroscopy-based system for the activation monitoring of NPY-receptors in living cells. Using an optimized interdigital electrode array for sensitive detection of cellular alterations, we were able for the first time to quantitatively detect the NPY-receptor activation directly without a secondary or enhancer reaction like cAMP-stimulation by forskolin. More strikingly, we could show that the impedimetric based NPY-receptor activation monitoring is not restricted to the Y1-receptor but also possible for the Y2- and Y5-receptor. Furthermore, we could monitor the NPY-receptor activation in different cell lines that natively express NPY-receptors and proof the specificity of the observed impedimetric effect by agonist/antagonist studies in recombinant NPY-receptor expressing cell lines. To clarify the nature of the observed impedimetric effect we performed an equivalent circuit analysis as well as analyzed the role of cell morphology and receptor internalization. Finally, an antagonist based extensive molecular signal pathway analysis revealed small alterations of the actin cytoskeleton as well as the inhibition of at least L-type calcium channels as major reasons for the observed NPY-induced impedance increase. Taken together, our novel impedance spectroscopy based NPY-receptor activation monitoring system offers the opportunity to identify signal pathways as well as for novel versatile agonist/antagonist screening systems for identification of novel therapeutics in the field of obesity and cancer.

  3. Mitochondrial DNA sequence variation is associated with free-living activity energy expenditure in the elderly.

    Tranah, Gregory J; Lam, Ernest T; Katzman, Shana M; Nalls, Michael A; Zhao, Yiqiang; Evans, Daniel S; Yokoyama, Jennifer S; Pawlikowska, Ludmila; Kwok, Pui-Yan; Mooney, Sean; Kritchevsky, Stephen; Goodpaster, Bret H; Newman, Anne B; Harris, Tamara B; Manini, Todd M; Cummings, Steven R

    2012-09-01

    The decline in activity energy expenditure underlies a range of age-associated pathological conditions, neuromuscular and neurological impairments, disability, and mortality. The majority (90%) of the energy needs of the human body are met by mitochondrial oxidative phosphorylation (OXPHOS). OXPHOS is dependent on the coordinated expression and interaction of genes encoded in the nuclear and mitochondrial genomes. We examined the role of mitochondrial genomic variation in free-living activity energy expenditure (AEE) and physical activity levels (PAL) by sequencing the entire (~16.5 kilobases) mtDNA from 138 Health, Aging, and Body Composition Study participants. Among the common mtDNA variants, the hypervariable region 2 m.185G>A variant was significantly associated with AEE (p=0.001) and PAL (p=0.0005) after adjustment for multiple comparisons. Several unique nonsynonymous variants were identified in the extremes of AEE with some occurring at highly conserved sites predicted to affect protein structure and function. Of interest is the p.T194M, CytB substitution in the lower extreme of AEE occurring at a residue in the Qi site of complex III. Among participants with low activity levels, the burden of singleton variants was 30% higher across the entire mtDNA and OXPHOS complex I when compared to those having moderate to high activity levels. A significant pooled variant association across the hypervariable 2 region was observed for AEE and PAL. These results suggest that mtDNA variation is associated with free-living AEE in older persons and may generate new hypotheses by which specific mtDNA complexes, genes, and variants may contribute to the maintenance of activity levels in late life.

  4. School Physical Education, Extracurricular Sports, and Lifelong Active Living

    Bocarro, Jason; Kanters, Michael A.; Casper, Jonathan; Forrester, Scott

    2008-01-01

    The purpose of this article is to examine the role of school-based extracurricular initiatives in facilitating immediate and long-term positive impact on physical activity, healthy behavior, and obesity in children. A critique of the role of various sports-related initiatives that have been developed to address the obesity epidemic currently…

  5. Making Health Easier: Active Living in Philadelphia, PA PSA (:60)

    2013-06-07

    Making communities bike-friendly can help reduce traffic congestion and increase the physical activity of residents. Learn how one Philadelphia resident worked with his community to make Philadelphia a more bike-friendly city.  Created: 6/7/2013 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 6/7/2013.

  6. Making Health Easier: Active Living in Austin, TX PSA (:60)

    2013-06-07

    A local Austin, Texas, woman started a walking group to make physical activity fun for herself and community.  Created: 6/7/2013 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 6/7/2013.

  7. Development plan. High activity-long living wastes project. Abstract; Plan de developpement. Projet HAVL. Resume

    NONE

    2007-07-01

    This brochure presents the actions that the ANDRA (the French national agency of radioactive wastes) has to implement in the framework of the project of high activity-long living (HALL) radioactive wastes (HAVL project) conformably to the requirements of the program defined in the law from June 28, 2006 (law no 2006-739). This law precises the three, complementary, research paths to explore for the management of this type of wastes: separation and transmutation of long-living radioactive elements, reversible disposal in deep geologic underground, and long duration storage. The ANDRA's action concerns the geologic disposal aspect. The following points are presented: the HALL wastes and their containers, the reversible disposal procedure, the HAVL project: financing of researches, storage concepts, development plan of the project (dynamics, information and dialogue approach, input data, main steps, schedule); the nine programs of the HAVL project (laboratory experiments and demonstration tests, surface survey, scientific program, simulation program, surface engineering studies and technological tests, information and communication program, program of environment and facilities surface observation and monitoring, waste packages management, monitoring and transport program, disposal program); the five transverse technical and scientific activities (safety, reversibility, cost, health and occupational safety, impact study). (J.S.)

  8. Measuring Physical Activity in Children and Youth Living with Intellectual Disabilities: A Systematic Review

    Hinckson, Erica Aneke; Curtis, Amy

    2013-01-01

    Accurate assessment of physical activity is necessary in determining levels of physical activity in children living with intellectual disability (ID) and assessing effectiveness of intervention programmes. A systematic review of measures of physical activity in children with ID was undertaken using the PRISMA guidelines. MEDLINE-PubMed, Scopus,…

  9. Study on the relationship between individual activities of daily living and self-rated health among elderly people in Beijing%老年人生活自理能力与健康自评的相关性研究

    李蕾; 孙菲; 汤哲; 刁丽军

    2016-01-01

    目的:了解北京市老年人生活自理能力状况及其与健康自评之间的相关关系。方法采取分层整群抽样方法,抽取来自北京市城区和农村的2411名60岁及以上的老年人进行问卷调查。问卷包括人口学资料、家庭与经济状况、卫生行为、躯体健康及生活活动能力等多个维度的内容。结果在接受健康自评调查的2335名老年人中,分别有6.38%和40.21%的人认为自己的健康状况为“很好”或“好”,17.26%和2.01%的老年人认为自己的健康状况为“差”或“很差”。农村老年人在日常活动中的非完全自理比例均明显高于城区老年人。女性老年人“洗澡”、“自己乘车”、“上街购物”、“走半里路”、“剪脚趾甲”和“上下一层楼”等项目的非完全自理比例明显高于男性老年人。 Logistic回归分析结果显示老年人的生活自理能力与健康状态之间存在明显的相关关系,生活非完全自理的老年人的健康自评结果明显较自理老年人差。在各因素中,进食( OR=7.51,95%CI:3.55~15.89)和室内活动(OR=7.36,95%CI:4.29~12.64)是与健康自评有关的、主要的、独立的影响因素。结论生活自理能力是老年人的自评健康状态的重要影响因素。%Objective To investigate both the prevalence of functional disability in each activity of basic activities of daily living ( ADL) item and instrumental activities of daily living ( IADL) item scales, then the association between each ADL and IADL item and the self-rated health was also explored among the elderly in Beijing. Methods The sample population consisted of 2 411 elderly people over 60, which were taken samples from urban and rural district in Beijing by stratified cluster sampling method. The investigations were completed by trained staff using questionnaires concerning demographic characteristics, living conditions and health status, and activities of

  10. Minimizing the dysfunctional interplay between activity and recovery: A grounded theory on living with fibromyalgia

    Lillemor R.-M. Hallberg

    2011-06-01

    Full Text Available The aim of this study was to generate a substantive theory, based on interviews with women with fibromyalgia, explaining how they manage their main concerns in daily life. The study has an inductive approach in line with classic grounded theory (Glaser, 1992. Twenty-three women living in the southwest region of Sweden were interviewed in-depth about their daily living with fibromyalgia and problems related to this. Probing and follow-up questions were asked by the interviewers when relevant. The interviews were transcribed verbatim and consecutively analysed in line with guidelines for grounded theory. The results showed that the main concern for women with fibromyalgia was to reach a balance in daily life. This concern was resolved by them using different strategies aimed at minimizing the dysfunctional interplay between activity and recovery (core category. This imbalance includes that the women are forcing themselves to live a fast-paced life and thereby tax or exceed their physical and psychological abilities and limits. Generally, the fibromyalgia symptoms vary and are most often unpredictable to the women. Pain and fatigue are the most prominent symptoms. However, pain-free periods occur, often related to intense engagement in some activity, relaxation or joy, but mainly the “pain gaps” are unpredictable. To reach a balance in daily life and manage the dysfunctional interplay between activity and recovery the women use several strategies. They are avoiding unnecessary stress, utilizing good days, paying the price for allowing oneself too much activity, planning activities in advance, distracting oneself from the pain, engaging in alleviating physical activities, and ignoring pain sensations. Distracting from the pain seems to be an especially helpful strategy as it may lead to “pain gaps”. This strategy, meaning to divert attention from the pain, is possible to learn, or improve, in health promoting courses based on principles of

  11. Bioorthogonal chemical imaging of metabolic activities in live mammalian hippocampal tissues with stimulated Raman scattering

    Hu, Fanghao; Lamprecht, Michael R.; Wei, Lu; Morrison, Barclay; Min, Wei

    2016-12-01

    Brain is an immensely complex system displaying dynamic and heterogeneous metabolic activities. Visualizing cellular metabolism of nucleic acids, proteins, and lipids in brain with chemical specificity has been a long-standing challenge. Recent development in metabolic labeling of small biomolecules allows the study of these metabolisms at the global level. However, these techniques generally require nonphysiological sample preparation for either destructive mass spectrometry imaging or secondary labeling with relatively bulky fluorescent labels. In this study, we have demonstrated bioorthogonal chemical imaging of DNA, RNA, protein and lipid metabolism in live rat brain hippocampal tissues by coupling stimulated Raman scattering microscopy with integrated deuterium and alkyne labeling. Heterogeneous metabolic incorporations for different molecular species and neurogenesis with newly-incorporated DNA were observed in the dentate gyrus of hippocampus at the single cell level. We further applied this platform to study metabolic responses to traumatic brain injury in hippocampal slice cultures, and observed marked upregulation of protein and lipid metabolism particularly in the hilus region of the hippocampus within days of mechanical injury. Thus, our method paves the way for the study of complex metabolic profiles in live brain tissue under both physiological and pathological conditions with single-cell resolution and minimal perturbation.

  12. Experience of living with Systemic Lupus Erythematosus: A phenomenological study

    Mazhari Azad F

    2015-05-01

    Full Text Available Background and Objective: Systemic Lupus Erythematosus (SLE is a chronic autoimmune disease. Addition to various clinical manifestations it has spiritual, psycho-social and economic consequences. The present research was conducted aimed to describe the lived experiences of patients living with systemic lupus erythematosus.  Materials and Method: A qualitative study, using phenomenology approach was used. Ten patients with SLE who referred to rheumatology clinic in Bandar Abbas were selected through purposive sampling in 2012. Data generation was done through in-depth unstructured interview. Colaizzi's method of data analysis was used for analysis.  Results: The results of study demonstrated four main themes including Mental-emotional consequences, pain of recurrence of disease, forgotten socio-economic needs and inability to perform duties.  Conclusion: According to results, patients experience the wide range of problems and they need to take care of family and society concerning the physical aspects and receiving psychological support in psychological aspects. Because of the medical expenses and work-related disability, economic pressures propel them to dependence and challenge in meeting the needs of health care. Some of their needs remain unanswered

  13. Translating active living research into policy and practice: one important pathway to chronic disease prevention.

    Giles-Corti, Billie; Sallis, James F; Sugiyama, Takemi; Frank, Lawrence D; Lowe, Melanie; Owen, Neville

    2015-05-01

    Global concerns about rising levels of chronic disease make timely translation of research into policy and practice a priority. There is a need to tackle common risk factors: tobacco use, unhealthy diets, physical inactivity, and harmful alcohol use. Using evidence to inform policy and practice is challenging, often hampered by a poor fit between academic research and the needs of policymakers and practitioners--notably for active living researchers whose objective is to increase population physical activity by changing the ways cities are designed and built. We propose 10 strategies that may facilitate translation of research into health-enhancing urban planning policy. Strategies include interdisciplinary research teams of policymakers and practitioners; undertaking explicitly policy-relevant research; adopting appropriate study designs and methodologies (evaluation of policy initiatives as 'natural experiments'); and adopting dissemination strategies that include knowledge brokers, advocates, and lobbyists. Conducting more policy-relevant research will require training for researchers as well as different rewards in academia.

  14. From Passive to Active Learners: The "Lived Experience" of Nurses in a Specialist Nephrology Nursing Education Programme

    Bridger, Jane

    2007-01-01

    Purpose: This study aims to explore the lived experience of learning for a group of staff nurses in the Middle East, who undertook a post-registration nursing education programme in the speciality of nephrology nursing (the NNP) between 2001 and 2002. The broad-based curriculum seeks to develop the staff nurses into active learners, able to…

  15. What Might Work? Exploring the Perceived Feasibility of Strategies to Promote Physical Activity among Women Living in Socioeconomically Disadvantaged Neighbourhoods

    Cleland, Verity; Ball, Kylie

    2013-01-01

    This study aimed to investigate preferences for, perceived feasibility of and barriers to uptake of hypothetical physical activity promotion strategies among women from socioeconomically disadvantaged neighbourhoods. Semi-structured interviews were conducted with 20 purposively recruited women (18-45 years) living in socioeconomically…

  16. Decrease in heart rate after longitudinal participation in the Groningen Active Living Model (GALM) recreational sports programme

    de Jong, Johan; Lemmink, Koen; Scherder, Erik; Stewart, Roy; King, Abby; Stevens, Martin

    2009-01-01

    The aim of this study was to investigate changes in heart rate during submaximal exercise as an index of cardiovascular function in older adults participating in the Groningen Active Living Model recreational sports programme who were sedentary or underactive at baseline. A repeated measurement desi

  17. Evaluation of An Activities of Daily Living Scale for Adolescents and Adults with Developmental Disabilities

    Maenner, Matthew J; Smith, Leann E; Hong, Jinkuk; Makuch, Renee; Greenberg, Jan S; Mailick, Marsha R

    2012-01-01

    Background Activity limitations are an important and useful dimension of disability, but there are few validated measures of activity limitations for adolescents and adults with developmental disabilities. Objective/Hypothesis To describe the development of the Waisman Activities of Daily Living (W-ADL) Scale for adolescents and adults with developmental disabilities, and systematically evaluate its measurement properties according to an established set of criteria. Methods The W-ADL was administered among four longitudinally-studied groups of adolescents and adults with developmental disabilities: 406 with autism; 147 with fragile-X syndrome; 169 with Down syndrome, and 292 with intellectual disability of other or unknown origin. The W-ADL contains 17 activities and each is rated on a 3-point scale (0=“does not do at all”, 1=“does with help”, 2=“independent”), and a standard set of criteria were used to evaluate its measurement properties. Results Across the disability groups, Cronbach’s alphas ranged from 0.88 to 0.94, and a single-factor structure was most parsimonious. The W-ADL was reliable over time, with weighted kappas between 0.92 and 0.93. Criterion and construct validity were supported through substantial associations with the Vineland Screener, need for respite services, caregiving burden, and competitive employment. No floor or ceiling effects were present. There were significant group differences in W-ADL scores by maternally-reported level of intellectual disability (mild, moderate, severe, profound). Conclusions The W-ADL exceeded the recommended threshold for each quality criterion the authors evaluated. This freely-available tool is an efficient measure of activities of daily living for surveys and epidemiological research concerning adolescents and adults with developmental disabilities. PMID:23260606

  18. Allosteric activation of membrane-bound glutamate receptors using coordination chemistry within living cells

    Kiyonaka, Shigeki; Kubota, Ryou; Michibata, Yukiko; Sakakura, Masayoshi; Takahashi, Hideo; Numata, Tomohiro; Inoue, Ryuji; Yuzaki, Michisuke; Hamachi, Itaru

    2016-10-01

    The controlled activation of proteins in living cells is an important goal in protein-design research, but to introduce an artificial activation switch into membrane proteins through rational design is a significant challenge because of the structural and functional complexity of such proteins. Here we report the allosteric activation of two types of membrane-bound neurotransmitter receptors, the ion-channel type and the G-protein-coupled glutamate receptors, using coordination chemistry in living cells. The high programmability of coordination chemistry enabled two His mutations, which act as an artificial allosteric site, to be semirationally incorporated in the vicinity of the ligand-binding pockets. Binding of Pd(2,2‧-bipyridine) at the allosteric site enabled the active conformations of the glutamate receptors to be stabilized. Using this approach, we were able to activate selectively a mutant glutamate receptor in live neurons, which initiated a subsequent signal-transduction pathway.

  19. Using Citizen Scientists to Gather, Analyze, and Disseminate Information About Neighborhood Features That Affect Active Living.

    Winter, Sandra J; Goldman Rosas, Lisa; Padilla Romero, Priscilla; Sheats, Jylana L; Buman, Matthew P; Baker, Cathleen; King, Abby C

    2016-10-01

    Many Latinos are insufficiently active, partly due to neighborhoods with little environmental support for physical activity. Multi-level approaches are needed to create health-promoting neighborhoods in disadvantaged communities. Participant "citizen scientists" were adolescent (n = 10, mean age = 12.8 ± 0.6 years) and older adult (n = 10, mean age = 71.3 ± 6.5 years), low income Latinos in North Fair Oaks, California. Citizen scientists conducted environmental assessments to document perceived barriers to active living using the Stanford Healthy Neighborhood Discovery Tool, which records GPS-tracked walking routes, photographs, audio narratives, and survey responses. Using a community-engaged approach, citizen scientists subsequently attended a community meeting to engage in advocacy training, review assessment data, prioritize issues to address and brainstorm potential solutions and partners. Citizen scientists each conducted a neighborhood environmental assessment and recorded 366 photographs and audio narratives. Adolescents (n = 4), older adults (n = 7) and community members (n = 4) collectively identified reducing trash and improving personal safety and sidewalk quality as the priority issues to address. Three adolescent and four older adult citizen scientists volunteered to present study findings to key stakeholders. This study demonstrated that with minimal training, low-income, Latino adolescent and older adult citizen scientists can: (1) use innovative technology to gather information about features of their neighborhood environment that influence active living, (2) analyze their information and identify potential solutions, and (3) engage with stakeholders to advocate for the development of healthier neighborhoods.

  20. Impact of rehabilitation on activities of daily living of stroke patients

    Tian-Lun Fan; Hai-Yan Chen; Yi-Bin Ou; Jiao-Hong Li; Fei Zhou

    2016-01-01

    Objective:To investigate the effect of rehabilitation intervention on activities of daily living of stroke patients tracking.Methods: A randomized, controlled, single-blind study was conducted from January 2014 through December 2015, 60 cases of hospitalized patients with stroke as the observation group, using track rehabilitation intervention from January to December in 2015; and 60 hospitalized patients with stroke as the control group, using conventional rehabilitation interventions from January to December in 2014. Their ADL was assessed by using modified Barthel index and compared.Results:Before the intervention, the two groups showed no significant difference in MBI score; after the intervention, the difference between the two groups MBI score and before treatment were significant (P <0.05), compared the BMI between observation group (81.42 ± 14.28) and control group (59.23 ± 12.37), the difference between the two groups was significant (P <0.01)Conclusions:The track rehabilitation intervention is more effective in improving activities of daily living in stroke patients.

  1. A new clinical tool for assessing numerical abilities in neurological diseases: Numerical Activities of Daily Living

    Carlo eSemenza

    2014-06-01

    Full Text Available The aim of this study was to build an instrument, the Numerical Activities of Daily Living (NADL, designed to identify the specific impairments in numerical functions that may cause problems in everyday life. These impairments go beyond what can be inferred from the available scales evaluating activities of daily living in general, and are not adequately captured by measures of the general deterioration of cognitive functions as assessed by standard clinical instruments like the MMSE and MoCA. We assessed a control group (n = 148 and a patient group affected by a wide variety of neurological conditions (n = 175, with NADL along with IADL, MMSE, and MoCA. The NADL battery was found to have satisfactory construct validity and reliability, across a wide age range. This enabled us to calculate appropriate criteria for impairment that took into account age and education. It was found that neurological patients tended to overestimate their abilities as compared to the judgment made by their caregivers, assessed with objective tests of numerical abilities.

  2. The Graduate Experience: Living and Studying Abroad (A Case Study

    Rosario Hernández Castañeda

    2008-11-01

    Full Text Available This article is a qualitative case study describing the experience of Angélica an international graduate student from Latin America, who received her doctorate at the University of New Mexico in the United States. Her case demonstrated how administrators and faculty learn about the experience and struggles endured by international students, especially those who learned English a short time before admission to graduate studies. While a single case is understandably idiographic in nature and inevitably requires a larger sample, from the analysis of Angélica’s case and the analysis of the relevant literature common topics emerged persuading me to conclude that the issues that commonly impact the life of international students have to do with: 1 second language problems; 2 the quality of academic advisement received; 3 the availability of financial support; 4 the level of integration into their academic program; and 5 the level of cultural adjustment in their host country.

  3. (Instrumental) activities of daily living in older adults with intellectual disabilities

    Hilgenkamp, Thessa I. M.; van Wijck, Ruud; Evenhuis, Heleen M.

    2011-01-01

    Daily living skills are important to ageing adults with intellectual disabilities (ID). The purpose of this study was to investigate the level of these skills in older adults with ID and to investigate the influence Of gender, age, level of ID and mobility on these skills. Daily living skills were m

  4. The lived experiences of being physically active when morbidly obese

    Toft, Bente Skovsby; Uhrenfeldt, Lisbeth

    2015-01-01

    the seven-step procedure of the Joanna Briggs Institute and was published in a protocol. Six databases were searched using keywords and index terms. Manual searches were performed in reference lists and in cited citations up until March 2015. The selected studies underwent quality appraisal in the Joanna...

  5. Embedding a Recovery Orientation into Neuroscience Research: Involving People with a Lived Experience in Research Activity.

    Stratford, Anthony; Brophy, Lisa; Castle, David; Harvey, Carol; Robertson, Joanne; Corlett, Philip; Davidson, Larry; Everall, Ian

    2016-03-01

    This paper highlights the importance and value of involving people with a lived experience of mental ill health and recovery in neuroscience research activity. In this era of recovery oriented service delivery, involving people with the lived experience of mental illness in neuroscience research extends beyond their participation as "subjects". The recovery paradigm reconceptualises people with the lived experience of mental ill health as experts by experience. To support this contribution, local policies and procedures, recovery-oriented training for neuroscience researchers, and dialogue about the practical applications of neuroscience research, are required.

  6. Diversity and activity of free-living nitrogen-fixing bacteria and total bacteria in organic and conventionally managed soils.

    Orr, Caroline H; James, Angela; Leifert, Carlo; Cooper, Julia M; Cummings, Stephen P

    2011-02-01

    Agricultural soils are heterogeneous environments in which conditions affecting microbial growth and diversity fluctuate widely in space and time. In this study, the molecular ecology of the total bacterial and free-living nitrogen-fixing communities in soils from the Nafferton Factorial Systems Comparison (NFSC) study in northeast England were examined. The field experiment was factorial in design, with organic versus conventional crop rotation, crop protection, and fertility management factors. Soils were sampled on three dates (March, June, and September) in 2007. Total RNA was extracted from all soil samples and reverse transcribed. Denaturing gradient gel electrophoresis (DGGE) and quantitative PCR (qPCR) were used to analyze nifH and 16S rRNA genes in order to study free-living diazotrophs and the total bacterial community, respectively. Crop rotation was shown to have a significant effect on total bacterial diversity (and that of free-living N fixers) (P ≤ 0.001). On all three dates, nifH activity was higher in the conventional crop rotation. In contrast, qPCR analysis of free-living N fixers indicated significantly higher levels of activity in conventionally fertilized plots in June (P = 0.0324) and in plots with organic crop protection in September (P = 0.0143). To our knowledge, the effects of organic and conventional farming systems on free-living diazotrophs have never been studied. An increased understanding of the impacts of management practices on free-living N fixers could allow modifications in soil management practices to optimize the activity of these organisms.

  7. Activity of daily living performance amongst Danish asylum seekers

    Morville, Anne-Le; Erlandsson, Lena-Karin; Eklund, Mona;

    2014-01-01

    be lower in individuals exposed to torture as compared to the non-tortured. SUBJECTS: Forty-three newly arrived asylum seekers aged 20-50 years, from Iran, Afghanistan and Syria, were consecutively included in the study. METHOD: ADL ability was assessed with the observation-based test Assessment of Motor...... and Process Skills (AMPS). Interviews were based on questionnaires about torture exposure, WHO-5 Wellbeing Index, Major Depression Inventory and Pain Detect Questionnaire. All participants were interviewed and tested using a linguistic interpreter. RESULTS: Thirty three (77%) participants reported exposure...

  8. The Groningen Active Living Model, an example of successful recruitment of sedentary and underactive older adults

    Stevens, Martin; de Jong, Johan; Lemmink, Koen A. P. M.

    2008-01-01

    Objective. Many physical activity interventions do not reach those people who would benefit the most from them. The Groningen Active Living Model (GALM) was successful in recruiting sedentary and underactive older adults. Method. In the fall of 2000 older adults in three municipalities in the Nether

  9. "Active Living" Related to the Rural-Urban Continuum: A Time-Use Perspective

    Millward, Hugh; Spinney, Jamie

    2011-01-01

    Purpose: This paper assesses the degree to which "active living" varies along the rural-urban continuum, within the county-sized regional municipality of Halifax, Nova Scotia. Methods: Time-diary data from the Halifax Space-Time Activity Research project were used to compute daily participation rates (PRs) and time durations, at various…

  10. Physical Education and Physically Active Lives: A Lifelong Approach to Curriculum Development

    Penney, Dawn; Jess, Mike

    2004-01-01

    This paper focuses upon the relationship between physical education and interests in enabling more people to establish and maintain "active and healthy lives" from a curriculum development perspective. Twin and inter-linked concepts of "lifelong learning" and "lifelong physical activity" are presented as a conceptual basis for curriculum…

  11. We need theoretical physics approaches to study living systems

    Blagoev, Krastan B.; Shukla, Kamal; affil="3" >Herbert Levine,

    2013-08-01

    Living systems, as created initially by the transition from assemblies of large molecules to self-reproducing information-rich cells, have for centuries been studied via the empirical toolkit of biology. This has been a highly successful enterprise, bringing us from the vague non-scientific notions of vitalism to the modern appreciation of the biophysical and biochemical bases of life. Yet, the truly mind-boggling complexity of even the simplest self-sufficient cells, let alone the emergence of multicellular organisms, of brain and consciousness, and to ecological communities and human civilizations, calls out for a complementary approach. In this editorial, we propose that theoretical physics can play an essential role in making sense of living matter. When faced with a highly complex system, a physicist builds simplified models. Quoting Philip W Anderson's Nobel prize address, 'the art of model-building is the exclusion of real but irrelevant parts of the problem and entails hazards for the builder and the reader. The builder may leave out something genuinely relevant and the reader, armed with too sophisticated an experimental probe, may take literally a schematized model. Very often such a simplified model throws more light on the real working of nature....' In his formulation, the job of a theorist is to get at the crux of the system by ignoring details and yet to find a testable consequence of the resulting simple picture. This is rather different than the predilection of the applied mathematician who wants to include all the known details in the hope of a quantitative simulacrum of reality. These efforts may be practically useful, but do not usually lead to increased understanding. To illustrate how this works, we can look at a non-living example of complex behavior that was afforded by spatiotemporal patterning in the Belousov-Zhabotinsky reaction [1]. Physicists who worked on this system did not attempt to determine all the relevant chemical intermediates

  12. Is a change in functional capacity or dependency in activities of daily living associated with a change in mental health among older people living in residential care facilities?

    Conradsson M

    2013-11-01

    Full Text Available Mia Conradsson,1 Håkan Littbrand,1,2 Gustaf Boström,1 Nina Lindelöf,1 Yngve Gustafson,1 Erik Rosendahl1,2 1Department of Community Medicine and Rehabilitation, Geriatric Medicine, Umeå University, Umeå, Sweden; 2Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umeå, Sweden Aim: Functional capacity and dependency in activities of daily living (ADL could be important mediators for an association between physical exercise and mental health. The aim of this study was to investigate whether a change in functional capacity or dependency in ADL is associated with a change in depressive symptoms and psychological well-being among older people living in residential care facilities, and whether dementia can be a moderating factor for this association. Methods: A prospective cohort study was undertaken. Participants were 206 older people, dependent in ADL, living in residential care facilities, 115 (56% of whom had diagnosed dementia. Multivariate linear regression, with comprehensive adjustment for potential confounders, was used to investigate associations between differences over 3 months in Berg Balance Scale (BBS and Geriatric Depression Scale (GDS-15 scores, and in BBS and Philadelphia Geriatric Center Morale Scale (PGCMS scores. Associations were also investigated between differences in Barthel ADL Index and GDS-15 scores, and in Barthel ADL Index and PGCMS scores. Results: There were no significant associations between changes in scores over 3 months; the unstandardized β for associations between BBS and GDS-15 was 0.026 (P=0.31, BBS and PGCMS 0.045 (P=0.14, Barthel ADL Index and GDS-15 0.123 (P=0.06, and Barthel ADL Index and PGCMS -0.013 (P=0.86. There were no interaction effects for dementia. Conclusion: A change in functional capacity or dependency in ADL does not appear to be associated with a change in depressive symptoms or psychological well-being among older people living in residential care

  13. Excitotoxic insult results in a long-lasting activation of CaMKIIα and mitochondrial damage in living hippocampal neurons.

    Nikolai Otmakhov

    Full Text Available Over-activation of excitatory NMDA receptors and the resulting Ca2+ overload is the main cause of neuronal toxicity during stroke. CaMKII becomes misregulated during such events. Biochemical studies show either a dramatic loss of CaMKII activity or its persistent autonomous activation after stroke, with both of these processes being implicated in cell toxicity. To complement the biochemical data, we monitored CaMKII activation in living hippocampal neurons in slice cultures using high spatial/temporal resolution two-photon imaging of the CaMKIIα FRET sensor, Camui. CaMKII activation state was estimated by measuring Camui fluorescence lifetime. Short NMDA insult resulted in Camui activation followed by a redistribution of its protein localization: an increase in spines, a decrease in dendritic shafts, and concentration into numerous clusters in the cell soma. Camui activation was either persistent (> 1-3 hours or transient (~20 min and, in general, correlated with its protein redistribution. After longer NMDA insult, however, Camui redistribution persisted longer than its activation, suggesting distinct regulation/phases of these processes. Mutational and pharmacological analysis suggested that persistent Camui activation was due to prolonged Ca2+ elevation, with little impact of autonomous states produced by T286 autophosphorylation and/or by C280/M281 oxidation. Cell injury was monitored using expressible mitochondrial marker mito-dsRed. Shortly after Camui activation and clustering, NMDA treatment resulted in mitochondrial swelling, with persistence of the swelling temporarily linked to the persistence of Camui activation. The results suggest that in living neurons excitotoxic insult produces long-lasting Ca2+-dependent active state of CaMKII temporarily linked to cell injury. CaMKII function, however, is to be restricted due to strong clustering. The study provides the first characterization of CaMKII activation dynamics in living neurons

  14. A Study on Activities of Daily Living and Its Risk Factors of the Aged in the Rural Areas%农村老年人日常生活活动能力及影响因素研究

    徐小青; 董斌; 周武; 李跃军; 刘军; 王松鹤; 江志琴

    2011-01-01

    目的 调查浙江省农村老年人的体能状况和卫生保健及养老需求,分析老年人日常生活活动能力(ADL)受损的主要危险因素并评价其危险程度.方法 采用问卷调查法,调查农村老年人800人,应用老年人日常生活活动能力量表测评其ADL得分现状及有关的影响因素.结果 不同年龄组、不同慢性病的ADL值差异有统计学意义,不同性别、不同生活方式的ADL差异无统计学意义.结论 针对导致ADL受损的主要危险因素,采取有效预防对策,以提高老年人的健康水平及生活质量.%Objective Through investigating the physical stamina and health care requirement of the aged, to explore main risk factors which lead to ADL damage, and evaluate the degree of risk. Methods 800 old people were selected in the suburban county of Ningbo and Jiangshan. Elderly activities of daily living scale were adopted to get the information of ADL scoring status and related factors.Results ADL value among different age groups and different chronic disease groups was significantly different; there were no significant differences among groups of different sex and groups with different life modes. Conclusion To improve the health level of the elderly and their quality of life, effective countermeasure must be adopted according to main risk factors of ADL damage.

  15. Strategies to increase living kidney donation: a retrospective cohort study

    Cardinal, H.; Durand, C.; Larrivee, S.; Verhave, J.C.; Paquet, M.R.; Fortin, M.C.

    2015-01-01

    BACKGROUND: Living kidney transplantation (LKT) offers the best medical outcomes for organ recipients. Historically, our centre had a low rate of LKT. In 2009, in an effort to increase living organ donation (LOD), a dedicated team was created. Its mandate was to promote LOD at our centre and at refe

  16. Associations between active living-oriented zoning and no adult leisure-time physical activity in the U.S.

    Leider, Julien; Chriqui, Jamie F; Thrun, Emily

    2017-02-01

    Nearly one-third of adults report no leisure-time physical activity (LTPA). Governmental and authoritative bodies recognize the role that community design through zoning code changes can play in enabling LTPA. This study examined the association between zoning and no adult LTPA in the U.S. This study was conducted between 2012 and 2016, with analyses occurring in 2015-2016. Zoning codes effective as of 2010 were compiled for jurisdictions located in the 495 most populous U.S. counties and were evaluated for pedestrian-oriented code reform zoning, 11 active living-oriented provisions (e.g., sidewalks, bike-pedestrian connectivity, mixed use, bike lanes) and a summated zoning scale (max=12). Individual-level LTPA data were obtained from the 2012 CDC Behavioral Risk Factor Surveillance System (BRFSS). County-aggregated, population-weighted zoning variables were constructed for linking to BRFSS. Log-log multivariate regressions (N=147,517 adults), controlling for individual and county characteristics and with robust standard errors clustered on county, were conducted to examine associations between zoning and no LTPA. Relative risks (RR) compared predicted lack of LTPA at 0% and 100% county-level population exposure to each zoning predictor. Zoning code reforms were associated with a 13% lower probability of no LTPA (RR: 0.87, 95% CI: 0.82-0.92). Except for crosswalks, all zoning provisions were associated with an 11-16% lower probability of no LTPA. Having all 12 zoning provisions was associated with a 22% lower probability of no LTPA (RR: 0.78, 95% CI: 0.72-0.83). The results suggest that active living-oriented zoning is a policy lever available to communities seeking to reduce rates of no LTPA.

  17. Active Living: development and quasi-experimental evaluation of a school-centered physical activity intervention for primary school children

    Kann, D.H.H. van; Jansen, M.W.J.; Vries, S.I. de; Vries, N.K. de; Kremers, S.P.J.

    2015-01-01

    Background The worldwide increase in the rates of childhood overweight and physical inactivity requires successful prevention and intervention programs for children. The aim of the Active Living project is to increase physical activity and decrease sedentary behavior of Dutch primary school children

  18. Using Rasch Analysis to Evaluate Accuracy of Individual Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) for Disability Measurement.

    Friedman, Bruce; Li, Yanen

    2015-01-01

    Our study objectives were to examine the accuracy of individual activities of daily living (ADLs) and instrumental ADLs (IADLs) for disability measurement, and determine whether dependence or difficulty is more useful for disability measurement. We analyzed data from 499 patients with 2+ ADLs or 3+ IADLs who participated in a home visiting nurse intervention study, and whose function had been assessed at study baseline and 22 months. Rasch analysis was used to evaluate accuracy of 24 individual ADL and IADL items. The individual items differed in the amount of information provided in measuring functional disability along the range of disability, providing much more information in (usually) one part of the range. While nearly all of the Item Information Curves (IICs) for the ADL dependence, IADL difficulty, and IADL dependence items were unimodal with one information peak each, the IICs for ADL difficulty exhibited a bimodal pattern with two peaks. Which of the individual items performed better in disability measurement varied by the extent of functional disability (i.e., by how disabled the patients were). The information peaks of most ADLs and many IADLs rise or drop steeply in a relatively short distance. Thus, whether dependence or difficulty is superior often changes very quickly along the disability continuum. There was considerable heterogeneity in which individual items provided the most and the least information at the three points of interest examined across the disability range (-2 SD units, mean, +2 SD units). While the disability region (low, medium, and high disability) for which each individual item provided the most information remained quite stable between baseline and 22 months for ADL difficulty, IADL difficulty, and IADL dependence, relatively large shifts occurred for ADL dependence items. At the disability mean dependence items offered more information for assessment than difficulty. While ADLs also provided more information at -2 and +2 SD

  19. Living with an unfixable heart: a qualitative study exploring the experience of living with advanced heart failure.

    Ryan, Marie

    2012-02-01

    BACKGROUND: Nurses working with patients with advanced heart failure need knowledge that will help us to help patients cope with their situations of chronic illness. However, our knowledge bank is deficient due to the scarcity of inquiry that takes the affected person\\'s point of view as its central focus. AIM: The aim of this study was to describe patients\\' experiences of living with advanced heart failure. METHODS: The study sample (N=9) consisted of male (N=6) and female (N=3) patients with advanced (NYHA classes III-IV) heart failure. The design was qualitative and open unstructured interviews were audio-taped and transcribed verbatim during 2006. RESULTS: Four main themes emerged: Living in the Shadow of Fear; Running on Empty; Living a Restricted life; and Battling the System. The experience of living with advanced heart failure was described as a fearful and tired sort of living characterised by escalating impotence and dependence. CONCLUSIONS: The findings suggest that there may be an illogical but enduring ethos of \\'cure\\' pervading health care worker\\'s attitudes to advanced heart failure care. This mindset might be working to hinder the application of additional or alternative therapies, which might better palliate the physical and psychosocial distress of patients.

  20. Comparison of three generations of ActiGraph activity monitors under free-living conditions

    Grydeland, May; Hansen, Bjørge Herman; Ried-Larsen, M.;

    2014-01-01

    BACKGROUND: A recent review concludes that the agreement of data across ActiGraph accelerometer models for children and youth still is uncertain. The aim of this study was to evaluate the agreement of three generations of ActiGraph accelerometers in children in a free-living condition. METHODS......: Sixteen 9-year-olds wore the ActiGraph AM7164, GT1M and GT3X+ simultaneously for three consecutive days. We compared mean counts per minute (mcpm) and time spent at different intensities from the three generations of monitors, and the agreement of outputs were evaluated by intra-class correlation.......7%. The inter-generation differences varied in magnitude and direction across intensity levels, with the largest difference found in the highest intensities. CONCLUSION: We found that the ActiGraph model AM7164 yields higher outputs of mean physical activity intensity (mcpm) than the models GT1M and GT3X...

  1. A "client-centred activities of daily living" intervention for persons with stroke

    Guidetti, Susanne; Ranner, Maria; Tham, Kerstin;

    2015-01-01

    OBJECTIVE: To compare changes regarding perceived participation, independence in activities of daily living (ADL) and life satisfaction between 3, 6 and 12 months after inclusion in a study of a client-centred ADL intervention and usual ADL intervention after stroke. DESIGN: A multicentre...... randomized controlled trial. METHODS: Sixteen rehabilitation units were randomly assigned to provide client-centred ADL intervention or usual ADL intervention. Eligible participants were persons ≤ 3 months after stroke who had been treated in a stroke unit, were dependent in two ADL domains, had not been...... diagnosed with dementia, and were able to understand instructions. Data collection was performed by blinded assessors. The primary outcome, perceived participation, was assessed with the Stroke Impact Scale 3.0, domain 8. The secondary outcomes, participation, independence in ADL, and life satisfaction...

  2. Activities of Daily Living Indexing by Hierarchical HMM for Dementia Diagnostics

    Karaman, Svebor; Dartigues, Jean-François; Gaëstel, Yann; Mégret, Rémi; Pinquier, Julien

    2011-01-01

    This paper presents a method for indexing human ac- tivities in videos captured from a wearable camera being worn by patients, for studies of progression of the dementia diseases. Our method aims to produce indexes to facilitate the navigation throughout the individual video recordings, which could help doctors search for early signs of the dis- ease in the activities of daily living. The recorded videos have strong motion and sharp lighting changes, inducing noise for the analysis. The proposed approach is based on a two steps analysis. First, we propose a new approach to segment this type of video, based on apparent motion. Each segment is characterized by two original motion de- scriptors, as well as color, and audio descriptors. Second, a Hidden-Markov Model formulation is used to merge the multimodal audio and video features, and classify the test segments. Experiments show the good properties of the ap- proach on real data.

  3. Instrumental Activities of Daily Living Impairment Is Associated with Increased Amyloid Burden

    Marshall, Gad A.; Olson, Lauren E.; Frey, Meghan T.; Maye, Jacqueline; Becker, J. Alex; Rentz, Dorene M.; Sperling, Reisa A.; Johnson, Keith A.

    2011-01-01

    Background/Aims Instrumental activities of daily living (IADL) impairment in Alzheimer's disease has been associated with global amyloid deposition in postmortem studies. We sought to determine whether IADL impairment is associated with increased cortical Pittsburgh Compound B (PiB) retention. Methods Fifty-five subjects (19 normal older controls, NC, and 36 with mild cognitive impairment, MCI) underwent clinical assessments and dynamic PiB positron emission tomography imaging. Results A linear multiple regression model showed that greater IADL impairment was associated with greater global PiB retention in all subjects (R2 = 0.40; unstandardized partial regression coefficient, β = 5.8; p = 0.0002) and in MCI subjects only (R2 = 0.28; β = 6.1; p = 0.003), but not in NC subjects only. Conclusion These results suggest that daily functional impairment is related to greater amyloid burden in MCI. PMID:21778725

  4. Long-lived activation products in TRIGA Mark II research reactor concrete shield: calculation and experiment

    Zagar, Tomaz [Reactor Physics Department, Jozef Stefan Institute, Jamova 39, 1000 Ljubljana (Slovenia)]. E-mail: tomaz.zagar@ijs.si; Bozic, Matjaz [Nuklearna elektrarna Krsko, Vrbina 12, 8270 Krsko (Slovenia); Ravnik, Matjaz [Reactor Physics Department, Jozef Stefan Institute, Jamova 39, 1000 Ljubljana (Slovenia)

    2004-12-01

    In this paper, a process of long-lived activity determination in research reactor concrete shielding is presented. The described process is a combination of experiment and calculations. Samples of original heavy reactor concrete containing mineral barite were irradiated inside the reactor shielding to measure its long-lived induced radioactivity. The most active long-lived ({gamma} emitting) radioactive nuclides in the concrete were found to be {sup 133}Ba, {sup 60}Co and {sup 152}Eu. Neutron flux, activation rates and concrete activity were calculated for actual shield geometry for different irradiation and cooling times using TORT and ORIGEN codes. Experimental results of flux and activity measurements showed good agreement with the results of calculations. Volume of activated concrete waste after reactor decommissioning was estimated for particular case of Jozef Stefan Institute TRIGA reactor. It was observed that the clearance levels of some important long-lived isotopes typical for barite concrete (e.g. {sup 133}Ba, {sup 41}Ca) are not included in the IAEA and EU basic safety standards.

  5. Seasonal Short-Lived Radium Activity in the Venice Lagoon: The Role of Residence Time

    Rapaglia, J.; Ferrarin, C.; Zaggia, L.; Umgiesser, G.; Zuppi, G.; Manfe', G.

    2008-12-01

    Radium is considered to be an excellent tracer of submarine groundwater discharge (SGD) and, therefore, has been used in many studies of this process in the past decade. Comprehensive surveys of excess 223,224Ra activity were completed in the surface waters of the Venice Lagoon over 6 seasons in order to quantify seasonal variation of SGD into the lagoon. The mass balance of radium found that SGD was 5-26 times greater than total river discharge (35.5 m3 s-1), and that total SGD could differ by almost an order of magnitude pending season. Several possible parameters, which may cause the seasonal variation, were tested. These included precipitation events, average tidal elevation, average tidal excursion, wind speed and direction, yet none provided a satisfactory explanation for the difference. Residence time based on a hydrodynamic model, however, was very strongly correlated with the observed variation. When the average residence time in the lagoon was low (5 days) the SGD was calculated to be 930 m3 s-1 and when the average residence time was high (9 days) the SGD was quantified as 160 m3 s-1. Radioactive decay is already accounted for in the mass balance model and therefore this correlation must be explained by another process. The Venice Lagoon is characterized by low residence time during periods of spring tides and bora or northerly winds, both of which create exceptionally strong currents in the Venice Lagoon. The currents as well as the large tidal excursion which occurs at spring tides drive a recirculation of seawater through the surface sediments, which greatly increases short-lived Ra activity in the surface waters. This evidence suggests, therefore, that short-lived Ra mass balance studies, which are based on a single survey, may under or overestimate the mean annual SGD pending the hydrodynamics of the investigated location.

  6. Extending Agent Based Telehealth Platform with Activities of Daily Living Reasoning Capabilities

    Jørgensen, Daniel Bjerring; Hallenborg, Kasper; Demazeau, Yves

    it will influence his or her everyday live. Therefore we believe that a telehealth system shall adapt its behavior so that it will not be a burden for the patient/resident to use. To this aim we have extended an existing telehealth platform to reason about activities of daily living in a smart home scenario......In the future patients will have a more active role in strengthening and maintaining their own health. Telehealth can empower and motivate patients by giving them the chance to stay in their own homes instead of going to the hospital. A telehealth system is deployed in a patient’s home hence...

  7. The 'Technology - Activities of Daily Living Questionnaire': a version with a technology-related subscale

    Muñoz-Neira, Carlos; López, Oscar L.; Riveros, Rodrigo; Nuñez-Huasaf, Javier; Flores, Patricia; Slachevsky, Andrea

    2016-01-01

    Background Information and communication technology (ICT) has become an increasingly important part of daily life. The ability to use technology is becoming essential for autonomous functioning in society. Current functional scales for patients with cognitive impairment do not evaluate the use of technology. The objective of this study was to develop and validate a new version of the Activities of Daily Living Questionnaire (ADLQ) that incorporates an ICT subscale. Method A new technology-based subscale was incorporated into the Spanish Version of the ADLQ (SV-ADLQ), entitled The Technology Version of the ADLQ (T-ADLQ). The T-ADLQ was administered to 63 caregivers of dementia patients, 21 proxies of mild cognitive impairment patients and 44 proxies of normal elderly subjects (mean age of the sample ± SD: 73.5 ± 8.30). We analysed the convergent validity, internal consistency, reliability cut-off point, sensitivity and specificity of the T-ADLQ. The results of the T-ADLQ were compared to the SV-ADLQ. Results The T-ADLQ showed significant correlations with the Mini-mental Test (MMSE), the Frontal Assesment Battery (FAB) as well as other measures of functional impairment and dementia severity (MMSE: r = −0.70; FAB: r = −0.65; Functional Assessment Questionnaire: r = 0.77; Instrumental Activities of Daily Living Scale: r = −0.75; Clinical Dementia Rating Scale: r = 0.72; p<0.001). The T-ADLQ showed a good reliability with a relatively high Cronbach’s alpha coefficient (Cronbach’s alpha = 0.861). When considering a functional impairment cut-off point greater than 29.25%, the sensitivity and specificity of the T-ADLQ were 82% and 90%, respectively. The area under the ROC curve (AUC) was 0.937 for the T-ADLQ and 0.932 for the original version of the test. Conclusions The T-ADLQ revealed adequate indicators of validity and reliability for the functional assessment of activities of daily living in dementia patients. However, the inclusion of technology items in

  8. Validation of Taiwan Performance-Based Instrumental Activities of Daily Living (TPIADL), a Performance- Based Measurement of Instrumental Activities of Daily Living for Patients with Vascular Cognitive Impairment

    Chen, Hui-Mei; Lin, Hsiu-Fen; Huang, Mei-Feng; Chang, Chun-Wei; Yeh, Yi-Chun; Lo, Yi-Ching; Yen, Cheng-Fang; Chen, Cheng-Sheng

    2016-01-01

    Objective Patients with cerebrovascular diseases often presented both cognitive and physical impairment. Disability in everyday functioning involving cognitive impairment among patients may be hard to completely rely on informants’ reports, as their reports may be confounded with physical impairment. The aim of this study was to validate a performance-based measure of functional assessment, the Taiwan Performance-Based Instrumental Activities of Daily Living (TPIADL), for vascular cognitive impairment (VCI) by examining its psychometric properties and diagnostic accuracy. Methods Ninety-seven patients with cerebrovascular diseases, including 30 with vascular dementia (VaD), 28 with mild cognitive impairment and 39 with no cognitive impairment, and 49 healthy control adults were recruited during study period. The TPIADL, as well as the Mini Mental State Examination (MMSE), Lawton-IADL and Barthel Index (BI), were performed. The internal consistency, convergent and criteria validity of the TPIADL were examined. Results Cronbach’s alpha of the TPIADL test was 0.84. The TPIADL scores were significantly correlated with the Lawton IADL (r = –0.587, p IADL (r = –0.663) than with physical domain of Lawton IADL (r = –0.541). The area under the relative operating characteristic curve was 0.888 (95% CI = 0.812–0.965) to differentiate VaD from other groups. The optimal cut-off point of the TPIADL for detecting VaD was 6/7, which gives a sensitivity of 73.3% and a specificity of 84.5%. Conclusion The TPIADL is a brief and sensitive tool for the detection of IADL impairment in patients with VaD. PMID:27851810

  9. Immobilizing live Escherichia coli for AFM studies of surface dynamics.

    Lonergan, N E; Britt, L D; Sullivan, C J

    2014-02-01

    Atomic force microscopy (AFM) is a probe-based technique that permits high resolution imaging of live bacterial cells. However, stably immobilizing cells to withstand the probe-based lateral forces remains an obstacle in AFM mediated studies, especially those of live, rod shaped bacteria in nutrient media. Consequently, AFM has been under-utilized in the research of bacterial surface dynamics. The aim of the current study was to immobilize a less adherent Escherichia coli strain in a method that both facilitates AFM imaging in nutrient broth and preserves overall cell viability. Immobilization reagents and buffers were systematically evaluated and the cell membrane integrity was monitored in all sample preparations. As expected, the biocompatible gelatin coated surfaces facilitated stable cell attachment in lower ionic strength buffers, yet poorly immobilized cells in higher ionic strength buffers. In comparison, poly-l-lysine surfaces bound cells in both low and high ionic strength buffers. The benefit of the poly-l-lysine binding capacity was offset by the compromised membrane integrity exhibited by cells on poly-l-lysine surfaces. However, the addition of divalent cations and glucose to the immobilization buffer was found to mitigate this unfavorable effect. Ultimately, immobilization of E. coli cells on poly-l-lysine surfaces in a lower ionic strength buffer supplemented with Mg(2+) and Ca(2+) was determined to provide optimal cell attachment without compromising the overall cell viability. Cells immobilized in this method were stably imaged in media through multiple division cycles. Furthermore, permeability assays indicated that E. coli cells recover from the hypoosmotic stress caused by immobilization in low ionic strength buffers. Taken together, this data suggests that stable immobilization of viable cells on poly-l-lysine surfaces can be accomplished in lower ionic strength buffers that are supplemented with divalent cations for membrane stabilization

  10. Immobilizing live Escherichia coli for AFM studies of surface dynamics

    Lonergan, N.E.; Britt, L.D.; Sullivan, C.J., E-mail: sullivcj@evms.edu

    2014-02-01

    Atomic force microscopy (AFM) is a probe-based technique that permits high resolution imaging of live bacterial cells. However, stably immobilizing cells to withstand the probe-based lateral forces remains an obstacle in AFM mediated studies, especially those of live, rod shaped bacteria in nutrient media. Consequently, AFM has been under-utilized in the research of bacterial surface dynamics. The aim of the current study was to immobilize a less adherent Escherichia coli strain in a method that both facilitates AFM imaging in nutrient broth and preserves overall cell viability. Immobilization reagents and buffers were systematically evaluated and the cell membrane integrity was monitored in all sample preparations. As expected, the biocompatible gelatin coated surfaces facilitated stable cell attachment in lower ionic strength buffers, yet poorly immobilized cells in higher ionic strength buffers. In comparison, poly-L-lysine surfaces bound cells in both low and high ionic strength buffers. The benefit of the poly-L-lysine binding capacity was offset by the compromised membrane integrity exhibited by cells on poly-L-lysine surfaces. However, the addition of divalent cations and glucose to the immobilization buffer was found to mitigate this unfavorable effect. Ultimately, immobilization of E. coli cells on poly-L-lysine surfaces in a lower ionic strength buffer supplemented with Mg{sup 2+} and Ca{sup 2+} was determined to provide optimal cell attachment without compromising the overall cell viability. Cells immobilized in this method were stably imaged in media through multiple division cycles. Furthermore, permeability assays indicated that E. coli cells recover from the hypoosmotic stress caused by immobilization in low ionic strength buffers. Taken together, this data suggests that stable immobilization of viable cells on poly-L-lysine surfaces can be accomplished in lower ionic strength buffers that are supplemented with divalent cations for membrane

  11. An inducible transgene reports activation of macrophages in live zebrafish larvae.

    Sanderson, Leslie E; Chien, An-Tzu; Astin, Jonathan W; Crosier, Kathryn E; Crosier, Philip S; Hall, Christopher J

    2015-11-01

    Macrophages are the most functionally heterogenous cells of the hematopoietic system. Given many diseases are underpinned by inappropriate macrophage activation, macrophages have emerged as a therapeutic target to treat disease. A thorough understanding of what controls macrophage activation will likely reveal new pathways that can be manipulated for therapeutic benefit. Live imaging fluorescent macrophages within transgenic zebrafish larvae has provided a valuable window to investigate macrophage behavior in vivo. Here we describe the first transgenic zebrafish line that reports macrophage activation, as evidenced by induced expression of an immunoresponsive gene 1(irg1):EGFP transgene. When combined with existing reporter lines that constitutively mark macrophages, we reveal this unique transgenic line can be used to live image macrophage activation in response to the bacterial endotoxin lipopolysaccharide and xenografted human cancer cells. We anticipate the Tg(irg1:EGFP) line will provide a valuable tool to explore macrophage activation and plasticity in the context of different disease models.

  12. The Lived Experiences of Participating in Physical Activity among Young People with Mental Health Problems. A Recovery-Oriented Perspective

    Staal Anna

    2015-03-01

    Full Text Available There is a growing understanding that psychiatric treatment is more than psychotherapy and medication, and that people themselves can be active in preventing and handling mental health problems. This brings non-medical solutions into play. Physical activity (in terms of exercise, sport, and fitness becomes an important contribution in this particular context. The perceived mental and physical benefits of physical activity (both preventative and therapeutic for people experiencing mental health problems are well documented. Typically, this kind of research focuses narrowly on “size of effect” or “most successful type of intervention” or “exercise versus other treatment.” Less research has explored the lived experience of physical activity and the meaning and relevance it has for individuals in their everyday lives. This article suggests that sport and exercise can play a valuable role in and contribute to the recovery process for young people with mental health problems. Results from an evaluation study of a developmental project in Denmark shows how physical activity affects a person‟s lived experiences, relationships, and pursuits. The findings is discussed in relation to the concept of recovery, especially focusing on exercise as a form of self-care strategy, as an opportunity to create social relationships, and as a way to become part of a meaningful social activity.

  13. Oral temperatures of the elderly in nursing homes in summer and winter in relation to activities of daily living

    Nakamura, K.; Tanaka, Masatoshi; Motohashi, Yutaka; Maeda, Akira

    This study was conducted to clarify the seasonal difference in body temperature in summer and winter, and to document the thermal environment of the elderly living in nursing homes. The subjects were 57 healthy elderly people aged >=63 years living in two nursing homes in Japan. One of the homes was characterized by subjects with low levels of activities of daily living (ADL). Oral temperatures were measured in the morning and afternoon, with simultaneous recording of ambient temperature and relative humidity. Oral temperatures in summer were higher than in winter, with statistically significant differences (Pelderly are lower in winter than summer, particularly in physically inactive people. It appears that those with low levels of ADL are more vulnerable to large changes in ambient temperature.

  14. Association Between Social Participation and Instrumental Activities of Daily Living Among Community-Dwelling Older Adults

    Kimiko Tomioka

    2016-10-01

    Full Text Available Background: Population-based data examining the relationship between social participation (SP and instrumental activities of daily living (IADL are scarce. This study examined the cross-sectional relationship between SP and IADL in community-dwelling elderly persons. Methods: Self-administered questionnaires were mailed to 23 710 residents aged ≥65 years in Nara, Japan (response rate: 74.2%. Data from 14 956 respondents (6935 males and 8021 females without dependency in basic activities of daily living (ADL were analyzed. The number, type, and frequency of participation in social groups (SGs were used to measure SP. SGs included volunteer groups, sports groups, hobby groups, senior citizens’ clubs, neighborhood community associations, and cultural groups. IADL was evaluated using the Tokyo Metropolitan Institute of Gerontology Index of Competence. Logistic regression models stratified by gender were used. Results: After adjustment for putative confounding factors, including demographics, health status, life-style habits, ADL, depression, cognitive function, social networks, social support, and social roles, participation in various SGs among both genders was inversely associated with poor IADL, showing a significant dose-response relationship between an increasing number of SGs and a lower proportion of those with poor IADL (P for trend <0.001. A significant inverse association between frequent participation and poor IADL was observed for all types of SGs among females, whereas the association was limited to sports groups and senior citizens’ clubs among males. Conclusions: Our results show that participation in a variety of SGs is associated with independent IADL among the community-dwelling elderly, regardless of gender. However, the beneficial effects of frequent participation on IADL may be stronger for females than for males.

  15. Garment-based detection of falls and activities of daily living using 3-axis MEMS accelerometer

    Nyan, M. N.; Tay, Francis E. H.; Manimaran, M.; Seah, K. H. W.

    2006-04-01

    This paper studied the detection of falls and activities of daily living (ADL) with two objectives: (1) minimum number of sensors for a broad range of activities and (2) maximize the comfort of the wearer for long term use. We used a garment to provide long term comfort for the wearer, with a 3-axis MEMS accelerometer on the shoulder position, as a wearable platform. ADL were detected in time-frequency domain and summation of absolute peak values of 3-D acceleration signals was used as feature in fall detection. 6 male and female subjects performed approximately five-hour long experiment. Sensitivity of 94.98% and specificity of 98.83% for altogether 1495 activities were achieved. Our garment-based detection system fulfilled the objective of providing the comfort of the wearer in long term monitoring of falls and ADL with high sensitivity. In fall detection, our device can summon medical assistances via SMS (Short Message Service). This detection system can raise fall alarm (fall SMS) automatically to individuals to get a shortened interval of the arrival of assistance.

  16. Effects of urban particulate deposition on microbial communities living in bryophytes: an experimental study.

    Meyer, C; Bernard, N; Moskura, M; Toussaint, M L; Denayer, F; Gilbert, D

    2010-10-01

    Our previous in situ study showed that bryophyte-microorganism complexes were affected by particulate atmospheric pollution. Here, the effect of urban particulate wet deposits on microbial communities living in bryophytes was studied under controlled conditions. An urban particulate solution was prepared with particles extracted from analyzer' filters and nebulized on bryophytes in treatments differing in frequency and quantity. The bryophytes did not accumulate metallic trace elements, which were present in very weak concentrations. However, in treated microcosms the total microbial biomass and the biomasses of cyanobacteria, active testate amoebae and fungi significantly decreased in response to the deposition of particles. These results confirm that microbial communities living in terrestrial bryophytes could be more sensitive indicators of atmospheric pollution than bryophytes. Moreover, they suggest that unicellular predators--such as testate amoebae--could be especially useful microbial indicators, since they seem to be both directly and indirectly affected by pollution.

  17. Study on the decreasing pattern of activities of daily living in patients with dementia%痴呆患者日常生活能力下降模式的研究

    金煜; 倪姣娜; 吴炯

    2012-01-01

    目的 了解痴呆患者日常生活能力(ADL)下降的情况和模式. 方法 收集痴呆患者204例,其中阿尔茨海默病(AD)106例,血管性痴呆(VD) 54例,其他类型痴呆44例;根据简易智能状态检查表(M MSE),轻、中、重度痴呆患者分别为42例、37例、125例.采用Barthel指数(BI)对患者ADL进行测评,比较不同认知程度、AD和VD痴呆及不同文化程度痴呆患者的日常生活能力.结果 痴呆患者ADL保留最多项目的是大便(48.5%)、小便(44.1%)和梳洗(40.2%)三项,能力保留最少的项目是上楼梯(25.5%)和洗澡(18.1%);随着认知损害的加重,痴呆患者的BI得分也是明显下降,其中重度(23.2±29.3)分、中度(65.5±26.4)分、轻度痴呆(87.4±22.7)分,其差异有统计学意义(x2=99.686,P=0.000);AD与VD比较,日常活动能力保留率(16.98%~53.77%)明显高于VD患者(1.85%~33.33%);不同文化程度痴呆患者BI得分小学及以下(40.1±39.0)分、中学组(45.3±39.6)分、大专及以上组(53.1±37.7)分,其差异无统计学意义(x2=3.653,P=0.161). 结论 中国痴呆患者最易丧失的日常生活功能是洗澡、上楼梯,最易保留的是大便、小便和梳洗.日常生活能力受痴呆程度和类型影响,但与文化程度无明显相关性.%Objective To investigate the decreasing pattern of activities of daily living (ADL) in patients with dementia. Methods A total of 204 patients with dementia were collected,among which 106 cases were with Alzheimer's diseases(AD),54 cases with vascular dementia(VD),44 cases with other types of dementia.According to the scores of mini-mental state examination(MMSE),mild,moderate and severe dementia were 42 cases,37 cases and 125 cases,respectively.All of them were assessed by Barthel index(BI) and compared among degrees of dementia,between AD and VD,and levels of education. Results The most reserved items were bowel movement (48.5 %),urination (44.1 %) and grooming (40.2

  18. Mild cognitive impairment and deficits in instrumental activities of daily living: a systematic review

    Jekel, K.; Damian, M.; Wattmo, C.; Hausner, L.; Bullock, R.; Connelly, P.J.; Dubois, B.; Eriksdotter, M.; Ewers, M.; Graessel, E.; Kramberger, M.G.; Law, E.; Mecocci, P.; Molinuevo, J.L.; Nygard, L.; Olde Rikkert, M.G.M.; Orgogozo, J.M.; Pasquier, F.; Peres, K.; Salmon, E.; Sikkes, S.A.; Sobow, T.; Spiegel, R.; Tsolaki, M.; Winblad, B.; Frolich, L.

    2015-01-01

    INTRODUCTION: There is a growing body of evidence that subtle deficits in instrumental activities of daily living (IADL) may be present in mild cognitive impairment (MCI). However, it is not clear if there are IADL domains that are consistently affected across patients with MCI. In this systematic r

  19. Evaluation of Instrumental Activities of Daily Living in Greek Patients with Advanced Cancer

    Mystakidou, Kyriaki; Parpa, Efi; Tsilika, Eleni; Panagiotoua, Irene; Roumeliotou, Anna; Symeonidi, Matina; Galanos, Antonis; Kouvaris, Ioannis

    2013-01-01

    Translation of the instrumental activities of daily living (IADL) was carried out and its psychometric properties were assessed in a Greek sample of patients with advanced cancer. The scale was translated with the forward-backward procedure into the Greek language. It was initially administered to 136 advanced cancer patients. To assess…

  20. Fluorescence-Activated Cell Sorting of Live Versus Dead Bacterial Cells and Spores

    Bernardini, James N.; LaDuc, Myron T.; Diamond, Rochelle; Verceles, Josh

    2012-01-01

    This innovation is a coupled fluorescence-activated cell sorting (FACS) and fluorescent staining technology for purifying (removing cells from sampling matrices), separating (based on size, density, morphology, and live versus dead), and concentrating cells (spores, prokaryotic, eukaryotic) from an environmental sample.

  1. SECI and Knowledge-based Streaming Living Library Activities%基于SECI和知识流的Living Library活动

    蔡璇璇

    2013-01-01

    基于SECI模型和知识流的Living Library活动,着重从SECI模型和知识流动角度探讨Living Library活动的意义,提出活动不仅实现了SECI模型中隐性知识和显性知识的转化,而且活动中知识流的作用产生了知识增值效用,为社会创造利润。%Based on the SECI model and knowledge flow Living Library activities, meaning of Living Library's activity was discussed, tacit and explicit knowledge transformation was realized, value-added utility of knowledge was produced, profits were created.

  2. Standardized training tools for the UPDRS activities of daily living scale: newly available teaching program.

    Goetz, Christopher G; LeWitt, Peter A; Weidenman, Meredith

    2003-12-01

    The Unified Parkinson's Disease Rating Scale (UPDRS) is the most widely used scale for evaluation of clinical impairment in PD. Whereas the motor section has been studied intensively for clinimetric properties and has an associated training tape, the Activities of Daily Living (ADL) section has been studied less rigorously. In preparation for a multicenter study that planned to use the UPDRS ADL score as an outcome, the authors reviewed the UPDRS ADL scale and designed a teaching program to provide a uniform technique for data acquisition without changing any wording of the primary scale. The teaching program is composed of four components: overall guidelines, clarifying points, recommended strategies, and a teaching videotape. The videotape shows examples of interviewers assessing each ADL item with patients of different disability levels and provides a complete ADL assessment of a single patient. Systematic training and utilization of this teaching program offer the potential for more uniformity in results of ADL assessments conducted in clinical practice and multicenter, international studies of PD. The written materials and videotape belong to the Movement Disorder Society and are available by contacting the MDS central office.

  3. Association of sarcopenia with swallowing problems, related to nutrition and activities of daily living of elderly individuals

    Shiozu, Hiroyasu; Higashijima, Misako; Koga, Tomoshige

    2015-01-01

    [Purpose] The purpose of the current study was to clarify problems associated with swallowing, related to nutrition and activities of daily living (ADL), in elderly individuals with sarcopenia. [Subjects and Methods] Seventy-seven subjects were assigned to a sarcopenia or a non-sarcopenia group according to a definition used by the European Working Group on Sarcopenia in Older People. Analyses were conducted including and excluding subjects with a central nervous system disorders in order to ...

  4. Health Locus of Control Predicts Free-living, but Not Supervised, Physical Activity: A Test of Exercise-Specific Control and Outcome-Expectancy Hypotheses.

    Dishman, Rod K.; Steinhardt, Mary

    1990-01-01

    Discusses a study that compared internal health locus of control (IHLOC) with internal exercise locus of control for predicting college students' activity. Results indicate an independent influence of IHLOC on free-living physical activity and suggest that testing adjust for fitness, barriers to physical activity, and outcome-expectancy values.…

  5. More Active Living-oriented County and Municipal Zoning is Associated with Increased Adult Leisure Time Physical Activity-United States, 2011.

    Chriqui, Jamie F; Nicholson, Lisa M; Thrun, Emily; Leider, Julien; Slater, Sandy J

    2016-01-01

    Although zoning is recognized for its role in facilitating healthy communities, no study has examined whether active living-oriented zoning codes are associated with adult leisure time physical activity (PA). This study sought to fill this gap and hypothesized that adult leisure time PA would be greater in communities with more progressive zoning code reforms and more active living-oriented zoning. Zoning codes for 1,617 county and municipal jurisdictions located in 30 states (covering ~40% of the U.S. population) were evaluated for code reform zoning and 11 active living markers. County-aggregated zoning measures were created for linking with five adult PA behaviors obtained from the 2011 Behavioral Risk Factor Surveillance System controlling for individual and county sociodemographics. Zoning elements most associated with adult PA included requirements for mixed use, active and passive recreation, bike parking/street furniture, and bike-pedestrian trails/paths. This study provides new insights as to the role that zoning can play in facilitating adult PA.

  6. Assessing upper extremity motor function in practice of virtual activities of daily living.

    Adams, Richard J; Lichter, Matthew D; Krepkovich, Eileen T; Ellington, Allison; White, Marga; Diamond, Paul T

    2015-03-01

    A study was conducted to investigate the criterion validity of measures of upper extremity (UE) motor function derived during practice of virtual activities of daily living (ADLs). Fourteen hemiparetic stroke patients employed a Virtual Occupational Therapy Assistant (VOTA), consisting of a high-fidelity virtual world and a Kinect™ sensor, in four sessions of approximately one hour in duration. An unscented Kalman Filter-based human motion tracking algorithm estimated UE joint kinematics in real-time during performance of virtual ADL activities, enabling both animation of the user's avatar and automated generation of metrics related to speed and smoothness of motion. These metrics, aggregated over discrete sub-task elements during performance of virtual ADLs, were compared to scores from an established assessment of UE motor performance, the Wolf Motor Function Test (WMFT). Spearman's rank correlation analysis indicates a moderate correlation between VOTA-derived metrics and the time-based WMFT assessments, supporting the criterion validity of VOTA measures as a means of tracking patient progress during an UE rehabilitation program that includes practice of virtual ADLs.

  7. Can activities of daily living contribute to EMG normalization for gait analysis?

    Ghazwan, Aseel; Forrest, Sarah M; Holt, Cathy A; Whatling, Gemma M

    2017-01-01

    This study aims to examine alternative methods of normalization that effectively reflect muscle activity as compared to Maximal Voluntary Contraction (MVC). EMG data recorded from knee flexion-extension muscles in 10 control subjects during the stance phase of the gait cycle were examined by adopting different approaches of normalization: MVC, Mean and Peak Dynamic during gait cycles, (MDM and PDM, respectively), Peak Dynamic during activities of daily living (ADLs), (*PDM), and a combination of ADLs and MVC(**PDM). Intra- and inter-individual variability were calculated to determine reliability and similarity to MCV. **PDM showed excellent reliability across subjects in comparison to MVC, where variance ratio ranged from 0.43-0.99 for **PDM and 0.79-1.08 for MVC. Coefficient of variability showed a similar trend to Variance Ratio, ranging from 0.60-1.25 for **PDM and 1.97-3.92 for MVC. Both MVC and **PDM, and to some extent *PDM, demonstrated good-to-excellent relative amplitude's matching; i.e. root mean square difference and absolute difference were both around 0.08 for Vastus medialis to about 4 for Medial gastrocnemius. It was concluded that **PDM and *PDM were reliable, **PDM mirrored MVC and thus could be used as an alternative to MVC for subjects who are unable to provide the required effort for MVC testing. Where MVC testing is not possible, *PDM is the next preferred option.

  8. A Study of Daily Living Dependency Status among Elderly in an Urban Slum area of Dehradun

    Puneet Ohri

    2014-12-01

    Full Text Available Background: Population aging is observed world-wide. As per Census 2011, elderly constitutes 7.4% population of India. It is expected to increase to 20% in 2050. This segment of population faces multiple medical and psychological problems. To address and solve these problems great effort from the country and the community is required. Objective: To assess the daily living dependency status among elderly. Method:  A cross sectional study was conducted in Dehradun, among 215 elderly people, using a pre-structured questionnaire. Their activities of daily living (ADL and Instrumental activities of daily living (IADL were recorded by observation and interviewing them with their families. Results: Out of total, 93% individuals were independent in their ADLs, with more dependence in the very old elderly. Maximum inability was found in Bathing and dressing. 70.7% elderly were dependent on one or more IADLs, female elderly being more dependent than male (p<0.05. However there was no significant difference of dependence in the male and female elderly in performing ADLs. Education and socio-economic status had a positive effect on independence in IADLs. Among all IADLs male elderly showed a maximum dependency for cooking and laundry while females showed a greater dependency in using telephone, managing money and travelling.

  9. The lived experiences of resilience in Iranian adolescents living in residential care facilities: A hermeneutic phenomenological study

    Manijeh Nourian

    2016-03-01

    Full Text Available Background: Resilience is one of the main factors affecting human health, and perceiving its meaning for high-risk adolescents is of particular importance in initiating preventive measures and providing resilience care. Objectives: This qualitative study was conducted to explain the meaning of resilience in the lived experiences of Iranian adolescents living in governmental residential care facilities. Materials and methods: This study was conducted using the hermeneutic phenomenological method. Semi-structured interviews were conducted with eight adolescents aged 13–17 living in governmental residential care facilities of Tehran province affiliated to the Welfare Organization of Iran who articulated their experiences of resilience. Sampling lasted from May 2014 to July 2015 and continued until new themes were no longer emerging. The researchers analyzed the verbatim transcripts using Van Manen's six-step method of phenomenology. Results: The themes obtained in this study included “going through life's hardships,” “aspiring for achievement,” “self-protection,” “self-reliance,” and “spirituality.” Conclusion: Our study indicates that the meaning of resilience coexists with self-reliance in adolescents’ lived experiences. Adolescents look forward to a better future. They always trust God in the face of difficulties and experience resilience by keeping themselves physically and mentally away from difficulties. Adverse and bitter experiences of the past positively affected their positive view on life and its difficulties and also their resilience. The five themes that emerged from the findings describe the results in detail. The findings of this study enable nurses, health administrators, and healthcare providers working with adolescents to help this vulnerable group cope better with their stressful life conditions and improve their health through increasing their capacity for resilience.

  10. Prevalence of headache and its interference in the activities of daily living in female adolescent students

    Alaine Souza Lima

    2014-06-01

    Full Text Available OBJECTIVE: To describe the prevalence of headache and its interference in the activities of daily living (ADL in female adolescent students.METHODS: This descriptive cross-sectional study enrolled 228 female adolescents from a public school in the city of Petrolina, Pernambuco, Northeast Brazil, aged ten to 19 years. A self-administered structured questionnaire about socio-demographic characteristics, occurrence of headache and its characteristics was employed. Headaches were classified according to the International Headache Society criteria. The chi-square test was used to verify possible associations, being significant p<0.05.RESULTS: After the exclusion of 24 questionnaires that did not met the inclusion criteria, 204 questionnaires were analyzed. The mean age of the adolescents was 14.0±1.4 years. The prevalence of headache was 87.7%. Of the adolescents with headache, 0.5% presented migraine without pure menstrual aura; 6.7%, migraine without aura related to menstruation; 1.6%, non-menstrual migraine without aura; 11.7%, tension-type headache and 79.3%, other headaches. Significant associations were found between pain intensity and the following variables: absenteeism (p=0.001; interference in ADL (p<0.001; medication use (p<0.001; age (p=0.045 and seek for medical care (p<0.022.CONCLUSIONS: The prevalence of headache in female adolescents observed in this study was high, with a negative impact in ADL and school attendance.

  11. UPDRS ACTIVITY OF DAILY LIVING SCORE AS MARKER OF PARKINSON’S DISEASE PROGRESSION

    Harrison, Madaline B.; Wylie, Scott A.; Frysinger, Robert C.; Patrie, James T.; Huss, Diane S.; Currie, Lillian J.; Wooten, G. Frederick

    2009-01-01

    The Activities of Daily Living (ADL) subscore of the UPDRS captures the impact of Parkinson’s Disease (PD) on daily function and may be less affected than other subsections by variability associated with drug cycle and motor fluctuations. We examined UPDRS mentation, ADL and motor subscores in 888 patients with idiopathic PD. Multiple linear regression analyses determined the association between disease duration and UPDRS subscores as a function of medication status at examination and in a su...

  12. Vibrational imaging of glucose uptake activity in live cells and tissues by stimulated Raman scattering microscopy (Conference Presentation)

    Hu, Fanghao; Chen, Zhixing; Zhang, Luyuan; Shen, Yihui; Wei, Lu; Min, Wei

    2016-03-01

    Glucose is consumed as an energy source by virtually all living organisms, from bacteria to humans. Its uptake activity closely reflects the cellular metabolic status in various pathophysiological transformations, such as diabetes and cancer. Extensive efforts such as positron emission tomography, magnetic resonance imaging and fluorescence microscopy have been made to specifically image glucose uptake activity but all with technical limitations. Here, we report a new platform to visualize glucose uptake activity in live cells and tissues with subcellular resolution and minimal perturbation. A novel glucose analogue with a small alkyne tag (carbon-carbon triple bond) is developed to mimic natural glucose for cellular uptake, which can be imaged with high sensitivity and specificity by targeting the strong and characteristic alkyne vibration on stimulated Raman scattering (SRS) microscope to generate a quantitative three dimensional concentration map. Cancer cells with differing metabolic characteristics can be distinguished. Heterogeneous uptake patterns are observed in tumor xenograft tissues, neuronal culture and mouse brain tissues with clear cell-cell variations. Therefore, by offering the distinct advantage of optical resolution but without the undesirable influence of bulky fluorophores, our method of coupling SRS with alkyne labeled glucose will be an attractive tool to study energy demands of living systems at the single cell level.

  13. Intergenerational Living - A Pilot Study in a University Setting. Final Report. Student Originated Studies.

    Oklahoma State Univ., Stillwater.

    Results of a feasibility study to integrate the elderly into the university community are reported. The program occurred during the 1975 summer session at Oklahoma State University. Twenty retired persons attended classes, participated in other phases of campus life, and lived in a university dormitory. Twenty-three students acted as surrogate…

  14. THE IMPACT OF PENSIONS SAVING AND EDUCATION DEFICIT ON THE LIVING STANDARDS IN ROMANIA, IN THE POST-ACTIVITY PERIOD

    SANDRA TEODORESCU

    2011-04-01

    Full Text Available The present paper starts with the study on the annual pension deficit in the EU member states, elaborated by AVIVA and DELOITTE companies in 2010. The paper analyzes the impact of pensions saving and education deficit on the living standards in Romania, in the post-activity period. It comprises the following sections: an introduction to the analysis, several definitions and the calculation method employed in the above-mentioned study, comparisons between Romania and other EU members states, focusing on the pension deficit, as well as a brief overview on the pension systems in Romania. In the end of the paper, we propose a debate on good financial planning that can make the difference between poverty and a decent standard of living at the time of retirement.

  15. Activities of daily living, depression, and quality of life in Parkinson's disease.

    Blake J Lawrence

    Full Text Available This study examined whether activities of daily living (ADL mediate the relationship between depression and health-related quality of life (HR-QOL in people with Parkinson's disease (PD. A cross-sectional, correlational research design examined data from 174 participants who completed the Geriatric Depression Scale (GDS-15, Parkinson's Disease Questionnaire-39 (PDQ-39, and Unified Parkinson's Disease Rating Scale-section 2 (UPDRS-section 2 [ADL]. Multiple Regression Analysis (MRA was used to examine the mediator model. Depression and ADL significantly (p<.001 predicted HR-QOL, and depression significantly (p<.001 predicted ADL. Whilst ADL did not impact on the relationship between depression and HR-QOL, there was a significant (p<.001 indirect effect of depression on HR-QOL via ADL, suggesting both direct and indirect (via ADL effects of depression on HR-QOL. The magnitude of this effect was moderate (R2 = .13. People with PD who report depression also experience greater difficulty completing ADL, which impacts upon their HR-QOL. It is recommended that clinicians adopt a multidisciplinary approach to care by combining pharmacological treatments with psycho/occupational therapy, thereby alleviating the heterogeneous impact of motor and non-motor symptoms on HR-QOL in people with PD.

  16. METABOLIC SYNDROME AND PHYSICA L ACTIVITY IN CHILEAN IMMIGRANTS LIVING IN RIO GALLEGOS, SANTA CRUZ, ARGENTINA

    Inger Sally Padilla

    2013-03-01

    Full Text Available To study the frequencyof metabolic syndrome, its components and its relationshipwithphysical activityin Chilean immigrants living inRío Gallegos, SantaCruz, Argentina.314 Chilean immigrants (165womenand 149men were interviewed in RioGallegos in2010,with healthy status in medical records(2000.Anthropometry,blood pressurecontrol,blood testto measureglucose,triglycerides andHDL cholesterol weredetermined.Metabolic syndromewasestablished bycriteria of theNCEPATPIII.Themetabolic syndromehad anoverall prevalenceof 28.9% (95%CI: 23.9 to 34.Metabolicsyndromeprevalence was larger in women(32.1%than in men(25.5%.The prevalence ofits componentswere:abdominalobesity56%,low levels ofHDL cholesterol 48.3%, highlevels of triglycerides68.1%,hypertension46.1%and high levels of glucose 72.5%.Inadequate physical activitywas 66.2% (95%CI:60.1 to 71.5.Immigrantshadmorelikelihoodof metabolic syndromeliving in Río Gallegos for 15 yearsormore(β:5.74,95%CI:2,81-11,73,p=0.000and withinadequate physical activity(β:3.36,95%CI:1.57to7.21,p=0.002.The prevalenceof metabolic syndrome inChileanimmigrantsliving in RíoGallegosis higherthan that reportedin Argentina andChile.

  17. Experiences of women living with fibromyalgia: an exploratory study of their information needs and preferences

    Lubna Daraz

    2011-12-01

    Full Text Available Women living with fibromyalgia consistently report experiencing a change in their lives in terms of stigma, inability to work, isolation from society and difficulty in managing their illness. Lack of understanding and knowledge about their disease has been linked to compromised health and quality of life. The aim of this study was to explore the experiences of information use of women living with fibromyalgia. A descriptive phenomenology was used for this study. Participants were identified through gatekeepers for women living with fibromyalgia across Canada. Data was collected via taperecorded interviews. The study was conducted in Canada between 2009-2010. Ten women (18 or older participated in the research. Three essential themes emerged from the analysis that were vital to understand the unique experiences of women: i understanding the need for information required to live with fibromyalgia, ii struggling to meet vital and fundamental information needs and iii transforming themselves to improve health and quality of life. Women living with fibromyalgia have vital and specific information needs and struggle to find and access appropriate information. They use diverse strategies in overcoming some of the challenges in accessing information. Most significantly, women draw on the information to make changes and to begin to coordinate their lives to live with fibromyalgia. For women living with fibromyalgia, the phenomenon of information use has a significant effect on their lives. Healthcare providers are perceived as an important source of information and need to be better informed, more prepared and dedicated to assisting women with their information needs.

  18. A pilot study of a smoking cessation intervention for women living with HIV: study protocol

    Kim SS

    2017-02-01

    Full Text Available Sun S Kim, Sabreen Darwish, Sang A Lee, Rosanna F DeMarco Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA Background: Prevalence of cigarette smoking is substantially higher among people living with human immunodeficiency virus (HIV than the general population in the USA. Women living with HIV (WLHIV who smoke are at higher risk of developing acquired immunodeficiency syndrome and have a higher mortality rate than nonsmoking WLHIV. Compared to men, women generally require more intensive counseling for smoking cessation. The primary aim of this study is to examine the acceptability and feasibility of a videoconferencing smoking cessation intervention that is tailored to the specific needs of WLHIV. Methods: A total of 50 WLHIV will be randomized at a ratio of 1:1 to either a videoconferencing or a telephone counseling arm. Both arms have the same cessation intervention, that is, eight weekly individualized counseling sessions of 30-minute cognitive behavioral therapy plus active nicotine patches for 8 weeks. The only difference between the two arms is the delivery mode of the counseling, that is, telephone video call vs. telephone voice call. Data collection is scheduled at baseline and three follow-up points: 1, 3, and 6 months from the target quit day. Data will be analyzed using STATA 14. The primary outcome is a 6-month prolonged abstinence. Home-based salivary cotinine test will be conducted to verify self-reported smoking abstinence using a NicAlert® test strip, while a research coordinator monitors the whole process by a telephone video call. Conclusion: The study is a two-arm parallel-group pilot clinical trial of a smoking cessation intervention. It attempts to examine whether videoconferencing smoking cessation intervention will be acceptable and feasible for WLHIV and will yield a better cessation outcome than telephone counseling intervention. Findings may have the

  19. A behavioral medicine intervention for older women living alone with chronic pain – a feasibility study

    Cederbom S

    2014-08-01

    Full Text Available Sara Cederbom,1,2 Elisabeth Rydwik,2,3 Anne Söderlund,2 Eva Denison,2 Kerstin Frändin,1 Petra von Heideken Wågert2 1Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, 2School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Vasteras, 3Research and Development Unit, Jakobsbergs Hospital, Stockholm County Council, Järfälla, Sweden Background: To be an older woman, live alone, have chronic pain, and be dependent on support are all factors that may have an impact on daily life. One way to promote ability in everyday activities in people with pain-related conditions is to use individualized, integrated behavioral medicine in physical therapy interventions. How this kind of intervention works for older women living alone at home, with chronic pain, and dependent on formal care to manage their everyday lives has not been studied. The aim was to explore the feasibility of a study and to evaluate an individually tailored integrated behavioral medicine in physical therapy intervention for the target group of women.Materials and methods: The study was a 12-week randomized trial with two-group design. Primary effect outcomes were pain-related disability and morale. Secondary effect outcomes focused on pain-related beliefs, self-efficacy for exercise, concerns of falling, physical activity, and physical performance.Results: In total, 23 women agreed to participate in the study and 16 women completed the intervention. The results showed that the behavioral medicine in physical therapy intervention was feasible. No effects were seen on the primary effect outcomes. The experimental intervention seemed to improve the level of physical activity and self-efficacy for exercise. Some of the participants in both groups perceived that they could manage their everyday life in a better way after participation in the study.Conclusion: Results from this study are encouraging, but

  20. Re: Perioperative Complications after Living Kidney Donation: A National Study

    Serkan Akıncı

    2016-09-01

    Full Text Available The authors have investigated the perioperative complications after donor nephrectomy integrating the US transplant registry with administrative records from an academic hospital consortium (97 centers, 2008-2012. 14.964 patients were verified as live donors through linkage with the Organ Procurement and Transplantation Network registry. Overall, 16.8% of donors experienced a perioperative complication, including Clavien grade 2 or higher events in 8.8%, Clavien grade 3 or higher in 7.3%, and Clavien grade 4 or higher events in 2.5%. The most common complications were gastrointestinal (4.4%, bleeding (3.0%, respiratory (2.5%, and surgical/anesthesia-related injuries (2.4%. After adjustment for demographic and clinical factors, African American donors were 26% more likely to experience any perioperative complication and 56% more likely to experience the most severe complications. Other factors associated with increased risk of any perioperative complication, and with the most severe complications included predonation hematologic and psychiatric conditions and more recent years of donation. Donation at centers with the highest annual volume of living donor nephrectomies (>50 cases/year was associated with approximately 45% lower risk of any perioperative complication and of the most severe complications. Donors who underwent robotic nephrectomy were twice as likely to experience severe perioperative complications (adjusted odds ratio 2.07 for Clavien grade 4 or higher events. To conclude, the authors found that while one in six US living kidney donors experienced a perioperative complication, the most severe complications were infrequent, affecting only 2.5% of donors.

  1. Daily living pain assessment in children with autism: Exploratory study.

    Dubois, A; Michelon, C; Rattaz, C; Zabalia, M; Baghdadli, A

    2017-03-01

    This study aims to broaden knowledge about pain expression and assessment in daily life situations in children with Autism Spectrum Disorder (ASD). The goals are to provide a description of the responses of the GED-DI, the French version of the NCCPC, and to test the internal structure validity of this scale. Thirty five children with ASD were included in this study (mean age=58months; mean developmental age=32months). The French version of the NCCPC was filled in by parents. Descriptive analysis of responses shows that children with ASD express pain through varied and common behaviours, related to different expressive markers (vocal, facial, activity, etc.). Behaviours more specific to the symptomology and disturbances of ASD are also displayed. A four-factor solution (negative emotional reaction, idiosyncratic expression, hyper-vigilance reaction, pain expression) emerges from an exploratory factor analysis that explains 54.4% of the total variance. Correlation coefficients show good psychometric qualities in terms of internal consistency, factorial validity and discriminant validity. This study provides new data about pain expression in daily life situations and shows that the French version of NCCPC adjusted to ASD children is relevant to assess pain in daily life situations.

  2. Design and methods of a multi-component physical activity program for adults with intellectual disabilities living in group homes

    Bik C. Chow

    2016-06-01

    Full Text Available Adults with intellectual disabilities (ID often live a sedentary lifestyle and have higher rates of overweight and obesity. The purpose of this report is to describe the design and methods of a multi-component physical activity (PA intervention program that aims to increase PA levels in adults with ID who live in group homes. The study employed a multi-component delayed treatment control group design involving adults with ID who lived in two group homes. Interventions included 30 exercise sessions in groups over a 10-week period and three educational lessons based on social cognitive theory that aimed to improve self-efficacy and social support for PA in the participants. In addition, staff training in exercise and advice on institutional PA policies were provided to the caregivers working in the group homes. Outcome measures on three aspects were collected: (1 physical fitness, (2 PA as assessed by an ActiGraph accelerometer, and (3 self-efficacy and social support for PA. Our major objective was to develop the intervention protocol, and the successful completion of this study will provide valuable evidence on how to promote active lifestyles in adults with ID.

  3. Subjective experiences of occupational performance of activities of daily living in patients with mild stroke

    Kristensen, Hanne Kaae; Post, A; Poulsen, T.E.;

    2014-01-01

    and risk of accidents. Conclusion: It is important to view the patients with mild stroke as heterogeneous, and consider post-stroke fatigue and emotional reactions when evaluating rehabilitation needs. Therefore, it is important to look further into structured tools, which examine how well the participant......Aim: To investigate the subjective experiences of occupational performance of activities of daily living (ADL) in patients with mild stroke. Methodology: Data was generated from January – December 2011 and consisted of 41 individual ADL-I interviews with patients in hospital and another 41...... performs daily activities and how this is perceived, to understand fully the patient’s rehabilitation needs....

  4. The Role of Social Work Services in Improving the Living Standards of the Elderly in Kuwait: An Empirical Study

    Al-Dhafiri, Abdulwahab Mohammad

    2014-01-01

    Background: To what extent is there a significant difference between the elderly's demographic data and their attitudes toward the role of social welfare services in improving their lives? Employed Method: This study used a descriptive method to investigate the activities/services and programs provided by social care homes for the elderly, both…

  5. Sexuality and intimacy among people living with serious mental illnesses: Factors contributing to sexual activity

    Bonfils, Kelsey A.; Firmin, Ruth L.; Salyers, Michelle P.; Wright, Eric R.

    2015-01-01

    Objective Limited research has focused on sexuality for those diagnosed with a severe mental illness. We aimed to extend existing work by exploring relationships between mastery (perception of control of one's life and future), sexual self-esteem (perceptions of one's capacity to engage in healthy sexual behavior), sexual attitudes (permissive ideas about sexuality), and perceived importance of relationships/sexuality and number of sexual partners. Methods A secondary analysis of survey data from adult participants living with a severe mental illness (N=401) in the Indiana Mental Health Services and HIV-Risk Study (Perry & Wright, 2006) was conducted. Analysis of covariance (controlling for marital status) compared those with zero partners, one partner, or multiple partners over the past three months on the dependent variables of mastery, sexual self-esteem, sexual attitudes, and perceived importance. Results Participants with more permissive attitudes, greater perceived importance, and higher mastery were more likely to be sexually active with multiple partners. Self-esteem did not differentiate groups. Conclusions and Implications for Practice Given the key role of sexual satisfaction in quality of life and the high rates of sexual risk behavior in this population, it is important that clinicians systematically assess mastery, perceived importance, and attitudes about sexuality when working with consumers diagnosed with a severe mental illness. Individually tailoring existing interventions based on consumers' levels of mastery, related to self-efficacy for implementing changes in life, could improve long-term outcomes for these programs. Future research should examine other constructs that may account for more variance in sexual activity, such as perceptions of risk, intentions for sexual safety, or romantic relationship functioning. PMID:25664756

  6. Employment among Spinal Cord Injured Patients Living in Turkey: A Cross-Sectional Study

    Gunduz, Berrin; Erhan, Belgin; Bardak, Ayse Nur

    2010-01-01

    The aim of this study was to determine the rate of employment and to establish the factors affecting vocational status in spinal cord injured patients living in Turkey. One hundred and fifty-two traumatic spinal cord injured patients older than 18 years with injury duration of at least 1 year and living in the community were included in the study;…

  7. Effect of Cognitive Rehabilitation on Improving Cognitive Function and Activities of Daily Living among Elderly Patients with Stroke at Assiut University Hospital

    Abd-Elaziz, Saieda Abd-Elhameed; Khedr, Eman M.; Ahmed, Hanaa Abd Elhakiem; Ibrahim, Hoda Diab Fahmy

    2015-01-01

    Cognitive impairment is a frequent consequence of stroke. The study aimed to measure the effect of cognitive rehabilitation of elderly patients with stroke on their cognitive function and activities of daily living. Quasi experimental research design were used in this study. This study was conducted at neuropsychiatric, physical medicine and…

  8. Direct measurement of catalase activity in living cells and tissue biopsies.

    Scaglione, Christine N; Xu, Qijin; Ramanujan, V Krishnan

    2016-01-29

    Spatiotemporal regulation of enzyme-substrate interactions governs the decision-making steps in biological systems. Enzymes, being functional units of every living cell, contribute to the macromolecular stability of cell survival, proliferation and hence are vital windows to unraveling the biological complexity. Experimental measurements capturing this dynamics of enzyme-substrate interactions in real time add value to this understanding. Furthermore these measurements, upon validation in realistic biological specimens such as clinical biopsies - can further improve our capability in disease diagnostics and treatment monitoring. Towards this direction, we describe here a novel, high-sensitive measurement system for measuring diffusion-limited enzyme-substrate kinetics in real time. Using catalase (enzyme) and hydrogen peroxide (substrate) as the example pair, we demonstrate that this system is capable of direct measurement of catalase activity in vitro and the measured kinetics follows the classical Michaelis-Menten reaction kinetics. We further demonstrate the system performance by measuring catalase activity in living cells and in very small amounts of liver biopsies (down to 1 μg total protein). Catalase-specific enzyme activity is demonstrated by genetic and pharmacological tools. Finally we show the clinically-relevant diagnostic capability of our system by comparing the catalase activities in liver biopsies from young and old mouse (liver and serum) samples. We discuss the potential applicability of this system in clinical diagnostics as well as in intraoperative surgical settings.

  9. Living with diabetes: rationale, study design and baseline characteristics for an Australian prospective cohort study

    Donald Maria

    2012-01-01

    Full Text Available Abstract Background Diabetes mellitus is a major global public health threat. In Australia, as elsewhere, it is responsible for a sizeable portion of the overall burden of disease, and significant costs. The psychological and social impact of diabetes on individuals with the disease can be severe, and if not adequately addressed, can lead to the worsening of the overall disease picture. The Living With Diabetes Study aims to contribute to a holistic understanding of the psychological and social aspects of diabetes mellitus. Methods/Design The Living With Diabetes Study is a 5-year prospective cohort study, based in Queensland, Australia. The first wave of data, which was collected via a mailed self-report survey, was gathered in 2008, with annual collections thereafter. Measurements include: demographic, lifestyle, health and disease characteristics; quality of life (EQ-5D, ADDQoL; emotional well-being (CES-D, LOT-R, ESSI; disease self-management (PAM; and health-care utilisation and patient-assessed quality of care (PACIC. 29% of the 14,439 adults who were invited to participate in the study agreed to do so, yielding a sample size of 3,951 people. Discussion The data collected by the Living With Diabetes Study provides a good representation of Australians with diabetes to follow over time in order to better understand the natural course of the illness. The study has potential to further illuminate, and give a comprehensive picture of the psychosocial implications of living with diabetes. Data collection is ongoing.

  10. Executive function and instrumental activities of daily living in MCI and AD

    Marshall, Gad A.; Rentz, Dorene M.; Frey, Meghan T.; Locascio, Joseph J.; Johnson, Keith A.; Sperling, Reisa A.

    2010-01-01

    Background Impairment in instrumental activities of daily living (IADL) leads to early loss in productivity and adds significant burden to caregivers. Executive dysfunction is thought to be an important contributor to functional impairment. The objective of this study was to investigate the relationship between executive function and IADL in a large cohort of well characterized normal older controls (NC), mild cognitive impairment (MCI) and mild Alzheimer’s disease (AD) patients, separately as well as across the entire sample, while accounting for demographic, cognitive, and behavioral factors. Methods Subjects with baseline clinical datasets (n=793) from the Alzheimer’s Disease Neuroimaging Initiative (ADNI) study (228 NC, 387 MCI, 178 AD) were included in the analyses. A multiple regression model was used to assess the relationship between executive function and IADL. Results A multiple regression model, including diagnosis, global cognitive impairment, memory performance, and other covariates demonstrated a significant relationship between executive dysfunction and IADL impairment across all subjects (R2=0.60, p<0.0001 for model; Digit Symbol, partial β=−0.044, p=0.005; Trailmaking Test B – A, quadratic relation, p=0.01). An analysis using MCI subjects only also yielded a significant relationship (R2=0.16, p<0.0001 for model; Digit Symbol, partial β=−0.08, p=0.001). Conclusions These results suggest that executive dysfunction is a key contributor to impairment in IADL. This relationship was evident even after accounting for degree of memory deficit across the continuum of cognitive impairment and dementia. PMID:21575871

  11. Effects of visual perceptual intervention on visual-motor integration and activities of daily living performance of children with cerebral palsy.

    Cho, MiLim; Kim, DeokJu; Yang, Yeongae

    2015-02-01

    [Purpose] The purpose of this study was to find the effects of a visual perceptual intervention on visual-motor integration and activities of daily living performance of children with cerebral palsy as subjects. [Methods] This study was conducted with 56 children who were diagnosed as having cerebral palsy. The visual perceptual intervention was implemented for 8 weeks, 3 times a week, for 30 minutes per session, for a total of 24 sessions. All children were assessed using the VMI and WeeFIM to evaluate visual motor integration and activities of daily living skills, immediately before and after the 8-week intervention. [Results] The VMI and WeeFIM scores of all of the 56 children with CP who participated in the study improved, and the improvements were statistically significant. [Conclusion] Visual perceptual intervention had a positive influence on the visual-motor integration and activities of daily living performance of children with cerebral palsy.

  12. Living City: community mobilization to build active transport policies and programs in Santiago, Chile

    L. Sagaris

    2010-09-01

    Full Text Available Although the usefulness of walking and cycling to promote health is increasingly recognized, the importance of civil society leadership in developing new policies and activities is often overlooked. This case study, of Living City (Ciudad Viva a community-based organization in Santiago, Chile, examines how several communities used knowledge about transport’s impact on the environment and health, gained through opposition to a major highway project, to build effective sustainable urban transport initiatives.Inspired by urban reforms in Bogot´a, Living City now focuses mainly on “active transport” (formerly nonmotorized, building the policies, attitudes and infrastructure necessary to encourage walking and cycling, and the inclusion of the differently abled. It has won two major awards for innovation and now partners with NGOs in The Netherlands and elsewhere in Chile and Latin America.Moreover, Living City now organizes cycling-inclusive training programs, design charrettes and participatory processes in cooperation with Santiago’s regional and national authorities. Its publication, La Voz de La Chimba, distributed free throughout the city by volunteers, has helped to open people’s eyes to the implications of active transport for social equality and health, and provided support to other citizens’ initiatives, struggling to get off the ground.This experience illustrates how citizens’ and community organizations acquire important knowledge and practical experience in learning by doing situations, and how they can learn to reach out to ordinary people and key policymakers, building bridges across the citizen-policy divide to produce innovative, win-win programs that simultaneously bring change at micro- and macro-levels.Bien que la nécessité de marcher et de faire du vélo pour rester en bonne santé soit de plus en plus reconnue, l’importance du rôle prépondérant de la société civile dans le développement de nouvelles

  13. Offering architects insights into experiences of living with dementia: A case study on orientation in space, time, and identity.

    Van Steenwinkel, Iris; Van Audenhove, Chantal; Heylighen, Ann

    2017-01-01

    Due to memory loss, people with dementia are increasingly disorientated in space, time, and identity, which causes profound experiences of insecurity, anxiety, and homesickness. In the case study presented in this article, we explored how architecture can support people in coping with this challenge. We took a novel approach to offer architects insights into experiences of living with dementia. Starting from a critical realist and constructionist approach, we combined ethnographic techniques with an architectural analysis. This case study offers insights into the experiences and activities of a woman living with dementia within the architectural context of her home. We describe how the physical and social environment provided her guidance through sequences of day-to-day activities. This study highlights how architecture can support people with dementia in orientating by accommodating places for (1) everyday activities and (2) privacy and togetherness.

  14. Development and Psychometric Properties of the Instrumental Activities of Daily Living: Compensation Scale

    Schmitter-Edgecombe, Maureen; Parsey, Carolyn; Lamb, Richard

    2014-01-01

    The Instrumental Activities of Daily Living – Compensation (IADL-C) scale was developed to capture early functional difficulties and to quantify compensatory strategy use that may mitigate functional decline in the aging population. The IADL-C was validated in a sample of cognitively healthy older adults (N=184) and individuals with mild cognitive impairment (MCI; N=92) and dementia (N=24). Factor analysis and Rasch item analysis led to the 27-item IADL-C informant questionnaire with four functional domain subscales (money and self-management, home daily living, travel and event memory, and social skills). The subscales demonstrated good internal consistency (Rasch reliability 0.80 to 0.93) and test-retest reliability (Spearman coefficients 0.70 to 0.91). The IADL-C total score and subscales showed convergent validity with other IADL measures, discriminant validity with psychosocial measures, and the ability to discriminate between diagnostic groups. The money and self management subscale showed notable difficulties for individuals with MCI, whereas difficulties with home daily living became more prominent for dementia participants. Compensatory strategy use increased in the MCI group and decreased in the dementia group. PMID:25344901

  15. Cohort profile: Examining Neighbourhood Activities in Built Living Environments in London: the ENABLE London—Olympic Park cohort

    Ram, Bina; Nightingale, Claire M; Hudda, Mohammed T; Kapetanakis, Venediktos V; Ellaway, Anne; Cooper, Ashley R; Page, Angie; Lewis, Daniel; Cummins, Steven; Giles-Corti, Billie; Whincup, Peter H; Cook, Derek G; Rudnicka, Alicja R; Owen, Christopher G

    2016-01-01

    Purpose The Examining Neighbourhood Activities in Built Living Environments in London (ENABLE London) project is a natural experiment which aims to establish whether physical activity and other health behaviours show sustained changes among individuals and families relocating to East Village (formerly the London 2012 Olympics Athletes' Village), when compared with a control population living outside East Village throughout. Participants Between January 2013 and December 2015, 1497 individuals from 1006 households were recruited and assessed (at baseline) (including 392 households seeking social housing, 421 seeking intermediate and 193 seeking market rent homes). The 2-year follow-up rate is 62% of households to date, of which 57% have moved to East Village. Findings to date Assessments of physical activity (measured objectively using accelerometers) combined with Global Positioning System technology and Geographic Information System mapping of the local area are being used to characterise physical activity patterns and location among study participants and assess the attributes of the environments to which they are exposed. Assessments of body composition, based on weight, height and bioelectrical impedance, have been made and detailed participant questionnaires provide information on socioeconomic position, general health/health status, well-being, anxiety, depression, attitudes to leisure time activities and other personal, social and environmental influences on physical activity, including the use of recreational space and facilities in their residential neighbourhood. Future plans The main analyses will examine the changes in physical activity, health and well-being observed in the East Village group compared with controls and the influence of specific elements of the built environment on observed changes. The ENABLE London project exploits a unique opportunity to evaluate a ‘natural experiment’, provided by the building and rapid occupation of East

  16. [Study of "living" radical polymerization by FTIR in situ].

    Chen, J; Hua, F; Qiu, J; Yang, Y

    2001-02-01

    Three types of living radical polymerization processes were monitored by means of FTIR spectrometer with handful diamond detector called as Dicomp in situ. It was found that both styrene and styrene/hydroxylpropyl methyacrylate (HPMA) could polymerize according to stable free radical polymerization (SFRP) mechanism in presence of 4-hydroxyl tetramethypiperidiyl-1-oxy(HTEMPO). For styrene/HPMA system, the styrene and HPMA conversion monitored by FTIR were linear with increase of molecular weight, but it gave longer induction period compared with that for St bulk polymerization. It was related to the hydrogen-transfer reaction between the propagating radicals with the end HPMA unit and HTEMPO. Furthermore, This following method in situ could be introduced into monitoring heterogeneous polymerization of styrene during atom transfer radical polymerization (ATRP). The apparent kinetics was found to be about zero order and not 1.0 order, due to propagating on the complex including radicals, CuX and bpy in heterogeneous interface. The polymerization rate will be not related to the St in bulk St phase.

  17. An Empirical Typology of Residential Care/Assisted Living Based on a Four-State Study

    Park, Nan Sook; Zimmerman, Sheryl; Sloane, Philip D.; Gruber-Baldini, Ann L.; Eckert, J. Kevin

    2006-01-01

    Purpose: Residential care/assisted living describes diverse facilities providing non-nursing home care to a heterogeneous group of primarily elderly residents. This article derives typologies of assisted living based on theoretically and practically grounded evidence. Design and Methods: We obtained data from the Collaborative Studies of Long-Term…

  18. "Live high-train low" using normobaric hypoxia: a double-blinded, placebo-controlled study

    Siebenmann, Christoph; Robach, Paul; Jacobs, Robert A

    2012-01-01

    The combination of living at altitude and training near sea level [live high-train low (LHTL)] may improve performance of endurance athletes. However, to date, no study can rule out a potential placebo effect as at least part of the explanation, especially for performance measures. With the use o...

  19. An Ethnographic Study of Stigma and Ageism in Residential Care or Assisted Living

    Dobbs, Debra; Eckert, J. Kevin; Rubinstein, Bob; Keimig, Lynn; Clark, Leanne; Frankowski, Ann Christine; Zimmerman, Sheryl

    2008-01-01

    Purpose: This study explored aspects of stigmatization for older adults who live in residential care or assisted living (RC-AL) communities and what these settings have done to address stigma. Design and Methods: We used ethnography and other qualitative data-gathering and analytic techniques to gather data from 309 participants (residents, family…

  20. Robust Sounds of Activities of Daily Living Classification in Two-Channel Audio-Based Telemonitoring

    David Maunder

    2013-01-01

    Full Text Available Despite recent advances in the area of home telemonitoring, the challenge of automatically detecting the sound signatures of activities of daily living of an elderly patient using nonintrusive and reliable methods remains. This paper investigates the classification of eight typical sounds of daily life from arbitrarily positioned two-microphone sensors under realistic noisy conditions. In particular, the role of several source separation and sound activity detection methods is considered. Evaluations on a new four-microphone database collected under four realistic noise conditions reveal that effective sound activity detection can produce significant gains in classification accuracy and that further gains can be made using source separation methods based on independent component analysis. Encouragingly, the results show that recognition accuracies in the range 70%–100% can be consistently obtained using different microphone-pair positions, under all but the most severe noise conditions.

  1. Human and Drosophila cryptochromes are light activated by flavin photoreduction in living cells.

    Nathalie Hoang

    2008-07-01

    Full Text Available Cryptochromes are a class of flavoprotein blue-light signaling receptors found in plants, animals, and humans that control plant development and the entrainment of circadian rhythms. In plant cryptochromes, light activation is proposed to result from photoreduction of a protein-bound flavin chromophore through intramolecular electron transfer. However, although similar in structure to plant cryptochromes, the light-response mechanism of animal cryptochromes remains entirely unknown. To complicate matters further, there is currently a debate on whether mammalian cryptochromes respond to light at all or are instead activated by non-light-dependent mechanisms. To resolve these questions, we have expressed both human and Drosophila cryptochrome proteins to high levels in living Sf21 insect cells using a baculovirus-derived expression system. Intact cells are irradiated with blue light, and the resulting cryptochrome photoconversion is monitored by fluorescence and electron paramagnetic resonance spectroscopic techniques. We demonstrate that light induces a change in the redox state of flavin bound to the receptor in both human and Drosophila cryptochromes. Photoreduction from oxidized flavin and subsequent accumulation of a semiquinone intermediate signaling state occurs by a conserved mechanism that has been previously identified for plant cryptochromes. These results provide the first evidence of how animal-type cryptochromes are activated by light in living cells. Furthermore, human cryptochrome is also shown to undergo this light response. Therefore, human cryptochromes in exposed peripheral and/or visual tissues may have novel light-sensing roles that remain to be elucidated.

  2. The lived experience of fibromyalgia in female patients, a phenomenological study

    Wuytack Francesca

    2011-09-01

    Full Text Available Abstract Background Fibromyalgia is a chronic syndrome with no cure. A thorough understanding of the illness experience is therefore key in the palliative care of patients with this condition. In search for supportive treatments fibromyalgia patients often attend a chiropractor or other manual therapist. Knowledge of the meaning and reality of living with this condition to the patient could be considered essential to any health care practitioner playing a role in the management. This study aimed to gain a better understanding of the subjective experience of fibromyalgia, focusing on the personal, occupational and social impact of the condition on patients' lives. This included exploring the patients' views about the future. Methods This study employed descriptive phenomenology and adopted Husserl's concept of transcendental subjectivity or "bracketing". This qualitative study involved semi-structured interviews and was undertaken to obtain rich data that reflected the essence of the participants' experience. Participants consisted of six female volunteers, diagnosed with fibromyalgia by the University Hospital Gent, Belgium. Data were analysed using a thematic framework. Results Fibromyalgia pervaded all aspects of life. Four main themes arose from data analysis, namely; the impact of fibromyalgia on patients' occupational and personal life, the impact on their future and aspects of social interaction. Nearly all participants had stopped working, giving rise to feelings of uselessness and loss of identity. Leisure activities were also greatly affected. Fibromyalgia was said to alter family bonds, some of which were reinforced, others were broken. The diagnosis was seen as a relief, marking an end to a period of uncertainty. Participants reported ambivalence in interaction. Despite some positive encounters, frustration arising from perceived incomprehension dominated. Consequently patients preferred not to share their experiences. Conclusions The

  3. Activating people to address their health care needs: learning from people with lived experience of chronic illnesses.

    Stanhope, Victoria; Henwood, Benjamin F

    2014-08-01

    One of the primary goals of health care reform is improving the quality and reducing the costs of care for people with co-morbid mental health and physical health conditions. One strategy is to integrate primary and behavioral health care through care coordination and patient activation. This qualitative study using community based participatory research methods informs the development of integrated care by presenting the perspectives of those with lived experience of chronic illnesses and homelessness. Themes presented include the internal and external barriers to addressing health needs and the key role of peer support in overcoming these barriers.

  4. The Relationship between Activities of Daily Living and Life Satisfaction in the Elderly: Active Engagement as Compared to Passive Participation.

    Iannuzzelli, Jena; England, Eileen M.

    Daily activities and social contact were studied as influences on the life satisfaction of elderly people. It was considered that all activities might not be equal and that individuals who participate in more active activities and who have more active social contacts would score higher in life satisfaction than those who engage in inactive…

  5. Evaluation of a complex intervention to improve activities of daily living of disabled cancer patients

    Lindahl-Jacobsen, Line; Hansen, Dorte Gilså; la Cour, Karen

    2014-01-01

    on the intervention varied considerably, but for the majority of patients, time consumption was between 1-3 hours. CONCLUSIONS: Despite difficulties with recruitment, participation was considered feasible and the intervention was accepted among patients. Missing data in the follow-up period were mostly due to death......BACKGROUND: Many cancer patients have problems performing activities of daily living (ADL). A randomised controlled trial was designed to examine the effects of an ADL intervention in addition to standard treatment and care in a hospital setting. The objective of this article was to present...

  6. Subjective experiences of occupational performance of activities of daily living in patients with mild stroke

    Kristensen, Hanne Kaae; Post, A; Poulsen, T.E.;

    2014-01-01

    Aim: To investigate the subjective experiences of occupational performance of activities of daily living (ADL) in patients with mild stroke. Methodology: Data was generated from January – December 2011 and consisted of 41 individual ADL-I interviews with patients in hospital and another 41...... and risk of accidents. Conclusion: It is important to view the patients with mild stroke as heterogeneous, and consider post-stroke fatigue and emotional reactions when evaluating rehabilitation needs. Therefore, it is important to look further into structured tools, which examine how well the participant...

  7. Study of "zero consumption" in Sports and Leisure Activity in the Elderly Living in the Yangtze River Delta Region%长三角地区老年人运动休闲的"零消费"现象

    蔡任; 张建国; 钱佳佳

    2015-01-01

    调查长三角地区老年人运动休闲的"零消费"现状,分析其特征及产生原因. 使用问卷调查、访谈等方法获取有关长三角地区老年人运动休闲消费的相关数据. 结果表明:老年人运动休闲的"零消费"是我国长三角地区中较为普遍存在的一种社会现象,它不仅是经济收入水平制约的结果,而且也是年龄增长、体力水平下降等多种因素作用下形成的一种消费趋势. 老年人运动休闲的"零消费"对老年人参与运动休闲活动本身并无明显影响,但是会在一定程度上影响运动休闲活动的多样化发展. 就目前我国老年人的运动休闲活动参与现状而言,尚无法像发达国家一样对休闲产业的发展起到举足轻重的引领作用.%The paper investigates the Yangtze River Delta region the elderly sports "zero consumption" situation and analyzes its characteristics and causes. It uses questionnaires, interviews and other methods to obtain information about the Yangtze River Delta region of elderly leisure sports consumption related data. Conclusion: the elderly sports "zero consumption" is China's Yangtze River Delta region in the more widespread the phenomenon of a kind of society, it is not only economic income level constraints results, but also the age, physical decline and other factors contributed to a trend in consumption. The elderly sports "zero consumption" for the elderly participation in recreational sports activities is not significantly affected, but will be affected to a certain extent sports leisure activity diversification development. Current our country older sports leisure activity participation situation is concerned, is not as developed as the leisure industry and the development to play a decisive role in the leading role.

  8. Predictive Factors of Dependency in Activities of Daily Living Following Limb Trauma in the Elderly

    Safa

    2016-04-01

    Full Text Available Background Traumatic injuries in the elderly often lead to permanent disabilities and long-term treatments that can adversely influence their activities of daily of living (ADL. The effect on ADL is an important outcome in elderly trauma. Objectives The present study was designed to evaluate the predictive factors of dependency in ADL following limb trauma in elderly referred to Shahid Beheshti Hospital, Kashan, Iran, in 2013. Patients and Methods This descriptive study was conducted on 200 traumatic patients admitted to the trauma emergency ward of Shahid Beheshti hospital in 2013. The questionnaire used in this study had three parts: demographic data, information related to trauma, and an independence scale of ADL (ISADL. The ISADL was completed in the emergency ward to declare pre-traumatic status; it was also completed one and three months after trauma. Statistical analysis was conducted by the t-test and analysis of variance (ANOVA. The repeated measure was used to study the trend of the ISADL and other demographic variables. The multiple regression analysis was also used to declare the predictive variables related to the ISADL. Results The study population consisted of 81 males (40.5% and 119 females (59.5%. The participants’ average age was 70.57 ± 9.05 years. In total, 80.5% of the elderly were completely independent in ADL before trauma; this decreased to 13.5% one month after trauma. The repeated measure analysis showed a significant improvement in the ISADL three months after trauma. Gender, age, and education had significant interaction with the ISADL. The multiple regression analysis showed that type of trauma and location of injured organ had predictive values related to the ISADL, one and three months after trauma. The place and cause of trauma, and having surgery showed a significant relationship with the ISADL three months after trauma. Conclusions Many factors, such as gender, age, education, type of trauma, and location of

  9. IMMUNOLOGICAL STUDY IN CHILDREN WITH RENAL DISEASES LIVING IN REGIONS WITH UNFAVORABLE ENVIRONMENTAL CONDITIONS

    M. V. Kudin

    2009-01-01

    Full Text Available Abstract. Seventy-nine children participated in the study including 33 children living in region with developed cement industry (12 with glomerulonephritis, and 21 with obstructive pyelonephritis. A group of comparison consisted of 46 children living in Moscow, including 17 subjects with glomerulonephritis and 29 children with obstructive pyelonephritis, and control group of 26 healthy children. ELISA method was used to perform immunological studies. The levels of sCD4, IL-2, IL-6, IL-10, sICAM-1, TNFα were evaluated in blood sera. The data obtained show significant increase of TNFα levels and decreased IL-6 levels (p < 0,05 in children with nephropathy living in regions with unfavorable environmental conditions as compared with control group. A seven-fold increase in TNFα levels, along with more than twofold decrease in IL-6 was revealed among children with obstructive pyelonephritis, as compared with control group (p < 0,05. In children with glomerulonephritis and obstructive pyelonephritis, a distinct increase of sCD4 , as well as decreased IL-2 level (p < 0,05 was registered, as compared with control group. Meanwhile, IL-10 contents in this group of patients was 22,4 times less than the in controls (p < 0,05. In the main group, no enhanced sICAM synthesis was found, both in children with glomerulonephritis and pyelonephritis. In children affected by adverse environmental pathogens, we have shown a prevailing immune inflammation due to hyperproduction of TNFα, IL-6, and activation of sCD4 helpers. Adverse environmental effects inhibit cytokine synthesis, thus reducing production of both pro- and anti-inflammatory cytokines.

  10. Raman microspectroscopic study of biomolecular structure inside living adhesive cells

    李光; 杨红英; 许以明; 张志义

    2002-01-01

    Cells adhesion is very important for many physiological processes. Using advanced Raman microspectroscopic technique, we selected T Leukemia cells (Jurkat) as the materials and obtained simultaneously conformation information of various biomolecules inside the whole living cells. By comparing the Raman microspectroscopic spectra of single and adhesive cancer cells, we found for the first time that when cells adhered, the conformation of the biomolecules (DNA, protein, carbohydrates and lipids) inside the cells had different changes: (i) the backbone of double-stranded DNA maintained orderly B-form or modified B-form conformation, whereas the groups of its deoxyribose and bases were modified; (ii) the conformational changes of the main chain and the side chain in the protein were obviously variant. The lines intensity belonging to α-helix andβ-sheet decreased, while that ofβ-turn increased. Tyrosine and tryptophane residues of the protein changed from "buried state" to "exposed state"; the lines intensity of its sulfhydryl group also increased; the conformation of its disulfide bond changed from two kinds to three kinds. These facts suggest that the cells adhesion causes changes in H-bonds organization of the main chain and environment of the side chain in the protein; (iii) the groups of the carbohydrates were also modified simultaneously; (iv) the conformation of the lipids bilayers of the membranes changed obviously; the order parameter for lateral interaction between chains decreased gradually with the increase of number of the adhesive cells. So cells adhesion resulted in an increase in fluidity of the membrane and ion permeability on the membrane.

  11. Flower-shaped gold nanoparticles: synthesis, characterization and their application as SERS-active tags inside living cells

    Boca, Sanda; Astilean, Simion [Nanobiophotonics Center, Institute for Interdisciplinary Research in Nanobioscience, Babes-Bolyai University, Treboniu Laurian 42, 400271 Cluj-Napoca (Romania); Rugina, Dumitrita; Pintea, Adela [Department of Biochemistry, University of Agricultural Sciences and Veterinary Medicine, Manastur 3-5, 400372, Cluj-Napoca (Romania); Barbu-Tudoran, Lucian, E-mail: sanda.boca@phys.ubbcluj.ro, E-mail: simion.astilean@phys.ubbcluj.ro [Electron Microscopy Center, Faculty of Biology and Geology, Babes-Bolyai University, Clinicilor 5-7, 400006, Cluj-Napoca (Romania)

    2011-02-04

    The detection of Raman signals inside living cells is a topic of great interest in the study of cell biology mechanisms and for diagnostic and therapeutic applications. This work presents the synthesis and characterization of flower-shaped gold nanoparticles and demonstrates their applicability as SERS-active tags for cellular spectral detection. The particles were synthesized by a facile, rapid new route that uses ascorbic acid as a reducing agent of gold salt. Two triarylmethane dyes which are widely used as biological stains, namely malachite green oxalate and basic fuchsin, were used as Raman-active molecules and the polymer mPEG-SH as capping material. The as-prepared SERS-active nanoparticles were tested on a human retinal pigment epithelial cell line and found to present a low level of cytotoxicity and high chemical stability together with SERS sensitivity down to picomolar particle concentrations.

  12. Determining the relationship between body compositions and nutritional and physical activity conditions of adolescents living in orphanages

    Hüseyin Gümüş

    2011-02-01

    Full Text Available Aim: The study was planned and implemented with the purpose of determining the relationship between the nutritional and physical activity conditions of adolescents living in orphanages in Ankara and their body compositions. Material and Methods: Research implemented by taking permission from Ethic Council of Gazi University Faculty of Medicine. 198 adolescents (115 boys, 83 girls within the age group 13-18 living in orphanages, constitute the population of the study. Data’s were collected in three stages; in the first stage, the question set developed to determine the nutritional status and habits. In the second stage, food consumption and physical activities of adolescents were recorded. In the third stage, anthropometric measurements were taken. Results: It was found that 69.6% boys and 91.6% of girls skipped meals, and among those skipping meals, 34.8% of boys and 61.4% of girls skipped breakfast most. More than half of boys (63.0% and girls (65.0% were pickers as regards what they eat, 17.2% of adolescents never consumed milk, and 40.9% never consumed red meat. When daily mean energy and nutrient intakes of adolescents were evaluated according to Nutrition Guide Unique for Turkey, boys ate diets insufficient in vitamin A, folic acid, Vitamin B12, potassium, calcium and magnesium, girls ate diets insufficient in energy, vitamin A, Vitamin B1, folic acid, Vitamin B12, potassium, calcium, magnesium and phosphorus. Anthropometric measurements of adolescents were within normal limits; however, their activity levels were below those recommended. Conclusion: HEI score for 15.7% of adolescent boys (n=18 were evaluated as “bad” for 80.9% (n=86 as “medium” and for 3.5% (n=6 as “good”. It is recommended that implementing a training program for correcting the diet habits and the knowledge in nutrition of adolescents living in orphanages.

  13. Managing and resisting stigma: a qualitative study among people living with HIV in South Africa

    Naeemah Abrahams

    2012-08-01

    Full Text Available Background: Living with HIV is of daily concern for many South Africans and poses challenges including adapting to a chronic illness and continuing to achieve and meet social expectations. This study explored experiences of being HIV-positive and how people manage stigma in their daily social interactions. Methods: Using qualitative methods we did repeat interviewed with 42 HIV-positive men and women in Cape Town and Mthatha resulting in 71 interviews. Results: HIV was ubiquitous in our informants’ lives, and almost all participants reported fear of stigma (perceived stigma, but this fear did not disrupt them completely. The most common stigma experiences were gossips and insults where HIV status was used as a tool, but these were often resisted. Many feared the possibility of stigma, but very few had experiences that resulted in discrimination or loss of social status. Stigma experiences were intertwined with other daily conflicts and together created tensions, particularly in gender relations, which interfered with attempts to regain normality. Evidence of support and resistance to stigma was common, and most encouraging was the evidence of how structural interventions such as de-stigmatizing policies impacted on experiences and transference into active resistance. Conclusions: The study showed the complex and shifting nature of stigma experiences. These differences must be considered when we intensify stigma reduction with context- and gender-specific strategies focussing on those not yet on ARV programmes.

  14. Social aspects of living with rheumatoid arthritis: a qualitative descriptive study in Soweto, South Africa – a low resource context

    Manabile Esther

    2008-07-01

    Full Text Available Abstract Background Rheumatoid Arthritis (RA is a chronic illness with important functional, social and employment consequences. We therefore undertook a cross-sectional study, using the International Classification of Functioning, Disability and Health framework, to investigate the personal and social consequences of RA in women, living under largely impoverished conditions. Methods A qualitative case study design was used with a convenience sample of 60 women with RA living in Soweto, South Africa. Semi-structured in-depth interviews were conducted to cover a range of experiences including onset of disease, treatment, environmental barriers and facilitators, employment, and social inclusion in family and community life. The outcomes are described according the International Classification of Functioning, Health and Disability framework at the body, person and societal levels and looking at both personal and environmental factors. Results The main features of living with RA were pain, muscle stiffness at the body level, difficulties in doing various activities such as mobility, washing, dressing, domestic activities, using transport and obtaining and maintaining employment at the person level. At the societal level the participants described difficulties moving around, interacting socially and taking part in community activities, fulfilling social roles and earning a living. Environmental facilitators such as assistive devices and health care services improved functioning. Barriers such as physical environments, lack of transport and basic services, such as electricity, and attitudes of others lead to social exclusion, loss of a sense of self and independence. Low income, lack of sufficient public transport, and sparse basic services were poverty features that exacerbated negative experiences. Conclusion The experiences of living with RA in a low resource context are similar to those in mid- and high resource contexts, but are exacerbated by

  15. Differences in the Access to Sterilization between Women Living and Not Living with HIV: Results from the GENIH Study, Brazil

    Cabral, Cristiane da Silva; do Lago, Tania di Giacomo; Pinho, Adriana de Araujo

    2016-01-01

    Background In many countries, young women of reproductive age have been especially affected by the HIV epidemic, which have fostered research to better understand how HIV infection influences and shapes women´s fertility and reproductive and sexual decisions. In Brazil, few studies have focused on the impact of the HIV epidemic on contraceptive choices among women living with HIV (WLHIV). Objective This study evaluates the impact HIV infection may have in the access to female sterilization in Brazil, using a time-to-event analysis. Methods A cross-sectional quantitative study (GENIH study) was conducted between February 2013 and April 2014 in the city of São Paulo, comparing two probabilistic samples of 975 WLHIV and 1,003 women not living with HIV (WNLHIV) aged 18 to 49. Sexual and reproductive data was collected retrospectively in order to reconstruct women's reproductive trajectories. Given the objectives of this study, the analysis was restricted to women with parity one or more and, in case of WLHIV, to those sterilized after HIV diagnosis and not infected through vertical transmission. The final sample analysis included 683 WNLHIV and 690 WLHIV. A series of multivariable-adjusted Cox models estimated the probability of being sterilized after HIV diagnosis, compared with WNLHIV. Models were adjusted for schooling, race/color, and stratified by parity at last delivery (1–2, 3+). Hazard ratios were calculated for female sterilization, and separately for interval and postpartum procedures (performed in conjunction with caesarean section or immediately after vaginal delivery). Additionally, information regarding unmet demand for female sterilization was also explored. Findings No statistical difference in the overall risk of sterilization between WLHIV and WNLHIV in the two parity-related groups is observed: HR = 0.88 (0.54–1.43) and 0.94 (0.69–1.29), respectively, among women with 1–2 children and those with three and more. However, significant

  16. Risk factors associated with malnutrition in older adults living in Italian nursing homes: a cross-sectional study.

    Papparotto, Carla; Bidoli, Ettore; Palese, Alvisa

    2013-07-01

    Malnutrition is a significant problem among older adults living in nursing homes: Malnourished residents are at increased risk of hospitalization and mortality. Multiple factors determine malnutrition, and the extant literature has focused attention on individual factors such as aging, sex, and dependence in activities of daily living. However, little evidence is available on factors influenced by nursing care. Exploring the relationship between the nutritional status of nursing home residents and certain individual factors, including those potentially influenced by nursing care, was the aim of this cross-sectional study. A total of 186 nursing home residents was enrolled in the study; in addition, 18 nurses were involved in the data collection process. Twenty-one percent of the residents had an adequate nutritional status, 43% were at risk of malnutrition, and 36% were malnourished. Multivariate analysis revealed that those independent factors associated with malnutrition, once adjusted for age, sex, and dependence in activities of daily living, were: having had a stroke, being dependent in activities of daily living, eating half or less of food provided at mealtimes, and having their weight checked only every 3 months or longer. Nursing care projects may be effective in reducing the risk of malnutrition among nursing home residents. However, further research is needed to develop knowledge of the factors associated with malnutrition and those influenced by care delivered in nursing homes.

  17. The Effect of Reminiscence Therapy on Cognition, Depression, and Activities of Daily Living for Patients With Alzheimer Disease.

    Duru Aşiret, Güler; Kapucu, Sevgisun

    2016-01-01

    The purpose of this study was, conducted with experimental design, to investigate the effect of reminiscence therapy on cognition, depression, activities of daily living of institutionalized mild and moderate Alzheimer patients. The study was conducted with a total of 62 patients (31 intervention group and 31 control group) in four home care in Ankara, Turkey. Study was done between the July 1, 2013 and December 20, 2014. Reminiscence therapy sessions were held with groups consists of 4-5 patients, once a week with 30-35 minute duration for 12 weeks. Standardized Mini Mental Test was used in sample selection. Patients were listed through their mini mental test scores, and randomized as odd numbers to control group and even numbers to intervention group. Data were collected with forms developed by researcher 'Data Sheet' and 'Activities of Daily Living Follow-up Form' as well as scales 'Standardized Mini Mental Test' and 'Geriatric Depression Scale'. Chi-square, Mann Whitney-U test, variance analyses in repeated measures and Bonferroni tests were used for analysis. The increase in mean Standardized Mini Mental Test score and the decrease in mean Geriatric Depression Scale score of the individuals in the intervention group compared to the control group at the end of the reminiscence therapy was statistically significant (P < 0.05). At the end of reminiscence therapy sessions, increase in cognition and decrease in depression were found statistically significant in intervention group.

  18. Groningen active living model (GALM) : Stimulating physical activity in sedentary older adults

    Stevens, M; Lemmink, KAPM; de Greef, NHG; Rispens, P; de Greef, M.H.G.

    1999-01-01

    Background A significant number of Dutch older adults can be considered sedentary when it comes to regular participation in leisure-time physical activity. Sedentariness is considered a potential public health burden-all the more reason to develop a strategy for stimulating older adults toward becom

  19. A living thick nanofibrous implant bifunctionalized with active growth factor and stem cells for bone regeneration

    Eap S

    2015-02-01

    Full Text Available Sandy Eap,1,2,* Laetitia Keller,1–3,* Jessica Schiavi,1,2 Olivier Huck,1,2 Leandro Jacomine,4 Florence Fioretti,1,2 Christian Gauthier,4 Victor Sebastian,1,3,5 Pascale Schwinté,1,2 Nadia Benkirane-Jessel1,21INSERM, UMR 1109, Osteoarticular and Dental Regenerative Nanomedicine Laboratory, FMTS, Faculté de Médecine, Strasbourg, France; 2Faculté de Chirurgie Dentaire, Université de Strasbourg, Strasbourg, France; 3Department of Chemical Engineering, Aragon Nanoscience Institute, University of Zaragoza, Zaragoza, Spain; 4CNRS (National Center for Scientific Research, ICS (Charles Sadron Institute, Strasbourg, France; 5Networking Research Center of Bioengineering, Biomaterials and Nanomedicine, Zaragoza, Spain*These authors contributed equally to this workAbstract: New-generation implants focus on robust, durable, and rapid tissue regeneration to shorten recovery times and decrease risks of postoperative complications for patients. Herein, we describe a new-generation thick nanofibrous implant functionalized with active containers of growth factors and stem cells for regenerative nanomedicine. A thick electrospun poly(ε-caprolactone nanofibrous implant (from 700 µm to 1 cm thick was functionalized with chitosan and bone morphogenetic protein BMP-7 as growth factor using layer-by-layer technology, producing fish scale-like chitosan/BMP-7 nanoreservoirs. This extracellular matrix-mimicking scaffold enabled in vitro colonization and bone regeneration by human primary osteoblasts, as shown by expression of osteocalcin, osteopontin, and bone sialoprotein (BSPII, 21 days after seeding. In vivo implantation in mouse calvaria defects showed significantly more newly mineralized extracellular matrix in the functionalized implant compared to a bare scaffold after 30 days’ implantation, as shown by histological scanning electron microscopy/energy dispersive X-ray microscopy study and calcein injection. We have as well bifunctionalized our BMP-7

  20. Decipher the dynamic coordination between enzymatic activity and structural modulation at focal adhesions in living cells

    Lu, Shaoying; Seong, Jihye; Wang, Yi; Chang, Shiou-Chi; Eichorst, John Paul; Ouyang, Mingxing; Li, Julie Y.-S.; Chien, Shu; Wang, Yingxiao

    2014-07-01

    Focal adhesions (FAs) are dynamic subcellular structures crucial for cell adhesion, migration and differentiation. It remains an enigma how enzymatic activities in these local complexes regulate their structural remodeling in live cells. Utilizing biosensors based on fluorescence resonance energy transfer (FRET), we developed a correlative FRET imaging microscopy (CFIM) approach to quantitatively analyze the subcellular coordination between the enzymatic Src activation and the structural FA disassembly. CFIM reveals that the Src kinase activity only within the microdomain of lipid rafts at the plasma membrane is coupled with FA dynamics. FA disassembly at cell periphery was linearly dependent on this raft-localized Src activity, although cells displayed heterogeneous levels of response to stimulation. Within lipid rafts, the time delay between Src activation and FA disassembly was 1.2 min in cells seeded on low fibronectin concentration ([FN]) and 4.3 min in cells on high [FN]. CFIM further showed that the level of Src-FA coupling, as well as the time delay, was regulated by cell-matrix interactions, as a tight enzyme-structure coupling occurred in FA populations mediated by integrin αvβ3, but not in those by integrin α5β1. Therefore, different FA subpopulations have distinctive regulation mechanisms between their local kinase activity and structural FA dynamics.

  1. A striving for independence: a qualitative study of women living with vertebral fracture

    Toss Göran

    2010-04-01

    Full Text Available Abstract Background Quantitative studies using generic and disease-specific health-related quality of life (HRQOL questionnaires have shown that osteoporosis-related vertebral fractures have a significant negative effect on HRQOL, but there are only few studies that address what it means to live with vertebral fracture from a deeper experiential perspective. How HRQOL and daily life are affected several years after vertebral fracture and how women cope with this are more unclear. This study aimed to describe how HRQOL and daily life had been affected in women with vertebral fracture several years after diagnosis. Methods The study design was qualitative. Semi-structured interviews were conducted with ten Swedish women during 2008. Data were analysed using qualitative inductive content analysis. Results The findings of this study revealed three themes related to the influence on HRQOL and daily life: A threatened independence, i.e. back pain, anxiety, negative impact on self-image and consequences in daily life; Strategies for maintaining independence, i.e. coping, self-care and support; and The importance of maintaining independence, i.e. the ability to perform everyday activities, social interaction and having something meaningful to do. The women were striving for independence or maintaining their independence by trying to manage different types of symptoms and consequences in different ways. Conclusion HRQOL and daily life were strongly affected in a negative way by the impact of the vertebral fracture. Information from this study may provide new knowledge and understanding of the women's experiences of living with vertebral fracture from an insider's point of view in order to obtain a deeper understanding of the women's everyday life. However, further evaluation is still needed in larger study groups.

  2. HUBUNGAN TINGKAT PENDIDIKAN DAN ACTIVITY DAILY LIVING DENGAN DEMENSIA PADA LANJUT USIA DI PANTI WERDHA

    Raden Siti Maryam

    2016-03-01

    Full Text Available Latar Belakang: Jumlah kasus dan kejadian demensia di Indonesia pada tahun 2000 sebanyak 606.100 orang dan 191.400 orang. Pada tahun 2020 diprediksikan akan meningkat sebanyak 1.016.800 orang dan 314.100 orang (Alzheimer’s Disease International, 2006. Peningkatan jumlah kasus dan kejadian demensia menjadi tantangan bagi pemberi pelayanan kesehatan melihat dampak yang ditimbulkannya. Tujuan: Penelitian ini bertujuan untuk mendapatkan gambaran tentang faktor-faktor yang mempengaruhi demensia pada lansia. Metode: Jenis penelitian ini adalah non-eksperimental (observasional dengan pendekatan cross sectional. Analisis multivariat menggunakan regresi linear ganda. Populasi penelitian ini adalah seluruh lansia yang ada di Panti Sosial Tresna Werdha Wilayah DKI Jakarta dengan sampel berjumlah 120 responden. Hasil: Ada hubungan bermakna antara tingkat pendidikan dengan demensia (p=0,012 dan ada hubungan bermakna antara Activity Daily Living dengan demensia (p=0,038. Model multivariat menunjukkan nilai koefisien determinasi 0,101 artinya kedua faktor tersebut yaitu tingkat pendidikan dan Activity Daily Living dapat menjelaskan variasi variabel demensia sebesar 10,1 % dan pada uji F menunjukkan kedua variabel tersebut secara signifikan dapat memprediksi variabel demensia. Faktor yang paling besar pengaruhnya terhadap demensia adalah tingkat pendidikan (Beta = 0,258. Kesimpulan: Untuk tetap meningkatkan dan mempertahankan fungsi mental lansia dapat dilakukan kegiatan mengingat, berbicara, berpikir, berperilaku dan melakukan berbagai pekerjaan agar lansia dapat tetap mandiri dan produktif.

  3. Vision based assistive technology for people with dementia performing activities of daily living (ADLs): an overview

    As'ari, M. A.; Sheikh, U. U.

    2012-04-01

    The rapid development of intelligent assistive technology for replacing a human caregiver in assisting people with dementia performing activities of daily living (ADLs) promises in the reduction of care cost especially in training and hiring human caregiver. The main problem however, is the various kinds of sensing agents used in such system and is dependent on the intent (types of ADLs) and environment where the activity is performed. In this paper on overview of the potential of computer vision based sensing agent in assistive system and how it can be generalized and be invariant to various kind of ADLs and environment. We find that there exists a gap from the existing vision based human action recognition method in designing such system due to cognitive and physical impairment of people with dementia.

  4. Relationship of Having Hobbies and a Purpose in Life With Mortality, Activities of Daily Living, and Instrumental Activities of Daily Living Among Community-Dwelling Elderly Adults

    Kimiko Tomioka

    2016-07-01

    Full Text Available Background: This study’s aim was to clarify the relationship of having hobbies and a purpose in life (PIL; in Japanese, ikigai with mortality and a decline in the activities of daily living (ADL and instrumental ADL (IADL among the community-dwelling elderly. Methods: Prospective observational data from residents aged ≥65 years who were at increased risk for death (n = 1853 and developing a decline in ADL (n = 1254 and IADL (n = 1162 were analyzed. Cox proportional hazard models were used for mortality analysis of data from February 2011 to November 2014. ADL and IADL were evaluated using the Barthel Index and the Tokyo Metropolitan Institute of Gerontology Index of Competence, respectively. ADL and IADL were assessed at baseline and follow-up and were evaluated using logistic regression models. Fully adjusted models included terms for age, gender, BMI, income, alcohol intake, smoking history, number of chronic diseases, cognitive function, and depression. Results: During the follow-up of eligible participants, 248 had died, 119 saw a decline in ADL, and 178 saw a decline in IADL. In fully adjusted models, having neither hobbies nor PIL was significantly associated with an increased risk of mortality (hazard ratio 2.08; 95% confidence interval [CI], 1.47–2.94, decline in ADL (odds ratio 2.74; 95% CI, 1.44–5.21, and decline in IADL (odds ratio 1.89; 95% CI, 1.01–3.55 compared to having both hobbies and PIL. Conclusions: Although effect modifications by cognitive functioning and depression cannot be ruled out, our findings suggest that having hobbies and PIL may extend not only longevity, but also healthy life expectancy among community-dwelling older adults.

  5. Validity of physical activity monitors in adults participating in free-living activities

    Berntsen, S; Hageberg, R; Aandstad, A;

    2010-01-01

    Media, Pittsburgh, Pennsylvania, USA), ActiGraph (7164, LLC, Fort Walton Beach, Florida, USA), ikcal (Teltronic AG, Biberist, Switzerland) and ActiReg (PreMed AS, Oslo, Norway) is different compared with indirect calorimetry, was determined. The secondary objective, whether these activity monitors estimate energy...... calorimetry. The cutoff points defining moderate, vigorous and very vigorous intensity were three, six and nine times resting metabolic rate. Results Time in MVPA was overestimated by 2.9% and 2.5% by Armband and ActiGraph, respectively, and was underestimated by 11.6% and 98.7% by ikcal and Acti......Reg, respectively. ActiReg (p = 0.004) and ActiGraph (p = 0.007) underestimated energy expenditure in MVPA, and all monitors underestimated total energy expenditure (by 5% to 21%). Conclusions Recorded time in MVPA and energy expenditure varies substantially among physical activity monitors. Thus, when comparing...

  6. Neither single, nor in a couple. A study of living apart together in France

    Arnaud Regnier-Loilier

    2009-07-01

    Full Text Available Among living arrangements, living apart together relationships arouse curiosity on the part of sociologists, demographers and even the media. From a scientific point of view, how have noncohabiting relationships evolved in recent decades? How can we recognise these relationships, and who are the populations concerned? The present study provides an overall view into noncohabiting relationships in France, shedding light on the characteristics of both the individuals concerned and their relationships. There has been no recent increase in the prevalence of this living arrangement. It competes with cohabiting relationships both among students and among people with cohabiting children. Four main groups of living apart relationships are described: "Young adults", "Out of a family", "Seniors." The reasons for living apart as well as future intentions vary considerably across these groups.

  7. Shallow Encoding and Forgetting Are Associated with Dependence in Instrumental Activities of Daily Living Among Older Adults Living with HIV Infection

    Fazeli, Pariya L.; Doyle, Katie L.; Scott, J. Cobb; Iudicello, Jennifer E.; Casaletto, Kaitlin B.; Weber, Erica; Moore, David J.; Morgan, Erin E.; Grant, Igor; Woods, Steven Paul; Hampton Atkinson, J.; Ellis, Ronald J.; Allen McCutchan, J.; Marcotte, Thomas D.; Marquie-Beck, Jennifer; Sherman, Melanie; Ellis, Ronald J.; Allen McCutchan, J.; Letendre, Scott; Capparelli, Edmund; Schrier, Rachel; Rosario, Debra; LeBlanc, Shannon; Heaton, Robert K.; Woods, Steven Paul; Cherner, Mariana; Moore, David J.; Morgan, Erin E.; Dawson, Matthew; Jernigan, Terry; Fennema-Notestine, Christine; Archibald, Sarah L.; Hesselink, John; Annese, Jacopo; Taylor, Michael J.; Masliah, Eliezer; Achim, Cristian; Everall, Ian; Richman, Douglas; Smith, David M.; Allen McCutchan, J.; Achim, Cristian; Lipton, Stuart; Hampton Atkinson, J.; Gamst, Anthony C.; Cushman, Clint; Abramson, Ian; Vaida, Florin; Deutsch, Reena; Umlauf, Anya

    2014-01-01

    Aging and HIV are both risk factors for memory deficits and declines in real-world functioning. However, we know little about the profile of memory deficits driving instrumental activities of daily living (IADL) declines across the lifespan in HIV. This study examined 145 younger (<50 years) and 119 older (≥50 years) adults with HIV who completed the California Verbal Learning Test-Second Edition (CVLT-II), the Wechsler Memory Scale-Third Edition Logical Memory subtest (WMS-III LM), and a modified Lawton and Brody ADL questionnaire. No memory predictors of IADL dependence emerged in the younger cohort. In the older group, IADL dependence was uniquely associated with worse performance on all primary CVLT-II variables, as well as elevated recency effects. Poorer immediate and delayed recall of the WMS-III LM was also associated with IADL dependence, although recognition was intact. Findings suggest older HIV-infected adults with shallow encoding and forgetting are at risk for IADL dependence. PMID:24695591

  8. Shallow encoding and forgetting are associated with dependence in instrumental activities of daily living among older adults living with HIV infection.

    Fazeli, Pariya L; Doyle, Katie L; Scott, J Cobb; Iudicello, Jennifer E; Casaletto, Kaitlin B; Weber, Erica; Moore, David J; Morgan, Erin E; Grant, Igor; Woods, Steven Paul

    2014-05-01

    Aging and HIV are both risk factors for memory deficits and declines in real-world functioning. However, we know little about the profile of memory deficits driving instrumental activities of daily living (IADL) declines across the lifespan in HIV. This study examined 145 younger (<50 years) and 119 older (≥50 years) adults with HIV who completed the California Verbal Learning Test-Second Edition (CVLT-II), the Wechsler Memory Scale-Third Edition Logical Memory subtest (WMS-III LM), and a modified Lawton and Brody ADL questionnaire. No memory predictors of IADL dependence emerged in the younger cohort. In the older group, IADL dependence was uniquely associated with worse performance on all primary CVLT-II variables, as well as elevated recency effects. Poorer immediate and delayed recall of the WMS-III LM was also associated with IADL dependence, although recognition was intact. Findings suggest older HIV-infected adults with shallow encoding and forgetting are at risk for IADL dependence.

  9. Effects of the Otago exercise program on fall efficacy, activities of daily living and quality of life in elderly stroke patients

    Park, Youngju; Chang, Moonyoung

    2016-01-01

    [Purpose] The purpose of this study was to determine the effects of the Otago exercise program on fall efficacy, activities of daily living, and quality of life in elderly stroke patients. [Subjects and Methods] Eight subjects performed the Otago exercise program three times per week, for 8 weeks. The outcome measures were the Fall Efficacy Scale score for fall efficacy, modified Barthel index for activities of daily living, and EQ-5D for quality of life. [Results] In our comparison of the results before and after the intervention, we found that the Otago exercise program improved fall efficacy significantly as well as the score for activities of daily living and quality of life, though not significantly. [Conclusion] We consider that the Otago exercise program is an effective method for improving fall efficacy in elderly stroke patients. PMID:26957755

  10. A pharmacological study of NLP-12 neuropeptide signaling in free-living and parasitic nematodes.

    Peeters, Lise; Janssen, Tom; De Haes, Wouter; Beets, Isabel; Meelkop, Ellen; Grant, Warwick; Schoofs, Liliane

    2012-03-01

    NLP-12a and b have been identified as cholecystokinin/sulfakinin-like neuropeptides in the free-living nematode Caenorhabditis elegans. They are suggested to play an important role in the regulation of digestive enzyme secretion and fat storage. This study reports on the identification and characterization of an NLP-12-like peptide precursor gene in the rat parasitic nematode Strongyloides ratti. The S. ratti NLP-12 peptides are able to activate both C. elegans CKR-2 receptor isoforms in a dose-dependent way with affinities in the same nanomolar range as the native C. elegans NLP-12 peptides. The C-terminal RPLQFamide sequence motif of the NLP-12 peptides is perfectly conserved between free-living and parasitic nematodes. Based on systemic amino acid replacements the Arg-, Leu- and Phe- residues appear to be critical for high-affinity receptor binding. Finally, a SAR analysis revealed the essential pharmacophore in C. elegans NLP-12b to be the pentapeptide RPLQFamide.

  11. LOng-term follow-up after liVE kidney donation (LOVE) study: A longitudinal comparison study protocol

    S. Janki (Shiromani); K.W.J. Klop (Karel); F.F.P. Kimenai; J. van de Wetering (Jacqueline); W. Weimar (Willem); E.K. Massey (Emma); A. Dehghan (Abbas); D. Rizopoulos (Dimitris); H. Völzke (Henry); A. Hofman (Albert); J.N.M. IJzermans (Jan)

    2016-01-01

    textabstractBackground: The benefits of live donor kidney transplantation must be balanced against the potential harm to the donor. Well-designed prospective studies are needed to study the long-term consequences of kidney donation. Methods: The "LOng-term follow-up after liVE kidney donation" (LOVE

  12. Studying and Living in China Offers Interesting Experiences

    1996-01-01

    JAM-PACKED and alive with culture and commerce, China’s capital lures foreign students by the thousands each year—to explore the mysterious Orient, or to learn the centuries-old culture. According to the State Education Commission, the number of foreign students who have studied or are studying in China is

  13. Patient Mood and Instrumental Activities of Daily Living in Alzheimer Disease: Relationship Between Patient and Caregiver Reports.

    Votruba, Kristen L; Persad, Carol; Giordani, Bruno

    2015-09-01

    This retrospective study investigated the relationship between self-reports and caregiver perceptions of patients' depressive symptoms and the respective ability of these reports to predict instrumental activities of daily living (IADLs) beyond what is accounted for by cognitive abilities in 71 patients with mild Alzheimer disease. Patients completed the Geriatric Depression Scale-Short Form, and caregivers completed the Behavior Rating Scale for Dementia assessing their perception of patients' depressive symptoms. Caregivers also completed IADL items from the Alzheimer's Disease Cooperative Study Activities of Daily Living Inventory. Cognitive measures included the Mini-Mental State Examination, Logical Memory from the Wechsler Memory Scale III, and Trail Making Test, Part B. The relationship between self-reported depressive symptoms and caregiver report of patients' depressive symptoms showed a trend toward significance (r = .22, P = .06). Measures of depressive symptoms significantly predicted 12.5% of the variance in IADLs performance, beyond that accounted for by patient demographics and cognitive functioning. Interestingly, patients' reports, rather than caregivers', were particularly useful in this prediction.

  14. 'A tale of two cases:' the health, illness, and physical activity stories of two children living with cystic fibrosis.

    Moola, Fiona J; Faulkner, Guy E J

    2014-01-01

    Storytelling is perennial, and central to the human condition. Although illness may shatter identity and one's role and place in the broader social world, narrative may aid in the process of self-reparation. Despite the merits of the narrative approach, it has been underutilized with children who are living with cystic fibrosis (CF). The role that illness narratives may play in influencing CF youths' physical activity also remains poorly investigated. This article drew on the qualitative case study methodological tradition to narrate the stories of two children living with CF at a children's hospital in Canada. The findings beg researchers to consider (a) how children with life-limiting diseases borrow multiple illness narrative types, (b) the role of development in influencing the kinds of stories that children can tell, and (c) the impact of illness narratives on physical activity. By rendering the tales of two CF youth in this study, we respond to Aurthur Frank's call; taking a multiple narrative turn, we listen to stories of a different kind of suffering.

  15. Association of BODE index to daily living activities and upper limb strength in chronic obstructive pulmonary disease

    Renukadevi Mahadevan

    2015-01-01

    Full Text Available Context: Chronic obstructive pulmonary disease (COPD is a progressive disease that reduces the functional capacity and the ability to perform activities of daily living (ADL. Aims: To determine the correlation between the BODE index (B - body mass index; O - airflow obstruction; D - dyspnea; and E - exercise capacity with ADL and grip strength in COPD patients. Settings and Design: The study was conducted at JSS Hospital, Mysore. It was a correlational study. Subjects and Methods: Sixty-six COPD subjects were recruited by convenience sampling. Forced expiratory volume, body mass index, Six-Minute Walk Test, and Medical Research Council scale were assessed. The BODE index was calculated. The total score of London Chest Activities of Daily Living (LCADL and grip strength were compared between the patients of the four quartiles of the BODE index. The association between LCADL and grip Strength with BODE index was analyzed. Statistical Analysis: Eta coefficient, Spearman's rank correlation coefficient and the analysis of variance were used. Results: The Eta coefficients showed the strength or the measure of associations of BODE index with age, grip strength, and LCADL. Spearman's correlation coefficient shows that there is an inverse association with grip strength and LCADL, and it was statistically significant as theP<0.05. Conclusions: ADL limitation and hand grip strength test have a strong association with the BODE index in patients with moderate to severe COPD.

  16. Doing it Live! Planning and Preparing for a Live Drama Episode: A Case Study of 'The Bill' (ITV, 2005

    Joanna MacDonnell

    2013-12-01

    Full Text Available Over the last decade there has been a move towards live episodes of popular television dramas and soap operas in the UK being used to celebrate programme and channel anniversaries. This paper, written by a member of the production team is focused on the ‘behind the scenes’ preparation and subsequent broadcast of the live episode of British police drama The Bill on September 22nd 2005. This live episode became a landmark broadcast as it was the first time that dramatic stunt sequences had been performed live. This article will be supported with examples from the original planning documentation and rehearsal photographs and will examine the production culture in the planning and preparation of the episode. It will also reveal some of the trickery used to execute the stunts, will discuss the difficulties experienced during the live episode and how problems were overcome. 

  17. New nanocomposites for SERS studies of living cells and mitochondria

    Sarycheva, A. S.; Brazhe, N. A.; Baizhumanov, A. A.

    2016-01-01

    A great enhancement in Raman scattering (SERS) from heme-containing submembrane biomolecules inside intact erythrocytes and functional mitochondria is demonstrated for the first time using silver–silica beads prepared using a new method involving aerosol pyrolysis with aqueous diamminesilver......(I) hydroxide as a unique source of plasmonic nanoparticles for SiO2 microspheres. The recorded SERS spectra reveal a set of characteristic peaks at 750, 1127, 1170, 1371, 1565, 1585 and 1638 cm−1, resulting from the normal group vibrations of the pyrrole rings, methine bridges and side radicals in the heme...... molecules. The SERS spectra of functional mitochondria are sensitive to the activity of the mitochondrial electron transport chain, thus making the method a novel label-free approach to monitor the redox state and conformation of cytochromes in their natural cell environment. The developed nanocomposites...

  18. Rapid activation of Rac GTPase in living cells by force is independent of Src.

    Yeh-Chuin Poh

    Full Text Available It is well known that mechanical forces are crucial in regulating functions of every tissue and organ in a human body. However, it remains unclear how mechanical forces are transduced into biochemical activities and biological responses at the cellular and molecular level. Using the magnetic twisting cytometry technique, we applied local mechanical stresses to living human airway smooth muscle cells with a magnetic bead bound to the cell surface via transmembrane adhesion molecule integrins. The temporal and spatial activation of Rac, a small guanosine triphosphatase, was quantified using a fluorescent resonance energy transfer (FRET method that measures changes in Rac activity in response to mechanical stresses by quantifying intensity ratios of ECFP (enhanced cyan fluorescent protein as a donor and YPet (a variant yellow fluorescent protein as an acceptor of the Rac biosensor. The applied stress induced rapid activation (less than 300 ms of Rac at the cell periphery. In contrast, platelet derived growth factor (PDGF induced Rac activation at a much later time (>30 sec. There was no stress-induced Rac activation when a mutant form of the Rac biosensor (RacN17 was transfected or when the magnetic bead was coated with transferrin or with poly-L-lysine. It is known that PDGF-induced Rac activation depends on Src activity. Surprisingly, pre-treatment of the cells with specific Src inhibitor PP1 or knocking-out Src gene had no effects on stress-induced Rac activation. In addition, eliminating lipid rafts through extraction of cholesterol from the plasma membrane did not prevent stress-induced Rac activation, suggesting a raft-independent mechanism in governing the Rac activation upon mechanical stimulation. Further evidence indicates that Rac activation by stress depends on the magnitudes of the applied stress and cytoskeletal integrity. Our results suggest that Rac activation by mechanical forces is rapid, direct and does not depend on Src

  19. Motor function and activities of daily living capacity of patients with fractures sustained during the Wenchuan earthquake

    ZHANG Jin-long; HE Hong-chen; LIN Hai-dan; LUO Qing-lu; XIA Lu; LI Sha-sha; HE Cheng-qi

    2011-01-01

    Background On the afternoon of May 12, 2008, a 8.0-magnitude earthquake hit Sichuan Province, a mountainous region in Western China, killing about 70 000 people and leaving over 18 000 missing. What about the survivors motor functions and activities of daily living (ADL) capacity, especially for fractures? We need the data to guide the rehabilitation for the seismic wounded and it' s important to collect the data for the future. We study the survivors to understand the motor functions and ADL capacity of patients with fractures sustained in the Wenchuan earthquake, to provide a basis for rehabilitation and treatment.Methods We used the Manual Muscle Testing method to evaluate muscle strength, the joint angle scale to measure joint range of motion (ROM), and the Barthel index to evaluate the activities of daily living status. SPSS 13.0 software was used to analyze the data and the results were tested using one-way analysis of variance (ANOVA).Results The number of seismic wounded amounted to 487; 81.1% of patients had fractures. Most of the injured had fractures in multiple regions (53.9% of all fracture patients), followed by fractures of the upper limb (34.0% of patients);cranial fractures were rare (2.3%). Totally 82.0% had restricted range of motion, 23.5% had decreased muscle force, and 72.2% of the patients had restricted activities of daily living capacities. With time the activities of daily living capacity of female increased (P <0.05), compared with the male fracture patients who did not show any relative improvement (P >0.05). The difference between the patients' ages and ADL capacities did not reach statistical significance (P>0.05), nor was there a significant difference between their ages and the numbers of days in hospital (P >0.05).Conclusions Fractures were the main issue in the seismic wounded, many of them had reductions in the ROM, muscle force and ADL capacities. The physicians involved in rehabilitation should pay greater attention to

  20. Measurement of separase proteolytic activity in single living cells by a fluorogenic flow cytometry assay.

    Wiltrud Haaß

    Full Text Available ESPL1/Separase, an endopeptidase, is required for centrosome duplication and separation of sister-chromatides in anaphase of mitosis. Overexpression and deregulated proteolytic activity of Separase as frequently observed in human cancers is associated with the occurrence of supernumerary centrosomes, chromosomal missegregation and aneuploidy. Recently, we have hypothesized that increased Separase proteolytic activity in a small subpopulation of tumor cells may serve as driver of tumor heterogeneity and clonal evolution in chronic myeloid leukemia (CML. Currently, there is no quantitative assay to measure Separase activity levels in single cells. Therefore, we have designed a flow cytometry-based assay that utilizes a Cy5- and rhodamine 110 (Rh110-biconjugated Rad21 cleavage site peptide ([Cy5-D-R-E-I-M-R]2-Rh110 as smart probe and intracellular substrate for detection of Separase enzyme activity in living cells. As measured by Cy5 fluorescence the cellular uptake of the fluorogenic peptide was fast and reached saturation after 210 min of incubation in human histiocytic lymphoma U937 cells. Separase activity was recorded as the intensity of Rh110 fluorescence released after intracellular peptide cleavage providing a linear signal gain within a 90-180 min time slot. Compared to conventional cell extract-based methods the flow cytometric assay delivers equivalent results but is more reliable, bypasses the problem of vague loading controls and unspecific proteolysis associated with whole cell extracts. Especially suited for the investigaton of blood- and bone marrow-derived hematopoietic cells the flow cytometric Separase assay allows generation of Separase activity profiles that tell about the number of Separase positive cells within a sample i.e. cells that currently progress through mitosis and about the range of intercellular variation in Separase activity levels within a cell population. The assay was used to quantify Separase proteolytic

  1. EFFECTS OF BURN ON THE MOBILITY OF UPPER LIMB/S, FUNCTIONS OF HAND /S & ACTIVITIES OF DAILY LIVING

    Perera M M N

    2015-02-01

    Full Text Available Background: Burn is an injury cause destruction of skin and underling tissue. Post burns complications are severe. Objective of this study is to identify the effects on the Active Range of Motion (AROM of upper limb/s, hand functions and Activities of Daily Living (ADL who attend the physical therapy department of burns unit. Methodology: It was a descriptive cross sectional study carried out at out-patient physical therapy department of burns unit of National Hospital of SriLanka (NHSL. Fifty subjects recruited into the study. Interviewer assisted self administered questionnaire Disabilities of Arm, Shoulder,Hand Questionnaire (DASH, AROM of nine movements of shoulder and elbow joints and hand function assessment Signals of Functional, Impairements of hand (SOFI was used to collect data. Results: Study results showed that Flame burns were the most common burn type and majority of the victims were females. Study population had affected AROM in almost all the movements at the joint, which had affected to the ADL significantly. “Keeping an object shelf above head” and “engaging in heavy work”, showed significant correlation with movements of shoulder. SOFI score for the right hand showed significant correlation with selected Activities of Daily Living (ADL (“writing”,” using knife to cut food” opening a jar” etc ;. Conclusion: patient with burn injury including upper limb joints may encounter disabilities. Even though it is mild AROM restrictions at a joint, This restriction affects to persons’ independency in ADL s. This emphasizes the need of intensive medical care as well as long term physical therapy rehabilitation programme for burns patients. Limitations: Each subject’s AROM was not measured at their discharge which was already stated to be a limitation.

  2. Family circumstance, sedentary behaviour and physical activity in adolescents living in England: Project STIL

    Gorely Trish

    2009-06-01

    Full Text Available Abstract Background Identification of non-modifiable correlates of physical activity and sedentary behaviour in youth contributes to the development of effective targeted intervention strategies. The purpose of this research was to examine the relationships between family circumstances (e.g. socio-economic status, single vs. dual parent household, presence/absence of siblings and leisure-time physical activity and sedentary behaviours in adolescents. Methods A total of 1171 adolescents (40% male; mean age 14.8 years completed ecological momentary assessment diaries every 15 minutes for 3 weekdays outside of school hours and 1 weekend day. Analysed behaviours were sports/exercise, active travel, TV viewing, computer use, sedentary socialising (hanging-out, using the telephone, sitting and talking and total sedentary behaviour. Linear regression was employed to estimate levels of association between individual family circumstance variables and each behaviour. Results Compared to girls from higher socioeconomic status (SES groups, girls from low SES groups reported higher weekend TV viewing and higher weekday total sedentary behaviour. For boys, single parent status was associated with greater total sedentary behaviour compared to those from dual parent households. Boys and girls from low socio-economic neighbourhoods reported lower participation in sports/exercise compared to those living in higher socio-economic neighbourhoods. Conclusion Associations were not consistent across behaviours or between genders. Overall, findings indicate that boys from single parent households and girls from low socio-economic families may be at increased risk of high sedentary behaviour. Those living in low socioeconomic neighbourhoods may be at increased risk of reduced participation in sports and exercise.

  3. Validity of the Acti4 method for detection of physical activity types in free-living settings

    Stemland, Ingunn; Ingebrigtsen, Jørgen; Christiansen, Caroline S

    2015-01-01

    This study examined the ability of the Acti4 software for identifying physical activity types from accelerometers during free-living with different levels of movement complexity compared with video observations. Nineteen aircraft cabin cleaners with ActiGraph GT3X+ accelerometer at the thigh...... during non-standardised conditions with normal level of movement complexity. The Acti4 software may be a useful tool for researchers and practitioners in the field of ergonomics, occupational and public health. Practitioner Summary: Being inexpensive, small, water-resistant and without wires, the Acti......Graph GT3X+ by applying the Acti4 software may be a useful tool for long-term field measurements of physical activity types for researchers and practitioners in the field of ergonomics, occupational and public health....

  4. Efficient selective breeding of live oil-rich Euglena gracilis with fluorescence-activated cell sorting.

    Yamada, Koji; Suzuki, Hideyuki; Takeuchi, Takuto; Kazama, Yusuke; Mitra, Sharbanee; Abe, Tomoko; Goda, Keisuke; Suzuki, Kengo; Iwata, Osamu

    2016-05-23

    Euglena gracilis, a microalgal species of unicellular flagellate protists, has attracted much attention in both the industrial and academic sectors due to recent advances in the mass cultivation of E. gracilis that have enabled the cost-effective production of nutritional food and cosmetic commodities. In addition, it is known to produce paramylon (β-1,3-glucan in a crystalline form) as reserve polysaccharide and convert it to wax ester in hypoxic and anaerobic conditions-a promising feedstock for biodiesel and aviation biofuel. However, there remain a number of technical challenges to be solved before it can be deployed in the competitive fuel market. Here we present a method for efficient selective breeding of live oil-rich E. gracilis with fluorescence-activated cell sorting (FACS). Specifically, the selective breeding method is a repetitive procedure for one-week heterotrophic cultivation, staining intracellular lipids with BODIPY(505/515), and FACS-based isolation of top 0.5% lipid-rich E. gracilis cells with high viability, after inducing mutation with Fe-ion irradiation to the wild type (WT). Consequently, we acquire a live, stable, lipid-rich E. gracilis mutant strain, named B1ZFeL, with 40% more lipid content on average than the WT. Our method paves the way for rapid, cost-effective, energy-efficient production of biofuel.

  5. Efficient selective breeding of live oil-rich Euglena gracilis with fluorescence-activated cell sorting

    Yamada, Koji; Suzuki, Hideyuki; Takeuchi, Takuto; Kazama, Yusuke; Mitra, Sharbanee; Abe, Tomoko; Goda, Keisuke; Suzuki, Kengo; Iwata, Osamu

    2016-01-01

    Euglena gracilis, a microalgal species of unicellular flagellate protists, has attracted much attention in both the industrial and academic sectors due to recent advances in the mass cultivation of E. gracilis that have enabled the cost-effective production of nutritional food and cosmetic commodities. In addition, it is known to produce paramylon (β-1,3-glucan in a crystalline form) as reserve polysaccharide and convert it to wax ester in hypoxic and anaerobic conditions–a promising feedstock for biodiesel and aviation biofuel. However, there remain a number of technical challenges to be solved before it can be deployed in the competitive fuel market. Here we present a method for efficient selective breeding of live oil-rich E. gracilis with fluorescence-activated cell sorting (FACS). Specifically, the selective breeding method is a repetitive procedure for one-week heterotrophic cultivation, staining intracellular lipids with BODIPY505/515, and FACS-based isolation of top 0.5% lipid-rich E. gracilis cells with high viability, after inducing mutation with Fe-ion irradiation to the wild type (WT). Consequently, we acquire a live, stable, lipid-rich E. gracilis mutant strain, named B1ZFeL, with 40% more lipid content on average than the WT. Our method paves the way for rapid, cost-effective, energy-efficient production of biofuel. PMID:27212384

  6. Diagnostic Accuracy of the Barthel Index for Measuring Activities of Daily Living Outcome After Ischemic Hemispheric Stroke Does Early Poststroke Timing of Assessment Matter?

    Kwakkel, Gert; Veerbeek, Janne M.; Harmeling-van der Wel, Barbara C.; van Wegen, Erwin; Kollen, Boudewijn J.; Harmeling-van der Wel, BC

    2011-01-01

    Background and Purpose-This study investigated the diagnostic accuracy of the Barthel Index (BI) in 206 stroke patients, measured within 72 hours, for activities of daily living at 6 months and determined whether the timing of BI assessment during the first days affects the accuracy of predicting ac

  7. Fatigue as a long-term risk factor for limitations in instrumental activities of daily living and/or mobility performance in older adults after 10 years

    Mueller-Schotte, Sigrid; Bleijenberg, Nienke; van der Schouw, Yvonne T.; Schuurmans, Marieke J.

    2016-01-01

    Objectives: Decline in the performance of instrumental activities of daily living (IADL) and mobility may be preceded by symptoms the patient experiences, such as fatigue. The aim of this study is to investigate whether self-reported non-task-specific fatigue is a long-term risk factor for IADL-limi

  8. Frail Institutionalized Older Persons A Comprehensive Review on Physical Exercise, Physical Fitness, Activities of Daily Living, and Quality-of-Life

    Weening-Dijksterhuis, Elizabeth; de Greef, Mathieu H. G.; Scherder, Erik J. A.; Slaets, Joris P. J.; van der Schans, Cees P.

    2011-01-01

    Weening-Dijksterhuis E, de Greef MHG, Scherder EJA, Slaets JPJ, van der Schans CP: Frail institutionalized older persons: A comprehensive review on physical exercise, physical fitness, activities of daily living, and quality-of-life. Am J Phys Med Rehabil 2011;90:156Y168. The objective of this study

  9. Measuring activity limitations in walking : Development of a hierarchical scale for patients with lower-extremity disorders who live at home

    Roorda, LD; Roebroeck, ME; van Tilburg, T; Molenaar, IW; Lankhorst, GJ; Bouter, LM

    2005-01-01

    Objective: To develop a hierarchical scale that measures activity limitations in walking in patients with lower-extremity disorders who live at home. Design: Cross-sectional study. Setting: Orthopedic workshops and outpatient clinics of secondary and tertiary care centers. Participants: Patients (N=

  10. Where and How People Live. Language Arts around the World, Volume IV. Cross-Curricular Activities for Grades 4-6.

    McAllister, Elizabeth A.; Hildebrand, Joan M.; Ericson, Joann H.

    Suggesting that students in the intermediate grades can explore the world around them and practice valuable skills in spelling, reading, writing, communication, and language, this book presents cross-curricular units designed to integrate language-arts activities into the study of where and how people live. The units in the book reach diverse…

  11. A systematic review of instruments for assessment of capacity in activities of daily living in children with developmental co-ordination disorder

    van der Linde, B W; van Netten, J J; Otten, E; Postema, K; Geuze, R H; Schoemaker, M M

    2015-01-01

    Children with developmental co-ordination disorder (DCD) face evident motor difficulties in activities of daily living (ADL). Assessment of their capacity in ADL is essential for diagnosis and intervention, in order to limit the daily consequences of the disorder. The aim of this study is to systema

  12. Assistive technology for the promotion of activity of daily living with children in hospital contexts

    Adriana Moniz da Silveira

    2012-09-01

    Full Text Available The purpose of this research was to characterize the routine of a pediatric nursing ward in relation tothe performance of their users on the Activity of Daily Living - ADL: personal hygiene, bathing and feeding, aswell as point out the possible uses of assistive technology concerning the ADL performance. The participants werethe following; 10 members of a nursing team, 12 caretakers and their hospitalized children with ages betweensix and twelve. The characterization of the pediatric nursing was made through semi-structured interviews andobservation developed by the researchers. Results showed that 100% (n = 10 of professionals, members ofthe nursing staff, reported performing guidance and/or supervision and/or performance of the following ADL:personal hygiene, bathing and feeding of children under their responsibility. Children remained in hospital fromthree to forty-five days and 75% (n = 9 of them reported ADL dependence in personal care, 83.3% (n = 10in the bathing activity and 16.6 % (n = 2 in the feeding activity. Children also reported that they were helpedwith personal care, bathing and feeding by their caretakers. Caretakers identified differences in the performanceof the children’s personal hygiene (41.6%, n = 5, bathing (66.6%, n = 8 and feeding (50%, n = 6 activities.Except for slight differences in the reports of the children, parents reported similar data and the bathing activitypresented the highest level of assistance. Recommendations on the use of technology in hospital contexts wereelaborated based on these results.

  13. Active In-Database Processing to Support Ambient Assisted Living Systems

    Wagner O. de Morais

    2014-08-01

    Full Text Available As an alternative to the existing software architectures that underpin the development of smart homes and ambient assisted living (AAL systems, this work presents a database-centric architecture that takes advantage of active databases and in-database processing. Current platforms supporting AAL systems use database management systems (DBMSs exclusively for data storage. Active databases employ database triggers to detect and react to events taking place inside or outside of the database. DBMSs can be extended with stored procedures and functions that enable in-database processing. This means that the data processing is integrated and performed within the DBMS. The feasibility and flexibility of the proposed approach were demonstrated with the implementation of three distinct AAL services. The active database was used to detect bed-exits and to discover common room transitions and deviations during the night. In-database machine learning methods were used to model early night behaviors. Consequently, active in-database processing avoids transferring sensitive data outside the database, and this improves performance, security and privacy. Furthermore, centralizing the computation into the DBMS facilitates code reuse, adaptation and maintenance. These are important system properties that take into account the evolving heterogeneity of users, their needs and the devices that are characteristic of smart homes and AAL systems. Therefore, DBMSs can provide capabilities to address requirements for scalability, security, privacy, dependability and personalization in applications of smart environments in healthcare.

  14. Nutritional care and support among adults living with HIV at Hawassa Referral Hospital, southern Ethiopia: A qualitative study.

    Tafese, Zelalem; Birhan, Yifru; Abebe, Hiwot

    2013-11-01

    Background Improving nutritional care and support for people living with HIV (PLHIV) is an integral part of comprehensive HIV treatment according to the National Nutritional Strategy of Ethiopia. However, there is no adequate published study that assesses the nutritional care and support services for adult people living with HIV/ AIDS (PLHIV) in this setting. Objective The objective of the study was to identify the existing nutritional care and support services and determine the challenges facing adults living with HIV at Hawassa Referral Hospital in southern Ethiopia. Methods A qualitative study was carried out using focus group discussions (FGDs), in-depth interviews and participant observation. Four FDGs were held and five in-depth interviews were conducted. A two-week participant observation was also conducted by trained nurses. All interviews and FDGs were tape-recorded and transcribed; those conducted in Amharic were translated back to English. Finally thematic analysis of the transcripts was performed. Results Most of the FDG participants were unsatisfied with their nutritional care and support services and expressed difficulty with disclosing their HIV status for fear of stigma and discrimination. The in-depth interviews and participant observation showed results similar to those of the FDG. Some key informants expressed a fear that such poor nutritional care and support may threaten the quality of life of people living with HIV and suggested that all stakeholders work on improving the services. Conclusion Current nutritional care and support services for people living with HIV are not well coordinated. They focus mainly on monthly supplementation of antiretroviral drugs and occasional handouts of food. The need to provide health education on antiretroviral drugs and nutrition, and to emphasise strategies aimed at improving the nutritional status of peoples living with HIV is critical. Furthermore, the study recommended strengthening the initiatives of some

  15. LOng-term follow-up after liVE kidney donation (LOVE) study: A longitudinal comparison study protocol

    Janki, Shiromani; Klop, Karel; Kimenai, F.F.P.; van de Wetering, Jacqueline; Weimar, Willem; Massey, Emma; Dehghan, Abbas; Rizopoulos, Dimitris; Völzke, Henry; Hofman, Albert; IJzermans,Jan

    2016-01-01

    textabstractBackground: The benefits of live donor kidney transplantation must be balanced against the potential harm to the donor. Well-designed prospective studies are needed to study the long-term consequences of kidney donation. Methods: The "LOng-term follow-up after liVE kidney donation" (LOVE) study is a single center longitudinal cohort study on long-term consequences after living kidney donation. We will study individuals who have donated a kidney from 1981 through 2010 in the Erasmu...

  16. LOng-term follow-up after liVE kidney donation (LOVE) study: a longitudinal comparison study protocol

    Janki, Shiromani; Klop, Karel W. J.; Kimenai, Hendrikus J. A. N.; van de Wetering, Jacqueline; Weimar, Willem; Massey, Emma K; Dehghan, Abbas; Rizopoulos, Dimitris; Völzke, Henry; Hofman, Albert; IJzermans, Jan N. M.

    2016-01-01

    Background The benefits of live donor kidney transplantation must be balanced against the potential harm to the donor. Well-designed prospective studies are needed to study the long-term consequences of kidney donation. Methods The “LOng-term follow-up after liVE kidney donation” (LOVE) study is a single center longitudinal cohort study on long-term consequences after living kidney donation. We will study individuals who have donated a kidney from 1981 through 2010 in the Erasmus University M...

  17. LOng-term follow-up after liVE kidney donation (LOVE) study: a longitudinal comparison study protocol

    Janki, Shiromani; Klop, Karel W. J.; Kimenai, Hendrikus J. A. N.; van de Wetering, Jacqueline; Weimar, Willem; Massey, Emma K; Dehghan, Abbas; Rizopoulos, Dimitris; Völzke, Henry; Hofman, Albert; IJzermans, Jan N. M.

    2016-01-01

    Background: The benefits of live donor kidney transplantation must be balanced against the potential harm to the donor. Well-designed prospective studies are needed to study the long-term consequences of kidney donation. Methods: The “LOng-term follow-up after liVE kidney donation” (LOVE) study is a single center longitudinal cohort study on long-term consequences after living kidney donation. We will study individuals who have donated a kidney from 1981 through 2010 in the Erasmus University...

  18. A Novel Visual Method for Studying Complex Health Transitions for Older People Living With Dementia

    Belinda Parke

    2015-11-01

    Full Text Available Understanding the complexity of health services for older people living with dementia is a challenging research endeavor. We discuss a novel research approach that combines photographic methods with storyboarding techniques to understand the views of older people living with dementia who encounter the emergency department. A social ecological theoretical position was taken to study relationships between health care systems and processes and the social arrangements of those receiving care. The research approach uncovers complex contextual factors in health care systems that are amenable to change. The approach strengthens the contribution of older people living with dementia to have their voice included in research endeavors.

  19. Women's experiences of sexual health when living with Rheumatoid Arthritis - an explorative qualitative study

    Josefsson Kristina

    2010-10-01

    Full Text Available Abstract Background The ICF core sets for patients with Rheumatoid Arthritis (RA acknowledge sexual function and intimate relationships as important since the patients' sexual health can be affected by the disease. About 36-70% of all RA-patients experience a reduced sexual health, and their perceived problems are directly or indirectly caused by their disease. Physiotherapy is often used as non-pharmacological treatment for RA. Mobility treatment, pain reduction, and physical activities are often included in physiotherapy for patients with RA. The aim of the study was to explore sexual health in relation to physiotherapy in women living with RA. Method An explorative qualitative interview study with a phenomenological approach was performed. The study consisted of ten interviews with women with RA. The analysis was performed according to Giorgi. Results The main theme that emerged in the material was that the body and the total life situation affected sexual health. Three categories were included in the theme: 1 sexual health - physical and psychological dimensions, 2 Impacts of RA, and 3 Possibilities to increase sexual health - does physiotherapy make a difference? Conclusions Sexual health was affected by RA in different ways for the informants. Possibilities to improve sexual health were improved partner communication and physiotherapy. Physiotherapy can play an active role in improving sexual health for patients with RA.

  20. Study on the Curcumin dynamics and distribution through living biofilms

    Carvalho, Mariana T.; Dovigo, Lívia N.; Rastelli, Alessandra N. S.; Bagnato, Vanderlei S.

    2013-03-01

    Human oral cavity is colonized by a wide range of microorganisms, often organized in biofilms. These biofilms are responsible for the pathogenesis of caries and most periodontal diseases. A possible alternative to reduce biofilms is the photodynamic inactivation (PDI). The success of the PDI depends on different factors. The time required by the PS to remain in contact with the target cells prior to illumination is determinant for the technique's efficacy. This study aimed to assess the interaction between the PS and the biofilm prior to the PDI. We used confocal microscopy and FLIM to evaluate the interaction between the PS and the biofilm's microorganism during the pre-irradiation time (PIT). The study of this dynamics can lead to the understanding of why only some PSs are effective and why is necessary a long PIT for some microorganisms. Our results showed that are differences for each PIT. These differences can be the determinate for the efficacy of the PDI. We observed that the microorganism needs time to concentrate and/or transport the PS within the biofilm. We presented preliminary results for biofilms of Candida albicans and Streptococcus mutans in the presence of Curcumin and compared it with the literature. We observed that the effectiveness of the PDI might be directly correlated to the position of the PS with the biofilm. Further analyses will be conducted in order to confirm the potential of FLIM to assess the PS dynamics within the biofilms.

  1. LIVED EXPERIENCES OF HEALTH PROBLEMS OF ELDERLY RESIDING IN URBAN AREAS, KATHMANDU: PILOT STUDY

    Bista Archana, Joshi Sarala

    2015-10-01

    Full Text Available Introduction: Globally, number of old age population is increasing with advancement of biomedical technology. Old age is the time associated with biological, psychological and social changes which situate elderly to acquire different health related problems. Objectives: To find out lived experiences of elderly regarding their health problems residing in homes of Kathmandu city. Methods: Qualitative hermeneutic phenomenology approach was adopted. Researcher selected purposively four elderly residing in an urban area of Kathmandu Valley as the study participants. In-depth interview was conducted by using in-depth interview guideline, as well as medical records, field notes and observation clues were recorded. Interview was conducted in Nepali Language and was audio taped. The recording was transcribed by the researcher herself, and the data were analyzed thematically. Finally, different sources of data were triangulated. Results: The four main themes identified were physical health problems, impaired functional abilities, psychological and social problems. Experienced physical health problems were joint pain, hearing and vision deficit, chronic obstructive pulmonary disease, diabetes, gastritis and fall injury. Impaired Functional abilities in performing activities of daily living was commonly experienced problems. Loneliness and decreased recent memory power were the psychological problems. Being neglected by family members, financial constraints for treatment and improper care during illness were the discerned social problems. Conclusion: Elderly are suffering from different physical health problems, impaired functional abilities, as well as various psycho-social problems. Thus, health promotional activities need to be promoted for decreasing morbidity of elderly. Family members need to be focused in the care of elderly through national policy.

  2. Living with myotonic dystrophy; what can be learned from couples? a qualitative study

    van der Wilt Gert

    2011-07-01

    Full Text Available Abstract Background Myotonic dystrophy type 1 (MD1 is one of the most prevalent neuromuscular diseases, yet very little is known about how MD1 affects the lives of couples and how they themselves manage individually and together. To better match health care to their problems, concerns and needs, it is important to understand their perspective of living with this hereditary, systemic disease. Methods A qualitative study was carried out with a purposive sample of five middle-aged couples, including three men and two women with MD1 and their partners. Fifteen in-depth interviews with persons with MD1, with their partners and with both of them as a couple took place in the homes of the couples in two cities and three villages in the Netherlands in 2009. Results People with MD1 associate this progressive, neuromuscular condition with decreasing abilities, describing physical, cognitive and psychosocial barriers to everyday activities and social participation. Partners highlighted the increasing care giving burden, giving directions and using reminders to compensate for the lack of initiative and avoidant behaviour due to MD1. Couples portrayed the dilemmas and frustrations of renegotiating roles and responsibilities; stressing the importance of achieving a balance between individual and shared activities. All participants experienced a lack of understanding from relatives, friends, and society, including health care, leading to withdrawal and isolation. Health care was perceived as fragmentary, with specialists focusing on specific aspects of the disease rather than seeking to understand the implications of the systemic disorder on daily life. Conclusions Learning from these couples has resulted in recommendations that challenge the tendency to treat MD1 as a condition with primarily physical impairments. It is vital to listen to couples, to elicit the impact of MD1, as a multisystem disorder that influences every aspect of their life together

  3. The role of art-making in identity maintenance: case studies of people living with cancer.

    Reynolds, F; Prior, S

    2006-09-01

    The aim of this qualitative research was to understand why some people with cancer take up art as a leisure activity, and how visual art-making in daily life might support identity maintenance/reconstruction. The study forms part of a larger project with people who view art-making as a resource for living with chronic illness. In order to provide a detailed, holistic analysis, the paper focuses on the accounts and artwork of three participants, two women (aged 47 and 59 years) each with breast cancer, and a man (aged 51 years) with stomach and lung cancer. The participants turned to art after a process of reflection but did not necessarily reject their pre-illness lifestyles or selves. Rather, art-making afforded many opportunities to retain familiar personal and social identities, and to resist being dominated by labels related to their illness. A practical implication is that people coping with cancer may need not only cognitive and emotional support, but opportunities to find meaningful activities. Such activities can be understood to have a powerful role in maintaining a familiar, positive identity in cancer, and providing a resource for coping.

  4. Functional correlates of instrumental activities of daily living in mild Alzheimer's disease.

    Nadkarni, Neelesh K; Levy-Cooperman, Naama; Black, Sandra E

    2012-01-01

    Instrumental activities of daily living (IADL) includes the integration of task-initiation, -planning, and -performance. Little is known on the cerebral perfusion correlates of these subcomponents of IADL in Alzheimer's disease (AD). In 121 AD patients, cerebral perfusion, using single-photon emission computed tomography, in 13 bilateral regions of interest (ROI) and the perfusion correlates of IADL subcomponents, rated on the Disability Assessment in Dementia scale, were explored. Significant correlations were observed between IADL initiation and multiple bilateral prefrontal-striatal-anterior cingulate ROI (p IADL planning and right occipital ROI (p IADL performance and right parietal ROI (p IADL-initiation (R = 0.6, R(2) = 0.39, F(4,117) = 17.8, SE = 1.56; p IADL-planning (R = 0.6, R(2) = 0.34, F(4,117) = 19.5, SE = 1.47; p IADL.

  5. A scale for measuring the activities of daily living (ADL) of patients with craniomandibular disorders.

    List, T; Helkimo, M

    1995-01-01

    A rating scale based on methods used in medical and behavioral science was modified for specific assessment of the function of the masticatory system. Eleven common activities of daily living were recorded on a scale rated from 0 to 10. Thirty-one patients (23 women and 8 men) who had exhibited facial pain and/or headache for a duration of at least one year participated. Test-retest coefficients of reliability for the patients' assessment of pain and discomfort on two different occasions two weeks apart were high and varied (with the exception of one question) between r = 0.67 and r = 0.92. The correlations between the patients' own estimations and that which one member of the family made were high and varied (with the exception of one question) between r = 0.78 and r = 0.92.

  6. A qualitative study of police interactions as perceived by people living with mental disorder

    2014-01-01

    Police officers are often the first responders to individuals in crises. Understanding the dynamic interaction between police and persons living with mental illness is critical to developing interventions and appropriate services for this population. Using procedural justice theory, this study involves a qualitative thematic analysis of interviews conducted with 60 people living with mental illness regarding their interactions with police officers. The results indicate that common factors ...

  7. Genetic correlation between days until start of luteal activity and milk yield, energy balance, and live weights

    Veerkamp, R.F.; Oldenbroek, J.K.; Gaast, van der H.J.; Werf, van der J.H.J.

    2000-01-01

    The objective of this study was to estimate genetic correlations among fertility and measures of energy balance, dry matter intake, and live weight (change). Data from 622 first lactation cows (fed ad libitum a complete ration) included milk, fat, and protein yields; energy balance; and live weights

  8. Assisted Living

    ... term care and institutional living. Sheltered Housing Sheltered housing is often in a home that offers personal-care support, housekeeping services, and meals. Social work services and coordination for activities can be ...

  9. Live imaging of cysteine-cathepsin activity reveals dynamics of focal inflammation, angiogenesis, and polyp growth.

    Elias Gounaris

    Full Text Available It has been estimated that up to 30% of detectable polyps in patients regress spontaneously. One major challenge in the evaluation of effective therapy of cancer is the readout for tumor regression and favorable biological response to therapy. Inducible near infra-red (NIR fluorescent probes were utilized to visualize intestinal polyps of mice hemizygous for a novel truncation of the Adenomatous Polyposis coli (APC gene. Laser Scanning Confocal Microscopy in live mice allowed visualization of cathepsin activity in richly vascularized benign dysplastic lesions. Using biotinylated suicide inhibitors we quantified increased activities of the Cathepsin B & Z in the polyps. More than (3/4 of the probe signal was localized in CD11b(+Gr1(+ myeloid derived suppressor cells (MDSC and CD11b(+F4/80(+ macrophages infiltrating the lesions. Polyposis was attenuated through genetic ablation of cathepsin B, and suppressed by neutralization of TNFalpha in mice. In both cases, diminished probe signal was accounted for by loss of MDSC. Thus, in vivo NIR imaging of focal cathepsin activity reveals inflammatory reactions etiologically linked with cancer progression and is a suitable approach for monitoring response to therapy.

  10. Profinteg: A Tool for Real-Life Assessment of Activities of Daily Living in Patients with Cognitive Impairment

    Patrick Anselme

    2013-03-01

    Full Text Available Although there are many instruments for assessing activities of daily living (IADL in brain injured patients, few instruments specifically target cognitive impairment and its impact on IADL. The present study presents the development of the Profinteg instrument, a tool for real-life assessment as well as rehabilitation of IADL in patients with cognitive impairment. This two-stage instrument covers over 90 activities. Psychometric properties of the different Profinteg measures were explored in twenty-five patients with mild to severe cognitive difficulties and twenty-five caregivers. The feasibility of the Profinteg rehabilitation procedure was explored in three patients. Excellent interrater reliability ('r' > 0.90,' ''p' < 0.01 was observed for all measures. Good sensitivity to changes in IADL disability over time was also observed ('T' = 2.37, 'p' < 0.02. Significant improvement of IADL functioning was found after rehabilitation guided by Profinteg assessment. The Profinteg instrument detects with precision the difficulties patients encounter in their real-life setting via (1 assessment of a large number of activities and (2 detailed decomposition of activities into sub-activities. The Profinteg tool also provides promising results for guidance of IADL rehabilitation in the patient's real-life environment.

  11. A performance study of live VM migration technologies: VMotion vs XenMotion

    Feng, Xiujie; Tang, Jianxiong; Luo, Xuan; Jin, Yaohui

    2011-12-01

    Due to the growing demand of flexible resource management for cloud computing services, researches on live virtual machine migration have attained more and more attention. Live migration of virtual machine across different hosts has been a powerful tool to facilitate system maintenance, load balancing, fault tolerance and so on. In this paper, we use a measurement-based approach to compare the performance of two major live migration technologies under certain network conditions, i.e., VMotion and XenMotion. The results show that VMotion generates much less data transferred than XenMotion when migrating identical VMs. However, in network with moderate packet loss and delay, which are typical in a VPN (virtual private network) scenario used to connect the data centers, XenMotion outperforms VMotion in total migration time. We hope that this study can be helpful in choosing suitable virtualization environments for data center administrators and optimizing existing live migration mechanisms.

  12. Effects of training using video games on the muscle strength, muscle tone, and activities of daily living of chronic stroke patients.

    Lee, Gyuchang

    2013-05-01

    [Purpose] The purpose of this study was to investigate the effects of training using video games played on the Xbox Kinect on the muscle strength, muscle tone, and activities of daily living of post-stroke patients. [Subjects] Fourteen stroke patients were recruited. They were randomly allocated into two groups; the experimental group (n=7) and the control group (n=7). [Methods] The experimental group performed training using video games played on the Xbox Kinect together with conventional occupational therapy for 6 weeks (1 hour/day, 3 days/week), and the control group received conventional occupational therapy only for 6 weeks (30 min/day, 3 days/week). Before and after the intervention, the participants were measured for muscle strength, muscle tone, and performance of activities of daily living. [Results] There were significant differences pre- and post-test in muscle strength of the upper extremities, except the wrist, and performance of activities of daily living in the experimental group. There were no significant differences between the two groups at post-test. [Conclusion] The training using video games played on the Xbox Kinect had a positive effect on the motor function and performance of activities of daily living. This study showed that training using video games played on the Xbox Kinect may be an effective intervention for the rehabilitation of stroke patients.

  13. Changes in physical activity and cognitive decline in older adults living in the community.

    Lee, Yunhwan; Kim, Jinhee; Han, Eun Sook; Chae, Songi; Ryu, Mikyung; Ahn, Kwang Ho; Park, Eun Ju

    2015-01-01

    Accumulating evidence suggests that physical activity may be beneficial in preserving cognition in late life. This study examined the association between baseline and changes in physical activity and cognitive decline in community-dwelling older people. Data were from the Korean Longitudinal Study of Aging, with 2605 aged 65 years and older subjects interviewed in 2006 and followed up for 2 years. Cognitive decline was defined by calculating the Reliable Change Index using the Mini-Mental State Examination. Physical activity levels were categorized as sedentary, low, or high. Changes in physical activity were classified as inactive, decreaser, increaser, or active. Logistic regression analysis of baseline and changes in physical activity with cognitive decline was performed. Compared with the sedentary group at baseline, both the low and high activity groups were less likely to experience cognitive decline. The active (odds ratio [OR] = 0.40, 95 % confidence interval [CI] 0.23-0.68) and increaser (OR = 0.45, 95 % CI 0.27-0.74) group, compared with the inactive counterpart, demonstrated a significantly lower likelihood of cognitive decline. Older adults who remained active or increased activity over time had a reduced risk of cognitive decline. Engagement in physical activity in late life may have cognitive health benefits.

  14. Determining the relationship between nutritional and physical activity conditions of adolescents living in orphanages and their health and body compositions

    Hüseyin Gümüş

    2011-02-01

    Full Text Available Aim: The study was planned and implemented with the purpose of determining the relationship between the nutritional and physical activity conditions of adolescents living in orphanages in Ankara and their health and body compositions. Material and Methods: Research implemented by taking permission from Ethic Council of Gazi University Faculty of Medicine. 198 adolescents (115 boys, 83 girls within the age group 13-18 living in orphanages, constitute the population of the study. Data's were collected in three stages; in the first stage, the question set developed to determine the nutritional status and habits. In the second stage, food consumption and physical activities of adolescents were recorded. In the third stage, anthropometric measurements were taken. Results: It was found in the study that 13.9% of boys and 31.3% of girls had health problems. It was also found that 69.6% boys and 91.6% of girls skipped meals, and among those skipping meals, 34.8% of boys and 61.4% of girls skipped breakfast most. More than half of boys (63.0% and girls (65.0% were pickers as regards what they eat, 17.2% of adolescents never consumed milk, and 40.9% never consumed red meat. When daily mean energy and nutrient intakes of adolescents were evaluated according to Nutrition Guide Unique for Turkey, boys ate diets insufficient in vitamin A, folic acid, Vitamin B12, potassium, calcium and magnesium, girls ate diets insufficient in energy, vitamin A, Vitamin B1, folic acid, Vitamin B12, potassium, calcium, magnesium and phosphorus. Anthropometric measurements of adolescents were within normal limits; however, their activity levels were below those recommended. Conclusion: HEI (Healthy eating index score for 15.7% of adolescent boys (n=18 were evaluated as "bad" for 80.9% (n=86 as "medium" and for 3.5% (n=6 as "good". It is recommended that implementing a training program for correcting the diet habits and the knowledge in nutrition of adolescents living in

  15. The Lived Experience of Nursing Students Who Study Abroad: A Qualitative Inquiry

    Edmonds, Michelle Lynn

    2010-01-01

    Nurse Researchers need to explore study abroad programs and identify their impact on the development of cultural competence and global perspectives in nursing students. The purpose of this study was to explore the lived experience of nursing students who study abroad and to identify benefits and impediments that may be used to spawn future…

  16. An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment.

    Gold, David A

    2012-01-01

    Basic activities of daily living (ADL) are self-maintenance abilities such as dressing or bathing. Instrumental ADL (IADL) are more complex everyday tasks, such as preparing a meal or managing finances (Lawton & Brody, 1969). IADL questionnaires play an important role in assessing the functional abilities of older adults and evaluating the impact of cognitive impairment on routine activities. This paper examined the cognitive processes that underlie IADL performance and concluded that the accurate and reliable execution of IADL likely draws upon the integrity of a wide range of cognitive processes. This review examined IADL in mild cognitive impairment (MCI) because of the controversial nature of distinguishing a significant decline in functional abilities in those with MCI versus dementia or MCI versus cognitively normal aging. The challenges of investigating IADL empirically were explored, as well as some of the reasons for the inconsistent findings in the literature. A review of questionnaire-based assessments of IADL indicated that: MCI can be distinguished statistically from healthy older adults and dementia, individuals with multiple domain MCI are more impaired on IADL than those with single domain MCI, mild IADL changes can be predictive of future cognitive decline, and the ability to manage finances may be among the earliest IADL changes in MCI and a strong predictor of conversion to dementia. This paper concluded with recommendations for more sensitive and reliable IADL questionnaires.

  17. A smartphone-driven methodology for estimating physical activities and energy expenditure in free living conditions.

    Guidoux, Romain; Duclos, Martine; Fleury, Gérard; Lacomme, Philippe; Lamaudière, Nicolas; Manenq, Pierre-Henri; Paris, Ludivine; Ren, Libo; Rousset, Sylvie

    2014-12-01

    This paper introduces a function dedicated to the estimation of total energy expenditure (TEE) of daily activities based on data from accelerometers integrated into smartphones. The use of mass-market sensors such as accelerometers offers a promising solution for the general public due to the growing smartphone market over the last decade. The TEE estimation function quality was evaluated using data from intensive numerical experiments based, first, on 12 volunteers equipped with a smartphone and two research sensors (Armband and Actiheart) in controlled conditions (CC) and, then, on 30 other volunteers in free-living conditions (FLC). The TEE given by these two sensors in both conditions and estimated from the metabolic equivalent tasks (MET) in CC served as references during the creation and evaluation of the function. The TEE mean gap in absolute value between the function and the three references was 7.0%, 16.4% and 2.7% in CC, and 17.0% and 23.7% according to Armband and Actiheart, respectively, in FLC. This is the first step in the definition of a new feedback mechanism that promotes self-management and daily-efficiency evaluation of physical activity as part of an information system dedicated to the prevention of chronic diseases.

  18. Effect of transcranial direct current stimulation on visual perception function and performance capability of activities of daily living in stroke patients

    Kim, Ko-Un; Kim, Su-Han; An, Tae-Gyu

    2016-01-01

    [Purpose] The purpose of this study was to examine the effects of transcranial direct current stimulation (tDCS) on visual perception and performance of activities of daily living in patients with stroke. [Subjects and Methods] Thirty subjects were assigned equally to a tDCS plus traditional occupational therapy group (experimental group) and a traditional occupational therapy group (control group). The intervention was implemented five times per week, 30 minutes each, for six weeks. In order to assess visual perception function before and after the intervention, the motor-free visual perception test (MVPT) was conducted, and in order to compare the performance of activities of daily living, the Functional Independence Measure scale was employed. [Results] According to the results, both groups improved in visual perception function and in performance of activities of daily living. Although there was no significant difference between the two groups, the experimental group exhibited higher scores. [Conclusion] In conclusion, the application of tDCS for the rehabilitation of patients with stroke may positively affect their visual perception and ability to perform activities of daily living.

  19. Effect of transcranial direct current stimulation on visual perception function and performance capability of activities of daily living in stroke patients.

    Kim, Ko-Un; Kim, Su-Han; An, Tae-Gyu

    2016-09-01

    [Purpose] The purpose of this study was to examine the effects of transcranial direct current stimulation (tDCS) on visual perception and performance of activities of daily living in patients with stroke. [Subjects and Methods] Thirty subjects were assigned equally to a tDCS plus traditional occupational therapy group (experimental group) and a traditional occupational therapy group (control group). The intervention was implemented five times per week, 30 minutes each, for six weeks. In order to assess visual perception function before and after the intervention, the motor-free visual perception test (MVPT) was conducted, and in order to compare the performance of activities of daily living, the Functional Independence Measure scale was employed. [Results] According to the results, both groups improved in visual perception function and in performance of activities of daily living. Although there was no significant difference between the two groups, the experimental group exhibited higher scores. [Conclusion] In conclusion, the application of tDCS for the rehabilitation of patients with stroke may positively affect their visual perception and ability to perform activities of daily living.

  20. Effect of virtual reality dance exercise on the balance, activities of daily living, and depressive disorder status of Parkinson's disease patients.

    Lee, Nam-Yong; Lee, Dong-Kyu; Song, Hyun-Seung

    2015-01-01

    [Purpose] In this study, we examined the effects of virtual reality dance exercise on the balance, activities of daily living and depressive disorder status of Parkinson's disease patients. [Subjects] Twenty patients were assigned either the experimental group (n = 10) or the control group (n = 10). All participants received 30 minutes of neurodevelopment treatment and 15 minutes of functional electrical stimulation 5 times per week for 6 weeks. The experimental group additionally performed 30 minutes of dance exercise. Balance, activities of daily living, and depressive disorder status were assessed before and after the 6-week treatment period using the Berg balance scale, the Modified Barthel Index, and the Beck Depression Inventory. The paired t-test was used to detect differences before and after treatment, and the independent t-test was used to detect differences between the treatment groups. [Results] The values for balance, activities of daily living, and depressive disorder status significantly differed between before and after treatment in the experimental group, and significantly differed between the experimental group and control group. [Conclusion] Virtual reality dance exercise has a positive effect on balance, activities of daily living, and depressive disorder status of Parkinson's disease patients.

  1. A study of the lived experiences of African American women STEM doctoral degree completers

    Squires, Stephanie Michelle

    This study examined the lived experiences of African American women (AAW) who completed doctoral degrees in a STEM (science, technology, engineering, and mathematics) discipline in the United States. This study sought to fill the gap in the literature by examining how AAW described and made meaning of lived STEM educational experiences during doctoral degree completion in the context of the intersection of being African American and a woman. This study utilized a theoretical perspective based upon three theories: (a) critical race theory as a framework to gather AAW's narratives about STEM doctorate education, (b) Black feminist thought as a framework to view the intersection of being African American and a woman in the United States, and (c) the science identity model as a framework to view how women of color successfully complete scientific graduate degrees. Participants revealed that being an African American and a woman in a STEM doctoral program often complicated an already difficult process of completing the doctoral degree. The participants described the educational experience as challenging, particularly the writing of the dissertation. The challenges that the participants faced were due to various factors such as difficult advisor/advisee relationships, tedious writing and revision processes, politics, and lack of information regarding the doctoral degree process. The findings suggested that AAW participants confronted intrinsic bias while completing STEM doctoral degrees, which led to isolation and feelings of being an impostor---or feelings of not belonging in scientific studies. The findings also indicated that the women in this study ascribed success in dissertation writing and degree completion to one or more of the following attributes: (a) having a clear plan, (b) taking ownership of the writing process, (c) having an engaged advisor, (d) learning the writing style of the advisor, (e) understanding the temperament of the advisor, (f) personal will

  2. Establishing the soundness of administrative spatial units for operationalising the active living potential of residential environments: an exemplar for designing optimal zones

    Riva Mylène

    2008-07-01

    Full Text Available Abstract Background In health and place research, definitions of areas, area characteristics, and health outcomes should ideally be coherent with one another. Yet current approaches for delimiting areas mostly rely on spatial units "of convenience" such as census tracts. These areas may be homogeneous along socioeconomic conditions but heterogeneous along other environmental characteristics. This heterogeneity can lead to biased measurement of environment characteristics and misestimation of area effects on health. The objective of this study was to assess the soundness of census tracts as units of analysis for measuring the active living potential of environments, hypothesised to be associated with walking. Results Starting with data at the smallest census area level available, zones homogeneous along three indicators of active living potential, i.e. population density, land use mix, and accessibility to services were designed. Delimitation of zones ensued from statistical clustering of the smallest areas into seven clusters or "types of environment". Mapping of clusters into a GIS led to the delineation of 898 zones characterised by one of seven types of environment, corresponding to different levels of active living potential. Homogeneity of census tracts along indicators of active living potential varied. A greater proportion (83% of variation in accessibility to services was attributable to differences between census tracts suggesting within-tract homogeneity along this variable. However, census tracts were heterogeneous with respect to population density and land use mix where a greater proportion of the variation was attributable to within-tract differences. About 55% of tracts were characterised by a combination of three or more "types of environment" suggesting substantial within-tract heterogeneity in the active living potential of environments. Conclusion Soundness of census tracts for measuring active living potential may be limited

  3. Living in Living Cities

    Gershenson, Carlos

    2011-01-01

    This paper presents and overview of current and potential applications of living technology to urban problems. Living technology can be described as technology that exhibits the core features of living systems. These features can be useful to solve dynamic problems. In particular, urban problems concerning mobility, logistics, telecommunications, governance, safety, sustainability, and society and culture are presented, while solutions involving living technology are reviewed. Finally, the usefulness of describing cities as living systems is discussed.

  4. Loading of the knee joint during activities of daily living measured in vivo in five subjects.

    Kutzner, I; Heinlein, B; Graichen, F; Bender, A; Rohlmann, A; Halder, A; Beier, A; Bergmann, G

    2010-08-10

    Detailed knowledge about loading of the knee joint is essential for preclinical testing of implants, validation of musculoskeletal models and biomechanical understanding of the knee joint. The contact forces and moments acting on the tibial component were therefore measured in 5 subjects in vivo by an instrumented knee implant during various activities of daily living. Average peak resultant forces, in percent of body weight, were highest during stair descending (346% BW), followed by stair ascending (316% BW), level walking (261% BW), one legged stance (259% BW), knee bending (253% BW), standing up (246% BW), sitting down (225% BW) and two legged stance (107% BW). Peak shear forces were about 10-20 times smaller than the axial force. Resultant forces acted almost vertically on the tibial plateau even during high flexion. Highest moments acted in the frontal plane with a typical peak to peak range -2.91% BWm (adduction moment) to 1.61% BWm (abduction moment) throughout all activities. Peak flexion/extension moments ranged between -0.44% BWm (extension moment) and 3.16% BWm (flexion moment). Peak external/internal torques lay between -1.1% BWm (internal torque) and 0.53% BWm (external torque). The knee joint is highly loaded during daily life. In general, resultant contact forces during dynamic activities were lower than the ones predicted by many mathematical models, but lay in a similar range as measured in vivo by others. Some of the observed load components were much higher than those currently applied when testing knee implants.

  5. Knee pain during activities of daily living and its relationship with physical activity in patients with early and severe knee osteoarthritis.

    Fukutani, Naoto; Iijima, Hirotaka; Aoyama, Tomoki; Yamamoto, Yuko; Hiraoka, Masakazu; Miyanobu, Kazuyuki; Jinnouchi, Masashi; Kaneda, Eishi; Tsuboyama, Tadao; Matsuda, Shuichi

    2016-09-01

    This study aimed to investigate whether knee pain during various activities of daily living (ADLs) is associated with physical activity in patients with early and severe knee osteoarthritis (OA). We hypothesized that the painful ADLs associated with decreased physical activity differ according to disease severity. This cross-sectional study enrolled 270 patients with medial knee OA, assigned to either the early (Kellgren Lawrence [K/L] grade 1-2) or the severe group (K/L grade 3-4). Physical activity was assessed using a pedometer. Knee pain during six ADLs (waking up in the morning, walking on a flat surface, ascending stairs, etc.) was evaluated using a questionnaire. We performed multiple regression and quantile regression analysis to investigate whether knee pain during each ADL was associated with physical activity. In the early group, the more knee pain they experienced while ascending stairs, the lower their physical activity was (75th regression coefficient = -1033.70, P = 0.018). In the severe group, the more knee pain they experienced while walking on a flat surface or bending to the floor or standing up, the lower their physical activity was (unstandardized coefficients = -1850.87, P = 0.026; unstandardized coefficients = -2640.35, P = 0.010). Knee pain while ascending stairs and while walking on a flat surface or bending to the floor or standing up was a probable limiting factor for physical activity in early and severe knee OA, respectively. These findings suggested that a reduction in task-specific knee pain according to disease severity could improve physical activity levels.

  6. Economic consequences incurred by living kidney donors: a Canadian multi-center prospective study.

    Klarenbach, S; Gill, J S; Knoll, G; Caulfield, T; Boudville, N; Prasad, G V R; Karpinski, M; Storsley, L; Treleaven, D; Arnold, J; Cuerden, M; Jacobs, P; Garg, A X

    2014-04-01

    Some living kidney donors incur economic consequences as a result of donation; however, these costs are poorly quantified. We developed a framework to comprehensively assess economic consequences from the donor perspective including out-of-pocket cost, lost wages and home productivity loss. We prospectively enrolled 100 living kidney donors from seven Canadian centers between 2004 and 2008 and collected and valued economic consequences ($CAD 2008) at 3 months and 1 year after donation. Almost all (96%) donors experienced economic consequences, with 94% reporting travel costs and 47% reporting lost pay. The average and median costs of lost pay were $2144 (SD 4167) and $0 (25th-75th percentile 0, 2794), respectively. For other expenses (travel, accommodation, medication and medical), mean and median costs were $1780 (SD 2504) and $821 (25th-75th percentile 242, 2271), respectively. From the donor perspective, mean cost was $3268 (SD 4704); one-third of donors incurred cost >$3000, and 15% >$8000. The majority of donors (83%) reported inability to perform usual household activities for an average duration of 33 days; 8% reported out-of-pocket costs for assistance with these activities. The economic impact of living kidney donation for some individuals is large. We advocate for programs to reimburse living donors for their legitimate costs.

  7. Learning Social Studies via Objects in Museums: Investigation into Turkish Elementary School Students' Lived Experiences

    Yilmaz, Kaya; Filiz, Nilufer; Yilmaz, Ali

    2013-01-01

    Based on a descriptive phenomenological research design, this study investigated Turkish elementary school students' experiences in learning social studies via objects in museums. After students visited four different museums during the teaching of three thematic units at sixth grade level, their lived experiences were elicited. Purposeful…

  8. Cross-cultural adaptation and validation of the Portuguese version of the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS)

    Gonçalves, Rui Soles; Cabri, Jan; Pinheiro, João Páscoa

    2008-01-01

    Abstract The objective of this study was to cross-culturally adapt and validate the Portuguese version of the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS). This version was obtained with forward/backward translations, consensus panels and pre-testing. The Portuguese KOS-ADLS and Medical Outcomes Study, 36-item Short Form (SF-36) questionnaires, visual analogue scales (VAS) of pain, disability and discomfort, and a form for patient’s characteristics were administered to 168...

  9. Ability to perform activities of daily living is the main factor affecting quality of life in patients with dementia

    Andersen Kjeld

    2004-09-01

    Full Text Available Abstract Background Dementia is a chronic illness associated with a progressive loss of cognitive and intellectual abilities, such as memory, judgment and abstract thinking. The objective of this study was to assess the health utilities of patients with dementia in Europe and identify the key factors influencing their Health-Related Quality of Life (HRQol. Methods This study used cross-sectional data from the Odense study; a Danish cohort of patients aged 65–84 living in Odense, Denmark. A total of 244 patients with mild to severe dementia were interviewed together with a caregiver about their health status and activities of daily living (ADL. Alzheimer's disease was diagnosed according to the NINCDS-ADRDA criteria for probable dementia. Vascular dementia and other types of dementia were diagnosed according to the DSM-IIIR criteria. Severity of dementia was defined by score intervals on the Mini Mental State Examination score: mild (MMSE 20–30, moderate (MMSE 10–19, and severe (MMSE 0–9. Based on the ADL information, the patients' dependency level was defined as either dependent or independent. Questions from the Odense Study were mapped into each of the five dimensions of the EQ-5D in order to assess patients' HRQol. Danish EQ-5D social tariffs were used to value patients' HRQol. A regression analysis of EQ-5D values was conducted with backward selection on gender, age, severity, ADL level and setting in order to determine the main factor influencing HRQoL. Results The EQ-5D weight in patients independent upon others in ADL was 0.641 (95% CI: [0.612–0.669], and in those dependent upon others was 0.343 (95% CI: [0.251–0.436]. Conclusion Dependency upon others to perform ADL was the main factor affecting HRQoL.

  10. UPDRS activity of daily living score as a marker of Parkinson's disease progression.

    Harrison, Madaline B; Wylie, Scott A; Frysinger, Robert C; Patrie, James T; Huss, Diane S; Currie, Lillian J; Wooten, G Frederick

    2009-01-30

    The activities of daily living (ADL) subscore of the Unified Parkinson's Disease Rating Scale (UPDRS) captures the impact of Parkinson's disease (PD) on daily function and may be less affected than other subsections by variability associated with drug cycle and motor fluctuations. We examined UPDRS mentation, ADL and motor subscores in 888 patients with idiopathic PD. Multiple linear regression analyses determined the association between disease duration and UPDRS subscores as a function of medication status at examination and in a subset of patients with multiple examinations. Independent of medication status and across cross-sectional and longitudinal analyses, ADL subscores showed a stronger and more stable association with disease duration than other UPDRS subscores after adjusting for age of disease onset. The association between disease duration and the motor subscore depended on medication status. The strong association between ADL subscore and disease duration in PD suggests that this measure may serve as a better marker of disease progression than signs and symptoms assessed in other UPDRS sections.

  11. Promoting Physical Activity among Children: The “Great Live and Move Challenge”

    Mourgues, Marion; Gourlan, Mathieu; Coste, Olivier; Fregeac, Bruno; Mora, Lucile; Cousson-Gélie, Florence

    2016-06-08

    Objective: The “Great Live and Move Challenge” (GLMC) is an intervention designed to promote physical activity (PA) in schools and the community among 6- to 11-year-old schoolchildren and their families.Method: This project, implemented in the Montpellier and Pays Coeur d’Hérault regions since 2013, encourages children to quantify their daily PA level by illustrating each 15 minutes of exercise by an “energy cube”. Based on collaboration between pilots, teachers and policymakers, this project is implemented over a 6-week period in schools, municipalities and recreation centres. “Great Challenge” events are organized to promote PA. The GLMC is also a theory-based intervention based on the tenets of the planned behaviour theory.Results: Since the 2014-2015 edition, 2,243 children have taken part in the GLMC and have accumulated 391,102 “energy cubes”. In addition, more than 30 “Great Challenge” events have been organized. Since its launch during the 2012-2013 school year, the numbers of children who have taken part in the GLMC have been multiplied by 5.58. The mean number of daily “energy cubes” accumulated by children has increased from 4.04 in the first year to 6.22 in 2014-2015.Conclusion: The “energy cube” can provide a measure of the commitment of children and their surrounding community in a comprehensive approach to PA promotion.

  12. ICT services for active ageing and independent living: identification and assessment.

    Christophorou, Christophoros; Kleanthous, Styliani; Georgiadis, Dimosthenis; Cereghetti, Donato M; Andreou, Panayiotis; Wings, Cindy; Christodoulou, Eleni; Samaras, George

    2016-09-01

    Based on the demographic changes and the rapid increase of older population in Europe, major challenges are expected to rise, both in the economy as well as the society, whether the dominant care model for supporting elderly in living independently at home continues to rely on informal and formal caregivers' assistance. To respond to the above challenges, assistive technologies are called to develop Information and Communication Technology (ICT) services for supporting seniors to remain active and independent, for as long as possible, in their chosen home environment. The work described in this Letter is based on the Miraculous-Life project and it emphasises the identification and assessment of a set of services that an ICT system for Ageing Well should support, in an actual end-users setting. The outcome of this work may inform fellow researchers and other projects in the area of Ageing Well in: (i) understanding which ICT services can be the most valuable for end-users' Quality of Life, (ii) prioritising the development of related ICT services and (iii) facilitating better recourse allocation in order to reduce any risks associated to implementation failures of these services within their respective projects. A final trial phase is planned, aiming to validate the Miraculous Life prototype longitudinally in a naturalistic environment with a larger sample size. During this trial, it will be investigated if perceived usefulness, satisfaction and motivation could be predicted by sociodemographic variables and personality.

  13. Comparison of cell-specific activity between free-living and attached bacteria using isolates and natural assemblages

    Grossart, H.P.; Tang, K.W.; Kiørboe, Thomas

    2007-01-01

    to model aggregates (agar spheres) had threefold higher BPP and two orders of magnitude higher protease activity than their free-living counterpart. These observations could be explained by preferential colonization of the agar spheres by bacteria with inherently higher metabolic activity and/or individual......Marine snow aggregates are microbial hotspots that support high bacterial abundance and activities. We conducted laboratory experiments to compare cell-specific bacterial protein production (BPP) and protease activity between free-living and attached bacteria. Natural bacterial assemblages attached...... bacteria increasing their metabolism upon attachment to surfaces. In subsequent experiments, we used four strains of marine snow bacteria isolates to test the hypothesis that bacteria could up- and down-regulate their metabolism while on and off an aggregate. The protease activity of attached bacteria...

  14. Regional fluorodeoxyglucose metabolism and instrumental activities of daily living across the Alzheimer's disease spectrum

    Roy, Kamolika; Pepin, Lesley C.; Philiossaint, Marlie; Lorius, Natacha; Becker, J. Alex; Locascio, Joseph J.; Rentz, Dorene M.; Sperling, Reisa A.; Johnson, Keith A.; Marshall, Gad A.

    2014-01-01

    Background Impairment in instrumental activities of daily living (IADL) begins as individuals with amnestic mild cognitive impairment (MCI) transition to Alzheimer's disease (AD) dementia. IADL impairment in AD dementia has been associated with inferior parietal, inferior temporal, and superior occipital hypometabolism using 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET). Objective To investigate the relationship between regional FDG metabolism and IADL in clinically normal (CN) elderly, MCI, and mild AD dementia subjects cross-sectionally and longitudinally. Methods One hundred and four CN, 203 MCI, and 95 AD dementia subjects from the Alzheimer's Disease Neuroimaging Initiative underwent clinical assessments every 6 to 12 months for up to three years and baseline FDG PET. The subjective, informant-based Functional Activities Questionnaire was used to assess IADL. General linear models and mixed effects models were used, covarying for demographics, cogniton, and behavior. Results The cross-sectional analysis revealed middle frontal and orbitofrontal hypometabolism were significantly associated with greater IADL impairment. Additionally, the interaction of diagnosis with posterior cingulate and with parahippocampal hypometabolism showed a greater decline in IADL performance as metabolism decreased for the AD dementia relative to the MCI group, and the MCI group relative to the CN group. The longitudinal analysis showed that baseline middle frontal and posterior cingulate hypometabolism were significantly associated with greater rate of increase in IADL impairment over time. Conclusion These results suggest that regional synaptic dysfunction, including the Alzheimer-typical medial parietal and less typical frontal regions, relates to daily functioning decline at baseline and over time across the early AD spectrum. PMID:24898635

  15. Toward real time detection of the basic living activity in home using a wearable sensor and smart home sensors.

    Bang, Sunlee; Kim, Minho; Song, Sa-Kwang; Park, Soo-Jun

    2008-01-01

    As the elderly people living alone are enormously increasing recently, we need the system inferring activities of daily living (ADL) for maintaining healthy life and recognizing emergency. The system should be constructed with sensors, which are used to associate with people's living while remaining as non intrusive views as possible. To do this, the proposed system use a triaxial accelerometer sensor and environment sensors indicating contact with subject in home. Particularly, in order to robustly infer ADLs, we present component ADL, which is decided with conjunction of human motion together, not just only contacted object identification. It is an important component in inferring ADL. In special, component ADL decision firstly refines misclassified initial activities, which improves the accuracy of recognizing ADL. Preliminary experiments results for proposed system provides overall recognition rate of over 97% over 8 component ADLs, which can be effectively applicable to recognize the final ADLs.

  16. L3 Study Team Activities

    Shoemaker, David; L3ST Team

    2017-01-01

    The NASA-Chartered L3 Study Team is working to develop the US community participation and to support NASA's contribution to the ESA-led LISA mission to observe gravitational waves via space-based detectors. The present activities of the L3ST will be described, and the next steps for the Study Team will also be given. NASA supports travel activities and support for the Study Team activities.

  17. Effects of individually tailored physical and daily activities in nursing home residents on activities of daily living, physical performance and physical activity level

    Andresen, Mette; Frändin, Kerstin; Bergland, Astrid;

    2012-01-01

    Background: Nursing home residents are extremely inactive and deterioration in health and an increasing dependence in activities of daily living (ADL) are common. Physical activity and exercise play a major role in the preservation of physical function and quality of life late in life. However......, evidence for the benefit of rehabilitation in nursing home residents is conflicting and inconclusive. Objective: To evaluate the effect of an individually tailored intervention program of 3 months, for nursing home residents, on ADL, balance, physical activity level, mobility and muscle strength. Methods......: In this single-blind randomized clinical trial with parallel groups, nursing home residents 1 64 years of age from three Nordic countries were included. The intervention group (IG) was assigned to individually tailored physical and daily activities, while the control group (CG) received ordinary care. Primary...

  18. Construct Validity of the Chinese Version of the Activities of Daily Living Rating Scale III in Patients with Schizophrenia.

    En-Chi Chiu

    Full Text Available The Chinese version of the Activities of Daily Living Rating Scale III (ADLRS-III, which has 10 domains, is commonly used for assessing activities of daily living (ADL in patients with schizophrenia. However, construct validity (i.e., unidimensionality for each domain of the ADLRS-III is unknown, limiting the explanations of the test results.This main purpose of this study was to examine unidimensionality of each domain in the ADLRS-III. We also examined internal consistency and ceiling/floor effects in patients with schizophrenia.From occupational therapy records, we obtained 304 self-report data of the ADLRS-III. Confirmatory factor analysis (CFA was conducted to examine the 10 one-factor structures. If a domain showed an insufficient model fit, exploratory factor analysis (EFA was performed to investigate the factor structure and choose one factor representing the original construct. Internal consistency was examined using Cronbach's alpha (α. Ceiling and floor effects were determined by the percentage of patients with the maximum and minimum scores in each domain, respectively.CFA analyses showed that 4 domains (i.e., leisure, picture recognition, literacy ability, communication tools use had sufficient model fits. These 4 domains had acceptable internal consistency (α = 0.79-0.87 and no ceiling/floor effects, except the leisure domain which had a ceiling effect. The other 6 domains showed insufficient model fits. The EFA results showed that these 6 domains were two-factor structures.The results supported unidimensional constructs of the leisure, picture recognition, literacy ability, and communication tool uses domains. The sum scores of these 4 domains can be used to represent their respective domain-specific functions. Regarding the 6 domains with insufficient model fits, we have explained the two factors of each domain and chosen one factor to represent its original construct. Future users may use the items from the chosen factors to

  19. Specific cognitive functions and depressive symptoms as predictors of activities of daily living in older adults with heterogeneous cognitive backgrounds.

    de Paula, Jonas J; Diniz, Breno S; Bicalho, Maria A; Albuquerque, Maicon Rodrigues; Nicolato, Rodrigo; de Moraes, Edgar N; Romano-Silva, Marco A; Malloy-Diniz, Leandro F

    2015-01-01

    Cognitive functioning influences activities of daily living (ADL). However, studies reporting the association between ADL and neuropsychological performance show inconsistent results regarding what specific cognitive domains are related to each specific functional domains. Additionally, whether depressive symptoms are associated with a worse functional performance in older adults is still under explored. We investigated if specific cognitive domains and depressive symptoms would affect different aspects of ADL. Participants were 274 older adults (96 normal aging participants, 85 patients with mild cognitive impairment, and 93 patients probable with mild Alzheimer's disease dementia) with low formal education (∼4 years). Measures of ADL included three complexity levels: Self-care, Instrumental-Domestic, and Instrumental-Complex. The specific cognitive functions were evaluated through a factorial strategy resulting in four cognitive domains: Executive Functions, Language/Semantic Memory, Episodic Memory, and Visuospatial Abilities. The Geriatric Depression Scale measured depressive symptoms. Multiple linear regression analysis showed executive functions and episodic memory as significant predictors of Instrumental-Domestic ADL, and executive functions, episodic memory and language/semantic memory as predictors of Instrumental-Complex ADL (22 and 28% of explained variance, respectively). Ordinal regression analysis showed the influence of specific cognitive functions and depressive symptoms on each one of the instrumental ADL. We observed a heterogeneous pattern of association with explained variance ranging from 22 to 38%. Different instrumental ADL had specific cognitive predictors and depressive symptoms were predictive of ADL involving social contact. Our results suggest a specific pattern of influence depending on the specific instrumental daily living activity.

  20. Where they live, how they play: Neighborhood greenness and outdoor physical activity among preschoolers

    Grigsby-Toussaint Diana S

    2011-12-01

    Full Text Available Abstract Background Emerging empirical evidence suggests exposure to "green" environments may encourage higher levels of physical activity among children. Few studies, however, have explored this association exclusively in pre-school aged children in the United States. We examined whether residing in neighborhoods with higher levels of greenness was associated with higher levels of outdoor physical activity among preschoolers. In addition, we also explored whether outdoor playing behaviors (e.g., active vs. quiet were influenced by levels of neighborhood greenness independent of demographic and parental support factors. Results Higher levels of neighborhood greenness as measured by the Normalized Difference Vegetation Index (NDVI was associated with higher levels of outdoor playing time among preschool-aged children in our sample. Specifically, a one unit increase in neighborhood greenness increased a child's outdoor playing time by approximately 3 minutes. A dose-response relationship was observed between increasing levels of parental support for physical activity (e.g., time spent playing with children and child outdoor physical activity (p Conclusions Consistent with previous studies, neighborhood greenness influences physical activity behavior. However, for preschoolers, parental involvement may be more critical for improving physical activity levels.

  1. Quantification of free-living activity patterns using accelerometry in adults with mental illness

    Chapman, Justin J.; Roberts, James A.; Nguyen, Vinh T.; Breakspear, Michael

    2017-01-01

    Physical activity is disrupted in many psychiatric disorders. Advances in everyday technologies – such as accelerometers in smart phones – opens exciting possibilities for non-intrusive acquisition of activity data. Successful exploitation of this opportunity requires the validation of analytical methods that can capture the full movement spectrum. The study aim was to demonstrate an analytical approach to characterise accelerometer-derived activity patterns. Here, we use statistical methods to characterize accelerometer-derived activity patterns from a heterogeneous sample of 99 community-based adults with mental illnesses. Diagnoses were screened using the Mini International Neuropsychiatric Interview, and participants wore accelerometers for one week. We studied the relative ability of simple (exponential), complex (heavy-tailed), and composite models to explain patterns of activity and inactivity. Activity during wakefulness was a composite of brief random (exponential) movements and complex (heavy-tailed) processes, whereas movement during sleep lacked the heavy-tailed component. In contrast, inactivity followed a heavy-tailed process, lacking the random component. Activity patterns differed in nature between those with a diagnosis of bipolar disorder and a primary psychotic disorder. These results show the potential of complex models to quantify the rich nature of human movement captured by accelerometry during wake and sleep, and the interaction with diagnosis and health. PMID:28266563

  2. Helminths of wild hybrid marmosets (Callithrix sp. living in an environment with high human activity

    Alexandre de Oliveira Tavela

    Full Text Available The objective of this study was to identify the helminth fauna in hybrid, non-native marmosets, through analysis of fecal samples. The study involved 51 marmosets (genus Callithrix from five groups living in places with levels of human impact in Viçosa-MG. The marmosets were caught using a multiple-entrance trap and were anaesthetized. Feces were collected, refrigerated and analyzed by means of the sedimentation technique (Hoffmann-Pons-Janner. Eggs and parasites were identified, but not counted. Most of the marmosets (86% were parasitized by at least one genus of helminths. Among the infected marmosets, 37% presented co-infection. The intestinal helminths comprised four different taxa: Primasubulura jacchi, Ancylostomatidae, Prosthenorchis sp. and Dilepididae.P. jacchi and Ancylostomatidae had higher prevalences (> 80% and > 40%, respectively and were found in all marmoset groups. Dilepididae species were found in almost all the groups, but only accounted for around 30% of the marmosets. Prosthenorchis sp. showed a relatively low prevalence (< 10% and was only found in one group. Although two parasites are commonly found in marmosets and other primates (P. jacchi and Prosthenorchis sp., our study is the first record for Ancylostomatidae and Dilepididae. Factors like marmosets' feeding behavior and their contact with humans and other species of nonhuman primates seem to be determinants of infection among marmosets.

  3. Living the Volcano: A First-Year Study Abroad Experience to Santorini, Greece

    Skinner, L. A.; Miller, M.; Scarnati, B.

    2014-12-01

    Over the last decade, enrollment in Northern Arizona University's (NAU) Geologic Disasters (GLG112) class has grown to its current 840 students in 7 sections per semester (4% of NAU enrollment). Given this large audience composed of >50% freshmen, the course curriculum was re-designed in 2012 using standards set by NAU's First Year Learning Initiative (FYLI), which seeks to increase academic success early in college. FYLI pedagogical principles include active-learning, frequent feedback, low-stakes assessments, and increased guidance from professors & peer teaching assistants (PTAs). As a result of the successes measured in FYLI courses, we launched a FYLI study abroad experience in 2014. We posed the question, "How can an early-career study abroad experience further develop the attitudes, skills, & behaviors necessary for success?" The pioneering program was NAU in Greece: The Cataclysmic Eruption of Santorini Volcano. Enrollment was limited to freshman & sophomore students who have taken GLG112 (or equivalent). The 3-week program took 9 students, 1 PTA, & 1 faculty member to Santorini (via Athens, 2 days). A detailed itinerary addressed a set of disciplinary & non-disciplinary learning outcomes. Student learning about Santorini volcano and the tectonic setting & hazards of the Aegean Sea occurred on the go - on ferries & private boat trips and during hiking, snorkeling, and swimming. Classroom time was limited to 1 hr/day and frequent assessments were employed. Student products included a geologic field notebook, travel journal, and 3 blog posts pertaining to geologic hazards & life on Santorini. Geologic disasters are ideal topics for early career study abroad experiences because the curriculum is place-based. Student learning benefits immensely from interacting with the land & local populations, whose lives are affected daily by the dangers of living in such geologically hazardous environments. The needs of early career students are unique, however, and must be

  4. Fear of falling and depressive symptoms in Chinese elderly living in nursing homes: fall efficacy and activity level as mediator or moderator?

    Chou, K-L; Yeung, F K C; Wong, E C H

    2005-05-01

    Depression is a common problem for many Hong Kong Chinese elderly, especially those living in nursing homes. This study examines the relationship between fear of falling and depressive symptoms as well as the role of participation in physical activity and fall efficacy in the linkage between the fear of falling and depression. A sample of 100 residents living in nursing homes were interviewed. Using multiple regression models, we found that elderly persons who had greater fear of falling tended to report depressive symptoms more frequently after controlling socio-demographic and physical health status variables. In addition, activity involvement and fall efficacy acted as mediators and moderators in the link between the fear of falling and depression. Policy makers and aged care professional practitioners should find these findings valuable in promoting activity to aid in the prevention of depression amongst the elderly population.

  5. 社会养老和家庭养老两种方式对老年人日常生活能力的影响及护理%Comparative study and nursing intervention on the actives of daily living of the elderly in different styles of providing for the aged

    宋亚军; 张保利; 王红霞; 李菲菲; 赵丽俊

    2011-01-01

    Objective To compare the actives of daily living of the elderly in different styles of providing and analyze its related factors.Methods 662 subjects were in range of 60~100 years old living in the organization for the aged and 620 subjects were in the range of 60~98 years old living at home from Beijing urban area.They were evaluated with the activities of daily living rating scale and a serf-designed health status questionnaire.Results The total scores of ADL were not significantly difference between the elderly living at home and living in the organization(t=-0.299,P>0.05.But age,educational level,physical health were possible the influential factors(OR=3.05,95%CI:1.805~2.935;OR=2.01,95%CI:1.512~2.544;OR=1.25,95%CI:1.524~2.012).Conclusions Age is the important factom affecting ADL(OR=3.0595%CI:1.805~2.935),the actives of daily living of the elderly in different styles of providing is not significantly difference .But it is beneficial to keep the actives of daily living of the elderly that culturing extrovened character and extensive interest, acting exercise,promoting educational level. So we ought to strengthen that in nursing care.%目的 探讨社会养老和家庭养老两种方式对老年人日常生活能力的影响,分析其相关因素,并进行相应的护理干预.方法 采用ADL(日常生活能力)、PADL(生理性日常生活能力)、IADL(工具性日常生活能力)量表及自制的一般情况调查量表,对662例年龄为60~100岁社会养老和620例年龄为60~98岁北京城区家庭养老者进行评定.结果 社会养老组和家庭养老组的ADL得分相当,差异无统计学意义(P>0.05).与年龄、教育程度、健康状况有明显的相关性(OR=3.05,95%CI:1·805~2.935;OR=2.01,95%CI:1.512~2.544;OR=1.25,95%CI:1.524~2.012).结论 年龄是影响日常生活能力的最重要的因素(OR=3.05,95%CI:1.805-2.935),不同养老方式下老年人的日常生活能力没有明显的不同.但是培养外向开朗

  6. Study of Reputation Based Defense Mechanism in Peer To Peer Live Streaming

    M. A. Mottalib

    2011-11-01

    Full Text Available Peer-to-peer live video streaming systems are having more popularity as the information technology is advancing fast. Peer-to-peer live video streaming systems are like peer-to-peer file sharing system and they are also vulnerable to content pollution attack as file sharing. In this type of attack, the attacker mixes polluted or unnecessary data into the streaming data and forwards the polluted data to normal peers and hence the perceived video quality is decreased. In this paper, a comparative study is conducted among three defense mechanisms against pollution attack in peer-to-peer live streaming systems: Blacklisting, Simple Decentralized Reputation System and Bayesian Approach to Reputation System. Finally performance analysis and the derived result has been presented.

  7. Activities of daily living as an additional predictor of complications and outcomes in elderly patients with acute myocardial infarction

    Nakajima H

    2016-08-01

    Full Text Available Hiroyuki Nakajima,1 Jiro Yoshioka,2 Nobuyuki Totsuka,2 Izumi Miyazawa,2 Tatsuya Usui,2 Nobuyuki Urasawa,2 Takahiro Kobayashi,3 Tomoaki Mochidome4 1Department of Cardiology, Nagano Matsushiro General Hospital, 2Department of Cardiology, Nagano Red Cross Hospital, 3Department of Cardiology, Nagano Municipal Hospital, Nagano, 4Department of Cardiovascular Medicine, Shinshu University School of Medicine, Matsumoto, Japan Background: Age is an important determinant of outcome in acute myocardial infarction (AMI. However, in clinical settings, there is an occasional mismatch between chronological age and physical age. We evaluated whether activities of daily living (ADL, which reflect physical age, also predict complications and prognosis in elderly patients with AMI.Design: Single-center, observational, and retrospective cohort study.Methods: Preserved ADL and low ADL were defined according to the scale for independence degree of daily living for the disabled elderly by the Japanese Ministry of Health, Labour, and Welfare. We examined 82 consecutive patients aged ≥75 years with AMI who underwent primary percutaneous coronary intervention. Patients were divided into preserved ADL (n=52; mean age, 81.8±4.8 years; male, 59.6% and low ADL (n=30; mean age, 85.8±4.7 years; male, 40.0% groups according to prehospital ADL.Results: The prevalence of Killip class II–IV and in-hospital mortality rate were significantly higher with low ADL compared to that with preserved ADL (23.1% vs 60.0%, P=0.0019; 5.8% vs 30.0%, P=0.0068, respectively. Multivariate analysis showed that ADL was an independent predictor of Killip class II–IV and 1-year mortality after adjusting for age, sex, and other possible confounders (odds ratio 5.11, 95% confidence interval [CI] 1.52–17.2, P=0.0083; hazard ratio 4.32, 95% CI 1.31–14.3, P=0.017, respectively.Conclusion: Prehospital ADL is a significant predictor of heart failure complications and prognosis in elderly

  8. Young carers in Germany: to live on as normal as possible – a grounded theory study

    Schnepp Wilfried

    2008-12-01

    Full Text Available Abstract Background In contrast to a growing body of research on the situation of adult family care givers, in Germany hardly anything is known about the situation of children and teenagers who are involved in the care of their relatives. Methods In this Grounded Theory study 81 semi structured interviews have been carried out with children and their parents in 34 families, in which one member is chronically ill. 41 children and 41 parents participated and the sample is heterogeneous and diverse. Results On the one hand, there is the phenomenon 'keeping the family together", which describes how families themselves cope with the chronic illness and also, which tasks to what extent are being shifted and redistributed within the family in order to manage daily life. Influencing factors, the children's motives as well as the impact on the children also belong to this phenomenon. The second phenomenon 'to live a normal course of life' describes concrete wishes and expectations of support for the family to manage the hindered daily life. These two phenomena linked together constitute the 'model of experience and construction of familial care, in which children take over an active role'. Conclusion It will be discussed, that the more families are in dire need of support, the more their distress becomes invisible, furthermore, that management of chronic illness is a process, in which the entire family is involved, and thus needs to be considered, and finally, that young carer's relief is not possible without relief of their parents.

  9. 76 FR 35950 - Agency Information Collection Activity (Living Will and Durable Power of Attorney for Health Care...

    2011-06-20

    ... AFFAIRS Agency Information Collection Activity (Living Will and Durable Power of Attorney for Health Care) Under OMB Review AGENCY: Department of Veterans Affairs, Veterans Health Administration. ACTION: Notice... announces that the Veterans Health Administration (VHA), Department of Veterans Affairs, will submit...

  10. Patient with Macular Disease, Good Visual Acuity, and Central Visual Field Disruption and Significant Difficulties with Activities of Daily Living

    Fletcher, Donald C.; Schuchard, Ronald A.; Walker, Joseph P.; Raskauskas, Paul A.

    2008-01-01

    It is generally appreciated that patients with macular disease frequently experience reduced visual acuity. It is not as widely appreciated that they often have significant central visual field disruption, which, by itself, can cause significant problems with activities of daily living, such as reading and driving, even when they maintain good…

  11. Destination Syria : An Exploratory Study into the Daily Lives of Dutch 'Syria Travellers'

    Weggemans, D.; Peters, R.; Bakker, E.; Bont, de R.

    2016-01-01

    Destination Syria is an exploratory study providing insights on the daily lives of western citizens that have travelled to the area, torn by conflict to join jihadist groups like ISIS and Jabhat al-Nusra. Specific attention has been paid to daily life in ISIS territories and in areas controlled by J

  12. Study on behavior of long-lived radionuclides in soil environment

    Morita, Shigemitsu; Watanabe, Hitoshi; Katagiri, Hiromi; Akatsu, Yasuo [Power Reactor and Nuclear Fuel Development Corp., Tokai, Ibaraki (Japan). Tokai Works

    1996-04-01

    Distribution of {sup 99}Tc, {sup 239,240}Pu and {sup 237}Np in soil in Japan was measured. Dependency of concentration on physical and chemical properties of soil was studied. High sensitivity inductively coupled plasma mass spectroscopy was applied to the quantitative analysis of long-lived radionuclides. (J.P.N.)

  13. Economic Lives of Artists : Studies into Careers and the Labour Market in the Cultural Sector

    Rengers, M.

    2002-01-01

    The economic aspects of the lives of artists already puzzled classical economists such as Adam Smith and Alfred Marshall. Their theories provide the background for this book, which presents a number of empirical studies into careers and the labour market in the cultural sector. Leitmotivs are two mo

  14. Economic Lives of Artists : Studies into Careers and the Labor Market in the Cultural Sector

    Rengers, Merijn

    2002-01-01

    The economic aspects of the lives of artists already puzzled classical economists such as Adam Smith and Alfred Marshall. Their theories provide the background for this book, which presents a number of empirical studies into careers and the labour market in the cultural sector. Leitmotivs are two mo

  15. Across-sectional study of prescribing patterns in chronic psychiatric patients living in sheltered housing facilities

    Schorr, S.G.; Loonen, A.J.M.; Brouwers, J.R.B.J.; Taxis, K.

    2008-01-01

    Objective: To analyze prescribing patterns of chronic psychiatric patients living in sheltered housing facilities, to identify the extent of polypharmacy and to estimate associated risks in this patient group. Methods: In a retrospective cross-sectional study the prescription data of 323 chronic psy

  16. Phospholipase d activation correlates with microtubule reorganization in living plant cells.

    Dhonukshe, Pankaj; Laxalt, Ana M; Goedhart, Joachim; Gadella, Theodorus W J; Munnik, Teun

    2003-11-01

    A phospholipase D (PLD) was shown recently to decorate microtubules in plant cells. Therefore, we used tobacco BY-2 cells expressing the microtubule reporter GFP-MAP4 to test whether PLD activation affects the organization of plant microtubules. Within 30 min of adding n-butanol, a potent activator of PLD, cortical microtubules were released from the plasma membrane and partially depolymerized, as visualized with four-dimensional confocal imaging. The isomers sec- and tert-butanol, which did not activate PLD, did not affect microtubule organization. The effect of treatment on PLD activation was monitored by the in vivo formation of phosphatidylbutanol, a specific reporter of PLD activity. Tobacco cells also were treated with mastoparan, xylanase, NaCl, and hypoosmotic stress as reported activators of PLD. We confirmed the reports and found that all treatments induced microtubule reorganization and PLD activation within the same time frame. PLD still was activated in microtubule-stabilized (taxol) and microtubule-depolymerized (oryzalin) situations, suggesting that PLD activation triggers microtubular reorganization and not vice versa. Exogenously applied water-soluble synthetic phosphatidic acid did not affect the microtubular cytoskeleton. Cell cycle studies revealed that n-butanol influenced not just interphase cortical microtubules but also those in the preprophase band and phragmoplast, but not those in the spindle structure. Cell growth and division were inhibited in the presence of n-butanol, whereas sec- and tert-butanol had no such effects. Using these novel insights, we propose a model for the mechanism by which PLD activation triggers microtubule reorganization in plant cells.

  17. Mood and Balance are Associated with Free-Living Physical Activity of People after Stroke Residing in the community

    Matar A. Alzahrani

    2012-01-01

    Full Text Available Purpose. To determine which characteristics are most associated with free-living physical activity in community-dwelling ambulatory people after stroke. Method. Factors (age, gender, side of stroke, time since stroke, BMI, and spouse, sensory-motor impairments (weakness, contracture, spasticity, coordination, proprioception, and balance, and non-sensory-motor impairments (cognition, language, perception, mood, and confidence were collected on 42 people with chronic stroke. Free-living physical activity was measured using an activity monitor and reported as time on feet and activity counts. Results. Univariate analysis showed that balance and mood were correlated with time on feet (r=0.42, 0.43, P<0.01 and also with activity counts (r=0.52, 0.54, P<0.01. Stepwise multiple regression showed that mood and balance accounted for 25% of the variance in time on feet and 40% of the variance in activity counts. Conclusions. Mood and balance are associated with free-living physical activity in ambulatory people after stroke residing in the community.

  18. Executive function in daily life: Age-related influences of executive processes on instrumental activities of daily living.

    Vaughan, Leslie; Giovanello, Kelly

    2010-06-01

    The present study of older adults used structural equation modeling (SEM) to examine the relationships between 3 executive processes underlying executive function (EF) (inhibition, task switching, updating in working memory), and 2 types of instrumental activities of daily living (IADLs) (self-report, performance based). Experimental tasks of executive attention and self-report or performance-based IADL tests were administered to create latent constructs of EF and IADLs. Confirmatory factor analysis (CFA) was used to examine the construct validity of EF and IADLs. This analysis indicated a 3-factor model of inhibition, updating, and task switching and a 2-factor model of self-report and performance-based IADLs. As predicted, when the latent variable relationships were analyzed, executive processes had a significant relationship with performance-based, but not self-report, IADLs. In addition, task switching had a strong and significant relationship with performance-based IADLs. The results of this study uniquely show a direct relationship between executive processes and performance-based IADLs, thus demonstrating the ecological utility of experimental measures of EF to predict daily function. Furthermore, these results point to areas of cognitive training that may strategically impact older adults' performance on daily life activities.

  19. Biomonitoring of cadmium, chromium, nickel and arsenic in general population living near mining and active industrial areas in Southern Tunisia.

    Khlifi, Rim; Olmedo, Pablo; Gil, Fernando; Feki-Tounsi, Molka; Hammami, Bouthaina; Rebai, Ahmed; Hamza-Chaffai, Amel

    2014-02-01

    The human health impact of the historic and current mining and industrial activities in Tunisia is not known. This study assessed the exposure to metals in the population of Southern Tunisia, using biomonitoring. The aim of this pilot study was to evaluate metal exposure on 350 participants living near mining and active industrial areas in the South of Tunisia. Blood specimens were analyzed for metals (Cd, Cr, As, and Ni) by Atomic Absorption Spectrometer equipped with Zeeman background correction and AS-800 auto sampler by graphite furnace and graphite tubes with integrated L'vov platform. The sample population was classified according to different age groups, sex, smoking habit, sea food and water drinking consumption, occupational exposure, amalgam fillings and place of residence. The blood As, Cd, Cr and Ni values expressed as mean ± SD were 1.56 ± 2.49, 0.74 ± 1.15, 35.04 ± 26.02 and 30.56 ± 29.96 μg/l, respectively. Blood Cd and Ni levels in smokers were 2 and 1.2 times, respectively, higher than in non-smokers. Blood Cd levels increase significantly with age (p = 0.002). As, Cd and Ni were significantly correlated with gender and age (p Tunisia reveals a substantial exposure to several metals. The pathways of exposure and health significance of these findings need to be further investigated.

  20. Fluorescence Resonance Energy Transfer Analysis of Bid Activation in Living Cells during Ultraviolet-induced Apoptosis

    Yinyuan WU; Da XING; Lei LIU; Tongsheng CHEN; Wei R. CHEN

    2007-01-01

    Ultraviolet (UV) irradiation is a DNA-damaging agent that triggers apoptosis through both the membrane death receptor and mitochondrial apoptotic signaling pathways. Bid, a pro-apoptotic Bcl-2family member, is important in most cell types to apoptosis in response to DNA damage. In this study, a recombinant plasmid, YFP-Bid-CFP, comprised of yellow and cyan fluorescent protein and a full length Bid,was used as a fluorescence resonance energy transfer analysis (FRET) probe. Using the FRET technique based on YFP-Bid-CFP, we found that Bid activation was initiated at 9±1 h after UV irradiation, and the average duration of the activation was 75± 10 min. Bid activation coincided with a collapse of the mitochondrial membrane potential with an average duration of 50±10 min. When cells were pretreated with Z-IETD-fmk(caspase-8 specific inhibitor) the process of Bid activation was completely inhibited, but the apoptosis was only partially affected. Z-DEVD-fmk (caspase-3 inhibitor) and Z-FA-fmk (non asp specific inhibitor) did not block Bid activation. Furthermore, the endogenous Bid activation with or without Z-IETD-fmk in response to UV irradiation was confirmed by Western blotting. In summary, using the FRET technique, we observed the dynamics of Bid activation during UV-induced apoptosis and found that it was a caspase-8 dependent event.

  1. [Living organ donation vs. cadaveric donation - study of liver transplanted children and their families].

    Schulz, K H; Hofmann, C; Sander, K; Edsen, S; Burdelski, M; Koch, U; Rogiers, X

    2001-12-01

    There is only scarce information on the quality of life of child recipients of liver transplants and their families. Particularly children with a living related graft and their families never have been compared to children who received a cadaveric graft and their families. We investigated the following issues in our study: How do parents and children from participating families rate their strain, their quality of life and their relationships within their family? Do families with a living - related donor differ from those with a cadaveric donor? What do living donors and their partners think about the donation retrospectively? The study was conducted with 106 participants from 50 families (42 mothers, 40 fathers, and 24 children older than 6 years). In 20 of these families, a living transplantation had been performed. Participants were interviewed and asked to fill out several questionnaires. School-aged children with a liver transplant show good social integration among their peers and in school. The child's disease, however, has a great impact on the family. Family members show a reduction in social contact, and an increase in marital crises, and problematic relations amongst siblings. Families in which a cadaveric graft was performed, are less satisfied with life, and show more symptoms of exhaustion. Every family studied possessed or acquired - a high degree of internal or external coping resources. Living - related donors tried hard to obtain an understanding of the medical context. The partner, rather than the donor himself, feels anxious before the donation. The limited time available for the decision to donate is not perceived by the donors to be critical. Ten percent of living donors feel "a little" that their health is affected. The decision to donate is supported "strongly" or "very strongly" by the partners in 80 % of the cases. A possible strain on the child through the expectation of gratitude by the donor is stated by 20 %. All of the donors agree

  2. Effect of virtual reality dance exercise on the balance, activities of daily living, and depressive disorder status of Parkinson’s disease patients

    Lee, Nam-Yong; Lee, Dong-Kyu; Song, Hyun-Seung

    2015-01-01

    [Purpose] In this study, we examined the effects of virtual reality dance exercise on the balance, activities of daily living and depressive disorder status of Parkinson’s disease patients. [Subjects] Twenty patients were assigned either the experimental group (n = 10) or the control group (n = 10). All participants received 30 minutes of neurodevelopment treatment and 15 minutes of functional electrical stimulation 5 times per week for 6 weeks. The experimental group additionally performed 3...

  3. The lived experience of low back pain among Irish farmers: case studies.

    Osborne, Aoife; Blake, Catherine; Meredith, David; McNamara, John; Phelan, Jim; Cunningham, Caitriona

    2014-01-01

    Low back pain (LBP) is the most commonly reported musculoskeletal disorder (MSD) among farmers. There is limited researching regarding the lived experience of LBP among farmers. Video interviews were conducted with three dairy farmers who reported having a significant episode of LBP. The interview data were transcribed and analyzed, and results were presented in relation to the constructs explored. The farmers experienced their first significant episode of LBP in their late 20s or early 30s and all attributed their LBP to farm work or a farm-related incident. Hours worked per day ranged from 9 to 13 hours. Tasks identified by farmers that they were unable to do due to LBP included physical work, working with sheep, building work, and "certain jobs." Work changes made due to LBP included getting help, slowing down, avoiding strenuous work, carrying smaller loads, mechanizing the farm, using the tractor more, and wearing a back belt for certain jobs. Each farmer had his own way of preventing or managing his LBP, including a mix of active self-management and passive coping strategies such as swimming, using ice, spinal manipulation, and taking medication. The farmers were unable to quantify how much their LBP had cost them directly or indirectly. The case studies illustrate farmers engaging in ongoing work despite significant pain. All of the farmers have adapted at work and engaged in self-management strategies to reduce the occurrence of LBP. Given the rich data produced by these case studies, future case studies are recommended to gain greater insights into farmers' experiences concerning LBP.

  4. A lightweight shoulder prosthesis with antagonistic impact-absorbing hybrid actuation for bimanual activities of daily living

    Masashi Sekine

    2016-04-01

    Full Text Available In developing a shoulder prosthesis, in addition to appropriate payload and range of motion under the constraints of weight and shape, impact absorption is very important for safe use. Hybridization of two different actuators (pneumatic elastic actuators with the features of lightness and intrinsic visco-elasticity, and servo motors that have stable torque and a large range of motion in combination with an antagonistic mechanism was employed to achieve the development of the shoulder prosthesis. A two-link, two-degree-of-freedom arm was used to test the different hybridization configurations in order to investigate the impact absorption. A dynamic simulation platform based on four bimanual activities of daily living was established to obtain the required range of motion and torque for joints of a two-link, four-degree-of-freedom arm. The number of pneumatic elastic actuators required and the dimension of the antagonistic mechanism mechanical structures were optimized using the dynamic simulation platform. The best configuration of the two types of actuators was determined using the dynamic simulation based on the impact absorption results and other criteria. Moreover, a simplified prototype driven by hybrid actuation was made. It was shown that the pneumatic elastic actuator joint could improve impact absorption, and the actuator configuration of shoulder prostheses is activity of daily living dependent. The prototype could reproduce a certain activity of daily living motion, indicating its feasibility in daily living.

  5. Living language

    Shuttleworth, John

    2008-01-01

    Living Language 3rd edition' has been devised to meet all the new specifications for AS and A level English Language. The best-selling previous edition has been comprehensively revised to ensure full assessment objectives coverage and fulfilment, and delivery of the new four-unit courses from 2008 onwards. 'Living Language 3rd edition' provides linguistic theory, information and ideas which are easily accessed via supported activities and investigations. The text will actively develop students' skills in reading, listening and responding to an extensive range of text genres and data. Building

  6. Validation and comparison of two methods to assess human energy expenditure during free-living activities.

    Panagiota Anastasopoulou

    Full Text Available BACKGROUND: The measurement of activity energy expenditure (AEE via accelerometry is the most commonly used objective method for assessing human daily physical activity and has gained increasing importance in the medical, sports and psychological science research in recent years. OBJECTIVE: The purpose of this study was to determine which of the following procedures is more accurate to determine the energy cost during the most common everyday life activities; a single regression or an activity based approach. For this we used a device that utilizes single regression models (GT3X, ActiGraph Manufacturing Technology Inc., FL., USA and a device using activity-dependent calculation models (move II, movisens GmbH, Karlsruhe, Germany. MATERIAL AND METHODS: Nineteen adults (11 male, 8 female; 30.4±9.0 years wore the activity monitors attached to the waist and a portable indirect calorimeter (IC as reference measure for AEE while performing several typical daily activities. The accuracy of the two devices for estimating AEE was assessed as the mean differences between their output and the reference and evaluated using Bland-Altman analysis. RESULTS: The GT3X overestimated the AEE of walking (GT3X minus reference, 1.26 kcal/min, walking fast (1.72 kcal/min, walking up-/downhill (1.45 kcal/min and walking upstairs (1.92 kcal/min and underestimated the AEE of jogging (-1.30 kcal/min and walking upstairs (-2.46 kcal/min. The errors for move II were smaller than those for GT3X for all activities. The move II overestimated AEE of walking (move II minus reference, 0.21 kcal/min, walking up-/downhill (0.06 kcal/min and stair walking (upstairs: 0.13 kcal/min; downstairs: 0.29 kcal/min and underestimated AEE of walking fast (-0.11 kcal/min and jogging (-0.93 kcal/min. CONCLUSIONS: Our data suggest that the activity monitor using activity-dependent calculation models is more appropriate for predicting AEE in daily life than the activity monitor using a single

  7. Use of fluorescently labelled calmodulins as tools to measure subcellular calmodulin activation in living dorsal root ganglion cells.

    Milikan, J M; Bolsover, S R

    2000-01-01

    We have used fluorescently labelled calmodulins to probe the activity of calmodulin in living dorsal root ganglion cells. Calmodulin labelled with the fluorophore 5-([4,6 dichlorotriazin-2yl]amino)-fluorescein (FL-CaM) does not change its fluorescence when it binds calcium, while calmodulin labelled at lysine 75 with 2-chloro-(6-(4-N,N-diethylamino-phenyl)-1,4,5-triazin-4-yl (TA-CaM), an environment-sensitive probe, increases its fluorescence when it binds calcium. We micro-injected FL-CaM or TA-CaM into rat dorsal root ganglion cells and found that both probes localise to the cell nucleus. In contrast, endogenous cellular calmodulin, in dorsal root ganglion cells as in hippocampal neurones, is predominantly cytosolic unless the neurones are depolarised, then it moves to the nucleus. FL-CaM and TA-CaM, introduced into dorsal root ganglion cells via a patch pipette, also immediately move to the nucleus, indicating that the nuclear localisation is a property of the labelled calmodulins. Although the subcellular distribution of FL-CaM and TA-CaM does not necessarily match that of endogenous calmodulin, we show that FL-CaM can be used as a control for TA-CaM when studying calmodulin activation in different cellular compartments.

  8. A biocompatible in vivo ligation reaction and its application for noninvasive bioluminescent imaging of protease activity in living mice.

    Godinat, Aurélien; Park, Hyo Min; Miller, Stephen C; Cheng, Ke; Hanahan, Douglas; Sanman, Laura E; Bogyo, Matthew; Yu, Allen; Nikitin, Gennady F; Stahl, Andreas; Dubikovskaya, Elena A

    2013-05-17

    The discovery of biocompatible reactions had a tremendous impact on chemical biology, allowing the study of numerous biological processes directly in complex systems. However, despite the fact that multiple biocompatible reactions have been developed in the past decade, very few work well in living mice. Here we report that D-cysteine and 2-cyanobenzothiazoles can selectively react with each other in vivo to generate a luciferin substrate for firefly luciferase. The success of this "split luciferin" ligation reaction has important implications for both in vivo imaging and biocompatible labeling strategies. First, the production of a luciferin substrate can be visualized in a live mouse by bioluminescence imaging (BLI) and furthermore allows interrogation of targeted tissues using a "caged" luciferin approach. We therefore applied this reaction to the real-time noninvasive imaging of apoptosis associated with caspase 3/7. Caspase-dependent release of free D-cysteine from the caspase 3/7 peptide substrate Asp-Glu-Val-Asp-D-Cys (DEVD-(D-Cys)) allowed selective reaction with 6-amino-2-cyanobenzothiazole (NH(2)-CBT) in vivo to form 6-amino-D-luciferin with subsequent light emission from luciferase. Importantly, this strategy was found to be superior to the commercially available DEVD-aminoluciferin substrate for imaging of caspase 3/7 activity. Moreover, the split luciferin approach enables the modular construction of bioluminogenic sensors, where either or both reaction partners could be caged to report on multiple biological events. Lastly, the luciferin ligation reaction is 3 orders of magnitude faster than Staudinger ligation, suggesting further applications for both bioluminescence and specific molecular targeting in vivo.

  9. Relationships of Community and Individual Level Social Capital with Activities of Daily Living and Death by Gender.

    Imamura, Haruhiko; Hamano, Tsuyoshi; Michikawa, Takehiro; Takeda-Imai, Fujimi; Nakamura, Takahiro; Takebayashi, Toru; Nishiwaki, Yuji

    2016-08-29

    This study determined whether there is an association between social capital and a composite outcome of decline in Activities of Daily Living (ADL) and death by gender. A prospective 3.5 year cohort study was conducted in a rural town in Japan. The study participants were 984 individuals aged 65 years and older with not impaired on ADL at 2010 baseline survey. Social participation and generalized trust were measured as social capital. The individual level responses were dichotomized and aggregated into the community level (eight areas). Multilevel logistic regression adjusting for covariates revealed that social participation at the individual level was significantly associated with higher odds of composite outcome (OR of "not participate" = 1.97, 95% CI = 1.38-2.81). Regarding generalized trust, only in men, there was an inverse association at the community level (OR of "low" = 0.55, 95% CI = 0.32-0.96), and a positive association at the individual level (OR of "tend to be careful" = 2.22, 95% CI = 1.27-3.90). These results suggest that social capital were associated with a decline in ADL and death and that the association may differ by gender.

  10. Sensorimotor impairments of paretic upper limb correlates with activities of daily living in subjects with chronic stroke

    Ng S.M. Shamay

    2011-02-01

    Full Text Available The  main objective  of  this  study  was  to  investigate  the correlations  between sensorimotor  impairments  of  paretic  upper  limb  and the  hand  functions of  activities of daily  living  (ADLs  scores  in  persons  with chronic stroke.This is a cross-sectional  study  with  19  chronic  stroke  survivors.  Hand function was measured by the Jebsen-Taylor Hand Function Test (JTHFT. Impairments in upper extremity motor function were measured by upper limb items  of  Fugl-Meyer  Assessment  (FMA-UE.  Forearm  muscles  strength, handgrip  and  pinch  grip  power  were  assessed  using  handheld  dynamo-meters. Tactile sensation threshold was measured by monofilaments.Significant differences were found between the affected and unaffected side in the total JTHFT scores, forearm muscle strength, handgrip and pinch grip (p≤0.017, but not the tactile sensa-tion threshold.  The total JTHFT scores were found to be correlated with total score of FMA-UE (rs = -0.789, hand-grip  power  (rs = -0.588 and pinch grip power (rs = -0.657 on the affected side, but not the tactile sensation. The total JTHFT scores were correlated with FMA-UE scores, handgrip and pinch grip of the affected side.  This is the first study in documenting the correlation between the sensorimotor impairments and JTHFT scores in persons with  chronic stroke. Our findings highlights the importance of including upper limb and grip strength training in stroke rehabilitation program in order to improve hand functions in activities of daily living in patients with chronic stroke.

  11. Experiences of Patients Living With Heart Failure: A Descriptive Qualitative Study.

    Seah, Alvin Chuen Wei; Tan, Khoon Kiat; Huang Gan, Juvena Chew; Wang, Wenru

    2016-07-01

    The purpose of this study was to explore the experiences, needs, and coping strategies of patients living with heart failure in Singapore. A descriptive qualitative design was used. A purposive sample of 15 informants was recruited from two cardiology wards of a tertiary public hospital in Singapore. Individual face-to-face interviews were conducted with a semistructured interview guideline that was developed based on a review of the literature and a pilot study. Content analysis was adopted to analyze the data, and four main categories were identified: perceived causes, manifestations, and prognosis; enduring emotions; managing the condition; and needs from health care professionals. The informants were overwhelmed with the experience of living with heart failure due to the disruptive and uncertain nature of the condition. This study offers health care professionals practical and useful suggestions when providing holistic care for patients with heart failure.

  12. Experiences participating in a community-based exercise programme from the perspective of people living with HIV: a qualitative study

    Montgomery, Chantal A; Henning, Katherine J; Kantarzhi, Sarah R; Kideckel, Tamar B; Yang, Cheryl F M; O'Brien, Kelly K

    2017-01-01

    Objectives Our aim was to explore the experiences of engaging in a community-based exercise programme (CBEP) from the perspective of people living with HIV (PLWH). Design We conducted a descriptive qualitative study using semistructured interviews. Setting We recruited adults living with HIV who participated in a 16-week CBEP in Toronto, Canada. Participants 11 participants, the majority men (64%), with a median age of 52 years, and living with a median of 5 concurrent health conditions in addition to HIV participated in the study. Outcome measures We asked participants about their overall experiences: strengths, limitations and perceived benefits of the CBEP; factors influencing participation and current level of exercise after completion of the CBEP. We administered a self-reported demographic questionnaire followed by the Rapid Assessment of Physical Activity (RAPA) questionnaire. We analysed interview data using thematic analysis. Results We developed a framework that describes the experiences before, during and after the CBEP; and the perceived impact of the CBEP on health, which influenced the intent to, engagement in and sustainability of exercise among PLWH. Participants described the positive impact of the CBEP on their physical, mental and social health. Interviews were completed at a median of 6 months after the CBEP, when 9 participants reported ongoing engagement in exercise, but to a lesser extent than during the CBEP. Intrinsic and extrinsic factors facilitated or hindered engagement in exercise throughout all phases of the CBEP. The episodic nature of HIV and multimorbidity influenced engagement in exercise and posed challenges to re-engagement after periods of inactivity. Conclusions CBEPs provide an opportunity to enhance physical activity, perceived health outcomes and knowledge about exercise for PLWH. Community-based exercise is a strategy that may be used by health providers to promote engagement in sustained physical activity for PLWH

  13. Epigenetic phenomena, chromatin dynamics, and gene expression. New theoretical approaches in the study of living systems.

    Boi, Luciano

    2008-01-01

    This paper is aimed at exploring the genome at the level beyond that of DNA sequence alone. We stress the fact that the level of genes is not the sole "reality" in the living world, for there are different epigenetic processes that profoundly affect change in living systems. Moreover, epigenetics very likely influences the course of evolution and the unfolding of life. We further attempt to investigate how the genome is dynamically organized into the nuclear space within the cell. We mainly focus on analyses of higher order nuclear architecture and the dynamic interactions of chromatin with other nuclear components. We especially want to know how epigenetic phenomena influences genes expression and chromosome functions. The proper understanding of these processes require new concepts and approaches be introduced and developed. In particular, we think that research in biology has to shift from only describing molecular and local features of living systems to studying the regulatory networks of interactions among gene pathways, the folding and dynamics of chromatin structure and how environmental factors affects the behavior of organisms. There are essential components of biological information on living organisms which cannot be portrayed in the DNA sequence alone. In a post-genomic era, the importance of chromatin/epigenetic interface has become increasingly apparent. One of the purposes of current research should be to highlight the enormous impact of chromatin organization and dynamics on epigenetic phenomena, and, conversely, to emphasize the important role that epigenetic phenomena play in gene expression and cell regulation.

  14. From surface to intracellular non-invasive nanoscale study of living cells impairments

    Ewald, Dr. Maxime [University of Bourgogne, 21078 Dijon, France.; Tetard, Laurene [ORNL; Elie-Caille, Dr. Cecile [Institut FEMTO-ST UMR CNRS 6174, University Franche-Comté, 25044 Besancon, France; Nicod, Laurence [University of Franche-Comte, Laboratoire de Biologie Cellulaire; Passian, Ali [ORNL; Bourillot, Dr. Eric [University of Bourgogne, 21078 Dijon, France.; Lesniewska, Prof. Eric [University of Bourgogne, 21078 Dijon, France.

    2014-01-01

    Among the enduring challenges in nanoscience, subsurface characterization of live cells holds major stakes. Developments in nanometrology for soft matter thriving on the sensitivity and high resolution benefits of atomic force microscopy have enabled detection of subsurface structures at the nanoscale (1,2,3). However, measurements in liquid environments remain complex (4,5,6,7), in particular in the subsurface domain. Here we introduce liquid-Mode Synthesizing Atomic Force Microscopy (l-MSAFM) to study both the inner structures and the chemically induced intracellular impairments of living cells. Specifically, we visualize the intracellular stress effects of glyphosate on living keratinocytes skin cells. This new approach for living cell nanoscale imaging, l-MSAFM, in their physiological environment or in presence of a chemical stress agent confirmed the loss of inner structures induced by glyphosate. The ability to monitor the cell's inner response to external stimuli, non-destructively and in real time, has the potential to unveil critical nanoscale mechanisms of life science.

  15. Living with a Colicky Infant: Meta-synthesis of Qualitative Studies

    Ali Reza Mansourzadeh

    2016-08-01

    Full Text Available Background Parents having a baby with infantile colic experienced thoughts and emotions such as hopelessness, fatigue and concern. This study presents a review to provide better insights into the life of parents living with a colicky infant. The aimed of this meta-synthesis was to analyze and synthesize findings from qualitative studies about the experiences of parents of colicky infants. Materials and Methods This meta-synthesis follows the guidelines of Sandeowski and Barroso and was designed to synthesize findings from previous qualitative studies. The following biomedical archives were searched: PubMED, Web of Science, PsycINFO, Cochrane library, ProQuest. Recently published articles and books on the experiences of parents living with a colicky infant were reviewed. The searches covered the years from 2000 to 2016 and found three studies, which fulfilled the inclusion criteria. Results The findings of all studies selected were categorized into the themes of "eclipse of normal life" and "relief through parental adaptation". The findings reveal that the experiences of parents living with a colicky infant are important for constructing an insightful child care protocol and improving interpersonal interactions in the family. Conclusion The pathic or non-diagnostic knowledge that emerged from this qualitative review may be helpful for improving treatment of colicky infants and a provide relief for their parents.

  16. The Harvard Automated Phone Task: new performance-based activities of daily living tests for early Alzheimer’s disease

    Marshall, Gad A.; Dekhtyar, Maria; Bruno, Jonathan M.; Jethwani, Kamal; Amariglio, Rebecca E.; Johnson, Keith A.; Sperling, Reisa A.; Rentz, Dorene M.

    2015-01-01

    Background Impairment in activities of daily living is a major burden for Alzheimer’s disease dementia patients and caregivers. Multiple subjective scales and a few performance-based instruments have been validated and proven to be reliable in measuring instrumental activities of daily living in Alzheimer’s disease dementia but less so in amnestic mild cognitive impairment and preclinical Alzheimer’s disease. Objective To validate the Harvard Automated Phone Task, a new performance-based activities of daily living test for early Alzheimer’s disease, which assesses high level tasks that challenge seniors in daily life. Design In a cross-sectional study, the Harvard Automated Phone Task was associated with demographics and cognitive measures through univariate and multivariate analyses; ability to discriminate across diagnostic groups was assessed; test-retest reliability with the same and alternate versions was assessed in a subset of participants; and the relationship with regional cortical thickness was assessed in a subset of participants. Setting Academic clinical research center. Participants One hundred and eighty two participants were recruited from the community (127 clinically normal elderly and 45 young normal participants) and memory disorders clinics at Brigham and Women’s Hospital and Massachusetts General Hospital (10 participants with mild cognitive impairment). Measurements As part of the Harvard Automated Phone Task, participants navigated an interactive voice response system to refill a prescription (APT-Script), select a new primary care physician (APT-PCP), and make a bank account transfer and payment (APT-Bank). The 3 tasks were scored based on time, errors, and repetitions from which composite z-scores were derived, as well as a separate report of correct completion of the task. Results We found that the Harvard Automated Phone Task discriminated well between diagnostic groups (APT-Script: p=0.002; APT-PCP: p<0.001; APT-Bank: p=0

  17. Live-cell Imaging of Pol II Promoter Activity to Monitor Gene expression with RNA IMAGEtag reporters

    Shin, Ilchung [Ames Laboratory; Ray, Judhajeet [Ames Laboratory; Gupta, Vinayak [Iowa State University; Ilgu, Muslum [Ames Laboratory; Beasley, Jonathan [Iowa State University; Bendickson, Lee [Ames Laboratory; Mehanovic, Samir [Molecular Express; Kraus, George A. [Iowa State University; Nilsen-Hamilton, Marit [Ames Laboratory

    2014-04-20

    We describe a ribonucleic acid (RNA) reporter system for live-cell imaging of gene expression to detect changes in polymerase II activity on individual promoters in individual cells. The reporters use strings of RNA aptamers that constitute IMAGEtags (Intracellular MultiAptamer GEnetic tags) that can be expressed from a promoter of choice. For imaging, the cells are incubated with their ligands that are separately conjugated with one of the FRET pair, Cy3 and Cy5. The IMAGEtags were expressed in yeast from the GAL1, ADH1 or ACT1 promoters. Transcription from all three promoters was imaged in live cells and transcriptional increases from the GAL1 promoter were observed with time after adding galactose. Expression of the IMAGEtags did not affect cell proliferation or endogenous gene expression. Advantages of this method are that no foreign proteins are produced in the cells that could be toxic or otherwise influence the cellular response as they accumulate, the IMAGEtags are short lived and oxygen is not required to generate their signals. The IMAGEtag RNA reporter system provides a means of tracking changes in transcriptional activity in live cells and in real time.

  18. Studies in geophysics: Active tectonics

    1986-01-01

    Active tectonics is defined within the study as tectonic movements that are expected to occur within a future time span of concern to society. Such movements and their associated hazards include earthquakes, volcanic eruptions, and land subsidence and emergence. The entire range of geology, geophysics, and geodesy is, to some extent, pertinent to this topic. The needs for useful forecasts of tectonic activity, so that actions may be taken to mitigate hazards, call for special attention to ongoing tectonic activity. Further progress in understanding active tectonics depends on continued research. Particularly important is improvement in the accuracy of dating techniques for recent geologic materials.

  19. Vascular complications following 1500 consecutive living and cadaveric donor renal transplantations: A single center study

    Salehipour Mehdi

    2009-01-01

    Full Text Available The aim of this study was to document vascular complications that occurred fol-lowing cadaveric and living donor kidney transplants in order to assess the overall incidence of these complications at our center as well as to identify possible risk factors. In a retrospective cohort study, 1500 consecutive renal transplant recipients who received a living or cadaveric donor kidney between December 1988 and July 2006 were evaluated. The study was performed at the Nemazee Hospital, Shiraz, Iran. The assessment of the anatomy and number of renal arteries as well as the incidence of vascular complications was made by color doppler ultrasonography, angiography, and/or surgical exploration. Clinically apparent vascular complications were seen in 8.86% of all study patients (n = 133 with the most frequent being hemorrhage (n = 91; 6.1% followed by allo-graft renal artery stenosis (n = 26; 1.7%, renal artery thrombosis (n = 9; 0.6%, and renal vein thrombosis (n = 7; 0.5%. Vascular complications were more frequent in recipients of cadaveric organs than recipients of allografts from living donors (12.5% vs. 7.97%; P= 0.017. The occurrence of vascular complications was significantly more frequent among recipients of renal allografts with multiple arteries when compared with recipients of kidneys with single artery (12.3% vs. 8.2%; P= 0.033. The same was true to venous complications as well (25.4% vs. 8.2%; P< 0.001. Our study shows that vascular complications were more frequent in allografts with multiple renal blood vessels. Also, the complications were much less frequent in recipients of living donor transplants.

  20. A rat model of intragastric infection with Anisakis spp. live larvae: histopathological study.

    Zuloaga, Jaime; Rodríguez-Bobada, Cruz; Corcuera, María Teresa; Gómez-Aguado, Fernando; González, Pablo; Rodríguez-Perez, Rosa; Arias-Díaz, Javier; Caballero, María Luisa

    2013-06-01

    Anisakiasis is a fish-borne parasitic disease caused by consumption of raw or undercooked fish or cephalopods parasited by Anisakis spp. third stage larvae. The pathological effects of the infection are the combined result of the mechanical action of the larva during tissue invasion, the direct tissue effects of the excretory/secretory products released by the parasite, and the complex interaction between the host immune system and the Anisakis antigens. The aim of this study was to develop an experimental model of infection with Anisakis spp. live larvae in rats, useful to study the acute and chronic histopathological effects of the Anisakis infection. Sprague-Dawley rats were subjected to esophageal catheterization to place larvae directly into the stomach. Reinfections at different intervals after the first infection were preformed. Live larvae were found anchored to the mucosa and passing through the wall of the stomach and showed a strong resistance being able to stay alive at different sites and at the different pH. Migration of larvae from the stomach to other organs out of the gastrointestinal tract was also observed. The histopathological study showed the acute inflammatory reaction, with predominance of polymorphonuclear eosinophils and a mild fibrotic reaction. The model of infection described is valid to study the behavior of the larvae inside the host body, the histopathological changes at the invasion site, and the effects of the repeated infections by ingestion of live larvae.

  1. Detecting falls with 3D range camera in ambient assisted living applications: a preliminary study.

    Leone, Alessandro; Diraco, Giovanni; Siciliano, Pietro

    2011-07-01

    In recent years several world-wide ambient assisted living (AAL) programs have been activated in order to improve the quality of life of older people, and to strengthen the industrial base through the use of information and communication technologies. An important issue is extending the time that older people can live in their home environment, by increasing their autonomy and helping them to carry out activities of daily living (ADLs). Research in the automatic detection of falls has received a lot of attention, with the object of enhancing safety, emergency response and independence of the elderly, at the same time comparing the social and economic costs related to fall accidents. In this work, an algorithmic framework to detect falls by using a 3D time-of-flight vision technology is presented. The proposed system presented complementary working requirements with respect to traditional worn and non-worn fall-detection devices. The vision system used a state-of-the-art 3D range camera for elderly movement measurement and detection of critical events, such as falls. The depth images provided by the active sensor allowed reliable segmentation and tracking of elderly movements, by using well-established imaging methods. Moreover, the range camera provided 3D metric information in all illumination conditions (even night vision), allowing the overcoming of some typical limitations of passive vision (shadows, camouflage, occlusions, brightness fluctuations, perspective ambiguity). A self-calibration algorithm guarantees different setup mountings of the range camera by non-technical users. A large dataset of simulated fall events and ADLs in real dwellings was collected and the proposed fall-detection system demonstrated high performance in terms of sensitivity and specificity.

  2. Application of Live-Cell RNA Imaging Techniques to the Study of Retroviral RNA Trafficking

    Darrin V. Bann

    2012-06-01

    Full Text Available Retroviruses produce full-length RNA that serves both as a genomic RNA (gRNA, which is encapsidated into virus particles, and as an mRNA, which directs the synthesis of viral structural proteins. However, we are only beginning to understand the cellular and viral factors that influence trafficking of retroviral RNA and the selection of the RNA for encapsidation or translation. Live cell imaging studies of retroviral RNA trafficking have provided important insight into many aspects of the retrovirus life cycle including transcription dynamics, nuclear export of viral RNA, translational regulation, membrane targeting, and condensation of the gRNA during virion assembly. Here, we review cutting-edge techniques to visualize single RNA molecules in live cells and discuss the application of these systems to studying retroviral RNA trafficking.

  3. Microspheres labelled with short-lived isotopes: Development and application for tumors treatment (Experimental study)

    Drozdovsky, B.Y.; Rosiev, R.A.; Goncharova, A.Y.; Skvortsov, V.G.; Petriev, V.M.; Grigoriev, A.N.; Schischkanov, N.G. [Medical Radiological Research Centre RAMS, Kaluga Region, (Russian Federation)

    1997-10-01

    Analysis of the conducted studies strongly suggests the possibility of usage of the domestic protein microspheres as a vehicle for radionuclide. The neutron-activating method of RPP production enables to utilize a broad spectrum of short-living isotopes that can be delivered into the target organ and anchored there for a long time. Good treatment results were obtained in case of the experimentally induced rheumatoid arthritis in rats after intraarticular loading of {sup 165}Dy-hMSA. Mathematical calculations show that homogeneous distribution of RPP in human articulation cavity with the square of 100 cm{sup 2} can be achieved when the quantity of administered particles exceeds 3000. On the example of {sup 165}Dy-hMSA energy characteristic distribution we demonstrated that the absorbed dose for damaged cells at 2mm distance from the radioactive source is 7 times less than the one for a sphere of 2mm diameter. Analysis of dosimetric data in case of intratumoral loading of {sup 165}Dy-hMSA also point out the necessity of the absorbed dose calculation methods taking into account the distance from the source and possible heterogeneity of RPP distribution inside the tumor to be employed. The prolonged RPP detention in the target causing no essential morphological and functional changes was achieved by embolization on the level of septal and interlobular arteries and of efferent arterioles in the animal`s renal. The uniformity of microsphere distribution in the organ and their accumulation in tumors depends on the number of particles being administered. Investigations carried out suggest the efficacy of radionuclide therapy application for treatment of oncological and heavy somatic diseases. They also indicate the necessity of further investigations aimed to optimize the usage of microspheres as a radionuclide carrier usage and to work out the criteria of dosimetric planning 25 refs.

  4. Therapeutic Argentine tango dancing for people living with Parkinson’s disease: a feasibility study

    Blandy, Laura M.; Meg E. Morris; Winifred A Beevers

    2015-01-01

    Background: Individuals living with Parkinson’s disease (PD) can experience a range of movement disorders. Therapeutic dance is enjoyable and thought to improve mobility, balance and well being in some people with PD. The primary objective of this study was to evaluate the feasibility and safety of a 4 week Argentine tango dance program for people with PD. Methods: Six community dwelling individuals with mild-moderate PD were recruited from Parkinson’s support groups, movement disorder clini...

  5. Improving Parental Stress Levels Among Mothers Living with HIV: A Randomized Control Group Intervention Study

    Johnson, Erica R.; Davies, Susan L.; Aban, Inmaculada; Mugavero, Michael J.; Shrestha, Sadeep; Kempf, Mirjam-Colette

    2015-01-01

    Limited knowledge exists regarding parenting efficacy interventions for mothers living with HIV (MLH). This study evaluated the impact of a supportive group intervention on lowering parenting stress among MLH. Eighty MLH were randomized to a parenting (N=34) or health focused (control) (N=46) group intervention. Pre- and post-intervention stress levels were assessed using the Parental Stress Index-Short Form (PSI/SF). Differences in PSI/SF scores were examined using ANOVA, and predictors of P...

  6. Alone in a crowd. A study of social networks in home health and assisted living.

    Tremethick, M J

    2001-05-01

    This study demonstrated the need for intervention in social network development by both clients of home health and residents of assisted living facilities. With the well-known connection between social networks and health, it is vital that nurses working with these populations be aware of the potential for isolation, screen for it, and, if necessary, develop interventions in the care planning process to address the lack of social networks.

  7. Living with the world heritage. An ethnographic study of the ancient city of Nessebar, Bulgaria

    Luleva Ana

    2015-01-01

    Since the mid-1950s the Ancient city of Nessebar has had the status of national cultural heritage; in 1983 it was inscribed in the World heritage list of UNESCO. The article makes an attempt to study the regimes of using of and living in the city - world cultural heritage in two different political and economic contexts. The pressure of the tourism industry on the value, which was visible even in the years of the late state socialism, became irresistible af...

  8. Impairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect

    Naik, Aanand D.; Burnett, Jason; Pickens-Pace, Sabrina; Dyer, Carmel B.

    2008-01-01

    Purpose: We sought to characterize self-neglect definitively as a geriatric syndrome by identifying an association with functional impairment. Design and Methods: We performed a cross-sectional home evaluation of 100 community-living older adults referred by Adult Protective Services for geriatric self-neglect and 100 matched adults from a…

  9. Factors associated with activities of daily living among the disabled elders with stroke

    Li Pei

    2016-03-01

    Conclusions: Disabled elders with recurrent strokes, hemorrhagic stroke, dependent financial resources, older age, worse nutritional status and living with family had poorer stroke-related outcome. Healthcare providers can discover the high-risk groups of disability and implement individualized preventive interventions in accordance with the related factors.

  10. Recognition- and reactivity-based fluorescent probes for studying transition metal signaling in living systems.

    Aron, Allegra T; Ramos-Torres, Karla M; Cotruvo, Joseph A; Chang, Christopher J

    2015-08-18

    Metals are essential for life, playing critical roles in all aspects of the central dogma of biology (e.g., the transcription and translation of nucleic acids and synthesis of proteins). Redox-inactive alkali, alkaline earth, and transition metals such as sodium, potassium, calcium, and zinc are widely recognized as dynamic signals, whereas redox-active transition metals such as copper and iron are traditionally thought of as sequestered by protein ligands, including as static enzyme cofactors, in part because of their potential to trigger oxidative stress and damage via Fenton chemistry. Metals in biology can be broadly categorized into two pools: static and labile. In the former, proteins and other macromolecules tightly bind metals; in the latter, metals are bound relatively weakly to cellular ligands, including proteins and low molecular weight ligands. Fluorescent probes can be useful tools for studying the roles of transition metals in their labile forms. Probes for imaging transition metal dynamics in living systems must meet several stringent criteria. In addition to exhibiting desirable photophysical properties and biocompatibility, they must be selective and show a fluorescence turn-on response to the metal of interest. To meet this challenge, we have pursued two general strategies for metal detection, termed "recognition" and "reactivity". Our design of transition metal probes makes use of a recognition-based approach for copper and nickel and a reactivity-based approach for cobalt and iron. This Account summarizes progress in our laboratory on both the development and application of fluorescent probes to identify and study the signaling roles of transition metals in biology. In conjunction with complementary methods for direct metal detection and genetic and/or pharmacological manipulations, fluorescent probes for transition metals have helped reveal a number of principles underlying transition metal dynamics. In this Account, we give three recent

  11. Measurement and calculations of long-lived radionuclide activity forming in the fast neutron field in some ITER construction steels

    Pohorecki, W., E-mail: poho@agh.edu.pl [AGH University of Science and Technology, Faculty of Energy and Fuels, Al. Mickiewicza 30, 30-059 Krakow (Poland); Jodłowski, P. [AGH University of Science and Technology, Faculty of Physics and Applied Computer Science, Al. Mickiewicza 30, 30-059 Krakow (Poland); Pytel, K.; Prokopowicz, R. [National Centre for Nuclear Research, ul. Sołtana 7, 05-400 Otwock-Świerk (Poland)

    2014-10-15

    Highlights: • Measurement and calculations of long-lived gamma-emitting radionuclide activity forming in the fission reactor fast neutron field were done, in some ITER construction steels. • The neutron flux density was measured by means of activation foil method and unfolding technique. • Activity calculations were done by means of FISPACT-II code using the activation libraries EAF-2010 and TALYS-2011. • The activity measurements were done by means of gamma-ray spectrometry. - Abstract: Measurement and calculations of long-lived gamma-emitting radionuclide activity forming in the fission reactor fast neutron field were done, for some ITER construction steels. The activation was conducted in fast neutron irradiation channel of the MARIA research fission reactor (Poland). The dimensions of steel samples were 10 mm × 10 mm × 1 mm and mass was approximately 0.8 g. The neutron flux density was measured by means of activation foil method and unfolding technique; fraction of neutrons above 1 keV was 95%. The activation lasted 242 h and cooling took 100 days; the mean neutron flux density was 2.9E12 n/(cm{sup 2} s) (neutrons above 500 keV are 53% of total) whereas total fluency 2.53E18 cm{sup −2}. The activity measurements were done by means of gamma-ray spectrometry. Activity calculations were done by means of FISPACT-II code using the activation libraries EAF-2010 and TENDL-2011 and experimentally determined neutron flux. Measured activity of long-lived gamma emitting radionuclides was, in average, about 6.3 MBq/g 100 days after activation; the dominant radionuclides were {sup 58}Co and {sup 54}Mn (about 81% and 14% of total activity respectively). The C/E ratio differs for particular radionuclides and is in the range 0.86–0.92 for {sup 51}Cr, 0.93–1.21 for {sup 54}Mn, 0.77–0.98 for {sup 57}Co, 0.91–1.21 for {sup 58}Co, 1.17–1.27 for {sup 59}Fe, and 1.75–2.44 for {sup 60}Co.

  12. Script generation of activities of daily living in HIV-associated neurocognitive disorders.

    Scott, J Cobb; Woods, Steven Paul; Vigil, Ofilio; Heaton, Robert K; Grant, Igor; Ellis, Ronald J; Marcotte, Thomas D

    2011-07-01

    Script generation describes one's ability to produce complex, sequential action plans derived from mental representations of everyday activities. The aim of this study was to assess the effect of human immunodeficiency virus (HIV) infection on script generation performance. Sixty HIV+ individuals (48% of whom had HIV-associated neurocognitive disorders [HAND]) and 26 demographically comparable HIV- participants were administered a novel, standardized test of script generation, which required participants to verbally generate and organize the necessary steps for completing six daily activities. HAND participants evidenced significantly more total errors, intrusions, and script boundary errors compared to the HIV- sample, indicating difficulties inhibiting irrelevant actions and staying within the prescribed boundaries of scripts, but had adequate knowledge of the relevant actions required for each script. These findings are generally consistent with the executive dysfunction and slowing common in HAND and suggest that script generation may play a role in everyday functioning problems in HIV.

  13. Phage lysin LysK can be truncated to its CHAP domain and retain lytic activity against live antibiotic-resistant staphylococci.

    Horgan, Marianne; O'Flynn, Gary; Garry, Jennifer; Cooney, Jakki; Coffey, Aidan; Fitzgerald, Gerald F; Ross, R Paul; McAuliffe, Olivia

    2009-02-01

    A truncated derivative of the phage endolysin LysK containing only the CHAP (cysteine- and histidine-dependent amidohydrolase/peptidase) domain exhibited lytic activity against live clinical staphylococcal isolates, including methicillin-resistant Staphylococcus aureus. This is the first known report of a truncated phage lysin which retains high lytic activity against live staphylococcal cells.

  14. Socio-demographic, health-related and psychosocial correlates of fear of falling and avoidance of activity in community-living older persons who avoid activity due to fear of falling

    Delbaere Kim

    2009-06-01

    Full Text Available Abstract Background Fear of falling and avoidance of activity are common in old age and are suggested to be (public health problems of equal importance to falls. Earlier studies of correlates of fear of falling and avoidance of activity did hardly differentiate between severe and mild levels of fear of falling and avoidance of activity which may be relevant from clinical point of view. Furthermore, most studies focused only on socio-demographics and/or health-related variables and hardly incorporated an extensive range of potential correlates of fear of falling including psychosocial variables. This study analyzes the univariate and multivariate associations between five socio-demographic, seven health-related and six psychosocial variables and levels of fear of falling and avoidance of activity in older persons who avoid activity due to fear of falling. Methods Cross-sectional study in 540 community-living older people aged ≥ 70 years with at least mild fear of falling and avoidance of activity. Chi-squares, t-tests and logistics regression analyses were performed to study the associations between the selected correlates and both outcomes. Results Old age, female sex, limitations in activity of daily living, impaired vision, poor perceived health, chronic morbidity, falls, low general self-efficacy, low mastery, loneliness, feelings of anxiety and symptoms of depression were identified as univariate correlates of severe fear of falling and avoidance of activity. Female sex, limitations in activity of daily living and one or more falls in the previous six months correlated independently with severe fear of falling. Higher age and limitations in activity of daily living correlated independently with severe avoidance of activity. Conclusion Psychosocial variables did not contribute independently to the difference between mild and severe fear of falling and to the difference between mild and severe avoidance of activity due to fear of falling

  15. Monitoring the effects of exposure to lead and cadmium in working and living environment through standard biochemical blood parameters and liver endonucleases activity

    Nikolić Ružica S.

    2011-01-01

    Full Text Available Heavy metals as pollutants in the working and living environment are a serious health and environmental problem because they are toxic, non-biodegradable, accumulate in living systems and have a long half-life in soil. Sources of lead contamination are combustion products in the chemical industry and metallurgy, industrial waste water, landfills, traffic etc. Lead enters into the body via the food chain and drinking water. In the body lead is deposited in the liver, kidneys, brain and mineral tissues. Excretion of lead causes damage to the epithelial cells of certain organs. High level exposure to cadmium is usually the result of environmental pollution by human activities. Exposure to cadmium can lead to acute and chronic tissue damage of various organs, including liver and kidneys in humans and in animals. In this paper we analyzed the effects of lead and cadmium exposure, in working and living environment, on the model system of experimental animals, particularly the activity of certain liver enzymes, acid and alkaline DNase, and standard biochemical blood parameters. The study showed that lead and cadmium significantly affect the protein content, red blood cells, hemoglobin and hematocrit, and the activity of liver enzymes. This harmful effect of this toxic metal can be reduced by the supplements.

  16. A New Nanobody-Based Biosensor to Study Endogenous PARP1 In Vitro and in Live Human Cells.

    Buchfellner, Andrea; Yurlova, Larisa; Nüske, Stefan; Scholz, Armin M; Bogner, Jacqueline; Ruf, Benjamin; Zolghadr, Kourosh; Drexler, Sophie E; Drexler, Guido A; Girst, Stefanie; Greubel, Christoph; Reindl, Judith; Siebenwirth, Christian; Romer, Tina; Friedl, Anna A; Rothbauer, Ulrich

    2016-01-01

    Poly(ADP-ribose) polymerase 1 (PARP1) is a key player in DNA repair, genomic stability and cell survival and it emerges as a highly relevant target for cancer therapies. To deepen our understanding of PARP biology and mechanisms of action of PARP1-targeting anti-cancer compounds, we generated a novel PARP1-affinity reagent, active both in vitro and in live cells. This PARP1-biosensor is based on a PARP1-specific single-domain antibody fragment (~ 15 kDa), termed nanobody, which recognizes the N-terminus of human PARP1 with nanomolar affinity. In proteomic approaches, immobilized PARP1 nanobody facilitates quantitative immunoprecipitation of functional, endogenous PARP1 from cellular lysates. For cellular studies, we engineered an intracellularly functional PARP1 chromobody by combining the nanobody coding sequence with a fluorescent protein sequence. By following the chromobody signal, we were for the first time able to monitor the recruitment of endogenous PARP1 to DNA damage sites in live cells. Moreover, tracing of the sub-nuclear translocation of the chromobody signal upon treatment of human cells with chemical substances enables real-time profiling of active compounds in high content imaging. Due to its ability to perform as a biosensor at the endogenous level of the PARP1 enzyme, the novel PARP1 nanobody is a unique and versatile tool for basic and applied studies of PARP1 biology and DNA repair.

  17. A New Nanobody-Based Biosensor to Study Endogenous PARP1 In Vitro and in Live Human Cells.

    Andrea Buchfellner

    Full Text Available Poly(ADP-ribose polymerase 1 (PARP1 is a key player in DNA repair, genomic stability and cell survival and it emerges as a highly relevant target for cancer therapies. To deepen our understanding of PARP biology and mechanisms of action of PARP1-targeting anti-cancer compounds, we generated a novel PARP1-affinity reagent, active both in vitro and in live cells. This PARP1-biosensor is based on a PARP1-specific single-domain antibody fragment (~ 15 kDa, termed nanobody, which recognizes the N-terminus of human PARP1 with nanomolar affinity. In proteomic approaches, immobilized PARP1 nanobody facilitates quantitative immunoprecipitation of functional, endogenous PARP1 from cellular lysates. For cellular studies, we engineered an intracellularly functional PARP1 chromobody by combining the nanobody coding sequence with a fluorescent protein sequence. By following the chromobody signal, we were for the first time able to monitor the recruitment of endogenous PARP1 to DNA damage sites in live cells. Moreover, tracing of the sub-nuclear translocation of the chromobody signal upon treatment of human cells with chemical substances enables real-time profiling of active compounds in high content imaging. Due to its ability to perform as a biosensor at the endogenous level of the PARP1 enzyme, the novel PARP1 nanobody is a unique and versatile tool for basic and applied studies of PARP1 biology and DNA repair.

  18. The Economic Domino Effect: A Phenomenological Study Exploring Community College Faculty's Lived Experiences during Financial Hard Times in Higher Education

    Taylor, Tridai A.

    2014-01-01

    This qualitative study explored the lived experiences of eight full-time community college faculty members who taught during the economic crisis of 2008. The study was guided by the central research question, "How do community college faculty members describe their lived experiences regarding the recent economic crisis of 2008 and its impact…

  19. A l'ecole maternelle francaise: Vivre ensemble et pratiquer des activities d'art plastique. [In a French Nursery School: Living and Creating Together].

    International Journal of Early Childhood, 1999

    1999-01-01

    Discusses the role of collective creative activity in developing preschool children's multicultural understanding and ability to live together. Notes artistic and language-based activities used in French preschools to teach these concepts and develop critical and responsible behavior. (JPB)

  20. Incidence of Malignancy after Living Kidney Transplantation: A Multicenter Study from Iran

    Einollahi, Behzad; Rostami, Zohreh; Nourbala, Mohammad Hossein; Lessan-Pezeshki, Mahboob; Simforoosh, Naser; Nemati, Eghlim; Pourfarziani, Vahid; Beiraghdar, Fatemeh; Nafar, Mohsen; Pour-Reza-Gholi, Fatemeh; Mazdeh, Mitra Mahdavi; Amini, Manochehr; Ahmadpour, Pedram; Makhdoomi, Khadijeh; Ghafari, Ali; Ardalan, Mohammad Reza; Khosroshahi, Hamid Taebi; Oliaei, Farshid; Shahidi, Shahrzad; Abbaszadeh, Shahin; Fatahi, Mohammad Reza; Hiedari, Fatemeh; Makhlogh, Atehieh; Azmandian, Jalal; Samimagham, Hamid Reza; Shahbazian, Heshmatollah; Nazemian, Fatemeh; Naghibi, Massih; Khosravi, Masoud; Monfared, Ali; Mosavi, Seyed Majid; Ahmadi, Javad; Jalalzadeh, Mojgan

    2012-01-01

    Malignancy is a common complication after renal transplantation. However, limited data are available on post-transplant malignancy in living kidney transplantation. Therefore, we made a plan to evaluate the incidence and types of malignancies, association with the main risk factors and patient survival in a large population of living kidney transplantation. We conducted a large retrospective multicenter study on 12525 renal recipients, accounting for up to 59% of all kidney transplantation in Iran during 22 years follow up period. All information was collected from observation of individual notes or computerized records for transplant patients. Two hundred and sixty-six biopsy-proven malignancies were collected from 16 Transplant Centers in Iran; 26 different type of malignancy categorized in 5 groups were detected. The mean age of patients was 46.2±12.9 years, mean age at tumor diagnosis was 50.8±13.2 years and average time between transplantation and detection of malignancy was 50.0±48.4 months. Overall tumor incidence in recipients was 2%. Kaposis' sarcoma was the most common type of tumor. The overall mean survival time was 117.1 months (95% CI: 104.9-129.3). In multivariate analysis, the only independent risk factor associated with mortality was type of malignancy. This study revealed the lowest malignancy incidence in living unrelated kidney transplantation. PMID:22712025

  1. Incidence of Malignancy after Living Kidney Transplantation: A Multicenter Study from Iran

    Behzad Einollahi, Zohreh Rostami, Mohammad Hossein Nourbala, Mahboob Lessan-Pezeshki, Naser Simforoosh, Eghlim Nemati, Vahid Pourfarziani, Fatemeh Beiraghdar, Mohsen Nafar, Fatemeh Pour-Reza-Gholi, Mitra Mahdavi Mazdeh, Manochehr Amini, Pedram Ahmadpour,

    2012-01-01

    Full Text Available Malignancy is a common complication after renal transplantation. However, limited data are available on post-transplant malignancy in living kidney transplantation. Therefore, we made a plan to evaluate the incidence and types of malignancies, association with the main risk factors and patient survival in a large population of living kidney transplantation. We conducted a large retrospective multicenter study on 12525 renal recipients, accounting for up to 59% of all kidney transplantation in Iran during 22 years follow up period. All information was collected from observation of individual notes or computerized records for transplant patients. Two hundred and sixty-six biopsy-proven malignancies were collected from 16 Transplant Centers in Iran; 26 different type of malignancy categorized in 5 groups were detected. The mean age of patients was 46.2±12.9 years, mean age at tumor diagnosis was 50.8±13.2 years and average time between transplantation and detection of malignancy was 50.0±48.4 months. Overall tumor incidence in recipients was 2%. Kaposis' sarcoma was the most common type of tumor. The overall mean survival time was 117.1 months (95% CI: 104.9-129.3. In multivariate analysis, the only independent risk factor associated with mortality was type of malignancy. This study revealed the lowest malignancy incidence in living unrelated kidney transplantation.

  2. Evaluation of properties of the Vestibular Disorders Activities of Daily Living Scale (Brazilian version in an elderly population

    Natalia A. Ricci

    2014-05-01

    Full Text Available Background: The Vestibular Disorders Activities of Daily Living Scale (VADL is considered an important subjective assessment to evaluate patients suffering from dizziness and imbalance. Although frequently used, its metric characteristics still require further investigation. Objective: This paper aims to analyze the psychometric properties of the Brazilian version of the VADL in an elderly population. Method: The sample comprises patients (≥65 years old with chronic dizziness resulting from vestibular disorders. For discriminant analysis, patients were compared to healthy subjects. All subjects answered the VADL-Brazil by interview. To examine the VADL validity, patients filled out the Dizziness Handicap Inventory (DHI and the ABC scale and were tested on the Dynamic Gait Index (DGI. To evaluate the VADL responsiveness, 20 patients were submitted to rehabilitation. Results: Patients (n=140 had a VADL total score of 4.1±1.6 points. Healthy subjects scored significantly less than patients in all the subscales and in the VADL total score. The VADL-Brazil was weakly correlated with the DHI and moderately to the ABC scale and the DGI. Instead of the original 3 subscales, factor analysis resulted in 6 factors. The VADL was capable of detecting changes after rehabilitation, which means that the instrument has responsiveness. Conclusions: This study provided more data about the psychometric properties and usefulness of the VADL-Brazil. The use of such a reliable and valid instrument increases the knowledge about disability in patients with vestibular disorders.

  3. The Elderly's Independent Living in Smart Homes: A Characterization of Activities and Sensing Infrastructure Survey to Facilitate Services Development.

    Ni, Qin; García Hernando, Ana Belén; de la Cruz, Iván Pau

    2015-01-01

    Human activity detection within smart homes is one of the basis of unobtrusive wellness monitoring of a rapidly aging population in developed countries. Most works in this area use the concept of "activity" as the building block with which to construct applications such as healthcare monitoring or ambient assisted living. The process of identifying a specific activity encompasses the selection of the appropriate set of sensors, the correct preprocessing of their provided raw data and the learning/reasoning using this information. If the selection of the sensors and the data processing methods are wrongly performed, the whole activity detection process may fail, leading to the consequent failure of the whole application. Related to this, the main contributions of this review are the following: first, we propose a classification of the main activities considered in smart home scenarios which are targeted to older people's independent living, as well as their characterization and formalized context representation; second, we perform a classification of sensors and data processing methods that are suitable for the detection of the aforementioned activities. Our aim is to help researchers and developers in these lower-level technical aspects that are nevertheless fundamental for the success of the complete application.

  4. Near-Infrared Light Activation of Proteins Inside Living Cells Enabled by Carbon Nanotube-Mediated Intracellular Delivery.

    Li, He; Fan, Xinqi; Chen, Xing

    2016-02-01

    Light-responsive proteins have been delivered into the cells for controlling intracellular events with high spatial and temporal resolution. However, the choice of wavelength is limited to the UV and visible range; activation of proteins inside the cells using near-infrared (NIR) light, which has better tissue penetration and biocompatibility, remains elusive. Here, we report the development of a single-walled carbon nanotube (SWCNT)-based bifunctional system that enables protein intracellular delivery, followed by NIR activation of the delivered proteins inside the cells. Proteins of interest are conjugated onto SWCNTs via a streptavidin-desthiobiotin (SA-DTB) linkage, where the protein activity is blocked. SWCNTs serve as both a nanocarrier for carrying proteins into the cells and subsequently a NIR sensitizer to photothermally cleave the linkage and release the proteins. The released proteins become active and exert their functions inside the cells. We demonstrated this strategy by intracellular delivery and NIR-triggered nuclear translocation of enhanced green fluorescent protein, and by intracellular delivery and NIR-activation of a therapeutic protein, saporin, in living cells. Furthermore, we showed that proteins conjugated onto SWCNTs via the SA-DTB linkage could be delivered to the tumors, and optically released and activated by using NIR light in living mice.

  5. Improving Personal Characterization of Meaningful Activity in Adults with Chronic Conditions Living in a Low-Income Housing Community

    Carrie A. Ciro

    2015-09-01

    Full Text Available Purpose: To understand how adults living in a low-income, public housing community characterize meaningful activity (activity that gives life purpose and if through short-term intervention, could overcome identified individual and environmental barriers to activity engagement. Methods: We used a mixed methods design where Phase 1 (qualitative informed the development of Phase 2 (quantitative. Focus groups were conducted with residents of two low-income, public housing communities to understand their characterization of meaningful activity and health. From these results, we developed a theory-based group intervention for overcoming barriers to engagement in meaningful activity. Finally, we examined change in self-report scores from the Meaningful Activity Participation Assessment (MAPA and the Engagement in Meaningful Activity Survey (EMAS. Results: Health literacy appeared to impact understanding of the questions in Phase 1. Activity availability, transportation, income and functional limitations were reported as barriers to meaningful activity. Phase 2 within group analysis revealed a significant difference in MAPA pre-post scores (p =0.007, but not EMAS (p =0.33. Discussion: Health literacy should be assessed and addressed in this population prior to intervention. After a group intervention, participants had a change in characterization of what is considered healthy, meaningful activity but reported fewer changes to how their activities aligned with their values.

  6. Role of apheresis and dialysis in pediatric living donor liver transplantation: a single center retrospective study.

    Sanada, Yukihiro; Mizuta, Koichi; Urahashi, Taizen; Ihara, Yoshiyuki; Wakiya, Taiichi; Okada, Noriki; Yamada, Naoya; Koinuma, Toshitaka; Koyama, Kansuke; Tanaka, Shinichiro; Misawa, Kazuhide; Wada, Masahiko; Nunomiya, Shin; Yasuda, Yoshikazu; Kawarasaki, Hideo

    2012-08-01

    In the field of pediatric living donor liver transplantation, the indications for apheresis and dialysis, and its efficacy and safety are still a matter of debate. In this study, we performed a retrospective investigation of these aspects, and considered its roles. Between January 2008 and December 2010, 73 living donor liver transplantations were performed in our department. Twenty seven courses of apheresis and dialysis were performed for 19 of those patients (19/73; 26.0%). The indications were ABO incompatible-liver transplantation in 11 courses, fluid management in seven, acute liver failure in three, renal replacement therapy in two, endotoxin removal in two, cytokine removal in one, and liver allograft dysfunction in one. Sixteen courses of apheresis and dialysis were performed prior to liver transplantation for 14 patients. The median IgM antibody titers before and after apheresis for ABO blood type-incompatible liver transplantation was 128 and eight, respectively (P apheresis and dialysis were performed post liver transplantation for 10 patients. The median PaO2/FiO2 ratio before and after dialysis for fluid overload was 159 and 339, respectively (P apheresis and dialysis occurred. The 1-year survival rate of the patients was 100%. Apheresis and dialysis in pediatric living donor liver transplantation are effective for antibody removal in ABO-incompatible liver transplantation, and fluid management for acute respiratory failure.

  7. Prevalence of functional disability in activities of daily living (ADL), instrumental activities of daily living (IADL) and associated factors, as predictors of morbidity and mortality.

    Millán-Calenti, José C; Tubío, Javier; Pita-Fernández, Salvador; González-Abraldes, Isabel; Lorenzo, Trinidad; Fernández-Arruty, Teresa; Maseda, Ana

    2010-01-01

    The aim of this study is to establish the existing relationship among variables referred to the person, specifically age and gender, and the functional dependence in basic ADL and in IADL, as well as the possible relationship it has with the increase of morbidity and mortality in a random sample of 598 individuals older than 65 years. Of these individuals, 34.6% were categorized as dependent for at least one ADL, and 53.5% if we refer to IADL. Regarding the ADL, the risk of dependence increases (odds ratio=OR=1.089) per year of age, (OR=2.48) in women's case; while there is an IADL correlation between age and the score (r=-0.527; pIADL: r=-0.97, p=0.003), the number of visits to the doctor (ADL: r=-0.27, pIADL: r=-0.25, pIADL: p<0.001). There is a significant association between age, gender and dependence, as well as between dependence and morbidity and mortality, so that dependence could be used as a predictor of both.

  8. Effect of six-month standardized tertiary rehabilitation program on the activities of daily living in stroke patients with hemiplegia

    2007-01-01

    BACKGROUND: At present, there are many studies on the rehabilitation therapy of stroke patients with hemiplegia, but there is deficiency of corresponding standardized rehabilitation program.OBJECTIVE: To explore the effects of standardized tertiary rehabilitation on the activities of daily living in stroke patients with hemiplegia within 6 months after attack.DESIGN: A clinical observation.SETTING: Department of Rehabilitation Medicine, Huashan Hospital of Fudan University.PARTICIPANTS: Eighty-two outpatients and inpatients with acute stroke were selected from the Department of Neurology, Shanghai Huashan Hosptial from January 1999 to June 2003, including 49 males and 33 females, 40 - 80 years of age, with a mean age of (65 ± 11) years old. Inclusive criteria: According to the diagnostic standards for cerebrovascular diseases set by Fourth National Academic Meeting for Cerebrovascular Disease in 1995, the patients were diagnosed as new attack of cerebral infarction or cerebral hemorrhage, and confirmed by CT or MRI to be initial patients; They should be accorded with the following conditions, including within 1 week after stabilization of life signs, Glasgow coma score > 8 points, 40 - 80 years of age, with disturbance of limb function. Informed consents were obtained from all the patients or their relatives. Exclusive criteria: Patients were excluded due to active liver disease, liver and kidney malfunction, congestive heart failure, malignant tumor, history of dementia, failure in respiratory function,tetraplegia; cerebral infarction or cerebral hemorrhage for more than 3 weeks; unable to be followed up due to in other cities and provinces; psychiatric history; deafness and muteness. According to the will of the patients or their relatives, the patients who accepted the standardized rehabilitation program were enrolled as the treatment group (n =42), and the others as the control group (n =40). Approval was obtained from the ethical committee of the hospital

  9. Comparative study on presentation of biliary ascariasis with dead and living worms

    Alam Shahinul

    2010-01-01

    Full Text Available Background/Aim: Ascariasis is a common parasitic infestation in Asia and Latin America. The most serious presentation is biliary and pancreatic ascariasis (BPA. The aim of the present study was to compare the clinical presentation of BPA with dead worms with that with living worms. Materials and Methods: We included 138 consecutive cases of BPA that occured during the period January 2005 to July 2009. All the patients had endoscopically proven BPA consisting of living or dead worms. Comparison was done by chi-square and independent t tests. Results: The age (mean ± SD of the patients was 36.8 ± 16.1 years. Prevalence ratio between male and female patients was 1:5. Ninety eight patients contained living worms and 40 had dead worms. Males were more prone to develop dead worm BPA. The commonest presentation was biliary colic (131; 94.9%; others were acute cholangitis (30; 21.7%, obstructive jaundice (19; 13.8%, choledocholithiasis (20; 14.5%, acute pancreatitis (10; 7.2%, acute cholecystitis (6; 4.3%, liver abscess (2; 1.4%, hepatolithiasis (3; 2.2%, stricture of common bile duct (2; 1.4%, pancreatic abscess (1; 0.7% and cirrhosis of liver (1; 0.7%. Choledocholithiasis, hepatolithiasis, liver abscess and cirrhosis were associated only with dead worms. We could successfully remove all the worms with endoscopic interventions, but 5 patients required surgical intervention as there were strictures and stones within the biliary tree or Ascaris were in gallbladder. Recurrences of stone and cholangitis occurred only in those with dead worms. Conclusion: Biliary ascariasis with dead worms is more dangerous than that with living worms. Endoscopic or surgical intervention may be required repeatedly in those with dead worms.

  10. Translating the Dutch Walking Stairs, Walking Ability and Rising and Sitting Questionnaires into German and assessing their concurrent validity with VAS measures of pain and activities in daily living

    Perez Roberto SGM

    2010-06-01

    Full Text Available Abstract Background The Dutch Walking Stairs, Walking Ability and Rising and Sitting Questionnaires are three validated instruments to measure physical activity and limitations in daily living in patients with lower extremity disorders living at home of which no German equivalents are available. Our scope was to translate the Walking Stairs, Walking Ability and Rising and Sitting Questionnaires into German and to verify its concurrent validity in the two domains pain and activities in daily living by comparing them with the corresponding measures on the Visual Analogue Scale. Methods We translated the Walking Stairs, Walking Ability and Rising and Sitting Questionnaires according to published guidelines. Demographic data and validity were assessed in 52 consecutive patients with Complex Regional Pain Syndrome 1 of the lower extremity. Information on age, duration of symptoms, type of Complex Regional Pain Syndrome 1 and type of initiating event were obtained. We assessed the concurrent validity in the two domains pain and activities in daily living by comparing them with the corresponding measures on the Visual Analogue Scale. Results We found that variability in the German Walking Stairs, Walking Ability and Rising and Sitting Questionnaires was largely explained by measures of pain and activities in daily living on the Visual Analogue Scale. Conclusion Our study shows that the domains pain and activities in daily living are properly represented in the German versions of the Walking Stairs, Walking Ability and Raising and Sitting Questionnaires. We would like to propagate their use in clinical practice and research alike.

  11. Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology

    Sacco G

    2012-12-01

    Full Text Available Guillaume Sacco,1–3 Véronique Joumier,1,4 Nelly Darmon,1 Arnaud Dechamps,1,5 Alexandre Derreumaux,1,3 Ji-Hyun Lee,2 Julie Piano,2 Nathalie Bordone,2 Alexandra Konig,1,6 Bernard Teboul,3 Renaud David,1,2 Olivier Guerin,1,3 François Bremond,1,4 Philippe Robert1,21EA CoBTeK, Université de Nice Sophia-Antipolis, 2Centre Mémoire de Ressource et de Recherche, CHU de Nice, 3Plateforme Patient du Centre d'Innovation et d'Usage en Santé, CHU de Nice, 4Equipe Stars, Institut National de Recherche en Informatique et en Automatique (INRIA, Sophia-Antipolis, France; 5University of Pancasila, Department of Psychology, Jakarta, Indonesia; 6University of Maastricht, Faculty of Psychology and Neuropsychology, Department of Psychiatry and Neuropsychology, Maastricht, The NetherlandsBackground: One of the key clinical features of Alzheimer's disease (AD is impairment in daily functioning. Patients with mild cognitive impairment (MCI also commonly have mild problems performing complex tasks. Information and communication technology (ICT, particularly techniques involving imaging and video processing, is of interest in order to improve assessment. The overall aim of this study is to demonstrate that it is possible using a video monitoring system to obtain a quantifiable assessment of instrumental activities of daily living (IADLs in AD and in MCI.Methods: The aim of the study is to propose a daily activity scenario (DAS score that detects functional impairment using ICTs in AD and MCI compared with normal control group (NC. Sixty-four participants over 65 years old were included: 16 AD matched with 10 NC for protocol 1 (P1 and 19 MCI matched with 19 NC for protocol 2 (P2. Each participant was asked to undertake a set of daily tasks in the setting of a “smart home” equipped with two video cameras and everyday objects for use in activities of daily living (8 IADLs for P1 and 11 for P2, plus 4 temporal execution constraints. The DAS score was then computed

  12. Lectin Conjugated Gold Nanoparticle-based Colorimetric Assay for Studying the Interactions of Antibiotic with Living Cell

    WANG Jin-e; WANG Cheng-ke; LIU Dian-jun; WANG Zhen-xin

    2011-01-01

    The interactions of antibiotic with living cells were studied by iectin conjugated gold nanoparticles(GNPs)based colorimetric assay. Because of the high affinity of lectin for saccharides, the lectin conjugated GNPs are able to employ as indicators for monitoring the antibiotic induced changes of glycosyl complexes. The interactions of a well known antibiotic, tunicamycin, with two different cell lines, HeLa and SHG-44, were selected to establish this assay.In the presence of tunicamycin, the dose- and time-dependence on the decreasing of binding affinity of lectin conjugated GNPs with living cells were demonstrated by conventional microscopic and UV-Vis spectroscopic studies. The experimental result demonstrates that our approach can be used to identify antibiotic induced expression difference of glycosyl complexes on different cellular surfaces and determine drug activity quantitatively. For further confirming the capability of the GNP-based assay, the system was also studied by confocal laser scanning microscopy(CLSM)and classic flow cytometry(FCM) assay, and satisfactory results were obtained.

  13. Physical activity among older Chinese adults living in urban and rural areas: A review

    Wenfei Zhu

    2016-09-01

    Full Text Available With an increase in rural-to-urban migration, a rapidly aging population, and the rising risk of developing noncommunicable diseases in China, it is important to understand the epidemiology of physical activity (PA and health in the context of disease prevention and population health. Despite its public health importance, there is a significant lack of knowledge about PA in older Chinese adults that may hamper primary prevention efforts of health promotion in an increasingly aging population. To fill this gap, this article presents a narrative review of PA in the older Chinese adult population with a special focus on residential settings (i.e., urban and rural. Using existing studies, the review examines overall PA patterns and their correlates and discusses public health implications and future research. Although there are some preliminary indications of urban and rural differences in PA in the aging population in China, continued research efforts are needed to facilitate primary prevention efforts aimed at reducing noncommunicable diseases and promoting an active lifestyle among the largest population of older people in the world.

  14. Understanding Barriers and Facilitators to Healthy Eating and Active Living in Rural Communities

    Rebecca Seguin

    2014-01-01

    Full Text Available Objective. Studies demonstrate that people’s food and physical activity (PA environments influence behavior, yet research examining this in rural communities is limited. Methods. Focus groups of 8–15 women were conducted in rural communities in seven US states. Questions were designed to identify factors within residents’ food and PA environments they felt helped or hindered them from eating healthfully and being physically active. Results. Participants were aged 30–84 years; mean (SD = 61 (14 (N=95. On average, communities had fewer than 5,000 residents. Limited time, social norms, and distances from or lack of exercise facilities were common PA barriers. Facilitators for PA included social support, dog walking, and availability of affordable facilities. Healthy eating barriers included the perception that healthy foods were too expensive; calorically dense large portion sizes served at family meals; and frequency of eating foods away from home, which were perceived as generally unhealthy. Healthy eating supports included culture/value around local food gathering (e.g., hunting and gardening and preservation (e.g., canning and smoking. Friends and family were frequently identified as key influencers of eating and PA behavior. Conclusions. Targeting both social and built environment factors, particularly those unique to rural locales, may enhance support for healthy eating and PA behavior change interventions.

  15. Physical activity among older Chinese adults living in urban and rural areas:A review

    Wenfei Zhu; Aiping Chi; Yuliang Sun

    2016-01-01

    With an increase in rural-to-urban migration, a rapidly aging population, and the rising risk of developing noncommunicable diseases in China, it is important to understand the epidemiology of physical activity (PA) and health in the context of disease prevention and population health. Despite its public health importance, there is a significant lack of knowledge about PA in older Chinese adults that may hamper primary prevention efforts of health promotion in an increasingly aging population. To fill this gap, this article presents a narrative review of PA in the older Chinese adult population with a special focus on residential settings (i.e., urban and rural). Using existing studies, the review examines overall PA patterns and their correlates and discusses public health implications and future research. Although there are some preliminary indications of urban and rural differences in PA in the aging population in China, continued research efforts are needed to facilitate primary prevention efforts aimed at reducing noncommunicable diseases and promoting an active lifestyle among the largest population of older people in the world.

  16. The Health Benefits and Challenges of Exercise Training in Persons Living with Schizophrenia: A Pilot Study

    Donna J. Lang

    2013-05-01

    Full Text Available Background: In addition to the hallmark cognitive and functional impairments mounting evidence indicates that schizophrenia is also associated with an increased risk for the development of secondary complications, in particular cardio-metabolic disease. This is thought to be the result of various factors including physical inactivity and the metabolic side effects of psychotropic medications. Therefore, non-pharmacological approaches to improving brain health, physical health, and overall well-being have been promoted increasingly. Methods: We report on the health-related physical fitness (body composition, blood pressure, heart rate, and aerobic fitness and lipid profile of persons living with schizophrenia and effective means to address the challenges of exercise training in this population. Results: There was a markedly increased risk for cardio-metabolic disease in 13 persons living with schizophrenia (Age = 31 ± 7 years including low aerobic fitness (76% ± 34% of predicted, reduced HDL (60% of cohort, elevated resting heart rate (80% of cohort, hypertension (40% of cohort, overweight and obesity (69% of cohort, and abdominal obesity (54% of cohort. Individualized exercise prescription (3 times/week was well tolerated, with no incidence of adverse exercise-related events. The exercise adherence rate was 81% ± 21% (Range 48%–100%, and 69% of the participants were able to complete the entire exercise training program. Exercise training resulted in clinically important changes in physical activity, aerobic fitness, exercise tolerance, blood pressure, and body composition. Conclusion: Persons living with schizophrenia appear to be at an increased risk for cardio-metabolic disease. An individualized exercise program has shown early promise for the treatment of schizophrenia and the various cognitive, functional, and physiological impairments that ultimately affect health and well-being.

  17. Cognitive impairment categorized in community-dwelling older adults with and without dementia using in-home sensors that recognise activities of daily living

    Urwyler, Prabitha; Stucki, Reto; Rampa, Luca; Müri, René; Mosimann, Urs P.; Nef, Tobias

    2017-02-01

    Cognitive impairment due to dementia decreases functionality in Activities of Daily Living (ADL). Its assessment is useful to identify care needs, risks and monitor disease progression. This study investigates differences in ADL pattern-performance between dementia patients and healthy controls using unobtrusive sensors. Around 9,600 person-hours of activity data were collected from the home of ten dementia patients and ten healthy controls using a wireless-unobtrusive sensors and analysed to detect ADL. Recognised ADL were visualized using activity maps, the heterogeneity and accuracy to discriminate patients from healthy were analysed. Activity maps of dementia patients reveal unorganised behaviour patterns and heterogeneity differed significantly between the healthy and diseased. The discriminating accuracy increases with observation duration (0.95 for 20 days). Unobtrusive sensors quantify ADL-relevant behaviour, useful to uncover the effect of cognitive impairment, to quantify ADL-relevant changes in the course of dementia and to measure outcomes of anti-dementia treatments.

  18. Return to normal activities and work after living donor laparoscopic nephrectomy.

    Larson, Dawn B; Jacobs, Cheryl; Berglund, Danielle; Wiseman, Jennifer; Garvey, Catherine; Gillingham, Kristen; Ibrahim, Hassan N; Matas, Arthur J

    2017-01-01

    Transplant programs inform potential donors that they should be able to return to normal activities within ~2 weeks and to work by 6 weeks after laparoscopic nephrectomy. We studied actual time. Between 10/2004 and 9/2014, 911 donors having laparoscopic nephrectomy were surveyed 6 months post-donation. Surveys asked questions specific to their recovery experience, including time to return to normal activities and work and a description of their recovery time relative to pre-donation expectations. Of the 911, 646 (71%) responded: mean age at donation was 43.5±10.6 years; 65% were female, 95% were white, 51% were biologically related to their recipient, and 83% reported education beyond high school. Of the 646 respondents, a total of 35% returned to normal activities by 2 weeks post-donation; 79% by 4 weeks post-donation; 94% by 5-6 weeks; however, 6% took >6 weeks. Of the 646, 551 (85%) were working for pay; of these, mean time to return to work was 5.3±2.8 weeks; median, 5 weeks. Of the 551, a total of 14% returned to work in 1-2 weeks, 46% by 3-4 weeks, and 76% by 5-6 weeks. Importantly, 24% required >6 weeks before returning to work with the highest rates for donors in manual labor or a skilled trade. Significantly longer return to work was reported by females (vs males; P=.01), those without (vs those with) post-high school education (P=.010, those with longer hospital stay (P=.01), and those with a postoperative complication (P=.02). Of respondents, 37% described their recovery time as longer than expected. During the donor informed consent process, additional emphasis on realistic expectations around recovery to baseline activities and return to work is warranted.

  19. Neuroticism, Social Support and Activities of Daily Living in the Health Longevity Survey of the Old in China

    Wu, Na

    2010-01-01

    Previous studies concerning with the relationship of neuroticism and social support in areas of health suggested that neuroticism is highly associated with health problems and social support could reduce the effect of neuroticism on health as a mediator. Therefore, this study examined these findings for older people in China. Based on Chinese Longitudinal Health Longevity Survey dataset, 11,147 participants living in 22 of the 31 provinces in China were interviewed in 2000 by self-report ques...

  20. Morir con dignidad: Estudio sobre voluntades anticipadas Dying with dignity: A study of living wills

    Cristina Nebot

    2010-12-01

    draw up a living will, to analyze physicians´ knowledge of living wills and attitudes toward them, and to compare the regulations pertaining to this right in the distinct autonomous regions of Spain. Method: A descriptive study that included an analysis of a systematic sample of 931 living wills registered in the autonomous region of Valencia (Spain, a self-administered structured questionnaire administered to a sample of 84 physicians working in emergency departments and intensive care units (45% response rate, and a comparison of the regional legislation covering living wills. Results: A total of 1.6% of inhabitants aged 16 or over had registered a living will (female/male ratio: 1.8/1. Most (73.8% used a standard document drawn up by a particular religious faith. The most common reasons for writing a living will were to limit therapeutic efforts (99% and obtain pain-relieving drugs (98%. Although 61 physicians (72.6% frequently attended the terminally ill, only 6% consulted the register of living wills in these situations and 28% did not know how to consult this register. There is wide variation among regions in the minimum age for registering a living will, in the procedure to be followed if the signer is pregnant, in designating a person as having the authority to make a living will, and in the number of registration points available to deposit livingwills. Conclusions: Most persons registering a living will are healthy individuals with a particular religious faith who reject certain treatments. Most health professionals do not check whether critically ill patients have made a living will. Exercising the rights contained in living wills is complicated by the diversity of criteria among different regions.

  1. Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities

    Horikawa A

    2014-10-01

    Full Text Available Akira Horikawa,1 Naohisa Miyakoshi,2 Yoichi Shimada,2 Hiroyuki Kodama1 1South Akita Orthopedic Clinic, Katagami, 2Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan Abstract: With the population and proportion of the elderly increasing each year, ­difficulties with postoperative treatment outcomes after osteoporotic hip fracture are increasing. This study focused on activities of daily living (ADL in patients who underwent surgery for hip fracture through an investigation of living arrangements, the presence of dementia, and other complications of aging. Information from 99 patients who lived either at home or in geriatric health service facilities was collected for this trial. Most patients were over 65 years of age and female, and about half of them had dementia. The postoperative ADL score (focusing on patients’ walking ability was significant for those living at home than for those living in facilities. In addition, patients with dementia were divided into the following two categories: an early-rising group, comprising patients who were able to use a wheelchair within 48 hours of their operation; and a late-rising group, who did not start using a wheelchair until more than 48 hours after surgery. The ADL scores for the two groups were compared. Although the preoperative ADL scores were not significantly different between the two groups, postoperative ADL scores were significantly higher in the early-rising group than in the late-rising group, especially in patients who had undergone hemiarthroplasty. These data suggest that ADL in dementia patients following hip fracture depends on the surgical procedure performed and whether they are late or early risers after surgery. Keywords: delirium, dementia, rehabilitation, elderly

  2. Knee model sensitivity to cruciate ligaments parameters: a stability simulation study for a living subject.

    Bertozzi, Luigi; Stagni, Rita; Fantozzi, Silvia; Cappello, Angelo

    2007-01-01

    If the biomechanic function of the different anatomical sub-structures of the knee joint was needed in physiological conditions, the only possible way is a modelling approach. Subject-specific geometries and kinematic data, acquired from the same living subject, were the foundations of the 3D quasi-static knee model developed. Each cruciate ligament was modelled by means of 25 elastic springs, paying attention to the anatomical twisting of the fibres. The sensitivity of the model to the cross-sectional area was performed during the anterior/posterior tibial translations, the sensitivity to all the cruciate ligaments parameters was performed during the internal/external rotations. The model reproduced very well the mechanical behaviour reported in literature during anterior/posterior translations, in particular considering 30% of the mean insertional area. During the internal/external tibial rotations, similar behaviour of the axial torques was obtained in the three sensitivity analyses. The overlapping of the ligaments was assessed at about 25 degrees of internal axial rotation. The presented model featured a good level of accuracy in combination with a low computational weight, and it could provide an in vivo estimation of the role of the cruciate ligaments during the execution of daily living activities.

  3. A System Design for Studying Geriatric Patients with Dementia and Hypertension Based on Daily Living Information

    Xu, Weifeng; Betz, Willian R.; Frezza, Stephen T.; Liu, Yunkai

    2011-08-01

    Geriatric patients with dementia and hypertension (DAH) suffer both physically and financially. The needs of these patients mainly include improving the quality of daily living and reducing the cost of long-term care. Traditional treatment approaches are strained to meet these needs. The goal of the paper is to design an innovative system to provide cost-effective quality treatments for geriatric patients with DAH by collecting and analyzing the multi-dimensional personal information, such as observations in daily living (ODL) from a non-clinical environment. The proposed ODLs in paper include activities, cleanliness, blood pressure, medication compliance and mood changes. To complete the system design, an incremental user-centered strategy is exploited to assemble needs of patients, caregivers, and clinicians. A service-oriented architecture (SOA) is employed to make full use of existing devices, software systems, and platforms. This health-related knowledge can be interpreted and utilized to help patients with DAH remain in their homes safely and improve their life quality while reducing medical expenditures.

  4. Tempo-spatially resolved cellular dynamics of human immunodeficiency virus transacting activator of transcription (Tat) peptide-modified nanocargos in living cells

    Wei, Lin; Yang, Qiaoyu; Xiao, Lehui

    2014-08-01

    Understanding the cellular uptake mechanism and intracellular fate of nanocarriers in living cells is of great importance for the rational design of efficient drug delivery cargos as well as the development of robust biomedical diagnostic probes. In present study, with a dual wavelength view darkfield microscope (DWVD), the tempo-spatially resolved dynamics of Tat peptide-functionalized gold nanoparticles (TGNPs, with size similar to viruses) in living HeLa cells were extensively explored. It was found that energy-dependent endocytosis (both clathrin- and caveolae-mediated processes were involved) was the prevailing pathway for the cellular uptake of TGNPs. The time-correlated dynamic spatial distribution information revealed that TGNPs could not actively target the cell nuclei, which is contrary to previous observations based on fixed cell results. More importantly, the inheritance of TGNPs to the daughter cells through mitosis was found to be the major route to metabolize TGNPs by HeLa cells. These understandings on the cellular uptake mechanism and intracellular fate of nanocargos in living cells would provide deep insight on how to improve and controllably manipulate their translocation efficiency for targeted drug delivery.Understanding the cellular uptake mechanism and intracellular fate of nanocarriers in living cells is of great importance for the rational design of efficient drug delivery cargos as well as the development of robust biomedical diagnostic probes. In present study, with a dual wavelength view darkfield microscope (DWVD), the tempo-spatially resolved dynamics of Tat peptide-functionalized gold nanoparticles (TGNPs, with size similar to viruses) in living HeLa cells were extensively explored. It was found that energy-dependent endocytosis (both clathrin- and caveolae-mediated processes were involved) was the prevailing pathway for the cellular uptake of TGNPs. The time-correlated dynamic spatial distribution information revealed that TGNPs

  5. Study on the AFM Force Spectroscopy method for elastic modulus measurement of living cells

    Demichelis, A.; Pavarelli, S.; Mortati, L.; Sassi, G.; Sassi, M.

    2013-09-01

    The cell elasticity gives information about its pathological state and metastatic potential. The aim of this paper is to study the AFM Force Spectroscopy technique with the future goal of realizing a reference method for accurate elastic modulus measurement in the elasticity range of living cells. This biological range has not been yet explored with a metrological approach. Practical hints are given for the realization of a Sylgard elasticity scale. Systematic effects given by the sample curing thickness and nanoindenter geometry have been found with regards of the measured elastic modulus. AFM measurement reproducibility better than 20% is obtained in the entire investigated elastic modulus scale of 101 - 104 kPa.

  6. Talk the talk and walk the walk. Evaluation of autonomy in aging and Alzheimer disease by simulating instrumental activities of daily living: the S-IADL

    Véronique Quaglino; Yannick Gounden; Emilie Lacot; Frédérique Couvillers; Amandine Lions; Mathieu Hainselin

    2016-01-01

    Objective The autonomy of individuals is linked to the achievement of instrumental activities of daily living that require complex behavior. In the elderly, the assessment of autonomy is usually based on questionnaires that have strong subjective constraints. Considering this fact, we tested elderly healthy adults and Alzheimer disease patients using a new measure, the S-IADL (Simulation of Instrumental Activities for Daily Living), to assess the ability to perform effectively activities of d...

  7. Living with Parkinson's

    ... PD. Strategies for living well may include: Managing nutrition and medications – to maintain the highest quality of daily living with Parkinson's disease. Performing activities that may benefit you and your ...

  8. Fertility desires among men and women living with HIV/AIDS in Nairobi slums: a mixed methods study.

    Eliud Wekesa

    Full Text Available Fertility desires require new understanding in a context of expanding access to antiretroviral therapy for people living with HIV/AIDS in Sub-Saharan Africa. This paper studies the fertility desires and their rationales, of slum-dwelling Kenyan men and women living with HIV/AIDS who know their serostatus, but have different antiretroviral therapy treatment statuses. It addresses two research questions: How do people living with HIV/AIDS consider their future fertility? What factors contribute to an explanation of fertility desires among people living with HIV/AIDS.A mixed methods study (survey [n = 513] and in-depth interviews [n = 41] with adults living with HIV/AIDS living in Nairobi slums was conducted in 2010. Regression analyses assess independent relationships between fertility desires and socio-demographic factors. Analyses of in-depth interviews are used to interpret the statistical analyses of fertility desires.Our analyses show that fertility desires are complex and ambivalent, reflecting tensions between familial and societal pressures to have children versus pressures for HIV (re-infection prevention. More than a third (34% of men and women living with HIV expressed future fertility desires; however, this is significantly lower than in the general population. Factors independently associated with desiring a child among people living with HIV/AIDS were age, sex, number of surviving children, social support and household wealth of the respondent.Increasing access to ART is changing the context of future childbearing for people living with HIV/AIDS. Prevailing values mean that, for many people living with HIV/AIDS, having children is seen as necessary for a "normal" and healthy adult life. However, the social rewards of childbearing conflict with moral imperatives of HIV prevention, presenting dilemmas about the "proper" reproductive behaviour of people living with HIV/AIDS. The health policy and service delivery implications of

  9. Living with Malignant Wound in Cancer Patients and Adolescents with Non- Cancer Diagnosis: a Meta-Synthesis of Qualitative Studies

    Ali Reza Mansourzadeh

    2016-09-01

    Full Text Available Background Malignant wound causes a devastating physical and psychological condition in cancer patients. This study presents a review which can provide better insights into the life of cancer patients living with malignant wound. The aim of this meta-synthesis was to analyze and synthesize findings from qualitative studies of the lived experiences of patients with malignant wound. Materials and Methods This meta-synthesis followed the Sandelowski and Barroso’s guideline and was designed to synthesize findings from previous qualitative studies. Variety of biomedical archives were searched, including PubMed, Web of Science, PsycINFO, Cochrane library, and ProQuest and Persian data bases such as Magiran, SID, Iran.doc, IranMedex, and  recently published articles and books on the lived experience of persons living with malignant wound were reviewed. In this article, the literature searches covering from January,1, 1990 to march,15, 2016 resulted in eight relevant studies which fulfilled the inclusion criteria for the review. Results Findings from all these studies were categorized into three main themes: "distortion of lived body", "symptomatic suffering", and "compatible living with wound". Our findings showed that the meanings of patients’ experiences living with malignant wound are important for the construction of multidisciplinary palliative care in these individuals. Conclusion: Gaining insights from analysis of qualitative studies is integral issue for developing new palliative care services for patients with malignant wound.

  10. The effects of health perception on living health belief, living satisfaction and wellbeing-oriented activities according to swimming participation with middle-aged women.

    Lee, Bo-Ae; Oh, Deuk-Ja

    2013-01-01

    This study aims to examine the effects of health perception on health belief, life satisfaction, and wellbeing-oriented activities according to swimming participation with middle-aged women. First, the subvariables of health perception, health interest and health concern, did exert significant effects on the subvariables of health belief, perceived benefit and perceived disability. Health interest and health concern also showed significant effects on the subvariables of life satisfaction and wellbeing-oriented activities, exercise orientation and hobby orientation, as well. Second, the subvariables of health perception, resistance and sensitivity, indicated significant effects on the subvariable of health belief, perceived disability, and they also showed significant effects on life satisfaction, too. Also, resistance-sensitivity had significant effects on the subvariables of wellbeing-oriented activities, mental health orientation and hobby orientation, too.

  11. Managing family life while studying: single mothers' lived experience of being students in a nursing program.

    Ogunsiji, Olayide; Wilkes, Lesley

    Evidence suggests that single parent families are more likely to be affected by social problems associated with poor health and poverty. Single parent families are growing in number and are overwhelmingly headed by women. Despite their increasing number and their level of vulnerability, the lived experiences of single mothers have attracted little attention in the literature. Still little is known about many aspects of life as experienced by single mothers. Nursing is a profession that is dominated by women, and every year a number of single mothers enroll in undergraduate nurse education programs. Currently, there is little information about the experiences of women who are single mothers, undertaking a nursing degree in a university. This paper reports a study that explored the lived experiences of five single mother undergraduate nursing students. van Manen's phenomenological method informed the design and conduct of the study. Findings were grouped into the following themes: being exhausted all the time; being overwhelmed with worries; and being hopeful of the future. Findings of this study revealed that the single mothers' major health concerns were chronic tiredness and overwhelming worries. However, their being in the university was perceived as being health promoting and restoring to their self-esteem. Implications for educators, health providers and women's health services are drawn from the findings.

  12. Wii-Fit for Improving Gait and Balance in an Assisted Living Facility: A Pilot Study

    Kalpana P. Padala

    2012-01-01

    Full Text Available Objectives. To determine the effects on balance and gait of a Wii-Fit program compared to a walking program in subjects with mild Alzheimer’s dementia (AD. Methods. A prospective randomized (1 : 1 pilot study with two intervention arms was conducted in an assisted living facility with twenty-two mild AD subjects. In both groups the intervention occurred under supervision for 30 minutes daily, five times a week for eight weeks. Repeated measures ANOVA and paired t-tests were used to analyze changes. Results. Both groups showed improvement in Berg Balance Scale (BBS, Tinetti Test (TT and Timed Up and Go (TUG over 8 weeks. However, there was no statistically significant difference between the groups over time. Intragroup analysis in the Wii-Fit group showed significant improvement on BBS (P=0.003, and TT (P=0.013. The walking group showed a trend towards improvement on BBS (P=0.06 and TUG (P=0.07 and significant improvement in TT (P=0.006. Conclusion. This pilot study demonstrates the safety and efficacy of Wii-Fit in an assisted living facility in subjects with mild AD. Use of Wii-Fit resulted in significant improvements in balance and gait comparable to those in the robust monitored walking program. These results need to be confirmed in a larger, methodologically sound study.

  13. Living alone and alcohol-related mortality: a population-based cohort study from Finland.

    2011-01-01

    Editors' Summary Background Throughout most of human history, people have lived in tight-knit communities where there was likely to be someone to turn to for help, advice, or company. But the modern way of life in industrialized countries is greatly reducing the quantity and quality of social relationships. Instead of living in extended families, many people now live miles away from their relatives, often living and working alone. Others commute long distances to work, which leaves little tim...

  14. Intra-individual Neurocognitive Variability Confers Risk of Dependence in Activities of Daily Living among HIV-Seropositive Individuals without HIV-Associated Neurocognitive Disorders

    Morgan, Erin E.; Woods, Steven Paul; Grant, Igor

    2012-01-01

    Although HIV-associated neurocognitive disorders (HAND) are the strong predictors of everyday functioning difficulties, approximately half of all functionally impaired individuals are labeled “neurocognitively normal” according to the standard neuropsychological measures, suggesting that novel predictors of functional problems in this prevalent subgroup are needed. The present study hypothesized that increased neurocognitive intra-individual variability as indexed by dispersion would be associated with poor daily functioning among 82 persons with HIV infection who did not meet research criteria for HAND. An intra-individual standard deviation was calculated across the demographically adjusted T-scores of 13 standard neuropsychological tests to represent dispersion, and functional outcomes included self-reported declines in basic and instrumental activities of daily functioning (basic activity of daily living [BADL] and instrumental activity of daily living [IADL], respectively) and medication management. Dispersion was a significant predictor of medication adherence and dependence in both BADL and IADL, even when other known predictors of functional status (i.e., age, affective distress, and indices of disease severity) were included in the models. As a significant and unique predictor of a performance on the range of daily functioning activities, neurocognitive dispersion may be indicative of deficient cognitive control expressed as inefficient regulation of neurocognitive resources in the context of competing functional demands. As such, dispersion may have clinical utility in detecting risk for functional problems among HIV-infected individuals without HAND. PMID:22337933

  15. Geno- and immunotoxic effects on populations living near a mine: a case study of Panasqueira mine in Portugal.

    Coelho, Patrícia Clara dos Santos; García-Lestón, Julia; Silva, Susana Pinho E; da Costa, Carla Sofia Trindade; da Costa, Solange Cristina Bastos; Coelho, Marta Isabel Correia; Lage, Blanca Laffon; Mendez, Eduardo Pásaro; Teixeira, João Paulo Fernandes

    2011-01-01

    Mining industry is a vital economic sector for many countries but it is also one of the most hazardous activities, both occupationally and environmentally. Existing studies point to several adverse effects on communities' health living near mines, effects such as mesothelioma and respiratory illnesses. Results achieved in a geochemical sampling campaign undertaken in the vicinity of São Francisco de Assis village showed an anomalous distribution of some heavy metals in soils and waters. To evaluate the effects of mining activities on human health produced by these conditions, a group of 28 individuals from São Francisco de Assis village was examined for some biological endpoints. A nonexposed group (30 individuals) with the same demographic characteristics without exposure to genotoxic compounds was also studied and data obtained from both groups compared. Results of the T-cell receptor mutation assay and micronucleus (MN) test showed significant increases in the frequencies of both mutations and MN in exposed subjects compared to controls. Data obtained in the analysis of the different lymphocyte subsets demonstrated significant decreases in percentages of CD3+ and CD4+ cells, and a significant increase in percentage of CD16/56+ cells, in exposed individuals. The results of the present study indicate an elevated risk of human environmental contamination resulting from mining activities, emphasizing the need to implement preventive measures, remediation, and rehabilitation plans. This would lead to a reduction in cancer risk not only for this particular population but for all populations exposed under similar conditions.

  16. Dynamic Visualization of mTORC1 Activity in Living Cells

    Zhou, Xin; Clister, Terri L.; Lowry, Pamela R.; Seldin, Marcus M.; Wong, G. William; Zhang, Jin

    2015-01-01

    Summary The mechanistic target of rapamycin complex 1 (mTORC1) senses diverse signals to regulate cell growth and metabolism. It has become increasingly clear that mTORC1 activity is regulated in time and space inside the cell, but direct interrogation of such spatiotemporal regulation is challenging. Here we describe a genetically encoded mTORC1 activity reporter (TORCAR) that exhibits a change in FRET in response to phosphorylation by mTORC1. Co-imaging mTORC1 activity and calcium dynamics revealed that a growth factor-induced calcium transient contributes to mTORC1 activity. Dynamic activity maps generated using subcellularly targeted TORCAR uncovered mTORC1 activity not only in cytosol and at the lysosome but also in nucleus and at the plasma membrane. Furthermore, a wide distribution of activities was observed upon growth factor stimulation, whereas leucine ester, an amino acid surrogate, induces more compartmentalized activities at the lysosome and in nucleus. Thus, mTORC1 activities are spatiotemporally regulated in a signal-specific manner. PMID:25772363

  17. Dynamic Visualization of mTORC1 Activity in Living Cells

    Xin Zhou

    2015-03-01

    Full Text Available The mechanistic target of rapamycin complex 1 (mTORC1 senses diverse signals to regulate cell growth and metabolism. It has become increasingly clear that mTORC1 activity is regulated in time and space inside the cell, but direct interrogation of such spatiotemporal regulation is challenging. Here, we describe a genetically encoded mTORC1 activity reporter (TORCAR that exhibits a change in FRET in response to phosphorylation by mTORC1. Co-imaging mTORC1 activity and calcium dynamics revealed that a growth-factor-induced calcium transient contributes to mTORC1 activity. Dynamic activity maps generated with the use of subcellularly targeted TORCAR uncovered mTORC1 activity not only in cytosol and at the lysosome but also in the nucleus and at the plasma membrane. Furthermore, a wide distribution of activities was observed upon growth factor stimulation, whereas leucine ester, an amino acid surrogate, induces more compartmentalized activities at the lysosome and in the nucleus. Thus, mTORC1 activities are spatiotemporally regulated in a signal-specific manner.

  18. Live imaging of protein kinase activities in transgenic mice expressing FRET biosensors.

    Kamioka, Yuji; Sumiyama, Kenta; Mizuno, Rei; Sakai, Yoshiharu; Hirata, Eishu; Kiyokawa, Etsuko; Matsuda, Michiyuki

    2012-01-01

    Genetically-encoded biosensors based on the principle of Förster resonance energy transfer (FRET) have been widely used in biology to visualize the spatiotemporal dynamics of signaling molecules. Despite the increasing multitude of these biosensors, their application has been mostly limited to cultured cells with transient biosensor expression, due to particular difficulties in the development of transgenic mice that express FRET biosensors. In this study, we report the efficient generation of transgenic mouse lines expressing heritable and functional biosensors for ERK and PKA. These transgenic mice were created by the cytoplasmic co-injection of Tol2 transposase mRNA and a circular plasmid harbouring Tol2 recombination sites. High expression of the biosensors in a wide range of cell types allowed us to screen newborn mice simply by inspection. Observation of these transgenic mice by two-photon excitation microscopy yielded real-time activity maps of ERK and PKA in various tissues, with greatly improved signal-to-background ratios. Our transgenic mice may be bred into diverse genetic backgrounds; moreover, the protocol we have developed paves the way for the generation of transgenic mice that express other FRET biosensors, with important applications in the characterization of physiological and pathological signal transduction events in addition to drug development and screening.

  19. Older Asian Americans and Pacific Islanders with Activities of Daily Living (ADL Limitations: Immigration and Other Factors Associated with Institutionalization

    Esme Fuller-Thomson

    2012-09-01

    Full Text Available This study determined the national prevalence and profile of Asian Americans with Activities of Daily Living (ADL limitations and identified factors associated with institutionalization. Data were obtained from 2006 American Community Survey, which replaced the long-form of the US Census. The data are nationally representative of both institutionalized and community-dwelling older adults. Respondents were Vietnamese (n = 203, Korean (n = 131, Japanese (n = 193, Filipino (n = 309, Asian Indian (n = 169, Chinese (n = 404, Hawaiian/Pacific Islander (n = 54, and non-Hispanic whites (n = 55,040 aged 55 and over who all had ADL limitations. The prevalence of institutionalized among those with ADL limitations varies substantially from 4.7% of Asian Indians to 18.8% of Korean Americans with ADL limitations. Every AAPI group had a lower prevalence of institutionalization than disabled Non-Hispanic whites older adults (23.8% (p < 0.001. After adjustment for socio-demographic characteristics, Asian Indians, Vietnamese, Japanese, Filipino, and Chinese had significantly lower odds of institutionalization than non-Hispanic whites (OR = 0.29, 0.31, 0.58, 0.51, 0.70, respectively. When the sample was restricted to AAPIs, the odds of institutionalization were higher among those who were older, unmarried, cognitively impaired and those who spoke English at home. This variation suggests that aggregating data across the AAPI groups obscures meaningful differences among these subpopulations and substantial inter-group differences may have important implications in the long-term care setting.

  20. Quality of life of people living with HIV/AIDS and on highly active antiretroviral therapy in Ethiopia.

    Abera, Kebede; Gedif, Teferi; Engidawork, Ephrem; Gebre-Mariam, Tsige

    2010-04-01

    The Amharic version of the Short Form-36 Health Survey (SF-36) was used to measure quality of life among patients on highly active antiretroviral therapy (HAART) at selected governmental hospitals in central and southern Ethiopia. The study was cross-sectional and used SF-36-specific software for automatic scoring of the form's scales and dimensions. Pearson bivariate correlations showed moderate correlation between the SF-36 scales, ranging from 0.2673 between 'general health' and 'vitality,' to 0.8583 between 'role physical' and 'role emotional.' Cronbach's-αwas >0.70 for six out of eight multi-item scales, with values ranging from 0.6500 to 0.8860 for all scales, thus indicating good internal reliability of the Amharic version of the SF-36. The independent variables shown to positively affect mean scores were: duration of treatment, CD4 cell count, and adherence to doses of antiretrovirals. Participants treated for >12 months had higher mean scores for all domains than those who had been treated for ≤12 months. Likewise, those with a CD4 cell count >200 cells/mm(3) had better mean scores for all scales except 'social functioning' and 'mental health' than those with counts ≤200. Participants adhering to treatment (in the last 15 days, according to self-report) had better mean scores for all scales except 'role physical,' 'bodily pain' and 'vitality' in comparison to those who were not adherent. The findings suggest that the Amharic version of the SF-36 is a valid and reliable health survey instrument for use in Ethiopia to assess the quality of life of people living with HIV/AIDS on HAART.

  1. Prooxidant/Antioxidant Balance in Hypoxia: A Cross-Over Study on Normobaric vs. Hypobaric "Live High-Train Low".

    Tadej Debevec

    Full Text Available "Live High-Train Low" (LHTL training can alter oxidative status of athletes. This study compared prooxidant/antioxidant balance responses following two LHTL protocols of the same duration and at the same living altitude of 2250 m in either normobaric (NH or hypobaric (HH hypoxia. Twenty-four well-trained triathletes underwent the following two 18-day LHTL protocols in a cross-over and randomized manner: Living altitude (PIO2 = 111.9 ± 0.6 vs. 111.6 ± 0.6 mmHg in NH and HH, respectively; training "natural" altitude (~1000-1100 m and training loads were precisely matched between both LHTL protocols. Plasma levels of oxidative stress [advanced oxidation protein products (AOPP and nitrotyrosine] and antioxidant markers [ferric-reducing antioxidant power (FRAP, superoxide dismutase (SOD and catalase], NO metabolism end-products (NOx and uric acid (UA were determined before (Pre and after (Post the LHTL. Cumulative hypoxic exposure was lower during the NH (229 ± 6 hrs. compared to the HH (310 ± 4 hrs.; P<0.01 protocol. Following the LHTL, the concentration of AOPP decreased (-27%; P<0.01 and nitrotyrosine increased (+67%; P<0.05 in HH only. FRAP was decreased (-27%; P<0.05 after the NH while was SOD and UA were only increased following the HH (SOD: +54%; P<0.01 and UA: +15%; P<0.01. Catalase activity was increased in the NH only (+20%; P<0.05. These data suggest that 18-days of LHTL performed in either NH or HH differentially affect oxidative status of athletes. Higher oxidative stress levels following the HH LHTL might be explained by the higher overall hypoxic dose and different physiological responses between the NH and HH.

  2. Health, physical activity and the body: an inquiry into the lives of female migrant cleaners in Denmark

    Lenneis, Verena; Pfister, Gertrud Ursula

    2016-01-01

    Numerous reports identify minority ethnic women as a population group which is greatly affected by chronic illness. Health authorities tend to attribute their health problems to their lifestyle, for example refraining from participation in recreational physical activity (PA). However, little...... is known about the perspectives of the targets of health promotion, that is, their perceptions of and lived experiences with health recommendations. In this article we investigate minority ethnic women’s attitudes and practices, in particular with regard to PA. We conducted semi-structured interviews...

  3. [Deep-sea research ground for the study of living matter properties in extreme conditions].

    Polikarpov, G G

    2011-01-01

    The Black Sea hollow bottom is a promising research ground in the field of deep-sea radiochemoecology and exobiology. It has turned out to be at the intersection of the earth and cosmic scientific interests such as deep-sea marine radiochemoecology from the perspective of the study of extreme biogeocenological properties of the Earth biosphere and exobiology from the standpoint of the study of life phenomena (living matter) outside the Earth biosphere, i.e. on other planets and during hypothetical transfer of spores in the outer space. The potential of this ground is substantiated with the data published by the author and co-workers on accumulation of 90Sr, 137Cs and Pu isotopes with silts of bathyal pelo-contour, on the quality of deep-sea hydrogen sulphide waters (after their contact with air) for vital functions of planktonic and benthic aerobes, as well as the species composition of marine, freshwater and terrestrial plants grown from the spores collected from the bottom sediments of the Black Sea bathyal. Discussion was based on V.I. Vernadsky's ideas about the living matter and biosphere, which allowed conclusions about the biospheric and outer space role of the described phenomena.

  4. The family experience of living with a person with amyotrophic lateral sclerosis: a qualitative study.

    Cipolletta, Sabrina; Amicucci, Linda

    2015-08-01

    Living with a person with amyotrophic lateral sclerosis (ALS) is a complex and difficult experience. Most research involves only the primary caregiver and uses a quantitative approach. The aim of this study was to explore the experience of family members who live with ALS patients until their death. In-depth, semi-structured interviews were conducted with 13 family members of ALS patients now deceased. Transcripts were analysed using interpretative phenomenological analysis. Three main themes were identified: "Meaning of ALS," including the peculiarity of ALS and its comparison with other illnesses, the explanation of ALS, emotions, coping strategies, personal change and difficult choices; "Family relationships," including centripetal vs. centrifugal forces, role changes, ALS as a family disease, ALS as a family solution, openness towards the outside world; and "Healthcare context," including access to services, information and humanization. One finding was that families of a person with ALS need more supportive interaction and information during the patients' illness and their end-of-life. This study is an invitation to understand families' experience and subsequently help them to find new ways to cope with the situation.

  5. Study of metal bioaccumulation by nuclear microprobe analysis of algae fossils and living algae cells

    Guo, P.; Wang, J.; Li, X.; Zhu, J. E-mail: iamzhu@hotmail.com; Reinert, T.; Heitmann, J.; Spemann, D.; Vogt, J.; Flagmeyer, R.-H.; Butz, T

    2000-03-01

    Microscopic ion-beam analysis of palaeo-algae fossils and living green algae cells have been performed to study the metal bioaccumulation processes. The algae fossils, both single cellular and multicellular, are from the late Neoproterozonic (570 million years ago) ocean and perfectly preserved within a phosphorite formation. The biosorption of the rare earth element ions Nd{sup 3+} by the green algae species euglena gracilis was investigated with a comparison between the normal cells and immobilized ones. The new Leipzig Nanoprobe, LIPSION, was used to produce a proton beam with 2 {mu}m size and 0.5 nA beam current for this study. PIXE and RBS techniques were used for analysis and imaging. The observation of small metal rich spores (<10 {mu}m) surrounding both of the fossils and the living cells proved the existence of some specific receptor sites which bind metal carrier ligands at the microbic surface. The bioaccumulation efficiency of neodymium by the algae cells was 10 times higher for immobilized algae cells. It confirms the fact that the algae immobilization is an useful technique to improve its metal bioaccumulation.

  6. The lives of female sex workers in Vietnam: Findings from a qualitative study.

    Ngo, Anh D; McCurdy, Sheryl A; Ross, Michael W; Markham, Christine; Ratliff, Eric A; Pham, Hang T B

    2007-01-01

    To facilitate better understanding of the environment and power structures in which sex work in Vietnam takes place, this study examined the sex workers' social and economic lives, their working environment, social relationships and presentation of self in everyday social contacts and interactions. Thirty in-depth interviews and 14 focus groups were conducted with street-based and venue-based sex workers in the cities of Da Nang and Hanoi. Results show that sex workers live and work within a complex system involving multiple relationships. In any of these relations, women have limited power to protect their personal security and secure payment for services rendered. Economic hardship is a major problem facing street-level sex workers and contributes to unsafe sexual practices. Venue-based sex workers worry less about economic hardships as such, but frequently incur gambling debts. Women also reported incidents of abuse and experiences of social stigma. Although many women exhibited a strong desire to leave sex work, they found themselves trapped in the sex industry by the lack of alternative employment options. This study provides evidence that socio-psychological factors must be addressed along with risky behaviours to promote women's well-being and social integration.

  7. Study on the physical activity level of Turkish males

    Ramiz Arabacı

    2008-12-01

    Full Text Available The aim of this study was to investigate physical activity (PA level of the Turkish males who lived in BUrsa. A total of 365 subjects between 18 - 69 age participated to this study. To determine physical activity levels, International Physical Activity Questionnaire (IPAQ was applied. PA levels of subjects were categorized as inactive, minimum active and HEPA active by using MET method. The relations of parameters, such as their age, BMI, education, marital status, number of children, smoking and alcohol use were determined with PA level. The results were analyzed by using Chi - Square test. The participants have 1725 METmin/week average physical activity level, and 47.7 % of them were physically inactive, 30.4 % were physically minimum active and 21.9 % were physically hepa active. As a result, it can be said that the physical activity levels of Turkish males who lived in Bursa are not sufficient and the inactive people are very common.

  8. Stories of Growth and Wisdom: A Mixed-Methods Study of People Living Well With Pain.

    Owens, Justine E; Menard, Martha; Plews-Ogan, Margaret; Calhoun, Lawrence G; Ardelt, Monika

    2016-01-01

    Chronic pain remains a daunting clinical challenge, affecting 30% of people in the United States and 20% of the global population. People meeting this challenge by achieving wellbeing while living with pain are a virtually untapped source of wisdom about this persistent problem. Employing a concurrent mixed-methods design, we studied 80 people living with chronic pain with "positive stories to tell" using semi-structured interviews and standardized questionnaires. In-depth interviews focused on what helped, what hindered, how they changed, and advice for others in similar circumstances. Major qualitative themes included acceptance, openness, self-efficacy, hope, perseverance, self-regulation, kinesthetic awareness, holistic approaches and integrative therapies, self-care, spirituality, social support, and therapeutic lifestyle behaviors such as music, writing, art, gardening, and spending time in nature. Themes of growth and wisdom included enhanced relationships, perspective, clarity, strength, gratitude, compassion, new directions, and spiritual change. Based on narrative analysis of the interviews and Ardelt's Three-Dimensional Wisdom Model, participants were divided into 2 groups: 59 wisdom exemplars and 21 nonexemplars. Non-exemplar themes were largely negative and in direct contrast to the exemplar themes. Quantitatively, wisdom exemplars scored significantly higher in Openness and Agreeableness and lower in Neuroticism compared to non-exemplars. Wisdom exemplars also scored higher in Wisdom, Gratitude, Forgiveness, and Posttraumatic Growth than nonexemplars, and more exemplars used integrative therapies compared to the non-exemplars. As a whole, the exemplar narratives illustrate a Positive Approach Model (PAM) for living well with pain, which allows for a more expansive pain narrative, provides positive role models for patients and clinicians, and contributes to a broader theoretical perspective on persistent pain.

  9. Phospholipase D activation correlates with microtubule reorganization in living plant cells

    P.B. Dhonukshe; A.M. Laxalt; J. Goedhart; Th.W.J. Gadella; T. Munnik

    2003-01-01

    A phospholipase D (PLD) was shown recently to decorate microtubules in plant cells. Therefore, we used tobacco BY-2 cells expressing the microtubule reporter GFP-MAP4 to test whether PLD activation affects the organization of plant microtubules. Within 30 min of adding n-butanol, a potent activator

  10. Value Questionnaires For Marriage and Family Living; A Creative Classroom Activity by Edu-Game.

    1975

    This booklet is a series of 10 unit-organized questionnaires to stimulate discussion on a variety of topics in the area of marriage and family life. These values clarification activities can help 11th and 12th grade students confirm or reevaluate personal attitudes. The units included in this activity are: Love and Marriage; Male and Female…

  11. Differences in Physical Activity between Black and White Girls Living in Rural and Urban Areas.

    Felton, Gwen M.; Dowda, Marsha; Ward, Dianne S.; Dishman, Rod K.; Trost, Stewart G.; Saunders, Ruth; Pate, Russell R.

    2002-01-01

    Examined the relationship of race and rural/urban setting to physical, behavioral, psychosocial, and environmental factors associated with physical activity among eighth grade girls. More differences related to race than setting. Black girls were less active and more heavy than white girls. Enjoyment of physical education and family involvement in…

  12. Tiredness in daily activities: a subjective measure for the identification of frailty among non-disabled community-living older adults

    Schultz-Larsen, Kirsten; Avlund, Kirsten

    2006-01-01

    The objective of this study was to determine whether the responses to questions about tiredness in daily activities is an early subjective sign of frailty indicating older community-living adults at increased risk for disability and mortality. Tiredness in daily activities as measured by the Mob......-T Scale, maximal power in sustained work, and comorbid diseases were assessed together with sociodemographic variables in a sample of 705 non-disabled, 70-year old men and women surveyed in 1984. Vital status of members was determined prospectively over the next 15 years. Onset of disability was measured....... Multiple stepwise regression analyses not only indicated that tiredness in daily activities is a strong independent predictor of both disability and mortality, but also that tiredness mediates the effects of comorbidity and maximal power in sustained work on disability/mortality. Self-reported tiredness...

  13. Dynamic, large-scale profiling of transcription factor activity from live cells in 3D culture.

    Michael S Weiss

    Full Text Available BACKGROUND: Extracellular activation of signal transduction pathways and their downstream target transcription factors (TFs are critical regulators of cellular processes and tissue development. The intracellular signaling network is complex, and techniques that quantify the activities of numerous pathways and connect their activities to the resulting phenotype would identify the signals and mechanisms regulating tissue development. The ability to investigate tissue development should capture the dynamic pathway activity and requires an environment that supports cellular organization into structures that mimic in vivo phenotypes. Taken together, our objective was to develop cellular arrays for dynamic, large-scale quantification of TF activity as cells organized into spherical structures within 3D culture. METHODOLOGY/PRINCIPAL FINDINGS: TF-specific and normalization reporter constructs were delivered in parallel to a cellular array containing a well-established breast cancer cell line cultured in Matrigel. Bioluminescence imaging provided a rapid, non-invasive, and sensitive method to quantify luciferase levels, and was applied repeatedly on each sample to monitor dynamic activity. Arrays measuring 28 TFs identified up to 19 active, with 13 factors changing significantly over time. Stimulation of cells with β-estradiol or activin A resulted in differential TF activity profiles evolving from initial stimulation of the ligand. Many TFs changed as expected based on previous reports, yet arrays were able to replicate these results in a single experiment. Additionally, arrays identified TFs that had not previously been linked with activin A. CONCLUSIONS/SIGNIFICANCE: This system provides a method for large-scale, non-invasive, and dynamic quantification of signaling pathway activity as cells organize into structures. The arrays may find utility for investigating mechanisms regulating normal and abnormal tissue growth, biomaterial design, or as a

  14. Nonlinear electromagnetic responses of active membrane protein complexes in live cells and organelles

    Nawarathna, Dharmakirthi

    The response of biological cells to an applied oscillating electric field contains both linear and nonlinear components (eg. induced harmonics). Such noninvasive measurements can be used to study active processes taking place inside the cells. The measurement of induced harmonics is the tool used for the study described here. A highly sensitive superconducting quantum interference device (SQUID) is used to detect the response at low frequencies, which greatly reduces electrode polarization effects. At high frequencies, a four- probe method is used. At low frequencies, harmonic generation by budding yeast cells in response to a sinusoidal electric field is reported, which is seen to be minimal when the field amplitude is less than a threshold value. Surprisingly, sodium metavanadate, an inhibitor of P-type ATPases and glucose, a substrate of P-type ATPase responsible for nonlinear response in yeast, reduces the threshold field amplitude, increasing harmonic generation at low amplitudes while reducing it at large amplitudes. We have thus proposed a model that explicitly introduces a threshold field, similar to those observed in density waves, where fields above threshold drive charge transport through an energy landscape with multiple wells, and in Coulomb blockade tunnel junctions, recently exploited to define the current standard. At high frequencies, the induced harmonics exhibit pronounced features that depend on the specific organism. Budding yeast (S. cerevisiae ) cells produce numerous harmonics. When the second or third harmonic amplitude is plotted vs. applied frequency, we observe two peaks, around 3 kHz and 12 kHz, which are suppressed by the respiratory inhibitor potassium cyanide. We then measured the response to oscillatory electric fields of intact bovine heart mitochondria, a reproducible second harmonic (at ˜3-4 kHz applied frequency) was detected. Further, with coupled mouse mitochondria, an ADP sensitive peak (˜ 12-15 kHz applied frequency) was

  15. Multi-level examination of correlates of active transportation to school among youth living within 1 mile of their school

    Gropp Kathleen M

    2012-10-01

    Full Text Available Abstract Background Active transportation to school is a method by which youth can build physical activity into their daily routines. We examined correlates of active transportation to school at both individual- (characteristics of the individual and family and area- (school and neighborhood levels amongst youth living within 1 mile (1.6 km of their school. Methods Using the 2009/10 Canadian Health Behaviour in School-Aged Children (HBSC survey, we selected records of students (n = 3 997 from 161 schools that resided in an urban setting and lived within 1 mile from their school. Student records were compiled from: (1 individual-level HBSC student questionnaires; (2 area-level administrator (school questionnaires; and (3 area-level geographic information system data sources. The outcome, active transportation to school, was determined via a questionnaire item describing the method of transportation that individual students normally use to get to school. Analyses focused on factors at multiple levels that potentially contribute to student decisions to engage in active transportation. Multi-level logistic regression analyses were employed. Results Approximately 18% of the variance in active transportation was accounted for at the area-level. Several individual and family characteristics were associated with engagement in active transportation to school including female gender (RR vs. males = 0.86, 95% CI: 0.80-0.91, having ≥2 cars in the household (RR vs. no cars = 0.87, 0.74-0.97, and family socioeconomic status (RR for ‘not well off’ vs. ‘very well off’ = 1.14, 1.01-1.26. Neighborhood characteristics most strongly related to active transportation were: the length of roads in the 1 km buffer (RR in quartile 4 vs. quartile 1 = 1.23, 1.00-1.42, the amount of litter in the neighborhood (RR for ‘major problem’ vs. ‘no problem’ = 1.47, 1.16-1.57, and relatively hot climates (RR in quartile 4 vs. quartile 1

  16. Survival of living donor renal transplant recipients in Sri Lanka: a single-center study.

    Galabada, Dinith Prasanna; Nazar, Abdul L M; Ariyaratne, Prasad

    2014-11-01

    Chronic kidney disease is one of the main public health concerns in Sri Lanka. In comparison with dialysis, successful kidney transplantation improves both patient survival and quality of life, relieves the burden of dialysis in patients suffering from end-stage renal disease and decreases the cost of healthcare to the society and government. The objective of this retrospective cohort study was to evaluate graft and patient survival rates in patients who were transplanted from living donors at the Nephrology Unit of the National Hospital of Sri Lanka from January 2005 to January 2011. Data were collected using an interviewer-administered questionnaire and through a review of past medical records. The Kaplan-Meier method was used to determine the survival rate, the log rank test was used to compare survival curves and the Cox proportional hazard model was used for multivariate analysis. Mean follow-up was 26.44±16.6 months. The five-year death-censored graft survival of kidney transplant recipients from living donors in our center was 93.5% and the five-year patient survival was 82.2%, which is comparable with other transplant programs around the world. The number of acute rejection episodes was an independent risk factor for graft survival. Delayed graft function, younger recipient age and unknown cause of end-stage renal disease were found to be risk factors for graft failure but after adjusting for confounding factors, and the difference was not apparent.

  17. Survival of living donor renal transplant recipients in Sri Lanka: A single-center study

    Dinith Prasanna Galabada

    2014-01-01

    Full Text Available Chronic kidney disease is one of the main public health concerns in Sri Lanka. In comparison with dialysis, successful kidney transplantation improves both patient survival and quality of life, relieves the burden of dialysis in patients suffering from end-stage renal disease and decreases the cost of healthcare to the society and government. The objective of this retrospective cohort study was to evaluate graft and patient survival rates in patients who were transplanted from living donors at the Nephrology Unit of the National Hospital of Sri Lanka from January 2005 to January 2011. Data were collected using an interviewer-administered questionnaire and through a review of past medical records. The Kaplan-Meier method was used to determine the survival rate, the log rank test was used to compare survival curves and the Cox proportional hazard model was used for multivariate analysis. Mean follow-up was 26.44 ± 16.6 months. The five-year death-censored graft survival of kidney transplant recipients from living donors in our center was 93.5% and the five-year patient survival was 82.2%, which is comparable with other transplant programs around the world. The number of acute rejection episodes was an independent risk factor for graft survival. Delayed graft function, younger recipient age and unknown cause of end-stage renal disease were found to be risk factors for graft failure but after adjusting for confounding factors, and the difference was not apparent.

  18. Family of enhanced photoacoustic imaging agents for high-sensitivity and multiplexing studies in living mice.

    de la Zerda, Adam; Bodapati, Sunil; Teed, Robert; May, Salomón Y; Tabakman, Scott M; Liu, Zhuang; Khuri-Yakub, Butrus T; Chen, Xiaoyuan; Dai, Hongjie; Gambhir, Sanjiv S

    2012-06-26

    Photoacoustic imaging is a unique modality that overcomes to a great extent the resolution and depth limitations of optical imaging while maintaining relatively high contrast. However, since many diseases will not manifest an endogenous photoacoustic contrast, it is essential to develop exogenous photoacoustic contrast agents that can target diseased tissue(s). Here we present a family of novel photoacoustic contrast agents that are based on the binding of small optical dyes to single-walled carbon nanotubes (SWNT-dye). We synthesized five different SWNT-dye contrast agents using different optical dyes, creating five "flavors" of SWNT-dye nanoparticles. In particular, SWNTs that were coated with either QSY(21) (SWNT-QSY) or indocyanine green (SWNT-ICG) exhibited over 100-times higher photoacoustic contrast in living animals compared to plain SWNTs, leading to subnanomolar sensitivities. We then conjugated the SWNT-dye conjugates with cyclic Arg-Gly-Asp peptides to molecularly target the α(v)β(3) integrin, which is associated with tumor angiogenesis. Intravenous administration of these tumor-targeted imaging agents to tumor-bearing mice showed significantly higher photoacoustic signal in the tumor than in mice injected with the untargeted contrast agent. Finally, we were able to spectrally separate the photoacoustic signals of SWNT-QSY and SWNT-ICG in living animals injected subcutaneously with both particles in the same location, opening the possibility for multiplexing in vivo studies.

  19. Understanding quality-of-life while living with late-stage lung cancer: an exploratory study.

    Adorno, Gail; Brownell, Gracie

    2014-01-01

    U.S. Veterans have a higher prevalence of advanced lung cancer and poorer survival outcomes compared to the general population; yet, no studies exist which specifically explore the psychosocial and existential quality-of-life (QOL) of late-stage lung cancer among this population. This article presents the perspectives of older veterans (N = 12) living with late-stage lung cancer who were receiving chemotherapy, routine hospice care, or both concurrently. Based on individual interviews, themes associated with loss of functionality, close relationships, and communicative acts contributed to veterans' perceptions of diminished or enhanced QOL while living with advanced disease. An overarching theme, loss of the person I know myself to be, suggests that personhood is an important concept to consider in QOL assessment. While findings suggest that the experiences of older Veterans with late-stage lung cancer are similar to other populations of lung cancer patients, and persons with incurable cancer in general, further research regarding the influence of veteran identity at end-of-life is warranted. Further research is needed which explores the influence of a whole person approach to QOL during life-limiting illness and end-of-life decision-making, particularly while receiving late-stage cancer-directed therapy.

  20. Determination of critical assembly absolute power using post-irradiation activation measurement of week-lived fission products.

    Košťál, Michal; Švadlenková, Marie; Milčák, Ján; Rypar, Vojtěch; Koleška, Michal

    2014-07-01

    The work presents a detailed comparison of calculated and experimentally determined net peak areas of longer-living fission products after 100 h irradiation on a reactor with power of ~630 W and several days cooling. Specifically the nuclides studied are (140)Ba, (103)Ru, (131)I, (141)Ce, (95)Zr. The good agreement between the calculated and measured net peak areas, which is better than in determination using short lived (92)Sr, is reported. The experiment was conducted on the VVER-1000 mock-up installed on the LR-0 reactor. The Monte Carlo approach has been used for calculations. The influence of different data libraries on results of calculation is discussed as well.

  1. Modesty and recognition--a qualitative study of the lived experience of recovery from anal cancer

    Midtgaard, Julie; Hansen, Mette Juel; Grandjean, Birgitte

    2009-01-01

    survivors of anal cancer to resist and to manage potentially complex stressors encountered in the recovery from the disease. DESIGN: A qualitative, salutogenetic-oriented, phenomenological study was conducted based on audio-taped, semi-structured interviews. METHODS: Interviewee selection was carried out...... through purposeful sampling. Sixteen individuals (11 women and five men; average age 52 years), who had completed therapy for anal cancer (average 31 months ago), participated in the study. Transcripts from the audio-taped interviews were used for qualitative text condensation analysis, inspired by Giorgi......'s phenomenological methodology. FINDINGS: The analysis revealed two concepts, modesty and recognition, which describe the essence of the lived experience of anal cancer, and which each appear to be important resistance resources. While modesty is regarded as an enforced and necessary competence developed...

  2. Power assessment for genetic association study of human longevity using offspring of long-lived subjects

    Tan, Qihua; Zhao, Jing Hua; Li, Shuxia;

    2010-01-01

    Recently, an indirect genetic association approach that compares genotype frequencies in offspring of long-lived subjects and offspring from random families has been introduced to study gene-longevity associations. Although the indirect genetic association has certain advantages over the direct...... and the proportional hazard model for generating individual lifespan. Family genotype data is generated using a genetic linkage program for given SNP allele frequency. Power is estimated by setting the type I error rate at 0.05 and by calculating the Armitage's chi-squared test statistic for 200 replicate samples...... for each setting of the specified allele risk and frequency parameters under different modes of inheritance and for different sample sizes. The indirect genetic association analysis is a valid approach for studying gene-longevity association, but the sample size requirement is about 3-4 time larger than...

  3. Organelle-Specific Activity-Based Protein Profiling in Living Cells

    Wiedner, Susan D.; Anderson, Lindsey N.; Sadler, Natalie C.; Chrisler, William B.; Kodali, Vamsi K.; Smith, Richard D.; Wright, Aaron T.

    2014-02-06

    A multimodal acidic organelle targeting activity-based probe was developed for analysis of subcellular native enzymatic activity of cells by fluorescent microscopy and mass spectrometry. A cathepsin reactive warhead was conjugated to an acidotropic amine, and a clickable alkyne for appendage of AlexaFluor 488 or biotin reporter tags. This probe accumulated in punctate vesicles surrounded by LAMP1, a lysosome marker, as observed by Structured Illumination Microscopy (SIM) in J774 mouse macrophage cells. Biotin conjugation, affinity purification, and analysis of in vivo labeled J774 by mass spectrometry showed that the probe was very selective for Cathepsins B and Z, two lysosomal cysteine proteases. Analysis of starvation induced autophagy, which is an increase in cell component catabolism involving lysosomes, showed a large increase in tagged protein number and an increase in cathepsin activity. Organelle targeting activity-based probes and subsequent analysis of resident proteins by mass spectrometry is enabled by tuning the physicochemical properties of the probe.

  4. α/β-Peptide Foldamers Targeting Intracellular Protein-Protein Interactions with Activity in Living Cells.

    Checco, James W; Lee, Erinna F; Evangelista, Marco; Sleebs, Nerida J; Rogers, Kelly; Pettikiriarachchi, Anne; Kershaw, Nadia J; Eddinger, Geoffrey A; Belair, David G; Wilson, Julia L; Eller, Chelcie H; Raines, Ronald T; Murphy, William L; Smith, Brian J; Gellman, Samuel H; Fairlie, W Douglas

    2015-09-09

    Peptides can be developed as effective antagonists of protein-protein interactions, but conventional peptides (i.e., oligomers of l-α-amino acids) suffer from significant limitations in vivo. Short half-lives due to rapid proteolytic degradation and an inability to cross cell membranes often preclude biological applications of peptides. Oligomers that contain both α- and β-amino acid residues ("α/β-peptides") manifest decreased susceptibility to proteolytic degradation, and when properly designed these unnatural oligomers can mimic the protein-recognition properties of analogous "α-peptides". This report documents an extension of the α/β-peptide approach to target intracellular protein-protein interactions. Specifically, we have generated α/β-peptides based on a "stapled" Bim BH3 α-peptide, which contains a hydrocarbon cross-link to enhance α-helix stability. We show that a stapled α/β-peptide can structurally and functionally mimic the parent stapled α-peptide in its ability to enter certain types of cells and block protein-protein interactions associated with apoptotic signaling. However, the α/β-peptide is nearly 100-fold more resistant to proteolysis than is the parent stapled α-peptide. These results show that backbone modification, a strategy that has received relatively little attention in terms of peptide engineering for biomedical applications, can be combined with more commonly deployed peripheral modifications such as side chain cross-linking to produce synergistic benefits.

  5. Effects of Stroke on Ipsilesional End-Effector Kinematics in a Multi-Step Activity of Daily Living

    Gulde, Philipp; Hughes, Charmayne Mary Lee; Hermsdörfer, Joachim

    2017-01-01

    Background: Stroke frequently impairs activities of daily living (ADL) and deteriorates the function of the contra- as well as the ipsilesional limbs. In order to analyze alterations of higher motor control unaffected by paresis or sensory loss, the kinematics of ipsilesional upper limb movements in patients with stroke has previously been analyzed during prehensile movements and simple tool use actions. By contrast, motion recording of multi-step ADL is rare and patient-control comparisons for movement kinematics are largely lacking. Especially in clinical research, objective quantification of complex externally valid tasks can improve the assessment of neurological impairments. Methods: In this preliminary study we employed three-dimensional motion recording and applied kinematic analysis in a multi-step ADL (tea-making). The trials were examined with respect to errors and sub-action structure, durations, path lengths (PLs), peak velocities, relative activity (RA) and smoothness. In order to check for specific burdens the sub-actions of the task were extracted and compared. To examine the feasibility of the approach, we determined the behavioral and kinematic metrics of the (ipsilesional) unimanual performance of seven chronic stroke patients (64a ± 11a, 3 with right/4 with left brain damage (LBD), 2 with signs of apraxia, variable severity of paresis) and compared the results with data of 14 neurologically healthy age-matched control participants (70a ± 7a). Results: T-tests revealed that while the quantity and structure of sub-actions of the task were similar. The analysis of end-effector kinematics was able to detect clear group differences in the associated parameters. Specifically, trial duration (TD) was increased (Cohen’s d = 1.77); the RA (Cohen’s d = 1.72) and the parameters of peak velocities (Cohen’s d = 1.49/1.97) were decreased in the patient group. Analysis of the task’s sub-actions repeated measures analysis of variance (rmANOVA) revealed

  6. A year long study of the presence of free living amoeba in Spain.

    Magnet, A; Fenoy, S; Galván, A L; Izquierdo, F; Rueda, C; Fernandez Vadillo, C; Del Aguila, C

    2013-12-01

    Free-living amoeba such as Acanthamoeba and Balamuthia mandrillaris can act as opportunistic parasites on a wide range of vertebrates and they are becoming a serious threat to human health due to the resistance of their cysts to harsh environmental conditions, disinfectants, some water treatment practices and their ubiquitous distribution. This work was carried out in order to study the presence of these free-living amoebae (FLA) and their possible seasonality in a continental-Mediterranean climate in different types of water. For this purpose, a total of 223 water samples were collected during one year from four drinking water treatment plants (DWTP), seven wastewater treatment plants (WWTP) and six locations of influence (LI) on four river basins from Spain. Water samples were concentrated using the IDEXX Filta-Max(®) system and analyzed by a triplex real time PCR that detects Acanthamoeba, B. mandrillaris and Naegleria fowleri. Agar plates were also seeded for Acanthamoeba culture. From the three FLA studied, N. fowleri was not detected in any sample while B. mandrillaris was found at the entrance of a DWTP; this being, to our knowledge, the first report of these protozoa in water worldwide. On the other hand, the presence of Acanthamoeba observed was higher, 94.6% of the studied points were positive by real time PCR and 85.2% by culture, resulting in 99.1% positive for Acanthamoeba with both methods. All genetically analyzed Acanthamoeba were genotype T4 but nine different T4/DF3 sequences were observed, three of them being described for the first time, assigning new codes. No seasonal distribution of Acanthamoeba was found. These facts should serve as a warning to contact lens wearers of the risk of a poor hygiene when handling their contact lenses. It should also serve as a signal to physicians to consider FLA as a possible causative agent of nervous system infections as well as Acanthamoeba keratitis due to their high environmental presence shown in this

  7. The Realities of Living With a Transplanted Kidney: A Qualitative Study

    Valizadeh Zare

    2015-07-01

    Full Text Available Background The life with a transplanted organ is different from that before transplantation and is associated with unknown factors. Understanding and acceptance of real experiences as well as training and planning to manage them can reduce stress and anxiety. Because there is no study about it, this study was conducted to explore experiences of these patients. Objectives The purpose of this study was to explore realities about living with a transplanted kidney. Patients and Methods In this qualitative study, 10 patients with transplanted kidney were selected by purposive sampling from a list of transplant recipients in two referral and specialized hospitals in Mashhad and Ahvaz cities, Iran, in 2014. Data were collected through semi-structured interviews and field note, which were analyzed according to content analysis method. Results four main categories with 10 subcategories emerged as follows: perception of conditional life (health dependence on the maintenance of the transplanted kidney and continuation of life dependence on the consumption of medications, persistence of problems (necessity of medicine consumption, necessity to follow a dietary regime, transplant rejection, constant stress, necessity to be followed up for treatment, and marriage-related issues, being different (being different from before transplantation and from others, and change in attitude towards life (transplantation as a rebirth and feeling of relief. Conclusions The results showed that although transplantation can make a positive change in the lives of patients with chronic kidney disease, it leads to emergence of factors that if understood and correctly addressed, can lead to a realistic look at the new treatment.

  8. Why live recording sounds better: A case study of Schumann’s Träumerei

    Haruka eShoda

    2015-01-01

    Full Text Available We explore the concept that artists perform best in front of an audience. The negative effects of performance anxiety are much better known than their related cousin on the other shoulder: the positive effects of social facilitation. The present study, however, reveals a listener's preference for performances recorded in front of an audience. In Study 1, we prepared two types of recordings of Träumerei performed by 13 pianists: recordings in front of an audience and those with no audience. According to the evaluation by 153 listeners, the recordings performed in front of an audience sounded better, suggesting that the presence of an audience enhanced or facilitated the performance. In Study 2, we analyzed pianists' durational and dynamic expressions. According to the functional principal components analyses, we found that the expression of Träumerei consisted of three components: the overall quantity, the cross-sectional contrast between the final and the remaining sections, and the control of the expressive variability. Pianists' expressions were targeted more to the average of the cross-sectional variation in the audience-present than in the audience-absent recordings. In Study 3, we explored a model that explained listeners' responses induced by pianists' acoustical expressions, using path analyses. The final model indicated that the cross-sectional variation of the duration and that of the dynamics determined listeners' evaluations of the quality and the emotionally moving experience, respectively. In line with human's preferences for commonality, the more average the durational expressions were in live recording, the better the listeners' evaluations were regardless of their musical experiences. Only the well-experienced listeners (at least 16 years of musical training were moved more by the deviated dynamic expressions in live recording, suggesting a link between the experienced listener's emotional experience and the unique dynamics in

  9. Measurement method of activation cross-sections of reactions producing short-lived nuclei with 14 MeV neutrons

    Kawade, K; Kasugai, Y; Shibata, M; Iida, T; Takahashi, A; Fukahori, T

    2003-01-01

    We describe a method for obtaining reliable activation cross-sections in the neutron energy range between 13.4 and 14.9 MeV for the reactions producing short-lived nuclei with half-lives between 0.5 and 30 min. We noted neutron irradiation fields and measured induced activities, including (1) the contribution of scattered low-energy neutrons, (2) the fluctuation of the neutron fluence rate during the irradiation, (3) the true coincidence sum effect, (4) the random coincidence sum effect, (5) the deviation in the measuring position due to finite sample thickness, (6) the self-absorption of the gamma-ray in the sample material and (7) the interference reactions producing the same radionuclides or the ones emitting the gamma-ray with the same energy of interest. The cross-sections can be obtained within a total error of 3.6%, when good counting statistics are achieved, including an error of 3.0% for the standard cross-section of sup 2 sup 7 Al (n, alpha) sup 2 sup 4 Na. We propose here simple methods for measuri...

  10. Limitation of activities of daily living accompanying reduced neck mobility after laminoplasty preserving or reattaching the semispinalis cervicis into axis.

    Takeuchi, Kazunari; Yokoyama, Toru; Ono, Atsushi; Numasawa, Takuya; Wada, Kanichiro; Itabashi, Taito; Toh, Satoshi

    2008-03-01

    Although difficulties with neck mobility often interfere with patients' activities of daily living (ADL) after cervical laminoplasty, there was no detailed study on the relation between the limitations of ADL accompanying postoperative reduced neck mobility and the cervical posterior approach. The aim of this study was to compare retrospectively the frequency of limitations of ADL accompanying neck mobility after laminoplasty preserving the semispinalis cervicis inserted into the C2 spinous process with that after laminoplasty reattaching the muscle to C2. Forty-nine patients after C4-C7 laminoplasty with C3 laminectomy preserving the semispinalis cervicis inserted into C2 (Group A) and 24 patients after C3-C7 laminoplasty reattaching the muscle (Group B) were evaluated. The frequency of postoperative limitations of ADL accompanying each of three neck movements of extension, flexion and rotation were investigated. The postoperative O-C7 angles at extension and flexion was measured on lateral extension and flexion radiographs of the cervical spine, respectively. The postoperative cervical range of motion in rotation was measured in the cranial view using a digital camera. Frequency of limitations of ADL accompanying extension was lower (P = 0.037) in Group A (2%) than in Group B (17%). Frequency of limitations of ADL accompanying flexion was similar in Group A (8%) and Group B (4%). Frequency of limitations of ADL accompanying rotation was lower (P = 0.031) in Group A (12%) than in Group B (33%). Average O-C7 angle at extension was significantly larger (P = 0.002) in Group A (147 degrees ) than in Group B (136 degrees ). Average O-C7 angle at flexion was similar in Group A (93 degrees ) and Group B (91 degrees ). Average range of motion in rotation was significantly larger (P = 0.004) in Group A (110 degrees ) than in Group B (91 degrees ). This retrospective study suggested that the frequency of limitations of ADL accompanying neck extension or rotation was lower

  11. A qualitative, phenomenological study on the lived experiences of science teachers in The Bahamas

    Micklewhite, Thalia Vionne

    This phenomenological study investigates the lived experiences and perceptions of secondary science teachers in the archipelagic country of The Bahamas and how these teachers make meaning of the secondary science program in The Bahamas through the lens of life in a democratic society. The study's purpose was to answer the question: What are the lived experiences of secondary science teachers in The Bahamas in terms of their working conditions'? Using principles of phenomenological research to approach meaning, in-depth interviewing was conducted with six secondary science teachers on four islands of The Bahamas, including the capital of New Providence. The participants and the selected islands are representative of the diversity of teachers, the population, and school climates and structures throughout the country. Narratives were obtained via three ninety-minute interviews with each participant; and thematic analysis was the instrument by which three central themes emerged. Analysis of narratives reveals that lived experience of secondary science teachers revolve around themes of: (1) The Professional Self, (2) Curriculum Leadership, and (3) Curriculum. Most participants are in the career of secondary science education as second choice but are still committed to the profession. Participants overwhelmingly commented that there was a lack of supportive frameworks for critical elements of their daily work, and a need for clear, visionary and decisive curriculum leadership by The Ministry of Education and private School Boards. Participants also desired more appropriate and alternative science curricula that would meet the need of non-academically inclined Bahamian students. Antecedent to their calls was a pressing recognition that they lacked participatory democratic voice in national secondary science education evidenced by years of unrecognized and unattended suggestions sent to those in authority. As a result of these findings, the researcher was propelled towards

  12. Ventilatory and muscular assessment in healthy subjects during an activity of daily living with unsupported arm elevation

    Giselle F. L. Panka

    2010-08-01

    Full Text Available INTRODUCTION: Patients with chronic obstructive pulmonary disease (COPD report dyspnea when performing activities of daily living (ADLs with elevated upper limbs. To elucidate the determinants of dyspnea, it is important to study the changes in the respiratory pattern of these patients and the electromyographic activity of their accessory muscles of respiration during ADLs. In the literature, there are no reports of a normative parameter, therefore it is necessary to study how these variables behave in healthy subjects. OBJECTIVES: To verify, in healthy subjects, the existence of changes in the respiratory pattern and activation of the sternocleidomastoid (SCM muscle during an ADL with unsupported arm elevation. METHODS: Thirteen male subjects, 60.57 (±6.42 years old, with normal spirometry values for age and sex, were evaluated using surface electromyography (EMG and respiratory inductive plethysmography (RIP collected at rest and during the activity of combing their hair with elevated and unsupported upper limbs. The data distribution was assessed using Shapiro-Wilk's test. ANOVA was used to compare the phases, and when the difference was significant (pINTRODUÇÃO: Pacientes com doença pulmonar obstrutiva crônica (DPOC relatam dispneia quando realizam atividades da vida diária (AVD com membros superiores (MMSS elevados. Estudar as alterações do padrão respiratório e a atividade eletromiográfica dos músculos acessórios da respiração desses pacientes nas AVD pode contribuir para esclarecer os determinantes de dispneia. Entretanto, não se encontrou, na literatura, um padrão de normalidade, fazendo-se necessário estudar, primeiramente, o comportamento dessas variáveis em saudáveis. OBJETIVOS: Verificar, em indivíduos saudáveis, a existência de mudanças no padrão respiratório e na ativação do músculo esternocleidomastoideo (ECM durante a realização de uma AVD com os MMSS elevados e sem apoio. MÉTODOS: Treze volunt

  13. IMPROVING SUPERVISED CLASSIFICATION OF DAILY ACTIVITIES LIVING USING NEW COST SENSITIVE CRITERION FOR C-SVM

    M’hamed Bilal Abidine

    2013-11-01

    Full Text Available The growing population of elders in the society calls for a new approach in care giving. By inferring what activities elderly are performing in their houses it is possible to determine their physical and cognitive capabilities. In this paper we show the potential of important discriminative classifiers namely the Soft-Support Vector Machines (C-SVM, Conditional Random Fields (CRF and k-Nearest Neighbors (k-NN for recognizing activities from sensor patterns in a smart home environment. We address also the class imbalance problem in activity recognition field which has been known to hinder the learning performance of classifiers. Cost sensitive learning is attractive under most imbalanced circumstances, but it is difficult to determine the precise misclassification costs in practice. We introduce a new criterion for selecting the suitable cost parameter C of the C-SVM method. Through our evaluation on four real world imbalanced activity datasets, we demonstrate that C-SVM based on our proposed criterion outperforms the state-of-the-art discriminative methods in activity recognition.

  14. Age determination and validation studies of marine fishes: do deep-dwellers live longer?

    Cailliet, G M; Andrews, A H; Burton, E J; Watters, D L; Kline, D E; Ferry-Graham, L A

    2001-04-01

    Age determination and validation studies on deep-water marine fishes indicate they are difficult to age and often long-lived. Techniques for the determination of age in individual fish includes growth-zone analysis of vertebral centra, fin rays and spines, other skeletal structures, and otoliths (there are three sets of otoliths in most bony fish semicircular canals, each of which is made of calcium carbonate). Most have regular increments deposited as the fish (and its semicircular canals) grows. The most commonly used otolith for age determination is the largest one called the sagitta. Age validation techniques include: (1) tag-recapture, often combined with oxytetracycline injection and analysis in growth-zones of bone upon recapture; (2) analysis of growth-zones over time; and (3) radiometric approaches utilizing a known radioactive decay series as an independent chronometer in otoliths from bony fishes. We briefly summarize previous studies using these three validation approaches and present results from several of our radiometric studies on deep-water, bony fishes recently subjected to expanding fisheries. Radiometric age validation results are presented for four species of scorpaenid fishes (the bank, Sebastes rufus, and bocaccio, S. paucispinis, rockfishes, and two thornyhead species, Sebastolobus altivelis and S. alascanus). In addition, our analysis of scorpaenids indicates that longevity increases exponentially with maximum depth of occurrence. The reason that the deep-water forms of scorpaenid fishes are long-lived is uncertain. Their longevity, however, may be related to altered physiological processes relative to environmental parameters like low temperature, high pressures, low light levels, low oxygen, and poor food resources.

  15. Name Modelling Activities for the CAST/Contrast/Attrex Very Short Lived Species Measurements

    Harris, N. R. P.; Filus, M. T.; Ashfold, M.; Pyle, J. A.; Atlas, E. L.; Manning, A.; Meneguz, E.

    2014-12-01

    The UK Met Office Numerical Atmospheric dispersion Modeling Environment (NAME) is used to assess the spatial and temporal variability of transport of very short-lived halogenated organic species (VSLS), in particular bromoform, dibromomethane and methyl iodide, within the West Pacific tropical region. The NAME modelling results are compared with airborne measurements of VSLS taken during NASA ATTREX, NCAR CONTRAST and NERC CAST campaigns in January-March, 2014. In this work, the NAME model is used to link the aircraft measurements to examine the vertical distribution of VSLS in the West Pacific troposphere. The major focus will be on assessing vertical transport in deep convection which is one of the crucial factors in redistributing chemicals within the tropical troposphere. The work presented shows the analysis of NAME runs made from the ATTREX flights over the East Pacific in January-February, 2013 and the ATTREX and CONTRAST flight tracks over the West Pacific in January-March, 2014. Each ATTREX 2013 and 2014 flight track is divided into segments, from which particles are released and followed backward to identify the low-level sources of air. Particles (10,000 per single point along the flight track) are released from the flight tracks and followed 12-days backwards. Fractions of trajectories are calculated according to particles which crossed below 5 and 1 km (corresponding to low troposphere and oceanic boundary layer, respectively). Then, initial concentrations for VSLS are assigned to particles which originated from below 5/1 km and final concentrations at flight altitudes are determined based on e-folding equations. Results, obtained by running NAME, are compared with ATTREX VSLS flight measurements.

  16. Active Aging: Exploration into Self-Ratings of “Being Active,” Out-of-Home Physical Activity, and Participation among Older Australian Adults Living in Four Different Settings

    Rosemary L. Aird

    2015-01-01

    Full Text Available We examined whether self-ratings of “being active” among older people living in four different settings (major city high and lower density suburbs, a regional city, and a rural area were associated with out-of-home participation and outdoor physical activity. A mixed-methods approach (survey, travel diary, and GPS tracking over a one-week period was used to gather data from 48 individuals aged over 55 years. Self-ratings of “being active” were found to be positively correlated with the number of days older people spent time away from home but unrelated to time traveled by active means (walking and biking. No significant differences in active travel were found between the four study locations, despite differences in their respective built environments. The findings suggest that additional strategies to the creation of “age-friendly” environments are needed if older people are to increase their levels of outdoor physical activity. “Active aging” promotion campaigns may need to explicitly identify the benefits of walking outdoors to ambulatory older people as a means of maintaining their overall health, functional ability, and participation within society in the long-term and also encourage the development of community-based programs in order to facilitate regular walking for this group.

  17. Original article What does it mean to live after heart transplantation? The lived experience of heart transplant recipients. A qualitative study

    Anna Cierpka

    2015-03-01

    Full Text Available Background Despite significant improvements in physical state after heart transplantation, the majority of adult patients struggle with continuous psychological distress. The aim of the study was to explore the lived experiences of adult heart transplant recipients in order to understand the inner background of these difficulties. Participants and procedure Unstructured, in-depth interviews, based on the Life Story Interview of D. P. McAdams, were performed with 8 adults, aged between 50 and 60 years, who had undergone heart transplantation a year before the research was conducted. Interviews were tape recorded and transcribed verbatim. Data were analysed using narrative methods. Results The central themes of the patients’ lived experience were the illness itself and the feeling of being very different from others and from oneself remembered in the past – the times before the transplantation. The experienced discordance between their inner world and the expectations to get better presented by other people (the family, health care workers, etc. implies that these patients struggle with others’ lack of understanding and therefore suffer from a lack of effective psychological support. Conclusions This study shows that the life stories of patients after heart transplantation are in fact stories of their illness and the consequences it brought. It seems important to take this into consideration when constructing rehabilitation programmes for these patients in order to offer them the most effective support possible.

  18. "Power, Regulation and Physically Active Identities": The Experiences of Rural and Regional Living Adolescent Girls

    Casey, M.; Mooney, A.; Smyth, J.; Payne, W.

    2016-01-01

    Drawing on interpretations of Foucault's techniques of power, we explored the discourses and power relations operative between groups of girls that appeared to influence their participation in Physical Education (PE) and outside of school in sport and physical activity (PA) in rural and regional communities. Interviews and focus groups were…

  19. Along Came a Spider: Using Live Arthropods in a Predator-Prey Activity

    Richardson, Matthew L.; Hari, Janice

    2011-01-01

    We developed a predator-prey activity with eighth-grade students in which they used wolf spiders ("Lycosa carolinensis"), house crickets ("Acheta domestica"), and abiotic factors to address how (1) adaptations in predators and prey shape their interaction and (2) abiotic factors modify the interaction between predators and prey. We tested student…

  20. Living in a Global Age. A Simulation Activity for Upper Elementary and Secondary Level Students.

    Stanford Univ., CA. Stanford Program on International and Cross Cultural Education.

    Designed to introduce concepts in international trade and global economics to upper elementary and secondary level students, this simulation activity engages students in the group task of assembling flashlights. A variety of topics can be explored, such as energy shortages, international crises, relationships between rich and poor nations, foreign…

  1. Childbearing Decision Making: A Qualitative Study of Women Living with HIV/AIDS in Southwest Nigeria

    Y. A. Sofolahan

    2012-01-01

    Full Text Available Using the PEN-3 model, the purpose of this qualitative study was to understand the factors responsible for the childbearing decisions of women living with HIV/AIDS (WLHA in Lagos, Nigeria. Sixty WLHA who sought care at a teaching hospital in Lagos were recruited to participate in in-depth interviews. The average age of the participants was 30 years, and 48 participants were receiving antiretroviral therapy. Healthcare and spiritual practices, healthcare provider-patient communication about childbearing, and husband/partner support emerged as factors that contribute to the childbearing decisions of WLHA. The findings reveal the importance of discussing sexual reproductive health and childbearing issues with WLHA in the healthcare context prior to pregnancy.

  2. The meaning of assisted feeding for people living with spinal cord injury: a phenomenological study

    Martinsen, B.; Harder, I.; Biering-Sørensen, Fin

    2008-01-01

    AIM: This paper is a report of a study to explore the meaning of assisted feeding through the experiences of people with high cervical spinal cord injury. Background. Eating difficulties are known to affect a person's self-image and transform social lives. Little is known about the experience...... the phenomenological guidelines by Dahlberg and colleagues. FINDINGS: The essence of the phenomenon assisted feeding was described as a constructed pattern based on coordinated attention between the person with high cervical spinal cord injury and the helper. The constituents of the essence were: paralysis...... to each individual person. Fixed procedures or routines should be avoided and assistive devices used with care. We recommend that continuity in the cooperation between the parties involved in assisted feeding is given priority, and that personal standard and social norms around meals are acknowledged...

  3. The lived experience of well-being in retirement: A phenomenological study

    Lars Bauger

    2016-11-01

    Full Text Available This phenomenological study aimed to identify and describe the general meaning structure of the experience of well-being after retirement. We interviewed nine retirees about their lived experiences with well-being and analysed the data with Giorgi's descriptive phenomenological method. The general meaning structure described well-being in retirement as a phenomenon that interweaves four constituents: (1 an awareness of and gratitude for a healthy and functioning body, (2 a new experience of time presenting possibilities for action, (3 a heightened sense of agency, and (4 being-in-place in relationships. We discuss these findings in relation to relevant literature of successful aging, the perception of time, eudaimonic and hedonic well-being and generativity. Our findings contribute to the field by comprehensibly describing the phenomenon of well-being as it is experienced by retirees, which we conclude to be a valuable contribution for initiatives promoting well-being in retirement.

  4. Physical activity and cardiovascular prevention: Is healthy urban living a possible reality or utopia?

    Buscemi, Silvio; Giordano, Carla

    2017-02-16

    Favoring correct lifestyles is the most important measure to contrast cardiovascular diseases and the epidemic of high cardiovascular risk conditions, such as obesity, diabetes, and hypertension. Lifestyle is a broad expression that includes diet, physical exercise, and psychological and socio-economic factors, each of which must be taken into due consideration because of their intertwining influences, which may be a barrier to healthy changes at both the individual and population levels. While physical activity has probably received less attention in the last decades, it is likely the most important among the modifiable risk factors for cardiovascular diseases. Improving the habitual physical activity level is an achievable goal, and even small improvements may have important favorable effects on health. Strategies at the population level have to be urgently taken, and involve not only public health, but also administrators and politicians, starting from a rethinking of our cities.

  5. Pleomorphism and acetylene-reducing activity of free-living rhizobia.

    Kaneshiro, T; Baker, F.L.; Johnson, D.E.

    1983-01-01

    Cowpea-type Rhizobium sp. strain 32H1 and Rhizobium japonicum USDA 26 and 110 grown on a glutamate-mannitol-gluconate agar medium showed increases in the number of pleomorphic cells coincident with their acetylene-reducing activity. Pleomorphs appeared to be inhibited in growth nonuniformly, because acetylene-reducing cultures were mixtures of rod, branched (V, Y, and T), and other irregularly shaped cells. In contrast, strain USDA 10 consistently failed to reduce acetylene, even though it al...

  6. Power assessment for genetic association study of human longevity using offspring of long-lived subjects.

    Tan, Qihua; Zhao, Jing Hua; Li, Shuxia; Kruse, Torben A; Christensen, Kaare

    2010-07-01

    Recently, an indirect genetic association approach that compares genotype frequencies in offspring of long-lived subjects and offspring from random families has been introduced to study gene-longevity associations. Although the indirect genetic association has certain advantages over the direct association approach that compares genotype frequency between centenarians and young controls, the power has been of concern. This paper reports a power study performed on the indirect approach using computer simulation. We perform our simulation study by introducing the current Danish population life table and the proportional hazard model for generating individual lifespan. Family genotype data is generated using a genetic linkage program for given SNP allele frequency. Power is estimated by setting the type I error rate at 0.05 and by calculating the Armitage's chi-squared test statistic for 200 replicate samples for each setting of the specified allele risk and frequency parameters under different modes of inheritance and for different sample sizes. The indirect genetic association analysis is a valid approach for studying gene-longevity association, but the sample size requirement is about 3-4 time larger than the direct approach. It also has low power in detecting non-additive effect genes. Indirect genetic association using offspring from families with both parents as nonagenarians is nearly as powerful as using offspring from families with one centenarian parent. In conclusion, the indirect design can be a good choice for studying longevity in comparison with other alternatives, when relatively large sample size is available.

  7. High-power fiber optic cable with integrated active sensors for live process monitoring

    Blomster, Ola; Blomqvist, Mats; Bergstrand, Hans; Pålsson, Magnus

    2012-03-01

    In industrial applications using high-brilliance lasers at power levels up to and exceeding 20 kW and similarly direct diode lasers of 10 kW, there is an increasing demand to continuously monitor component status even in passive components such as fiber-optic cables. With fiber-optic cables designed according to the European Automotive Industry fiber standard interface there is room for integrating active sensors inside the connectors. In this paper we present the integrated active sensors in the new Optoskand QD fiber-optic cable designed to handle extreme levels of power losses, and how these sensors can be employed in industrial manufacturing. The sensors include photo diodes for detection of scattered light inside the fiber connector, absolute temperature of the fiber connector, difference in temperature of incoming and outgoing cooling water, and humidity measurement inside the fiber connector. All these sensors are connected to the fiber interlock system, where interlock break enable functions can be activated when measured signals are higher than threshold levels. It is a very fast interlock break system as the control of the signals is integrated in the electronics inside the fiber connector. Also, since all signals can be logged it is possible to evaluate what happened inside the connector before the interlock break instance. The communication to the fiber-optic connectors is via a CAN interface. Thus it is straightforward to develop the existing laser host control to also control the CAN-messages from the QD sensors.

  8. Monitoring activities of daily living based on wearable wireless body sensor network.

    Kańtoch, E; Augustyniak, P; Markiewicz, M; Prusak, D

    2014-01-01

    With recent advances in microprocessor chip technology, wireless communication, and biomedical engineering it is possible to develop miniaturized ubiquitous health monitoring devices that are capable of recording physiological and movement signals during daily life activities. The aim of the research is to implement and test the prototype of health monitoring system. The system consists of the body central unit with Bluetooth module and wearable sensors: the custom-designed ECG sensor, the temperature sensor, the skin humidity sensor and accelerometers placed on the human body or integrated with clothes and a network gateway to forward data to a remote medical server. The system includes custom-designed transmission protocol and remote web-based graphical user interface for remote real time data analysis. Experimental results for a group of humans who performed various activities (eg. working, running, etc.) showed maximum 5% absolute error compared to certified medical devices. The results are promising and indicate that developed wireless wearable monitoring system faces challenges of multi-sensor human health monitoring during performing daily activities and opens new opportunities in developing novel healthcare services.

  9. Public transfers and living alone among the elderly: A case study of Korea's new income support program

    Erin Hye-Won Kim

    2015-06-01

    Full Text Available Background: Despite the significant implications of older adults' living arrangements for their well-being, it is not clear whether public transfers for the elderly will increase or decrease their independent living. A few natural experiments in the U.S. show that such support increases elders' living alone owing to their preferences for privacy. There has been little quasi-experimental evidence in Asia, where multigenerational coresidence is prevalent and norms and preferences for that form of living arrangement remain strong. Objective: In 2008 the Korean government introduced the Basic Old-Age Pension (BOAP, a means-tested income support program for elders. This article examines how the program affects unmarried Korean elders' likelihood of living alone. Methods: I analyze the 2005, 2007, 2009, and 2011 waves of the Korean Retirement and Income Study, a longitudinal survey of nationally representative Koreans. The analysis takes a difference-in-difference approach, which compares changes in the living arrangements of two elderly groups, one that received BOAP benefits and the other that did not. Results: Overall, the program has a negative, not positive, impact on elders' living alone. A closer look reveals that the transfers helped non-coresident elders to continue living alone and prevented coresident elders from forming one-person households. Conclusions: Ambivalent attitudes towards living alone in the transitional Korean society, together with the modest amount of BOAP benefits, appear to explain the mixed results. These findings are particularly relevant to other rapidly changing societies where public elder-support systems are expanding and norms of familial elder support are weakening.

  10. High-level activities of daily living and disease-specific mortality during a 12-year follow-up of an octogenarian population

    Takata Y

    2013-06-01

    Full Text Available Yutaka Takata,1 Toshihiro Ansai,2 Inho Soh,2 Shuji Awano,2 Ikuo Nakamichi,1 Sumio Akifusa,3 Kenichi Goto,1 Akihiro Yoshida,2 Hiroki Fujii,1 Ritsuko Fujisawa,1 Kazuo Sonoki31Division of General Internal Medicine, 2Division of Community Oral Health Science, 3Department of Oral Health and Environment, School of Oral Health Science, Kyushu Dental University, Kitakyushu, JapanBackground: Little is known about the relationship between disease-specific mortality and high-level activities of daily living in the elderly. We examined whether mortality is associated with high-level activities of daily living in an octogenarian population.Methods: We conducted a population-based cross-sectional and prospective cohort study in 693 older persons aged 80 years and living in Japan’s Fukuoka Prefecture. We then evaluated the association between 12-year disease-specific mortality and high-level functional capacity as measured by the Tokyo Metropolitan Institute of Gerontology Index of Competence, which is a standardized multidimensional 13-item instrument; items 1 through 5 are classified as instrumental self-maintenance activity, items 6 through 9 as intellectual activity, items 10 through 13 as social roles activity, and all 13 items together yield total functional capacity.Results: By the 12-year follow-up of the 693 participants, 413 had died, 242 survived, and 38 were unable to be located. Of the 413 who died, 105 died of cardiovascular disease, 73 of respiratory tract disease, 71 of cancer, and 39 of senility. Of the other 125 deaths, 59 were due to other diseases, and the cause of death for 66 participants is not known. The hazard ratio (HR for all-cause mortality, adjusted for confounding factors with multivariate Cox analyses, fell by 6% (HR 0.937, 95% confidence interval [CI] 0.899–0.978, P = 0.003 with each one-point increase in participants’ scores on the Tokyo Metropolitan Institute of Gerontology Index of total functional capacity. With one

  11. Vitamin A metabolism is changed in donors after living-kidney transplantation: an observational study

    Henze Andrea

    2011-12-01

    Full Text Available Abstract Background The kidneys are essential for the metabolism of vitamin A (retinol and its transport proteins retinol-binding protein 4 (RBP4 and transthyretin. Little is known about changes in serum concentration after living donor kidney transplantation (LDKT as a consequence of unilateral nephrectomy; although an association of these parameters with the risk of cardiovascular diseases and insulin resistance has been suggested. Therefore we analyzed the concentration of retinol, RBP4, apoRBP4 and transthyretin in serum of 20 living-kidney donors and respective recipients at baseline as well as 6 weeks and 6 months after LDKT. Results As a consequence of LDKT, the kidney function of recipients was improved while the kidney function of donors was moderately reduced within 6 weeks after LDKT. With regard to vitamin A metabolism, the recipients revealed higher levels of retinol, RBP4, transthyretin and apoRBP4 before LDKT in comparison to donors. After LDKT, the levels of all four parameters decreased in serum of the recipients, while retinol, RBP4 as well as apoRBP4 serum levels of donors increased and remained increased during the follow-up period of 6 months. Conclusion LDKT is generally regarded as beneficial for allograft recipients and not particularly detrimental for the donors. However, it could be demonstrated in this study that a moderate reduction of kidney function by unilateral nephrectomy, resulted in an imbalance of components of vitamin A metabolism with a significant increase of retinol and RBP4 and apoRBP4 concentration in serum of donors.

  12. Suppressing active replication of a live attenuated simian immunodeficiency virus vaccine does not abrogate protection from challenge

    Gabriel, Benjamin; Fiebig, Uwe; Hohn, Oliver [Robert Koch-Institut, Berlin (Germany); Plesker, Roland; Coulibaly, Cheick; Cichutek, Klaus; Mühlebach, Michael D. [Paul-Ehrlich-Institut, Langen (Germany); Bannert, Norbert; Kurth, Reinhard [Robert Koch-Institut, Berlin (Germany); Norley, Stephen, E-mail: NorleyS@rki.de [Robert Koch-Institut, Berlin (Germany)

    2016-02-15

    Although safety concerns preclude the use of live attenuated HIV vaccines in humans, they provide a useful system for identifying the elusive correlates of protective immunity in the SIV/macaque animal model. However, a number of pieces of evidence suggest that protection may result from prior occupancy of susceptible target cells by the vaccine virus rather than the immune response. To address this, we developed a Nef-deletion variant of an RT-SHIV whose active replication could be shut off by treatment with RT-inhibitors. Groups of macaques were inoculated with the ∆Nef-RT-SHIV and immune responses allowed to develop before antiretroviral treatment and subsequent challenge with wild-type SIVmac239. Vaccinated animals either resisted infection fully or significantly controlled the subsequent viremia. However, there was no difference between animals undergoing replication of the vaccine virus and those without. This strongly suggests that competition for available target cells does not play a role in protection. - Highlights: • A Nef-deleted RT-SHIV was used as a live attenuated vaccine in macaques. • Vaccine virus replication was shut down to investigate its role in protection. • Ongoing vaccine virus replication did not appear to be necessary for protection. • An analysis of T- and B-cell responses failed to identify a correlate of protection.

  13. Developing a Health and Wellbeing Platform in a Living Lab Setting: An Action Design Research Study

    Broers, W.J.W.; De Reuver, G.A.; Florez Atehuortua, L.; Guldemond, N.A.

    2015-01-01

    The world’s population is rapidly aging, which affects healthcare budgets, resources, pensions and social security systems. Although most older adults prefer to live independently in their own home as long as possible, smart living solutions to support elderly people at home did not reach mass adopt

  14. Navigating Multiple Worlds: A Qualitative Study of the Lived Experiences of Hmong Women Leaders

    Lena Moua

    2012-01-01

    Full Text Available This article presents the findings from a narrative study that examined the leadership development and pathways of nine prominent Hmong American women leaders from Minnesota and California. Each of these women was able to break through the cultural and gender glass ceiling to become positional and influential leaders in mainstream American society. The study focused on the factors that contributed to the participants’ leadership development; strategies used in attaining and maintaining leadership roles; and barriers each participant encountered on her path to becoming a leader. Important findings included the impact of poverty, the prominent role of education, inner strength the women possessed, importance of networking and support systems, and strong role models. Other factors included familial responsibilities, gender disparities, racism and ageism. The conceptual frameworks of Belenky, Clinchy, Goldberger and Tarule (1986, and Alon and Higgins (2005, were utilized to guide the analysis and presentation of each participant’s life journey, and show the intersections between culture and feminist epistemology. The narrative case study approach included in-depth interviews, collective story mapping and re-narration techniques to explore the lives of these women leaders. One overarching goal of the study and this article is to create a greater understanding of complex issues and impediments associated with leadership development, with the hope of beginning a dialog that will help facilitate policy changes regarding developing and supporting minority women in leadership roles.

  15. Navigating Multiple Worlds: A Qualitative Study of the Lived Experiences of Hmong Women Leaders

    Lena Moua

    2012-01-01

    Full Text Available This article presents the findings from a narrative study that examined the leadership development and pathways of nine prominent Hmong American women leaders from Minnesota and California. Each of these women was able to break through the cultural and gender glass ceiling to become positional and influential leaders in mainstream American society. The study focused on the factors that contributed to the participants leadership development; strategies used in attaining and maintaining leadership roles; and barriers each participant encountered on her path to becoming a leader. Important findings included the impact of poverty, the prominent role of education, inner strength the women possessed, importance of networking and support systems, and strong role models. Other factors included familial responsibilities, gender disparities, racism and ageism. The conceptual frameworks of Belenky, Clinchy, Goldberger and Tarule (1986, and Alon and Higgins (2005, were utilized to guide the analysis and presentation of each participants life journey, and show the intersections between culture and feminist epistemology. The narrative case study approach included in-depth interviews, collective story mapping and re-narration techniques to explore the lives of these women leaders. One overarching goal of the study and this article is to create a greater understanding of complex issues and impediments associated with leadership development, with the hope of beginning a dialog that will help facilitate policy changes regarding developing and supporting minority women in leadership roles.

  16. Does a physiotherapy programme of gross motor training influence motor function and activities of daily living in children presenting with developmental coordination disorder?

    Sonill S. Maharaj

    2016-02-01

    Full Text Available Background: Children with developmental coordination disorder (DCD lack motor coordination and have difficulty performing motor skills and activities of daily living. Research shows these children do not outgrow their motor difficulties and without intervention do not improve. Physiotherapy is relevant for these children, but due to limited clinical protocols for DCD the aim of this study was to determine the effect of a gross motor training programme for 6–12-year-old children with DCD.Methods: This randomised pre-test, post-test study recruited 64 children with scores of 15th percentile or below using the Movement Assessment Battery for Children (M-ABC. The children were divided equally into an intervention group receiving 8 weeks of gross motor training for core stability, strengthening exercises, balance and coordination with task-specific activities for 30 min per week, while the control group continued with general therapy and activities of daily living. The M-ABC and Developmental Coordination Disorder Questionnaire (DCDQ were used to assess each child before and after 8 weeks.Results: Sixty children completed the study, with 43 males and 17 females (mean age 10.02 years, SD = 2.10. There were no adverse reactions to the programme and M-ABC scores for the intervention programme improved by 6.46%, ball skills (3.54% and balance (4.80% compared with the control (0.17% and (0.15%, respectively. There were significant (p < 0.05 improvements in DCDQ scores, but teachers allocated lower scores than parents.Conclusion: This study supports 8 weeks of gross motor training which can be a beneficial intervention for physiotherapists to improve gross motor function for DCD.Keywords: Developmental, co-ordination, skills, motor

  17. Sociodemographic and Lifestyle Statistics of Oldest Old People (>80 Years Living in Ikaria Island: The Ikaria Study

    Demosthenes B. Panagiotakos

    2011-01-01

    Full Text Available Background. There are places around the world where people live longer and they are active past the age of 100 years, sharing common behavioral characteristics; these places (i.e., Sardinia in Italy, Okinawa in Japan, Loma Linda in California and Nicoya Peninsula in Costa Rica have been named the “Blue Zones”. Recently it was reported that people in Ikaria Island, Greece, have also one of the highest life expectancies in the world, and joined the “Blue Zones”. The aim of this work work was to evaluate various demographic, lifestyle and psychological characteristics of very old (>80 years people participated in Ikaria Study. Methods. During 2009, 1420 people (aged 30+ men and women from Ikaria Island, Greece, were voluntarily enrolled in the study. For this work, 89 males and 98 females over the age of 80 yrs were studied (13% of the sample. Socio-demographic, clinical, psychological and lifestyle characteristics were assessed using standard questionnaires and procedures. Results. A large proportion of the Ikaria Study's sample was over the age of 80; moreover, the percent of people over 90 were much higher than the European population average. The majority of the oldest old participants reported daily physical activities, healthy eating habits, avoidance of smoking, frequent socializing, mid-day naps and extremely low rates of depression. Conclusion. Modifiable risk factors, such as physical activity, diet, smoking cessation and mid-day naps, might depict the “secrets” of the long-livers; these findings suggest that the interaction of environmental, behavioral together with clinical characteristics may determine longevity. This concept must be further explored in order to understand how these factors relate and which are the most important in shaping prolonged life.

  18. Development and applications of an optical tweezer-based microrheometer: case studies of biomaterials and living cells

    Wang, Jing; Yalcin, Huseyin; Lengel, Angela; Hewitt, Corey; Ou-Yang, H. Daniel

    2007-02-01

    The investigation of mechanical properties of living biological cells and biomaterials is challenging because they are inhomogeneous and anisotropic at microscopic scales, and often time-dependent over a broad time scale. Through three case studies of biomaterials and living cells, we demonstrate that a novel, oscillating optical tweezer-based imaging microrheometer developed recently in our laboratory has overcome many technical barriers posed by the complexity of biological systems. In this paper, we present the working principle, system setup and calibration of the imaging microrheometer, and report the groundbreaking results of the three applications: gelation dynamics of cross-linkable hyaluronan acid (HA) hydrogels; Mechanical in-homogeneity and anisotropy in purified microtubule networks; and effects of drug treatment and temperature variation on the mechanical properties of in vitro human alveolar epithelial cells. In each case, micro beads inserted in the materials, or attached to the cell membrane were used as probes for optical trapping. The probe particle was set into a forced harmonic oscillation by oscillating optical tweezers. Position sensing optics and phase lock-in signal processing allow the determination of the amplitude and phase shift of the particle motion at high sensitivity. The complex mechanical modulus G * is then calculated from the amplitude and the phase shift. The rheometer system is capable of measuring dynamic local mechanical moduli in the broad frequency range of 1.3-1000 Hz at a sampling rate of 2 data point per second across a wide dynamic range (1~20,000 dyne/cm2). Integration of the rheometer system with spinning disk confocal microscopy enables the study of micromechanical properties and the microstructure of the sample simultaneously. Combination of dual-axis, piezo-electric activated mirror and 2-D position sensing detector gives the rheometer system the capability of investigating mechanical anisotropy in highly

  19. Activation cross sections of longer-lived radionuclides produced in germanium by alpha particle irradiation

    Takács, S.; Takács, M. P.; Ditrói, F.; Aikawa, M.; Haba, H.; Komori, Y.

    2016-09-01

    The cross sections of alpha particles induced nuclear reactions on natural germanium were investigated by using the standard stacked foil target technique, the activation method and high resolution gamma spectrometry. Targets with thickness of about 1 μm were prepared from natural Ge by vacuum evaporation onto 25 μm thick polyimide (Kapton) backing foils. Stacks were composed of Kapton-Ge-Ge-Kapton sandwich target foils and additional titanium monitor foils with nominal thickness of 11 μm to monitor the beam parameters using the natTi(α,x)51Cr reaction. The irradiations were done with Eα = 20.7 and Eα = 51.25 MeV, Iα = 50 nA alpha particle beams for about 1 h. Direct or cumulative activation cross sections were determined for production of the 72,73,75Se, 71,72,74,76,78As, and 69Ge radionuclides. The obtained experimental cross sections were compared to the results of theoretical calculations taken from the TENDL data library based on the TALYS computer code. A comparison was made with available experimental data measured earlier. Thick target yields were deduced from the experimental cross sections and compared with the data published before.

  20. A scale to assess activities of daily living in persons affected by leprosy

    Van Brakel, WH; Anderson, AM; Worpel, FC; Saiju, R; Bk, HB; Sherpa, S; Sunwar, SK; Gurung, J; De Boer, M; Scholten, E

    1999-01-01

    The aim of this study was to develop a scale for identifying disability among people in the rural areas of developing countries. The studies were carried out in the Green Pastures Hospital and the leprosy field programme of the Western Region of Nepal. With the help of staff experienced in working w

  1. Designing and testing lightweight shoulder prostheses with hybrid actuators for movements involved in typical activities of daily living and impact absorption

    Sekine M

    2015-07-01

    Full Text Available Masashi Sekine,1,2 Kahori Kita,1 Wenwei Yu1 1Center for Frontier Medical Engineering, 2Graduate School of Engineering, Chiba University, Chiba, Japan Abstract: Unlike forearm amputees, transhumeral amputees have residual stumps that are too small to provide a sufficient range of operation for their prosthetic parts to perform usual activities of daily living. Furthermore, it is difficult for small residual stumps to provide sufficient impact absorption for safe manipulation in daily living, as intact arms do. Therefore, substitution of upper limb function in transhumeral amputees requires a sufficient range of motion and sufficient viscoelasticity for shoulder prostheses under critical weight and dimension constraints. We propose the use of two different types of actuators, ie, pneumatic elastic actuators (PEAs and servo motors. PEAs offer high power-to-weight performance and have intrinsic viscoelasticity in comparison with motors or standard industrial pneumatic cylinder actuators. However, the usefulness of PEAs in large working spaces is limited because of their short strokes. Servo motors, in contrast, can be used to achieve large ranges of motion. In this study, the relationship between the force and stroke of PEAs was investigated. The impact absorption of both types of actuators was measured using a single degree-of-freedom prototype to evaluate actuator compliance for safety purposes. Based on the fundamental properties of the actuators identified, a four degree-of-freedom robotic arm is proposed for prosthetic use. The configuration of the actuators and functional parts was designed to achieve a specified range of motion and torque calculated from the results of a simulation of typical movements performed in usual activities of daily living. Our experimental results showed that the requirements for the shoulder prostheses could be satisfied. Keywords: shoulder prosthesis, hybrid actuation, pneumatic elastic actuator, antagonistic

  2. Returning to life, the Lived Experiences of Pregnancy in Women with HIV: A Phenomenological study

    Z Khalajinia

    2016-08-01

    Full Text Available Background & aim: Pregnancy is every woman's stage of life. During this period, women experience physical, mental and social changes. It is very sensitive, challenging and therefore a critical period for every woman particularly in HIV-positive women. During pregnancy, an HIV-positive mother is facing a psychological crisis which includes fear of transmission to children, death, leaving children to the family or a guardian, adverse effects during pregnancy and the effects of pregnancy on their health. Therefore, HIV-positive pregnant women are vulnerable and require supportive interventions.  Care for pregnant women with HIV negative women are unique and different. However, no more information about experience of pregnancy in HIV positive women exists. Therfore, the aim of the present study was to explore the lived experience of pregnancy in HIV-positive women. Methods: The present qualitative study with hermeneutic phenomenological approach included 12 HIV-infected pregnant women who referred to the counseling center for behavioral diseases at Imam Khomeini Hospital of Tehran University of Medical Sciences who were recruited through purposive sampling. Data were collected through semi-structured interviews. Data saturation was achieved after 16 interviews, each 40 to 90 min of duration with participants and then was analyzed by the method proposed by Diekelmann (1989. Results: The participants in the present study were of 22- 39 years of age. After data analysis, the main themes and 3 sub-themes emerged. These themes included: “return to life” with the three sub-themes of experience of motherhood, stability and protection, and gratification. Conclusion: The results revealed that although the experience of pregnancy in HIV-positive women was associated with a deep sense of fear of transmission of the disease and having children was viewed as a way of hope. Motherhood gave their lives meaning and provided for them to return to life

  3. Living Within Limits: Unpleasant Experiences From the Perspective of Patients After Cardiac Surgery, a Content Analysis Study

    Pourghane

    2014-07-01

    Full Text Available Background Cardio vascular diseases (CVDs are the main cause of death around the world and coronary artery bypass grafting (CABG has proven to be the most effective treatment for ischemic coronary heart diseases when other treatments are ineffective. Despite the perceived improvement in the health of patients undergoing CABG, there are problems that result from operations after they are discharged from hospital. Provision of information is an integral part of most psychological interventions. Having a clearer understanding of patients’ experiences will be helpful to healthcare workers with respect to patients’ care and education planning. Caring science places more attention on the patient's everyday life from his/her perspective. Most of the studies conducted in Iran used a quantitative method or measured care needs according to pre-defined criteria. Objectives The aim of this study was to explore the lived experiences of patients who have undergone cardiac surgery, in order to obtain a deeper understanding of what they experienced and what those who provide care for these patients experienced. Patients and Methods A qualitative design, using a content analysis approach, was adapted to collect the data and analyze the experiences of 18 patients after cardiac surgery through a purposive sampling strategy. After the selection of the participants, semi structured interviews were held in order to collect the data. Scientific accuracy, and rigor of the data and research ethics were respected. Results The data analysis revealed three main themes and 11 subthemes, categorized as conceptual and abstract, based on their nature: concern of going out therapeutic framework (Fear of the recurrence of heart attack, Fear of performing more activities than permitted, Fear of taking journeys, Fear of mass communication/Tired of living within the confines of the therapeutic framework (Need to take various medications, Dietary restrictions, Limitations in

  4. Computer simulation of the activity of the elderly person living independently in a Health Smart Home.

    Noury, N; Hadidi, T

    2012-12-01

    We propose a simulator of human activities collected with presence sensors in our experimental Health Smart Home "Habitat Intelligent pour la Sante (HIS)". We recorded 1492 days of data on several experimental HIS during the French national project "AILISA". On these real data, we built a mathematical model of the behavior of the data series, based on "Hidden Markov Models" (HMM). The model is then played on a computer to produce simulated data series with added flexibility to adjust the parameters in various scenarios. We also tested several methods to measure the similarity between our real and simulated data. Our simulator can produce large data base which can be further used to evaluate the algorithms to raise an alarm in case of loss in autonomy.

  5. Uncertainty, the Overbearing Lived Experience of the Elderly People Undergoing Hemodialysis: A Qualitative Study

    Sahaf, Robab; Sadat Ilali, Ehteram; Peyrovi, Hamid; Akbari Kamrani, Ahmad Ali; Spahbodi, Fatemeh

    2017-01-01

    ABSTRACT Background: The chronic kidney disease is a major health concern. The number of the elderly people with chronic renal failure has increased across the world. Dialysis is an appropriate therapy for the elderly, but it involves certain challenges. The present paper reports uncertainty as part of the elderly experiences of living with hemodialysis. Methods: This qualitative study applied Max van Manen interpretative phenomenological analysis to explain and explore experiences of the elderly with hemodialysis. Given the study inclusion criteria, data were collected using in-depth unstructured interviews with nine elderly undergoing hemodialysis, and then analyzed according to Van Manen 6-stage methodological approach. Results: One of the most important findings emerging in the main study was “uncertainty”, which can be important and noteworthy, given other aspects of the elderly life (loneliness, despair, comorbidity of diseases, disability, and mental and psychosocial problems). Uncertainty about the future is the most psychological concerns of people undergoing hemodialysis. Conclusion: The results obtained are indicative of the importance of paying attention to a major aspect in the life of the elderly undergoing hemodialysis, uncertainty. A positive outlook can be created in the elderly through education and increased knowledge about the disease, treatment and complications. PMID:28097174

  6. Comparative study on three locally developed live orf virus vaccines for sheep in Saudi Arabia

    Fahdel M. Housawi

    2012-02-01

    Full Text Available The epidemiology of orf virus infection in Saudi Arabia (SA has been researched since 1990. The results obtained during this period indicate that the disease is widespread, has great economic impact and that no vaccine has been used against it. The present study compares the immunogenicity and protective efficacy of three locally developed live orf virus vaccines. Two of them differ in their passage history in Vero cell culture and the third was used as a virulent virus in glycerine buffer. To the best of the authors’ knowledge, no similar comparative study has been conducted in the Middle East utilising three types of vaccines prepared from the same virus strain. Selection of the candidate seed orf virus and performance of the quality control tests were as laid out by the OIE for veterinary vaccine production. The vaccine seed virus was a field orf virus isolated from a previous orf outbreak in Saudi Arabia. A simple novel formula was developed to calculate the rate of reduction in the healing time (RHT % in the challenged sheep. This allowed direct comparison of the efficacy of the three types of vaccines employed in the present study. The efficacy of each vaccine was tested on a cohort of local Noemi sheep.

  7. Acceptance of living liver donation among medical students: A multicenter stratified study from Spain

    Ríos, Antonio; López-Navas, Ana Isabel; López-López, Ana Isabel; Gómez, Francisco Javier; Iriarte, Jorge; Herruzo, Rafael; Blanco, Gerardo; Llorca, Francisco Javier; Asunsolo, Angel; Sánchez-Gallegos, Pilar; Gutiérrez, Pedro Ramón; Fernández, Ana; de Jesús, María Teresa; Martínez-Alarcón, Laura; Lana, Alberto; Fuentes, Lorena; Hernández, Juan Ramón; Virseda, Julio; Yelamos, José; Bondía, José Antonio; Hernández, Antonio Miguel; Ayala, Marco Antonio; Ramírez, Pablo; Parrilla, Pascual

    2016-01-01

    AIM: To analyze the attitude of Spanish medical students toward living liver donation (LLD) and to establish which factors have an influence on this attitude. METHODS: Study type: A sociological, interdisciplinary, multicenter and observational study. Study population: Medical students enrolled in Spain (n = 34000) in the university academic year 2010-2011. Sample size: A sample of 9598 students stratified by geographical area and academic year. Instrument used to measure attitude: A validated questionnaire (PCID-DVH RIOS) was self-administered and completed anonymously. Data collection procedure: Randomly selected medical schools. The questionnaire was applied to each academic year at compulsory sessions. Statistical analysis: Student´s t test, χ2 test and logistic regression analysis. RESULTS: The completion rate was 95.7% (n = 9275). 89% (n = 8258) were in favor of related LLD, and 32% (n = 2937) supported unrelated LLD. The following variables were associated with having a more favorable attitude: (1) age (P = 0.008); (2) sex (P mutilation of the body after donation (P < 0.001). CONCLUSION: Spanish medical students have a favorable attitude toward LLD. PMID:27433093

  8. Uncertainty, the Overbearing Lived Experience of the Elderly People Undergoing Hemodialysis: A Qualitative Study

    Robab Sahaf

    2017-01-01

    Full Text Available Background: The chronic kidney disease is a major health concern. The number of the elderly people with chronic renal failure has increased across the world. Dialysis is an appropriate therapy for the elderly, but it involves certain challenges. The present paper reports uncertainty as part of the elderly experiences of living with hemodialysis. Methods: This qualitative study applied Max van Manen interpretative phenomenological analysis to explain and explore experiences of the elderly with hemodialysis. Given the study inclusion criteria, data were collected using in-depth unstructured interviews with nine elderly undergoing hemodialysis, and then analyzed according to Van Manen 6-stage methodological approach. Results: One of the most important findings emerging in the main study was “uncertainty”, which can be important and noteworthy, given other aspects of the elderly life (loneliness, despair, comorbidity of diseases, disability, and mental and psychosocial problems. Uncertainty about the future is the most psychological concerns of people undergoing hemodialysis. Conclusion: The results obtained are indicative of the importance of paying attention to a major aspect in the life of the elderly undergoing hemodialysis, uncertainty. A positive outlook can be created in the elderly through education and increased knowledge about the disease, treatment and complications.

  9. Deplorable Living Conditions of Female Workers: A Study in a Tea Garden of Bangladesh

    A.B.M Enamol Hassan

    2014-05-01

    Full Text Available The study reveals the living conditions of the female laborers of tea garden in Bangladesh exploring the social and job environment with the inclusion of consciousness level as the deplorable scenario of their life styles. This research has been done in a tea garden of Sylhet district in Bangladesh namely Lackatoorah Tea Estate, as the study area, taken into account at random. It shows that female workers are being oppressed and suppressed in each and every sphere of life as from family residence to job field. It also exhibits very explicitly that 68 percent of female workers have no control over their own income. 94 percent have no hereditary property ownership though they are entitled to get it legally from their family. 92 percent females think that they are being physically tortured and mentally harassed by their husband, male members of family and also by representative of estates manager. 86 percent women want to keep small size of family but cannot play role in the decision making of child issue. The study  is fully based on primary level data that followed stratified sampling method with triangulation research design and reviewing some related literatures from past research reports.

  10. A STUDY OF PERSONALITY PROFILE AND PSYCHIATRIC MORBIDITY IN PEOPLE LIVING WITH HIV/AIDS

    Niranjana Devi

    2015-09-01

    Full Text Available HIV infection and psychiatric disorders have a complex relationship. Being HIV infected could result in psychiatric disorders as a psychological consequence of the infection (or because of the effect of HIV virus on the brain. AIM : To evaluate the personality profile and associated psychiatric co m orbidity of people living with HIV/AIDS and to analyze the correlation between the two in a tertiary care center. MATERIALS & METHODS : PL W HA on ART irrespective of WHO - clinical staging, CD4 count, and duration of medication were subjected for study . The so cio – demographic data, Kuppusamy’s revised socio economic status scale and Eysenck personality questionnaire . Revised were administered to study population. ICD 10 clinical and diagnostic criteria were used to diagnose current and past psychiatric disorders . Data were analyzed using appropriate statistical methods. RESULTS : In total 50 study subjects, 12(24% were diagnosed to have psychiatric morbidity. Further, 26% among males (5 out of 19 males and 24% among females (7 out of 29 females were found to ha ve psychiatric morbidity. Mood disorders were the common diagnosis in our study group which comprises about 58% (7 out of 12. Other diagnoses noted in the study were substance dependence ( A lcohol, nicotine 16.6%, non - organic insomnia (16.6% and delusion al disorder (8.3%.In personality profile assessment, 72% of study population exhibited psychotic traits, 42% showed high neurotic traits and 18% scored high in High Extravert traits . CONCLUSION : Prevalence of psychiatric disorder (24% is similar to other reported studies. Even though females demonstrated higher mood disorder there is no gender difference in psychiatric morbidity. Staging of HIV illness showed significance in psychiatric morbidity. No significant personality profile was found. Most of them expressed mixed personality traits

  11. Use of a molecular beacon to track the activity of base excision repair protein OGG1 in live cells.

    Mirbahai, Leda; Kershaw, Rachael M; Green, Richard M; Hayden, Rachel E; Meldrum, Rosalind A; Hodges, Nikolas J

    2010-02-01

    An abundant form of DNA damage caused by reactive oxygen species is 8-oxo-7,8-dihydroguanine for which the base excision repair protein 8-oxoguanine-DNA glycosylase 1 (OGG1) is a major repair enzyme. To assess the location and intracellular activity of the OGG1 protein in response to oxidative stress, we have utilised a fluorescence-quench molecular beacon switch containing a 8-oxo-dG:C base pair and a fluorescent and quencher molecule at opposite ends of a hairpin oligonucleotide. Oxidative stress was induced by treatment with potassium bromate. Flow cytometry demonstrated a concentration-dependent increase in the activity of OGG1 that was detected by the fluorescence produced when the oligonucleotide was cleaved in the cells treated with potassium bromate. This signal is highly specific and not detectable in OGG1 knock out cells. Induction of OGG1 activity is not a result of induction of OGG1 gene expression as assessed by qPCR suggesting a role for protein stabilisation or increased OGG1 catalytic activity. High resolution confocal microscopy pinpointed the location of the fluorescent molecular beacon in live cells to perinuclear regions that were identified as mitochondria by co-staining with mitotracker dye. There is no evidence of cut beacon within the nuclear compartment of the cell. Control experiments with a positive control beacon (G:C base pair and lacking the DAB quencher) did not result in mitochondrial localisation of fluorescence signal indicating that the dye does not accumulate in mitochondria independent of OGG1 activity. Furthermore, faint nuclear staining was apparent confirming that the beacon structure is able to enter the nucleus. In conclusion, these data indicate that the mitochondria are the major site for OGG1 repair activity under conditions of oxidative stress.

  12. Lessons with Living Harvest Mice: An Empirical Study of Their Effects on Intrinsic Motivation and Knowledge Acquisition

    Wilde, Matthias; Hubmann, Jona Samuel; Lorenzen, Simone; Meyer, Annika; Randler, Christoph

    2012-01-01

    The aim of this study was to evaluate the effects of living animals on pupils' intrinsic motivation and knowledge. Various studies from the late 1970s and 1980s stress the high effectiveness of authentic learning experiences in pupils' knowledge acquisition. However, there are only few current empirical studies on this topic. The research question…

  13. Living edge

    Earon, Ofri

    2014-01-01

    of the involved actors at the border. By doing so, the study underlines a forgotten, yet important, role of this edge zone – being a zone of commonality between the house and city, between indoors and outdoors, between the man at home and the man at the street. The city of Copenhagen promotes porous borders...... is a collection of material from the case study of an ongoing PhD study titled: LIVING EDGE - The Architectural and Urban Prospect of Domestic Borders. The paper includes a description of the problem analysis, research question, method, discussion and conclusion....

  14. Metabolic disruptions induced by reduced ambulatory activity in free-living humans

    Thyfault, John P; Krogh-Madsen, Rikke

    2011-01-01

    to answer these questions. Previous studies have successfully used more extreme models of inactivity, including bed rest, or the cessation of exercise in highly trained endurance athletes, to provide novel findings. However, these models do not accurately reflect the type of inactivity experienced...... and increased central adiposity. This review will discuss the outcomes of these studies, their implications for the cause/effect relationship between central adiposity and insulin resistance, and provide rationale for why inactivity induces these factors. In addition, the experimental challenges of directly...

  15. Effect of post-stroke sensory disorders on the recovery processes of motor function and activity of daily living A non-randomized synchroniesl controlled trial

    2007-01-01

    BACKGROUND:In the rehabilitation of stroke patients,clinicians usually concentrate on motor problems,such as spasm of limbs and restriction of joint motion,while sensory and perceptive problems are almost always neglected,although they are just as important.One such area is the sensory disorder. OBJECTIVE:To evaluate the motor function and activities of daily living in stroke patients with and without sensory disorders after treatment of integrated western and Chinese medicine.DESIGN:A non-randomized synchronically controlled trial.SETTING:First Affiliated Hospital of Tianjin College of Traditional Chinese Medicine.PARTICIPANTS:Totally 500 stroke inpatients were selected from the Department of Acupuncture and Massage,the First Affiliated Hospital of Tianjin College of Traditional Chinese Medicine from January 2003 to December 2004.They all had suffered from stroke in the last 4 weeks and accompanied by sensory disorder of the ipsilateral limb to different severity.The patients were all accorded with the Diagnostic and Efficacy Evaluative Standards for Stroke (in trial)set by the Encephalopathy Emergency Assistant Group,the State Administration of Traditional Chinese Medicine in 1995,and they were diagnosed by imaging examination.The patients were stratified into sensory disorder group (n =220) and normal sense group (n=280).Informed consent for the detected items and therapeutic program was obtained from the relatives of all the participants.The study was approved by the hospital ethical committee.METHODS:All the patients were treated with acupuncture of Xing Nao Kai Qiao for restoring consciousness and inducing resuscitation,assisted by traditional Chinese medicine and western medicine specific to corresponding symptoms.The therapeutic principles were restoring consciousness and inducing resuscitation,nourishing liver and kidney,and dredging meridian.In addition,the patients were given western medical treatments for decreasing intracranial pressure

  16. Thymoquinone from nutraceutical black cumin oil activates Neu4 sialidase in live macrophage, dendritic, and normal and type I sialidosis human fibroblast cells via GPCR Galphai proteins and matrix metalloproteinase-9.

    Finlay, Trisha M; Jayanth, Preethi; Amith, Schammim Ray; Gilmour, Alanna; Guzzo, Christina; Gee, Katrina; Beyaert, Rudi; Szewczuk, Myron R

    2010-04-01

    Anti-inflammatory activities of thymoquinone (TQ) have been demonstrated in in vitro and in vivo studies. However, the precise mechanism(s) of TQ in these anti-inflammatory activities is not well understood. Using a newly developed assay to detect sialidase activity in live macrophage cells (Glycoconj J doi: 10.1007/s10719-009-9239-8 ), here we show that TQ has no inhibitory effect on endotoxin lipopolysaccharide (LPS) induced sialidase activity in live BMC-2 macrophage cells. In contrast, the parent black seed oil (BSO) and another constituent of BSO para-cymene (p-CY) completely block LPS induced sialidase activity. All of these compounds had no effect on cell viability. On the other hand, TQ induces a vigorous sialidase activity in live BMC-2 macrophage cells in a dose dependent manner as well in live DC-2.4 dendritic cells, HEK-TLR4/MD2, HEK293, SP1 mammary adenocarcinoma cells, human WT and 1140F01 and WG0544 type I sialidosis fibroblast cells. Tamiflu (oseltamivir phosphate) inhibits TQ-induced sialidase activity in live BMC-2 cells with an IC(50) of 0.0194 microM compared to an IC(50) of 19.1 microM for neuraminidase inhibitor DANA (2-deoxy-2,3-dehydro-N-acetylneuraminic acid). Anti-Neu1, -2 and -3 antibodies have no inhibition of TQ-induced sialidase activity in live BMC-2 and human THP-1 macrophage cells but anti-Neu4 antibodies completely block this activity. There is a vigorous sialidase activity associated with TQ treated live primary bone marrow (BM) macrophage cells derived from WT and hypomorphic cathepsin A mice with a secondary Neu1 deficiency (NeuI KD), but not from Neu4 knockout (Neu4 KO) mice. Pertussis toxin (PTX), a specific inhibitor of Galphai proteins of G-protein coupled receptor (GPCR) and the broad range inhibitors of matrix metalloproteinase (MMP) galardin and piperazine applied to live BMC-2, THP-1 and primary BM macrophage cells completely block TQ-induced sialidase activity. These same inhibitory effects are not observed with the GM1

  17. Methods for measuring myeloperoxidase activity toward assessing inhibitor efficacy in living systems.

    Huang, Jiansheng; Milton, Amber; Arnold, Robert D; Huang, Hui; Smith, Forrest; Panizzi, Jennifer R; Panizzi, Peter

    2016-04-01

    Myeloperoxidase aids in clearance of microbes by generation of peroxidase-mediated oxidants that kill leukocyte-engulfed pathogens. In this review, we will examine 1) strategies for in vitro evaluation of myeloperoxidase function and its inhibition, 2) ways to monitor generation of certain oxidant species during inflammation, and 3) how these methods can be used to approximate the total polymorphonuclear neutrophil chemotaxis following insult. Several optical imaging probes are designed to target reactive oxygen and nitrogen species during polymorphonuclear neutrophil inflammatory burst following injury. Here, we review the following 1) the broad effect of myeloperoxidase on normal physiology, 2) the difference between myeloperoxidase and other peroxidases, 3) the current optical probes available for use as surrogates for direct measures of myeloperoxidase-derived oxidants, and 4) the range of preclinical options for imaging myeloperoxidase accumulation at sites of inflammation in mice. We also stress the advantages and drawbacks of each of these methods, the pharmacokinetic considerations that may limit probe use to strictly cell cultures for some reactive oxygen and nitrogen species, rather than in vivo utility as indicators of myeloperoxidase function. Taken together, our review should shed light on the fundamental rational behind these techniques for measuring myeloperoxidase activity and polymorphonuclear neutrophil response after injury toward developing safe myeloperoxidase inhibitors as potential therapy for chronic obstructive pulmonary disease and rheumatoid arthritis.

  18. SVM-based multimodal classification of activities of daily living in Health Smart Homes: sensors, algorithms, and first experimental results.

    Fleury, Anthony; Vacher, Michel; Noury, Norbert

    2010-03-01

    By 2050, about one third of the French population will be over 65. Our laboratory's current research focuses on the monitoring of elderly people at home, to detect a loss of autonomy as early as possible. Our aim is to quantify criteria such as the international activities of daily living (ADL) or the French Autonomie Gerontologie Groupes Iso-Ressources (AGGIR) scales, by automatically classifying the different ADL performed by the subject during the day. A Health Smart Home is used for this. Our Health Smart Home includes, in a real flat, infrared presence sensors (location), door contacts (to control the use of some facilities), temperature and hygrometry sensor in the bathroom, and microphones (sound classification and speech recognition). A wearable kinematic sensor also informs postural transitions (using pattern recognition) and walk periods (frequency analysis). This data collected from the various sensors are then used to classify each temporal frame into one of the ADL that was previously acquired (seven activities: hygiene, toilet use, eating, resting, sleeping, communication, and dressing/undressing). This is done using support vector machines. We performed a 1-h experimentation with 13 young and healthy subjects to determine the models of the different activities, and then we tested the classification algorithm (cross validation) with real data.

  19. Using a GFP-gene fusion technique to study the cell cycle-dependent distribution of calmodulin in living cells

    李朝军; 吕品; 张东才

    1999-01-01

    In this study, a green fluorescent protein (GFP)-calmodulin (CaM) fusion gene method was used to examine the distribution of calmodulin during various stages of cell cycle. First, it was found that the distribution of CaM in living cells changes with the cell cycle. CaM was found mainly in the cytoplasm during G1 phase. It began to move into the nucleus when the cell entered S phase. At G2 phase, CaM became more concentrated in the nucleus than in cytoplasm. Second, the accumulation of CaM in the nucleus during G2 phase appeared to be related to the onset of mitosis, since inhibiting the activation of CaM at this stage resulted in blocking the nuclear membrane breakdown and chromatin condensation. Finally, after the cell entered mitosis, a high concentration of CaM was found at the polar regions of the mitotic spindle. At this time, inhibiting the activity of CaM would cause a disruption of the spindle structure. The relationship between the stage-specific distribution of CaM and its function in regulat

  20. NifDK clusters located on the chromosome and megaplasmid of Bradyrhizobium sp strain DOA9 contribute differently to nitrogenase activity during symbiosis and free-living growth

    Wongdee, J.; Songwattana, P.; Nouwen, Nico; Noisangiam, R.; Fardoux, Joël; Chaintreuil, Clémence; Teaumroong, N.; Tittabutr, P.; Giraud, Eric

    2016-01-01

    Bradyrhizobium sp. strain DOA9 contains two copies of the nifDK genes, nifDKc, located on the chromosome, and nifDKp, located on a symbiotic megaplasmid. Unlike most rhizobia, this bacterium displays nitrogenase activity under both free-living and symbiotic conditions. Transcriptional analysis using gusA reporter strains showed that both nifDK operons were highly expressed under symbiosis, whereas nifDKc was the most abundantly expressed under free-living conditions. During free-living growth...