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Sample records for activities of daily living

  1. Cognitive profile and activities of daily living

    DEFF Research Database (Denmark)

    Borgwardt, Line Gutte; Thuesen, A M; Olsen, K J;

    2015-01-01

    on the cognitive function and activities of daily living in patients with AM. METHODS: Thirty five AM patients, age 6-35 years, were included in the study. As a cognitive function test, we used the Leiter international performance scale-revised (Leiter-R), which consists of two batteries: the visual function...

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

    Directory of Open Access Journals (Sweden)

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

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    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

  4. [Functional disability in activities of daily living and instrumental or domestic activities of daily living in the elderly living at home in Bobo-Dioulasso (Burkina Faso)].

    Science.gov (United States)

    Berthé, Abdramane; Berthé-Sanou, Lalla; Konaté, Blahima; Hien, Hervé; Tou, Fatoumata; Somda, Serge; Bayala, Éric; Drabo, Maxime; Badini-Kinda, Fatoumata; Macq, Jean

    2015-12-01

    In sub-Saharan Africa, various studies have been conducted on severe disability in activities of daily living, instrumental or domestic activities. These studies have reported different rates without describing the social context for understanding their results. This study was conducted in Burkina Faso to fill the gaps in scientific information on disability in these areas. We conducted a cross-sectional descriptive study in Bobo-Dioulasso among the older population, aged 60 and above. Their functional status was evaluated using the Functional Autonomy Measurement System (SMAF). Data analysis was done with the help of Stata. A systematic random sample of 351 aging adults was interviewed. Moderate to severe functional disability or the need for supervision or assistance was present in 7% in activities of daily living and 86% in instrumental or domestic activities of daily living. This need for assistance varied according to the different activities or items in each domain. The proportions of disability found in this study are higher than those of previous studies that measured the often severe disabilities. All persons with disability claimed to have stable human resources which help them to manage their disabilities. The social context instrumental or domestic activities of daily living are divided by generation and/or by sex. That explains some results. With this division, it's inacceptable in some family that elders and/or old men do instrumental or domestic activities of daily living as prepare meals, do laundry, carry water to wash. The variation of this division from one family to another complicates the assessment of functional disability. To best manage elders disabilities, strategies must develop to: 1) retard the resignation of the family in care of its elderly in functional disability, 2) anticipate the preparation of formal social networks, public structures to support the elderly. PMID:26707555

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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. PMID:25896955

  7. Marker placement to describe the wrist movements during activities of daily living in cyclical tasks

    NARCIS (Netherlands)

    Murgia, A; Kyberd, PJ; Chappell, PH; Light, CM

    2004-01-01

    Objective. To describe the wrist kinematics during movement through free range of motion and activities of daily living using a cyclical task. Design. The wrist angles were initially calculated in a calibration trial and then in two selected activities of daily living (jar opening and carton pouring

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

    DEFF Research Database (Denmark)

    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...

  9. Values of activities of daily living. A survey of stroke patients and their home therapists.

    Science.gov (United States)

    Chiou, I I; Burnett, C N

    1985-06-01

    People's values influence their actions and efforts. Based on the assumption that a patient's values can be a guide to successful rehabilitation, the values of 15 activities of daily living as perceived by stroke patients and their home therapists were studied. Twenty-six stroke patients living at home and their 10 visiting occupational and physical therapists participated in the study. The study results indicated that the relative importance of each activity of daily living perceived by the patient group and by the therapist group was similar. Among the 29 therapist-patient pairs, however, only 1 pair showed significantly similar views regarding the values of these activities to the patient. Patients' age, gender, income level, duration since onset of stroke, impaired body side, and independence level in activities were significantly related to their values of certain activities of daily living. The relative value stroke patients living at home place on each activity of daily living could serve as a guide for sequencing learning steps during activities of daily living training in a hospital or rehabilitation setting. Determining patient rehabilitation goals as influenced by personal values may shorten rehabilitation time, be more cost-effective, and aid in the retention of gains made in the rehabilitation setting. PMID:4001168

  10. Biomarkers of basic activities of daily living in Alzheimer’s disease

    OpenAIRE

    Hall, James R.; Johnson, Leigh A; Robert C Barber; Vo, Hoa T.; Winter, A. Scott; O’Bryant, Sid E.

    2012-01-01

    Functional impairment is common in Alzheimer’s disease, and related to increased caregiver burden and institutionalization. There is a dearth of research investigating the relationship between specific biomarkers and basic activities of daily living such as toileting, feeding, dressing, grooming, bathing, and ambulating. The present study examined the relationship between serum based biomarkers and specific activities of daily living in a sample of Alzheimer’s disease patients

  11. Performance of activities of daily living among hospitalized cancer patients

    DEFF Research Database (Denmark)

    Lindahl-Jacobsen, Line; Hansen, Dorte Gilså; Wæhrens, Eva Ejlersen;

    2015-01-01

    Questionnaire (ADL-Q) (n = 118) and the Canadian Occupational Performance Measure (COPM) (n = 55). RESULTS: All 118 patients reported problems with ADL task performance. Based on the ADL-Q patients reported more problems within instrumental (I-)ADL than personal (P-)ADL. In both I-ADL and P-ADL the results...... differed between women and men. There was significant overlap between problems identified using the COPM and the ADL-Q instruments. RESULTS from the COPM showed that 65% of problems were related to self-care, 25% to leisure, and 19% to productivity. Using both instruments identified more ADL problems than...

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

    Directory of Open Access Journals (Sweden)

    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.

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

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    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.

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

    NARCIS (Netherlands)

    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

  15. Effect of structured physical exercise program on older adult's daily living activities and cognitive functions

    OpenAIRE

    Manal Abo El Magd; Sahar Zaki

    2015-01-01

    Background: Older adults experience marked physiological and cognitive changes. Literature states that, daily exercising positively effects older adults' both physical and cognitive functioning. Aim: To evaluate the effect of the developed Structured Physical Exercise Program (SPEP) on both older adult's activities of daily living and cognitive functions. Subjects and methods: A quasi experimental design (pre/ post- tests) was utilized for the current study where the older adults' sample serv...

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

    NARCIS (Netherlands)

    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

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

    DEFF Research Database (Denmark)

    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....

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

    NARCIS (Netherlands)

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

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    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

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

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    Tiago da Silva Alexandre

    2014-06-01

    Full Text Available 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

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

    Institute of Scientific and Technical Information of China (English)

    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.

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

    Institute of Scientific and Technical Information of China (English)

    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.

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

    DEFF Research Database (Denmark)

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

    2014-01-01

    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 the s......-up period were mostly due to death among participants. Very few participants declined to complete questionnaires during follow-up. Keywords: Cancer rehabilitation, Occupational therapy, Activities of daily living, Intervention studies, Feasibility studies...... study and to analyse the feasibility of the recruitment process and the intervention. Methods: Adult disabled cancer patients at Næstved Hospital in Denmark were enrolled between 1 March 2010 and 30 June 2011 and randomised into an ADL intervention or to a control group. The intervention was performed......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 the...

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

    DEFF Research Database (Denmark)

    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...

  5. Predicting functional outcome after stroke: the influence of neglect on basic activities in daily living

    OpenAIRE

    Tanja Nijboer; Ingrid Van de Port

    2013-01-01

    One prominent deficit resulting from stroke is visuo-spatial neglect, which has been associated with slower and more attenuated recovery patterns of sensory-motor impairment as well as limitations in activities of daily living. The aim of the current study was to further specify the relationship between neglect and recovery of different domains of ADL. 184 Patients were assessed with the Functional Independence Measure (FIM) in the first week of inpatient rehabilitation, and again at 6, 12, a...

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

    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

  8. Relationship Between Grip and Pinch Strength and Activities of Daily Living in Stroke Patients

    OpenAIRE

    Bae, Jung Hyun; Kang, Si Hyun; Seo, Kyung Mook; Kim, Don-Kyu; Shin, Hyun Iee; Shin, Hye Eun

    2015-01-01

    Objective To investigate the relationship between grip and pinch strength and independence in activities of daily living (ADL) in stroke patients. Methods Medical records of 577 stroke patients from January 2010 to February 2013 were retrospectively reviewed. Patients' grip and pinch strength of both hemiplegic and non-hemiplegic hands and the Korean version of Modified Barthel Index (K-MBI) score were collected. These patients were divided into three groups: group A (onset duration: ≤3 month...

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

    Directory of Open Access Journals (Sweden)

    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.

  10. The psychometric properties of ADCS - activities of daily living inventory and comparison of different ADL scores

    OpenAIRE

    Rózsa, S.; Brandtmüller, A.; Nagy, B.; Brennan, A.(School of Physics, University of Melbourne, Victoria, Australia); Akehurst, R

    2009-01-01

    Several multi-item activities of daily living (ADL) scales have been developed for assessment of functional status of patients with Alzheimer’s Disease (AD) in the last few decades. A disadvantage of the large number of scales is that scores of different ADL scales cannot be compared directly with each other. ADL scales which are used by McNamee’s (Townsend's disability scale) and Hill’s (Medicare Beneficiary definitions and Katz index of ADL) provide suitable tools for modelling the cost-eff...

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

    DEFF Research Database (Denmark)

    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...

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

    Science.gov (United States)

    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.

  13. Testing and Analysis of Activities of Daily Living Data with Machine Learning Algorithms

    Directory of Open Access Journals (Sweden)

    Ayse Cufoglu

    2016-03-01

    Full Text Available It is estimated that 28% of European Union’s population will be aged 65 or older by 2060. Europe is getting older and this has a high impact on the estimated cost to be spent for older people. This is because, compared to the younger generation, older people are more at risk to have/face cognitive impairment, frailty and social exclusion, which could have negative effects on their lives as well as the economy of the European Union. The ‘active and independent ageing’ concept aims to support older people to live active and independent life in their preferred location and this goal can be fully achieved by understanding the older people (i.e their needs, abilities, preferences, difficulties they are facing during the day. One of the most reliable resources for such information is the Activities of Daily Living (ADL, which gives essential information about people’s lives. Understanding this kind of information is an important step towards providing the right support, facilities and care for the older population. In the literature, there is a lack of study that evaluates the performance of Machine Learning algorithms towards understanding the ADL data. This work aims to test and analyze the performance of the well known Machine Learning algorithms with ADL data.

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

    Institute of Scientific and Technical Information of China (English)

    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.

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

    Science.gov (United States)

    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

  16. Relations of morale and physical function to advanced activities of daily living in health promotion class participants

    OpenAIRE

    Yajima, Masahide; Asakawa, Yasuyoshi; Yamaguchi, Haruyasu

    2016-01-01

    [Purpose] The aim of this study was to clarify the relations of morale and physical function to the presence/absence of advanced activities of daily living. [Subjects] The subjects were 86 elderly community residents participating in health promotion classes. [Methods] A questionnaire survey on age, gender, presence/absence of advanced activities of daily living, and Philadelphia Geriatric Center Morale Scale score was conducted, in addition to assessment of fitness, consisting of measurement...

  17. Recognition of Activities of Daily Living with Egocentric Vision: A Review

    Directory of Open Access Journals (Sweden)

    Thi-Hoa-Cuc Nguyen

    2016-01-01

    Full Text Available Video-based recognition of activities of daily living (ADLs is being used in ambient assisted living systems in order to support the independent living of older people. However, current systems based on cameras located in the environment present a number of problems, such as occlusions and a limited field of view. Recently, wearable cameras have begun to be exploited. This paper presents a review of the state of the art of egocentric vision systems for the recognition of ADLs following a hierarchical structure: motion, action and activity levels, where each level provides higher semantic information and involves a longer time frame. The current egocentric vision literature suggests that ADLs recognition is mainly driven by the objects present in the scene, especially those associated with specific tasks. However, although object-based approaches have proven popular, object recognition remains a challenge due to the intra-class variations found in unconstrained scenarios. As a consequence, the performance of current systems is far from satisfactory.

  18. Personalizing energy expenditure estimation using physiological signals normalization during activities of daily living

    International Nuclear Information System (INIS)

    In this paper we propose a generic approach to reduce inter-individual variability of different physiological signals (HR, GSR and respiration) by automatically estimating normalization parameters (e.g. baseline and range). The proposed normalization procedure does not require a dedicated personal calibration during system setup. On the other hand, normalization parameters are estimated at system runtime from sedentary and low intensity activities of daily living (ADLs), such as lying and walking. When combined with activity-specific energy expenditure (EE) models, our normalization procedure improved EE estimation by 15 to 33% in a study group of 18 participants, compared to state of the art activity-specific EE models combining accelerometer and non-normalized physiological signals. (paper)

  19. Effect of structured physical exercise program on older adult's daily living activities and cognitive functions

    Directory of Open Access Journals (Sweden)

    Manal Abo El Magd

    2015-01-01

    Full Text Available Background: Older adults experience marked physiological and cognitive changes. Literature states that, daily exercising positively effects older adults' both physical and cognitive functioning. Aim: To evaluate the effect of the developed Structured Physical Exercise Program (SPEP on both older adult's activities of daily living and cognitive functions. Subjects and methods: A quasi experimental design (pre/ post- tests was utilized for the current study where the older adults' sample served as their own control. The study was conducted at a charity geriatric home (Female section in Giza Governorate on a convenient sample of 45 older adult females. Data were collected through using three tools; Personal and clinical data assessment sheet, and the two pre-post scales (i.e. Activity of Daily Living scale "ADL" and Nurses’ Observation Scale for Cognitive Abilities "NOSCA"; both scales were already developed and tested before. Results: Data revealed that, after implementation of SPEP, statistically significant differences, indicating improvement, were found between the older adult's ADL and both their age, presence of support network, the number of offspring and medical history. Also Statistically significant difference, indicating improvement, was found between ADL and NOSCA scales among the study sample before and after implementing the SPEP. Conclusion: Both ADL level and cognitive functions of study sample were significantly improved after implementing the SPEP. Regular physical exercising is likely to have positive effect on both older adults' physical and cognitive functioning resulting in higher level of independency. Recommendation: This study recommends wide range application of the developed SPEP on older adults in Egypt.

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

    Science.gov (United States)

    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. PMID:21514680

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

    Science.gov (United States)

    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.

  2. Assessment of impairment in activities of daily living in mild cognitive impairment using an individualized scale.

    Science.gov (United States)

    Chaves, Giseli de Fátima Dos Santos; Oliveira, Alexandra Martini; Chaves, Juliana Aparecida Dos Santos; Forlenza, Orestes Vicente; Aprahamian, Ivan; Nunes, Paula Villela

    2016-07-01

    Mild impairment in activities of daily living (ADL) can occur in Mild Cognitive Impairment (MCI), but the nature and extent of these difficulties need to be further explored. The Canadian occupational performance measure (COPM) is one of the few individualized scales designed to identify self-perceived difficulties in ADL. The present study investigated impairments in ADL using the COPM in elderly with MCI. A total of 58 MCI patients were submitted to the COPM for studies of its validity and reliability. The COPM proved a valid and consistent instrument for evaluating ADL in elderly MCI patients. A total of 74.6% of the MCI patients reported difficulties in ADL. Of these problems, 41.2% involved self-care, 31.4% productivity and 27.4% leisure. This data further corroborates recent reports of possible functional impairment in complex ADL in MCI. PMID:27487375

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

    CERN Document Server

    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.

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

    Science.gov (United States)

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

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

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

    Science.gov (United States)

    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

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

    Directory of Open Access Journals (Sweden)

    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.

  9. Traditional Chinese Medicine Improves Activities of Daily Living in Parkinson's Disease

    Directory of Open Access Journals (Sweden)

    Weidong Pan

    2011-01-01

    Full Text Available We evaluated the effects of a traditional Chinese medicine (TCM, named Zeng-xiao An-shen Zhi-chan 2 (ZAZ2, on patients with Parkinson's disease (PD. Among 115 patients with idiopathic PD enrolled (mean age, 64.7 ± 10.2 years old, 110 patients (M = 65, F = 45; mean age, 64.9 ± 10.7 years old completed the study. Patients took either ZAZ2 (=59 or placebo granule (=56 in a blind manner for 13 weeks while maintaining other anti-Parkinson medications unchanged. All participants wore a motion logger, and we analyzed the power-law temporal autocorrelation of the motion logger records taken on 3 occasions (before, one week, and 13 weeks after the drug administration. Drug efficacy was evaluated with the conventional Unified Parkinson Disease Rating Scale (UPDRS, as well as the power-law exponent α, which corresponds to the level of physical activity of the patients. ZAZ2 but not placebo granule improved the awake-sleep rhythm, the UPDRS Part II, Part II + III, and Part IV scores, and the α values. The results indicate that ZAZ2 improved activities of daily living (ADL of parkinsonism and, thus, is a potentially suitable drug for long-term use.

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

    Science.gov (United States)

    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

  11. Social participation and independence in activities of daily living: a cross sectional study

    Directory of Open Access Journals (Sweden)

    Sánchez-Sánchez Antonio

    2009-07-01

    Full Text Available Abstract Background It is today widely accepted that participation in social activities contributes towards successful ageing whilst, at the same time, maintaining independence in the activities of daily living (ADLs is the sine qua non for achieving that end. This study looks at people aged 65 and over living in an urban area in Spain who retain the ability to attend Social Centres providing recreational facilities. The aim of this paper is to quantify independence and identify the risk factors involved in its deterioration. Methods The sample size was calculated using the equation for proportions in finite populations based on a random proportional sample type, absolute error (e = 0.05, α = 0.05, β = 0.1, p = q = 0.5. Two-stage sampling was used. In the first place, the population was stratified by residence and a Social Centre was randomly chosen for each district. In the second stage, individuals were selected in a simple random sample without replacement in proportion to the number of members at each social centre. A multivariate logistical regression analysis takes functional ADL capacity as the dependent variable. The choice of predictive variables was made using a bivariate correlation matrix. Among the estimators obtained, Nagelkerke's R2 coefficient, and the Odds ratio (CI 95% were considered. Sensitivity and 1-specificity were adopted to present the results in graphic form. Results Out of this sample, 63.7% were fully capable of carrying out ADLs, while the main factors contributing to deterioration, identified on the basis of a logistic regression model, are in order of importance, poor physical health, poor mental health, age (above 75 years and gender (female. The model employed has a predictive value of 88% and 92% (depending on the age range considered with regard to the independence in ADLs. Conclusion A review of the few Spanish works using similar methodology shows that the percentage of non-institutionalised persons who are

  12. Effects of mirror therapy combined with motor tasks on upper extremity function and activities daily living of stroke patients.

    Science.gov (United States)

    Kim, Kyunghoon; Lee, Sukmin; Kim, Donghoon; Lee, Kyoungbo; Kim, Youlim

    2016-01-01

    [Purpose] The objective of this study was to investigate the effects of mirror therapy combined with exercise tasks on the function of the upper limbs and activities of daily living. [Subjects and Methods] Twenty-five stroke patients who were receiving physical therapy at K Hospital in Gyeonggi-do, South Korea, were classified into a mirror therapy group (n=12) and a conventional therapy group (n=13). The therapies were applied for 30 minutes per day, five times per week, for a total of four weeks. Upper limb function was measured with the Action Research Arm test, the Fugl-Meyer Assessment, and the Box and Block test, and activities of daily living were measured with the Functional Independence Measure. A paired test was performed to compare the intragroup differences between before training and after four weeks of therapy, and an independent t-test was performed to compare the differences between the two groups before and after four weeks of therapy. [Results] In the intragroup comparison, both groups showed significant differences between measurements taken before and after four weeks of therapy. In the intergroup comparison, the mirror therapy group showed significant improvements compared with the conventional therapy group, both in upper limb function and activities of daily living. [Conclusion] The findings of this study demonstrated that mirror therapy is more effective than conventional therapy for the training of stroke patients to improve their upper limb function and activities of daily living. PMID:27065534

  13. Variability in measuring (instrumental) activities of daily living functioning and functional decline in hospitalized older medical patients: a systematic review.

    NARCIS (Netherlands)

    Buurman, B.M.; Munster, B.C. van; Korevaar, J.C.; Haan, R.J. de; Rooij, S.E. de

    2011-01-01

    OBJECTIVE: To study instruments used and definitions applied in order to measure (instrumental) activities of daily living (I [ADL]) functioning and functional decline in hospitalized older medical patients. STUDY DESIGN: We systematically searched Medline, Embase, and the Cochrane Database of Syste

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

    Science.gov (United States)

    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

  15. A lightweight shoulder prosthesis with antagonistic impact-absorbing hybrid actuation for bimanual activities of daily living

    Directory of Open Access Journals (Sweden)

    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.

  16. Factors affecting mobility milestones and activities of daily living after stroke

    International Nuclear Information System (INIS)

    Mobility milestones are elementary movements related to activities of daily living (ADL) and have a significant influence on functional recovery after stroke. This study aimed to identify the factors affecting mobility milestones and to clarify the relationships between mobility milestones and ADL. Participants were in the acute phase after first-ever strokes (ischemic, n=77; hemorrhagic, n=84). Clinical and radiological factors within the first week were determined and their effects on mobility milestones after 4 weeks were analyzed using logistic regression analysis. After 4 weeks the patients were divided into four groups on the basis of sitting balance, standing balance, and walking ability. Then total ADL score was calculated using the Barthel index (BI), and percentage of independent patients in each 10 items of BI was transition rate of ADL for each of the four groups. Patients with ischemic stroke showed the following findings. Sitting balance was affected by severity of lower limb paralysis, consciousness level, and presence of an internal capsule lesion on computed tomography (CT) (R2=0.86); standing balance was influenced by severity of lower limb paralysis and consciousness level (R2=0.72); and walking ability was affected by severity of lower limb paralysis (R2=0.64). Patients with hemorrhagic stroke showed the following findings. Sitting balance was influenced by severity of lower limb paralysis, intraventricular hemorrhage on CT, blood pressure instability, and fever (R2=0.75); standing balance was affected by severity of lower limb paralysis, consciousness level, and presence of an internal capsule lesion (R2=0.58); and walking ability was influenced by severity of lower limb paralysis and presence of an internal capsule lesion (R2=0.70). In both types of stroke, sitting and standing balance and walking ability were directly associated with total ADL score, and sitting and standing balance became independent earlier than ADL. Severity of lower limb

  17. Impact of Sativex(®) on quality of life and activities of daily living in patients with multiple sclerosis spasticity.

    Science.gov (United States)

    Arroyo, Rafael; Vila, Carlos; Dechant, Kerry L

    2014-07-01

    In individuals with multiple sclerosis (MS) spasticity, associated symptoms such as spasms, pain, mobility restrictions and sleep disturbances can interfere with the ability to perform activities of daily living and reduce quality of life (QoL). Recent cross-sectional studies from Europe have confirmed that advancing severity of MS spasticity correlates directly with worsening QoL. The treatment effect of Sativex(®) (GW Pharmaceuticals PLC, Porton Down, UK; Laboratorios Almirall, SA, Barcelona, Spain) on QoL has been evaluated in randomized controlled trials, observational studies conducted under everyday clinical practice conditions and a survey in long-term users. Symptomatic relief of MS spasticity in responders to Sativex was associated with quantifiable improvements in QoL and activities of daily living that were maintained over time. Benefits were perceived by both patients and caregivers. PMID:25275238

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

    OpenAIRE

    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 ...

  19. Effects of the six-minute walking test on dyspnea and activities of daily living in pneumoconiosis patients

    OpenAIRE

    Kim, Eun-Jin; Kim, Hye-Soon; Lee, Myung-Hee

    2014-01-01

    The purpose of this study was to examine the effects of walking exercise through a 6-min walking test on subjective dyspnea, pulmonary function test, arterial blood gas analysis, and activities of daily living to provide base data for the nursing intervention of pneumoconiosis patients. The subjects were pneumoconiosis patients men aged over 60. This quasi-experimental study was designed with a non-equivalent control group pre- and post-test design, and the study period was September to Decem...

  20. Effects of mild and severe knee joint pain on various activities of daily living in the female elderly

    OpenAIRE

    Sugiura, Hiroki; Demura, Shinichi

    2013-01-01

    This study aimed to examine the differences in the ability to perform various activities of daily living (ADLs) among groups with various knee problems. The participants consisted of 328 elderly females (age 60-94; mean age 76.1 years; standard deviation 6.2). The subjects were classified into three groups: those without knee pain, those with mild knee pain, and those with severe knee pain. ADLs with markedly higher (>97%) and lower (

  1. Effects of Mild and Severe Knee Joint Pain on Various Activities of Daily Living in the Female Elderly

    OpenAIRE

    Hiroki Sugiura; Shinichi Demura

    2013-01-01

    This study aimed to examine the differences in the ability to perform various activities of daily living (ADLs) among groups with various knee problems. The participants consisted of 328 elderly females (age 60–94; mean age 76.1 years; standard deviation 6.2). The subjects were classified into three groups: those without knee pain, those with mild knee pain, and those with severe knee pain. ADLs with markedly higher (>97%) and lower (

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

    Directory of Open Access Journals (Sweden)

    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.

  3. Variability in measuring (instrumental) activities of daily living functioning and functional decline in hospitalized older medical patients: a systematic review.

    OpenAIRE

    Buurman, B.M.; Munster, B.C.; Korevaar, J.C.; Haan, R.J. de; Rooij, S.E. de

    2011-01-01

    OBJECTIVE: To study instruments used and definitions applied in order to measure (instrumental) activities of daily living (I [ADL]) functioning and functional decline in hospitalized older medical patients. STUDY DESIGN: We systematically searched Medline, Embase, and the Cochrane Database of Systematic Reviews from 1990 to January 2010. Articles were included if they (1) focused on acute hospitalization for medical illness in older patients; (2) described the instrument used to measure func...

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

    Science.gov (United States)

    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.

  5. Correlation of quality of life and activities of daily living with disease stage in patients with COPD

    Directory of Open Access Journals (Sweden)

    Brahma Prakash

    2014-07-01

    Full Text Available Background: COPD is a chronic disease which may have substantial effect on quality of life of patients. Aim: The aim of this study is to study the impact of COPD on activities of daily living and quality of life of patients and to correlate the impact with severity of disease in the set up of Indian conditions. Materials and methods: In this prospective study conducted at a tertiary level hospital, stable COPD patients without any other coexisting co-morbidity were enrolled. The severity of COPD was classified as per GOLD 2006 guidelines. The quality of life and impact of COPD on activities of daily living was assessed using Seattle obstructive lung disease questionnaire translated in local language, 6 minutes walk test and visual analog scale for dyspnoea. Results: Seventy eight patients and 20 controls were enrolled for the study. The scores for physical functions, emotional functions, coping skills and treatment satisfaction obtained from questionnaire were decreased in COPD patients. The physical function and emotional function score, decreased significantly (P < 0.05 when compared from mild through moderate, severe and very severe stages of COPD, these scores also correlated positively with percent predicted FEV 1 values in spirometry (r=0.855 and r = 0.735 respectively There was a significant fall in the six minute walk distance as the stage of disease progressed. The Visual analog scale score significantly increased (P < 0.05 with the stage of COPD. Conclusion: Assessing quality of life and ability to perform activities of daily living is also important for assessing the disease severity.

  6. Effects of mirror therapy combined with motor tasks on upper extremity function and activities daily living of stroke patients

    OpenAIRE

    Kim, Kyunghoon; Lee, Sukmin; Kim, Donghoon; Lee, Kyoungbo; Kim, Youlim

    2016-01-01

    [Purpose] The objective of this study was to investigate the effects of mirror therapy combined with exercise tasks on the function of the upper limbs and activities of daily living. [Subjects and Methods] Twenty-five stroke patients who were receiving physical therapy at K Hospital in Gyeonggi-do, South Korea, were classified into a mirror therapy group (n=12) and a conventional therapy group (n=13). The therapies were applied for 30 minutes per day, five times per week, for a total of four ...

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

    Institute of Scientific and Technical Information of China (English)

    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

  8. Impairment in Instrumental Activities of Daily Living and the Geriatric Syndrome of Self-Neglect

    Science.gov (United States)

    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. Early rehabilitation affects functional outcomes and activities of daily living after arthroscopic rotator cuff repair: a case report.

    Science.gov (United States)

    Shimo, Satoshi; Sakamoto, Yuta; Tokiyoshi, Akinari; Yamamoto, Yasuhiro

    2016-01-01

    [Purpose] The effect of early rehabilitation protocols after arthroscopic rotator cuff repair is currently unknown. We examined short-term effects of early rehabilitation on functional outcomes and activities of daily living after arthroscopic rotator cuff repair. [Subject and Methods] An 82-year-old male fell during a walk, resulting in a supraspinatus tear. Arthroscopic rotator cuff repair was performed using a single-row technique. He wore an abduction brace for 6 weeks after surgery. [Results] From day 1 after surgery, passive range of motion exercises, including forward flexion and internal and external rotation were performed twice per day. Starting at 6 weeks after surgery, active range of motion exercises and muscle strengthening exercises were introduced gradually. At 6 weeks after surgery, his active forward flexion was 150°, UCLA shoulder rating scale score was 34 points, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire disability/symptom score was 36 points. At 20 weeks after surgery, his active forward flexion was 120°, UCLA shoulder rating scale score was 34 points, and Quick Disabilities of the Arm, Shoulder, and Hand questionnaire disability/symptom score was 0 points. [Conclusion] These protocols are recommended to physical therapists during rehabilitation for arthroscopic rotator cuff repair to support rapid reintegration into activities of daily living. PMID:27064886

  10. Preliminary cognitive scale of basic and instrumental activities of daily living for dementia and mild cognitive impairment.

    Science.gov (United States)

    Rodríguez-Bailón, María; Montoro-Membila, Nuria; Garcia-Morán, Tamara; Arnedo-Montoro, María Luisa; Funes Molina, María Jesús

    2015-01-01

    In the present study we explored cognitive and functional deficits in patients with multidomain mild cognitive impairment (MCI), patients with dementia, and healthy age-matched control participants using the Cognitive Scale for Basic and Instrumental Activities of Daily Living, a new preliminary informant-based assessment tool. This tool allowed us to evaluate four key cognitive abilities-task memory schema, error detection, problem solving, and task self-initiation-in a range of basic and instrumental activities of daily living (BADL and IADL, respectively). The first part of the present study was devoted to testing the psychometric adequateness of this new informant-based tool and its convergent validity with other global functioning and neuropsychological measures. The second part of the study was aimed at finding the patterns of everyday cognitive factors that best discriminate between the three groups. We found that patients with dementia exhibited impairment in all cognitive abilities in both basic and instrumental activities. By contrast, patients with MCI were found to have preserved task memory schema in both types of ADL; however, such patients exhibited deficits in error detection and task self-initiation but only in IADL. Finally, patients with MCI also showed a generalized problem solving deficit that affected even BADL. Studying various cognitive processes instantiated in specific ADL differing in complexity seems a promising strategy to further understand the specific relationships between cognition and function in these and other cognitively impaired populations. PMID:25805061

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

    DEFF Research Database (Denmark)

    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......-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 centre at the follow-up and 17 of them...

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

    Science.gov (United States)

    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.

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

    CERN Document Server

    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.

  14. Factors associated with activities of daily living among the disabled elders with stroke

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  16. Daily activities and living at a Therapeutic Residential Care Center

    Directory of Open Access Journals (Sweden)

    Luciane Prado Kantorki

    2014-12-01

    Full Text Available This study describes and analyzes day-to-day issues in a Therapeutic Residential Care Center and the daily life characteristics of its residents. This case study was conducted in Caxias do Sul, based on an evaluation of the fourth generation together with a Methodology for Analyzing Everyday Life Networks. The following categories emerged: possibilities in the territory, participation and flexibility in household tasks, situations that mark living, employees who are mediators in conflict resolution, staff committed to the resident, freedom as a therapeutic tool, difficulties in daily life, and building of alliances. This study helped to get to know the structure of everyday life experienced by the residents, identifying some difficulties they face and the mechanisms used to overcome them, in addition to noticing that the professionals can be instrumental in strengthening a daily living that can be pluralized, busy, and enriched, while still respecting the uniqueness of each resident. doi: 10.5216/ree.v16i4.22923.

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

    NARCIS (Netherlands)

    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

  18. Level of asthma control and its impact on activities of daily living in asthma patients in Brazil

    Directory of Open Access Journals (Sweden)

    Mariana Rodrigues Gazzotti

    2013-09-01

    Full Text Available OBJECTIVE: To evaluate the impact of asthma on activities of daily living and on health status in patients with controlled, partially controlled, or uncontrolled asthma in Brazil. METHODS: We used data related to 400 patients in four Brazilian cities (São Paulo, Rio de Janeiro, Salvador, and Curitiba, obtained in a survey conducted throughout Latin America in 2011. All study subjects were > 12 years of age and completed a standardized questionnaire in face-to-face interviews. The questions addressed asthma control, hospitalizations, emergency room visits, and school/work absenteeism, as well as the impact of asthma on the quality of life, sleep, and leisure. The level of asthma control was determined in accordance with the Global Initiative for Asthma criteria. RESULTS: Among the 400 respondents, asthma was controlled in 37 (9.3%, partially controlled in 226 (56.5%, and uncontrolled in 137 (34.2%. The numbers of patients with uncontrolled or partially controlled asthma who visited the emergency room, who were hospitalized, and who missed school/work were higher than were those of patients with controlled asthma (p = 0.001, p = 0.05, and p = 0.01, respectively. Among those with uncontrolled asthma, the impact of the disease on activities of daily living, sleep, social activities, and normal physical exertion was greater than it was among those with controlled or partially controlled asthma (p < 0.001. CONCLUSIONS: In Brazil, asthma treatment should be monitored more closely in order to increase treatment adherence and, consequently, the level of asthma control, which can improve patient quality of life and minimize the negative impact of the disease.

  19. Activities of daily living as an additional predictor of complications and outcomes in elderly patients with acute myocardial infarction

    Directory of Open Access Journals (Sweden)

    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

  20. Script Generation of Activities of Daily Living in HIV-associated Neurocognitive Disorders

    OpenAIRE

    Scott, J. Cobb; Woods, Steven Paul; Vigil, Ofilio; Heaton, Robert K.; Grant, Igor; Ellis, Ronald J.; Marcotte, Thomas D.

    2011-01-01

    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 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 genera...

  1. Shoulder Electromyography Measurements During Activities of Daily Living and Routine Rehabilitation Exercises.

    Science.gov (United States)

    Gurney, A Burke; Mermier, Christine; LaPlante, Michael; Majumdar, Aditi; O'Neill, Kathleen; Shewman, Todd; Gurney, James G

    2016-05-01

    Study Design Controlled laboratory study. Background The activity of the rotator cuff muscles has not previously been measured with indwelling electromyography (EMG) comparing ambulation and other movements. Knowledge of the relative contribution of these muscles during various tasks may help to guide rehabilitation progression. Objective To measure activity of the rotator cuff muscles and other shoulder muscles during normal ambulation, shirt and sling donning and doffing, and rehabilitation tasks commonly performed after rotator cuff surgery. Methods In 28 volunteers (15 men, 13 women; mean age, 32.2 years), indwelling EMG activity was measured in the supraspinatus, infraspinatus, teres minor, and subscapularis muscles during various tasks; and surface EMG activity was measured in the middle deltoid, biceps, and upper trapezius muscles. Results Using median EMG activity, in general, donning and doffing a shirt or sling recruited the rotator cuff muscles more than the other 7 tasks tested. Self-ranging motion using pulleys, especially in the scapular plane, was also consistently associated with greater recruitment of the shoulder muscles. Pendulum exercises, passive range of motion by a physical therapist, and self-ranging motion with a dowel recruited the shoulder muscles to a lesser extent. Conclusion Our results demonstrate that rehabilitation tasks such as pendulum exercises, passive range of motion by a physical therapist, and self-ranging motion with a dowel show low EMG activity, whereas pulleys in the sagittal plane and scapular plane show greater activity. Scapular plane activity was consistently higher than sagittal plane activity. Of all the tasks assessed, ambulation without a sling and donning and doffing a sling and a shirt consistently showed the highest activity. J Orthop Sports Phys Ther 2016;46(5):375-383. Epub 6 Apr 2016. doi:10.2519/jospt.2016.6090. PMID:27049599

  2. IMPROVING SUPERVISED CLASSIFICATION OF DAILY ACTIVITIES LIVING USING NEW COST SENSITIVE CRITERION FOR C-SVM

    OpenAIRE

    M’hamed Bilal Abidine; Belkacem Fergani

    2013-01-01

    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 en...

  3. IMPROVING SUPERVISED CLASSIFICATION OF DAILY ACTIVITIES LIVING USING NEW COST SENSITIVE CRITERION FOR C-SVM

    Directory of Open Access Journals (Sweden)

    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.

  4. The Harvard Automated Phone Task: new performance-based activities of daily living tests for early Alzheimer’s disease

    Science.gov (United States)

    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

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

    DEFF Research Database (Denmark)

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

    2012-01-01

    participants in the IG and CG on measures of balance, physical activity and transfers. The CG significantly improved walking/wheelchair speed and functional leg muscle strength. The CG had significantly deteriorated in ADL, balance and transfers. Persons who had taken part in the intervention for more than 150...... min/week significantly improved their balance and physical activity level. Participation in more than 10 weeks of intervention significantly improved physical activity and walking/wheelchair speed, while a deterioration was seen in those who had participated less. Conclusion: Individually tailored...

  6. Effect of modified constraint-induced movement therapy on the activities of daily living of patients with acute stroke

    Directory of Open Access Journals (Sweden)

    Wei-ming ZHANG

    2015-04-01

    Full Text Available Objective To observe the rehabilitation effect of modified constraint-induced movement therapy (mCIMT on activities of daily living (ADL in patients with acute ischemic stroke.  Methods A total of 60 patients in acute stage of cerebral stroke with limb dysfunction admitted in Ruijin Hospital from December 2012 to May 2013, were randomly divided into routine rehabilitation treatment group (control group, N = 30 and mCIMT group (N = 30. Control group was given routine rehabilitation training, 60 min each time, twice per day, 5 d per week; mCIMT group received mCIMT treatment with the similar frequency. After 2-week training, all patients were transferred to rehabilitation center for 4-week continous training. The total treatment period was 6 weeks. All of those patients received assessment before treatment and 2 weeks, 6 weeks, 12 weeks after treatment on the ability of daily living and motor function, including the modified Barthel Index (mBI, Fugl-Meyer Assessment (FMA and Berg Balance Scale (BBS.  Results Patients in both groups got increased mBI (P = 0.004, 0.000, 0.000, FMA (upper limb: P = 0.000, for all and BBS scores (P = 0.005, 0.000, 0.000 2, 6, 12 weeks after treatment. FMA (lower limb score was increased 6 and 12 weeks after treatment (P = 0.000, for all. Compared to the control group, patients in mCIMT group got increased mBI (P = 0.000, for all, FMA (upper limb: P = 0.000, for all; lower limb: P = 0.000, for all and BBS scores (P = 0.000, for all 2, 6, 12 weeks after treatment.  Conclusions mCIMT has positive therapeutic effects on the motor function of limbs in hemiplegic patients with stroke in acute stage, which can improve the balance ability and the ability of daily life, so as to raise the quality of life of patients. The efficacy of mCIMT is superior to general routine rehabilitation treatment. DOI: 10.3969/j.issn.1672-6731.2015.04.006

  7. Physical performance as long-term predictor of onset of activities of daily living (ADL) disability

    DEFF Research Database (Denmark)

    Idland, Gro; Pettersen, Renate; Avlund, Kirsten;

    2013-01-01

    non-disabled community-dwelling women with a mean age of 79.5 years at baseline. The baseline examinations of physical performance were: functional reach, climbing steps and comfortable walking speed. ADL disability was defined as need of personal assistance in at least one of five basic ADL items...

  8. Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology

    Directory of Open Access Journals (Sweden)

    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

  9. Intermonitor reliability of the GT3X+ accelerometer at hip, wrist and ankle sites during activities of daily living

    International Nuclear Information System (INIS)

    The triaxial GT3X+ accelerometer can measure activity counts in the vertical, horizontal right to left, horizontal front to back planes, and can generate a summative score of the three axes represented by vector magnitude (VM). Information on the reliability of the GT3X+ at the hip, wrist and ankle sites, over all axes and VM during activities of daily living (ADL) is lacking in the literature. Forty healthy adults (14 men and 26 women) were randomly assigned to perform 10 of 20 ADL (consisting of sedentary, housework, yard work, locomotive and recreational activities) while wearing two monitors on the hip, wrist and ankle. Subjects performed each ADL over 7 min and the mean activity counts during the last 4 min were used for analyses. Average intraclass correlations between monitors were high for the three sites for each axis and VM (hip: 0.943, 0.857, 0.864 and 0.966, respectively; wrist: 0.994, 0.963, 0.961 and 0.989, respectively; ankle: 0.977, 0.979, 0.927 and 0.986, respectively). These data suggest that GT3X+ accelerometers measurements made from the hip, wrist and ankle sites are reliable during ADL across all axes and VM. (paper)

  10. Prediction of ground reaction forces and moments during various activities of daily living

    NARCIS (Netherlands)

    Fluit, R.; Andersen, M.S.; Kolk, S.; Verdonschot, N.J.; Koopman, H.F.J.M.

    2014-01-01

    Inverse dynamics based simulations on musculoskeletal models is a commonly used method for the analysis of human movement. Due to inaccuracies in the kinematic and force plate data, and a mismatch between the model and the subject, the equations of motion are violated when solving the inverse dynami

  11. Evaluation of Psychometric Aspects of Cleveland Scale of Activity Daily Living in the Diagnosis of Dementia in Iran

    Directory of Open Access Journals (Sweden)

    Maryam Noroozian

    2013-04-01

    Full Text Available Background: The purpose of this study was to design a valid questionnaire to the Iranian culture for dementia diagnosis and more specifically in its early stage.Methods: A cross-sectional study was conducted in 2012 in Memory Clinic of Roozbeh Hospital and Iranian Alzheimer Association in Tehran in 2012. Among 235 subjects, there were 72 patients with Alzheimer's disease (AD, 137 patients with other types of dementia, and 26 subjects with Mild Cognitive Impairment (MCI, which 107 of them were male. Moreover, 42 healthy subjects were selected as control group. We considered psychometric properties of the Cleveland Scale of Activity Daily Living (CSADL questionnaire and used standard making operations according to exploratory factor analysis.Results: Three factors were extracted: self-care (21 items, language skills (14 items, and planning (7 items. Convergent validity was 0.86 and cut off point for total, basic and instrumental scores respectively was 20, 3 and 20.Conclusion: It can be claimed that Persian Version of CSADL psychometric questionnaire has appropriate indicators and can serve as a useful tool for research in dementia and in its early stage. It can also enable the implementation of scientific research in academic and medical centers on dementia in general and Alzheimer's disease specifically in Iran.

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

    Science.gov (United States)

    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. PMID:25729180

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

    Science.gov (United States)

    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.

  14. Evaluation of effects of shoulder girdle training on strength and performance of activities of daily living in patients with chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Velloso M

    2013-04-01

    Full Text Available Marcelo Velloso, Nilce Helena do Nascimento, Mariana R Gazzotti, José R Jardim Pulmonary Rehabilitation Center, Federal University of São Paulo/Associação de Assistência à Criança Deficiente (Unifesp/AACD, Brazil Background: Patients with chronic obstructive pulmonary disease (COPD have some limitations during activities of daily living that involve the arms. There is little information on the benefits of shoulder girdle training and its repercussions for activities of daily living in patients with COPD. The purpose of this study was to investigate whether shoulder girdle training with diagonal movements increases upper limb muscle strength and improves performance of activities of daily living in patients with COPD. Methods: Thirty-five patients with moderate to severe COPD (forced expiratory volume in one second 1.22 ± 0.49 L and aged 36–80 years were recruited. Endurance time, maximal sustained weight, oxygen saturation, heart rate, respiratory rate, dyspnea, and arm fatigue were evaluated during an incremental upper limb test and eight simulated activities of daily living before and after an 8-week exercise training program. Results: A significant gain was observed for upper limb strength (P < 0.05. At the peak of the upper limb incremental test, the respiratory rate dropped from 33 to 27 breaths per minute, the Borg dyspnea score decreased from 2 to 0.5, and the upper limb fatigue score decreased from 3 to 2 (P < 0.05. No change was seen in any of these parameters during performance of activities of daily living. Conclusion: Although shoulder girdle training increased upper limb strength, no improvement was detected in performance of activities of daily living. Keywords: pulmonary disease, rehabilitation, upper limb training

  15. Evaluation of properties of the Vestibular Disorders Activities of Daily Living Scale (Brazilian version in an elderly population

    Directory of Open Access Journals (Sweden)

    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.

  16. Sensorimotor impairments of paretic upper limb correlates with activities of daily living in subjects with chronic stroke

    Directory of Open Access Journals (Sweden)

    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.

  17. 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?

    Directory of Open Access Journals (Sweden)

    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

  18. Elders' perceptions of formal and informal care: aspects of getting and receiving help for their activities of daily living.

    Science.gov (United States)

    Roe, B; Whattam, M; Young, H; Dimond, M

    2001-05-01

    A purposive and convenience sample of 16 women and four men receiving informal and formal care for their activities of daily living either at home or institutions in Southeast Washington, USA was interviewed. Qualitative findings related to asking for help, getting and receiving help, interpersonal aspects of receiving help, and met and unmet needs are reported. Some seniors found it more difficult to ask for and accept help and there were gender differences, with men tending to adopt a more logical and pragmatic approach while women viewed receiving help as a loss of independence and an invasion of privacy. Intimacy and nudity were also threats for women. Three styles of adjustment and acceptance were identified within the data and related to positive acceptance, resigned acceptance and passive acceptance. There appeared to be a relationship between independence and control, with elders losing some independence but retaining control through choice, payment and involvement in decision making. Reciprocity was found to bring added value to relationships between care providers and elders, with a rhythm and symmetry developing in relationships where needs were known, anticipated and met. Seniors should be encouraged to plan for their future and to find out about local help and services available to them in advance of their requiring any assistance. PMID:11820550

  19. Effect of six-month standardized tertiary rehabilitation program on the activities of daily living in stroke patients with hemiplegia

    Institute of Scientific and Technical Information of China (English)

    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

  20. Relationships of Community and Individual Level Social Capital with Activities of Daily Living and Death by Gender.

    Science.gov (United States)

    Imamura, Haruhiko; Hamano, Tsuyoshi; Michikawa, Takehiro; Takeda-Imai, Fujimi; Nakamura, Takahiro; Takebayashi, Toru; Nishiwaki, Yuji

    2016-01-01

    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. PMID:27589773

  1. Relationships of Community and Individual Level Social Capital with Activities of Daily Living and Death by Gender.

    Science.gov (United States)

    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.

  2. Awareness of Daily Life Activities

    Science.gov (United States)

    Metaxas, Georgios; Metin, Barbaros; Schneider, Jutta; Markopoulos, Panos; De Ruyter, Boris

    The well-publicized aging of Western societies has prompted a growing interest into technologies that support awareness in cross-generational families. The idea of supporting continual and partly automated flow of information between seniors living alone and their social intimates has been gaining ground among researchers but even among industries. It is anticipated that such an information flow can help bridge geographical distance, discrepant lifestyles, and daily routines, potentially providing peace of mind to both parties and feelings of being connected.

  3. 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

    Science.gov (United States)

    Gounden, Yannick; Lacot, Emilie; Couvillers, Frédérique; Lions, Amandine; Hainselin, Mathieu

    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 daily living. Method The S-IADL shares many items with the well-known IADL questionnaire proposed by Lawton & Brody (1969). However, as opposed to the IADL, the assessment of autonomy is not based on the completion of a questionnaire but requires the realization or simulation of various activities of daily living. Eighty-three participants (69 healthy elderly, and 14 Alzheimer Disease patients) completed the IADL and performed the S-IADL assessment. Results Results revealed that, like the IADL, the S-IADL is able to identify AD patients who are likely to encounter difficulties in performing everyday activities, and no major differences were found between the IADL and the S-IADL. Conclusions We outlined some advantages for prefering, in certain situation, this new tool based on simulation of activities in functional evaluation. Finally, we discuss the main limits of the S-IADL that should be investigated prior to its utilization by clinicians. PMID:27672491

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

    Science.gov (United States)

    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.

  5. Comparison of Effect of Two Exercise Programs on Activities of Daily Living in Individuals with Dementia : A 9-Week Randomized, Controlled Trial

    NARCIS (Netherlands)

    Bossers, Willem J R; van der Woude, Lucas H V; Boersma, Froukje; Hortobágyi, Tibor; Scherder, Erik J A; van Heuvelen, Marieke J G

    2016-01-01

    OBJECTIVES: To compare the effects of two exercise programs on proxy- and performance-based measures of activities of daily living (ADLs) and to explore potential motor and cognitive mediators underlying ADL improvements in individuals with dementia. DESIGN: A parallel, three-group, single-blind, ra

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

    Science.gov (United States)

    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. PMID:24259810

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

    Science.gov (United States)

    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.

  8. Cognitively-Related Basic Activities of Daily Living Impairment Greatly Increases the Risk of Death in Alzheimers Disease

    Science.gov (United States)

    Liang, Fu-Wen; Chan, Wenyaw; Chen, Ping-Jen; Zimmerman, Carissa; Waring, Stephen; Doody, Rachelle

    2016-01-01

    Introduction Some Alzheimer’s disease (AD) patients die without ever developing cognitively impaired basic activities of daily living (basic ADL), which may reflect slower disease progression or better compensatory mechanisms. Although impaired basic ADL is related to disease severity, it may exert an independent risk for death. This study examined the association between impaired basic ADL and survival of AD patients, and proposed a multistate approach for modeling the time to death for patients who demonstrate different patterns of progression of AD that do or do not include basic ADL impairment. Methods 1029 patients with probable AD at the Baylor College of Medicine Alzheimer’s Disease and Memory Disorders Center met the criteria for this study. Two complementary definitions were used to define development of basic ADL impairment using the Physical Self-Maintenance Scale score. A weighted Cox regression model, including a time-dependent covariate (development of basic ADL impairment), and a multistate survival model were applied to examine the effect of basic ADL impairment on survival. Results As expected decreased ability to perform basic ADL at baseline, age at initial visit, years of education, and sex were all associated with significantly higher mortality risk. In those unimpaired at baseline, the development of basic ADL impairment was also associated with a much greater risk of death (hazard ratios 1.77–4.06) over and above the risk conferred by loss of MMSE points. A multi-state Cox model, controlling for those other variables quantified the substantive increase in hazard ratios for death conferred by the development of basic ADL impairment by two definitions and can be applied to calculate the short term risk of mortality in individual patients. Conclusions The current study demonstrates that the presence of basic ADL impairment or the development of such impairments are important predictors of death in AD patients, regardless of severity. PMID

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

    Science.gov (United States)

    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…

  10. The impact of visual impairment on the ability to perform activities of daily living for persons with severe/profound intellectual disability

    NARCIS (Netherlands)

    Dijkhuizen, Annemarie; Hilgenkamp, Thessa I. M.; Krijnen, Wim P.; Schans, van der Cees P.; Waninge, Aly

    2016-01-01

    Background: The ability to perform activities of daily living (ADL) as a component of participation is one of the factors that contribute to quality of life. The ability to perform ADL for persons experiencing severe/profound intellectual disability (ID) may be reduced due to their cognitive and phy

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

    NARCIS (Netherlands)

    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

  12. Relative Preservation of Advanced Activities in Daily Living among Patients with Mild-to-Moderate Dementia in the Community and Overview of Support Provided by Family Caregivers

    Directory of Open Access Journals (Sweden)

    Hajime Takechi

    2012-01-01

    Full Text Available Little is known about the extent to which advanced activities of daily living among patients with dementia are preserved and how family caregivers of these patients support them in the community. In this cross-sectional assessment of pairs of patients with dementia and their family caregivers, we evaluated basic, instrumental, and advanced activities of daily living by comparing past and present status observed by caregivers with subjective estimations by patients with dementia. We also asked about ways in which support was provided by family caregivers. Thirty-nine pairs of patients with dementia and caregivers who presented to our memory clinic were interviewed. The mean age of patients with dementia was 75.3±7.0 years, and Mini-Mental State Examination scores were 22.3±3.4. We found relative preservation of advanced activities of daily living compared with instrumental activities of daily living. Caregivers provided instrumental, informational, and reminding support to patients with dementia. These findings may reinforce the concept of person-centered support of patients with dementia in the community.

  13. Impact of estradiol-valerate dienogest on work productivity and activities of daily living in European and Australian women with heavy menstrual bleeding

    Directory of Open Access Journals (Sweden)

    Wasiak R

    2012-07-01

    Full Text Available Radoslaw Wasiak,1 Anna Filonenko,2 David J Vanness,3 Kim U Wittrup-Jensen,2 Donald E Stull,1 Steven Siak,1 Ian Fraser41Centre for Health Economics and Science Policy, United BioSource Corporation, London, United Kingdom; 2Global Health Economics and Outcomes Research, Bayer Healthcare Pharmaceuticals, Berlin, Germany; 3University of Wisconsin, Madison, WI, USA; 4Department of Obstetrics and Gynaecology, University of Sydney, Sydney, NSW, AustraliaBackground: The purpose of this study was to quantify the impact of estradiol valerate-dienogest (E2V/DNG; Qlaira®/Natazia® on work productivity and activities of daily living in European and Australian women with heavy menstrual bleeding.Methods: Women aged 18–54 years with a confirmed diagnosis of heavy menstrual bleeding and no recognizable pathology were recruited across nine European countries (the Czech Republic, Finland, Germany, Hungary, The Netherlands, Poland, Sweden, UK, and Ukraine and Australia. The women were randomized to receive either E2V/DNG (n = 149 or placebo (n = 82 for seven treatment cycles (196 days. The outcomes assessed included work productivity (ie, productivity while at work and activities of daily living, measured on a Likert scale from 0 to 10 (with higher values denoting higher impairment levels at baseline and at the end of the third and seventh cycles (days 84 and 196. The equivalent monetary value associated with the changes in work productivity and activities of daily living was also calculated.Results: Across all the countries, greater improvements from baseline to the end of treatment were observed with E2V/DNG treatment than placebo in work productivity (46.0% versus 15.1% and activities of daily living (55.6% versus 30.8%. In 2008, savings associated with improvements in work productivity and activities of daily living due to E2V/DNG treatment (net of placebo improvement were estimated to be between US$22–62 and US$18–56 per month (in purchasing power

  14. Older Asian Americans and Pacific Islanders with Activities of Daily Living (ADL Limitations: Immigration and Other Factors Associated with Institutionalization

    Directory of Open Access Journals (Sweden)

    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.

  15. Glenohumeral contact forces and muscle forces evaluated in wheelchair-related activities of daily living in able-bodied subjects versus subjects with paraplegia and tetraplegia

    NARCIS (Netherlands)

    van Drongelen, S; van der Woude, LH; Janssen, Thomas W. J.; Angenot, EL; Chadwick, EK; Veeger, DirkJan (H. E. J.)

    2005-01-01

    Objective: To estimate the differences in glenohumeral contact forces and shoulder muscle forces between able-bodied subjects and subjects with paraplegia and tetraplegia during wheelchair-related activities of daily living (ADLs). Design: Kinematics and external forces were measured during wheelcha

  16. Predicting long-term independency in activities of daily living after middle cerebral artery stroke: does information from MRI have added predictive value compared with clinical information?

    NARCIS (Netherlands)

    Schiemanck, S.K.; Kwakkel, G.; Post, M.W.; Kappelle, L.J.; Prevo, A.J.

    2006-01-01

    BACKGROUND AND PURPOSE: To investigate whether neuroimaging information has added predictive value compared with clinical information for independency in activities of daily living (ADL) 1 year after stroke. METHODS: Seventy-five first-ever middle cerebral artery stroke survivors were evaluated in l

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

    Directory of Open Access Journals (Sweden)

    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

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

    Science.gov (United States)

    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

  19. 長寿者の居住地の特性と日常生活動作能力 (Activities of Daily Living : ADL)

    OpenAIRE

    荒木, 英俊

    1997-01-01

    A study on relationship between the living environment and activities of daily living (ADL) was conducted to all eldery persons of more than 100 years old in 1993. The response was received from 840 males (73.6%) of 100-107 years of ages. Living environment was devided into three areas according to the geographical areas (Hokkaido-Tohoku-Hokuriku-Sanin, Kanto-Tokai-Kinki, and Sanyo-Shikoku-Kyushu), two community types according to an urban or an agricultural or fishing village, and four commu...

  20. THE RELATIONSHIP BETWEEN SARCOPENIA,UNDERNUTRITION, PHYSICAL MOBILITY AND BASIC ACTIVITIES OF DAILY LIVING IN A GROUP OF ELDERLY WOMEN OF MEXICO CITY

    OpenAIRE

    María del Consuelo Velázquez Alva; María Esther Irigoyen Camacho; Jaime Delgadillo Velázquez; Irina Lazarevich

    2013-01-01

    Background: Sarcopenia is a geriatric syndrome, which affects the functional status and mobility of individuals. Objective: To identify the prevalence of sarcopenia and undernutrition, and to assess the association between sarcopenia and mobility, and sarcopenia and basic activities of daily living (ADL) in a group of elderly women. Subjects and methods: A cross-sectional study was performed in patients attending a geriatric service at a government hospital in Mexico City. Sarcopenia was iden...

  1. Effects of Training Using Video Games on the Muscle Strength, Muscle Tone, and Activities of Daily Living of Chronic Stroke Patients

    OpenAIRE

    Lee, GyuChang

    2013-01-01

    [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 oc...

  2. Possibility of Independence in ADL (Activities of Daily Living) for Patients with Cervical Spinal Cord Injuries : An Evaluation based on the Zancolli Classification of Residual Arm Functions

    OpenAIRE

    Yoshimura, Osamu; Takayanagi, Kiyomi; Kobayashi, Ryuji; Hosoda, Masataka; Minematsu, Akira; Sasaki, Hisato; Maejima, Hiroshi; Matsuda, Yuiti; Tanaka, Satiko; Matsuo, Akihisa; Kanemura, Naohiko

    1998-01-01

    For patients with cervical spinal cord injuries to become independent in their ADL (Activities of Daily Living), residual arm function is very important. Also, age, sex, physical strength, obesity, spasticity, pain, contracture and motivation are related. We investigated the possibility of independence in ADL for patients with cervical spinal cord injuries, carrying out our evaluation based on the Zancolli Classification of Residual Arm Functions. Zancolli classification C6BII is taken as the...

  3. Tiredness in daily activities: a subjective measure for the identification of frailty among non-disabled community-living older adults

    DEFF Research Database (Denmark)

    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...... in daily activities is suggested as a basis for identifying vulnerable frail subsets of older adults requiring targeted strategies for prevention....

  4. Airflow limitation or static hyperinflation: which is more closely related to dyspnea with activities of daily living in patients with COPD?

    OpenAIRE

    Nishimura Takashi; Yasui Maya; Nishimura Koichi; Oga Toru

    2011-01-01

    Abstract Background Dyspnea while performing the activities of daily living has been suggested to be a better measurement than peak dyspnea during exercise. Furthermore, the inspiratory capacity (IC) has been shown to be more closely related to exercise tolerance and dyspnea than the FEV1, because dynamic hyperinflation is the main cause of shortness of breath in patients with COPD. However, breathlessness during exercise is measured in most studies to evaluate this relationship. Purpose To e...

  5. From Data Acquisition to Data Fusion: A Comprehensive Review and a Roadmap for the Identification of Activities of Daily Living Using Mobile Devices

    Directory of Open Access Journals (Sweden)

    Ivan Miguel Pires

    2016-02-01

    Full Text Available This paper focuses on the research on the state of the art for sensor fusion techniques, applied to the sensors embedded in mobile devices, as a means to help identify the mobile device user’s daily activities. Sensor data fusion techniques are used to consolidate the data collected from several sensors, increasing the reliability of the algorithms for the identification of the different activities. However, mobile devices have several constraints, e.g., low memory, low battery life and low processing power, and some data fusion techniques are not suited to this scenario. The main purpose of this paper is to present an overview of the state of the art to identify examples of sensor data fusion techniques that can be applied to the sensors available in mobile devices aiming to identify activities of daily living (ADLs.

  6. The association between high recreational physical activity and physical activity as a part of daily living in adolescents and availability of local indoor sports facilities and sports clubs

    DEFF Research Database (Denmark)

    Niclasen, B.; Petzold, M.; Schnohr, Christina Warrer

    2012-01-01

    Aim: The aim of this study was to examine how vigorous physical activity (recreational physical activity) (VPA) and moderate to vigorous physical activity as a part of daily life (MVPA) is associated with structural characteristics (availability of sports facilities and sports clubs with child me...

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

    Science.gov (United States)

    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.

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

    DEFF Research Database (Denmark)

    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...

  9. Effect of post-stroke sensory disorders on the recovery processes of motor function and activity of daily living A non-randomized synchroniesl controlled trial

    Institute of Scientific and Technical Information of China (English)

    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

  10. Reiki efficacy of therpy in improving pain, fatigue, quiality of life and its impact on activities´s of women daily living suffering from fibromyalgia

    Directory of Open Access Journals (Sweden)

    Lourdes Casillas Santamaría

    2013-01-01

    Full Text Available Objective: The evaluation the Reiki therapy effectiveness to relieve pain, fatigue and its impact on activities´s of women daily living suffering from fibromyalgia.Methods: A controlled clinical trial, randomized to three groups (Reiki therapy, placebo and control and hiding of random distribution. Subjects: 150 women, over 18 years, diagnosed with fibromyalgia, according to the American College of Rheumatology (ACR, diagnosed for more than a year and signing the informed consent. It will exclude those with mental or cognitive impairment that could impede their participation. Scope: Fibromyalgia Association of Madrid, with a record 2,500 members, with headquarters in downtown Madrid. Intervention: Standardization of Reiki therapy’s interventions, and placebo control. Reiki therapy will be applied by a solo Reiki Master, the placebo group will be attended by one solo nurse with no experience of touch therapy, simulating touches points of energy in the body; the control group receive no intervention. It will be 4 weekly sessions of 60 minutes in the case of Reiki and placebo groups. Participants in the control group will have to go to school to complete the questionnaires in the same periods of time. Variables (measuring instruments: main outcome variable: pain. It will be collected data on pain throughout the study (VAS, fatigue (VAS, quality of life (SF-36 and disease impact on activities of daily living (FIQ at various times: at the studio’s beginning (baseline, after a month and 3 months later. Sociodemographic and clinical variables will be collected also. Analysis: It will be made by allocated treatment (intention to treat. Comparisons shall be made of pain, fatigue, quality of life and disease’s impact on daily life activities among the three groups. Statistical analysis was done by analysis of variance.

  11. Designing and testing lightweight shoulder prostheses with hybrid actuators for movements involved in typical activities of daily living and impact absorption

    Directory of Open Access Journals (Sweden)

    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

  12. Anatomical and psychometric relationships of behavioral neglect in daily living.

    Science.gov (United States)

    Rousseaux, Marc; Allart, Etienne; Bernati, Thérèse; Saj, Arnaud

    2015-04-01

    Spatial neglect has been related to both cortical (predominantly at the temporal-parietal junction) and subcortical (predominantly of the superior longitudinal fasciculus) lesions. The objectives of this observational study were to specify the anatomical relationships of behavioral neglect in activities of daily living (N-ADLs), and the anatomical and psychometric relationships of N-ADLs on one hand and components of neglect (peripersonal neglect and personal neglect) and anosognosia on the other. Forty five patients were analyzed for behavioral difficulties in daily living (on the Catherine Bergego scale) and the main components of neglect (using conventional clinical assessments) during the first months post right hemisphere stroke. Voxel-based lesion-symptom mapping was used to identify brain areas within which lesions explained the severity of bias in each assessment (non-parametric permutation test; p<0.01, one tailed). N-ADLs was associated with lesions centered on the posterior part of the superior temporal gyrus and extending to the temporo-parietal junction, temporo-occipital junction and subcortical white matter (including the superior longitudinal fasciculus). Peripersonal neglect resulted from extended cortical lesions centered on the superior temporal gyrus and the inferior parietal gyrus, with subcortical extension. Personal neglect resulted predominantly from lesions centered on the somatosensory cortex and at a lesser degree on the superior temporal sulcus. Anosognosia resulted from lesions of the posterior inferior temporal gyrus and superior temporal gyrus. In anatomic terms, N-ADLs was strongly related to peripersonal neglect, and those relationships were also shown by the psychometric analysis. In conclusions, superior temporal gyrus and superior longitudinal fasciculus lesions have a pivotal role in N-ADLs. N-ADLs is principally related (anatomically and psychometrically) to peripersonal neglect, and at a lesser degree to anosognosia and

  13. A Longitudinal Study of Changes in Asylum Seekers Ability Regarding Activities of Daily Living During Their Stay in the Asylum Center

    DEFF Research Database (Denmark)

    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......-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...

  14. Cement Vertebroplasty In The Elderly With Osteoporotic Vertebral Fractures. A Preliminary Study On The Change In Activity Of Daily Living After Treatment

    Directory of Open Access Journals (Sweden)

    Collin Looi Seng-Kim

    2009-12-01

    Full Text Available Background: To assess the effect of cementvertebroplasty on the activity of daily living of elderlypatients who have sustained a vertebral osteoporoticfracture.Patients and Methods: Seven patients with clinicallysignificant and radiologically proven osteoporoticvertebral compression fractures suitable to be treatedwith percutaneous cement vertebroplasty wererecruited. Evaluation was based on pre- and postprocedureactivity by clinical documentation (includinginterview and by a self-developed questionnaire(including quality of life.Results: Following the procedure, 54% of patientsresumed their activities of daily living with minimalpain while 46% of patients were able to do so withoutany pain (p<0.05. Up to 85% of patients did notrequire any form of medication (p<0.05 and 77% ofpatients were found to have no pain. In addition to that,almost 62% of patients were able to ambulate normally.Conclusion: Percutaneous cement vertebroplastyappears to significantly improve the activities of dailyliving of elderly patients who have sustained vertebralosteoporotic fractures. It is also found to be a safeprocedure which contributes to reduced usage ofmedication, immediate pain reduction andimprovement in functional status of the patient.

  15. The effects of prism glasses and intensive upper limb exercise on hemineglect, upper limb function, and activities of daily living in stroke patients: a case series.

    Science.gov (United States)

    Oh, Se-Il; Kim, Jin-Kyung; Park, So-Yeon

    2015-12-01

    [Purpose] This study aimed to examine the effects of visual field with prism glasses, and intensive upper limb functional training on reduction of hemineglect and improvement in upper limb function and activities of daily living in three stroke patients with hemineglect. [Subjects] This study included three stroke patients hospitalized in a sanatorium. [Methods] Intervention treatment involving prism glass use for 12 hours and 30 minutes and paretic side upper limb training was conducted 5 days a week for 15 weeks. Three upper limb training tasks (hitting a balloon, passing through a ring, and reading a newspaper) were performed for 10 minutes each session, for a total of 30 minutes. Line by Section, Motor-Free Visual Perception Test-3 (MVPT-3), Manual Function Test (MFT), Box & Block Test (BBT), and Assessment of Motor and Process Skills (AMPS) were conducted before and after intervention. [Results] Subjects' hemineglect decreased and upper limb function on the paretic side improved after intervention, which enhanced activities of daily living. [Conclusion] Prism glass use and paretic upper limb functional training effectively ameliorated stroke patients' hemineglect and improved upper limb function. Future research should focus on prism glasses that provide a wide visual field for use in patients with different conditions. PMID:26834386

  16. Esclerosis múltiple: alteraciones cognitivas y actividades de la vida diaria = Multiple sclerosis : cognitive impairments and activities of daily living

    Directory of Open Access Journals (Sweden)

    Alegre Ayala, Jorge

    2008-02-01

    Full Text Available RESUMENLas alteraciones cognitivas ocasionadas por la Esclerosis Múltiple (EM dificultan el desempeño ocupacional de estos pacientes. No existe un patrón específico de deterioro cognitivo aunque son comunes las afectaciones de la memoria, los procesos atencionales, la velocidad de procesamiento de la información, las funciones ejecutivas, la fluidez verbal y la capacidad visuoespacial. Pese a no ser tan conocidos como los problemas físicos, los déficit cognitivos provocan limitaciones en la capacidad de estas personas para realizar sus actividades de la vida diaria (AVD. El artículo muestra explicaciones sobre las principales alteraciones cognitivas de la enfermedad y ejemplos de actividades de la vida diaria dañadas por éstas. SUMMARY Cognitive impairments caused by Multiple Sclerosis make these patients´ occupational performance difficult. It is not exist a specific pattern of cognitive injury although they are usual the affections in memory, attention process, speed of information processing, executive functions, verbal fluency and visual and spatial skills. Though are not so known like physical problems, the cognitive deficits provokes limitations in the ability of these persons to realize their activities of daily living. Article shows explains about principal cognitive impairments and examples of damage in the activities of daily living caused by Multiple Sclerosis.

  17. Airflow limitation or static hyperinflation: which is more closely related to dyspnea with activities of daily living in patients with COPD?

    Directory of Open Access Journals (Sweden)

    Nishimura Takashi

    2011-10-01

    Full Text Available Abstract Background Dyspnea while performing the activities of daily living has been suggested to be a better measurement than peak dyspnea during exercise. Furthermore, the inspiratory capacity (IC has been shown to be more closely related to exercise tolerance and dyspnea than the FEV1, because dynamic hyperinflation is the main cause of shortness of breath in patients with COPD. However, breathlessness during exercise is measured in most studies to evaluate this relationship. Purpose To evaluate the correlation between breathlessness during daily activities and airflow limitation or static hyperinflation in COPD. Methods We examined 167 consecutive outpatients with stable COPD. The Baseline Dyspnea Index (BDI was used to evaluate dyspnea with activities of daily living. The relationship between the BDI score and the clinical measurements of pulmonary function was then investigated. Results The Spearman rank correlation coefficients (Rs between the BDI score and the FEV1(L, FEV1(%pred and FEV1/FVC were 0.60, 0.56 and 0.56, respectively. On the other hand, the BDI score also correlated with the IC, IC/predicted total lung capacity (TLC and IC/TLC (Rs = 0.45, 0.46 and 0.47, respectively. Although all of the relationships studied were strongly correlated, the correlation coefficients were better between dyspnea and airflow limitation than between dyspnea and static hyperinflation. In stepwise multiple regression analyses, the BDI score was most significantly explained by the FEV1 (R2 = 26.2% and the diffusion capacity for carbon monoxide (R2 = 14.4% (Cumulative R2 = 40.6%. Static hyperinflation was not a significant factor for clinical dyspnea on the stepwise multiple regression analysis. Conclusion Both static hyperinflation and airflow limitation contributed greatly to dyspnea in COPD patients.

  18. Effectiveness of the back school program for the performance of activities of daily living in users of a basic health unit in Porto Alegre, Brazil

    Science.gov (United States)

    Bartz, Patrícia Thurow; Vieira, Adriane; Noll, Matias; Candotti, Cláudia Tarragô

    2016-01-01

    [Purpose] Primary care is considered the gateway to the Brazilian public health system and is responsible for managing the most prevalent problems in the population. In this study, the effects of Back School on pain, functionality, and the performance of activities of daily living (ADL) in users with chronic musculoskeletal pain were evaluated. [Subjects and Methods] Forty-four users (33 females and 11 males) participated in Back School, with five two-hour theoretical and practical meetings held once a week. The assessment instruments used were as follows: (a) a circuit evaluation of posture dynamics recorded on video, (b) an observational instrument of ADL using video, (c) anamnesis, (d) the visual analogue scale, and (e) the Oswestry Disability Index. [Results] The results showed decreased pain intensity, improved functionality, and the recovery of ADL. [Conclusion] The Back School program is an effective health education strategy for users with chronic musculoskeletal pain. PMID:27799699

  19. High-level activities of daily living and disease-specific mortality during a 12-year follow-up of an octogenarian population

    Directory of Open Access Journals (Sweden)

    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

  20. Comparison of activities of daily living after osteoporotic hip fracture surgery in patients admitted from home and from geriatric health service facilities

    Directory of Open Access Journals (Sweden)

    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

  1. Health-related quality of life (HRQOL), activity of daily living (ADL) and depressive mood disorder in temporal lobe epilepsy patients.

    Science.gov (United States)

    Lehrner, J; Kalchmayr, R; Serles, W; Olbrich, A; Pataraia, E; Aull, S; Bacher, J; Leutmezer, F; Gröppel, G; Deecke, L; Baumgartner, C

    1999-04-01

    We determined the interrelations of chronological age, age at seizure onset, duration of seizure disorder, cognitive functioning (IQ), scales of activities of daily living, depressive mood disorder and measures of health-related quality of life (HRQOL). Furthermore, we investigated the association of the laterality of seizure onset zone and absence/presence of hippocampal atrophy and/or sclerosis (HA/HS) with measures of HRQOL, activities of daily living (ADL) and depressive mood disorder. In the setting of pre-surgical epilepsy evaluation, a sample of 56 patients with temporal lobe epilepsy (TLE) was studied using the Bonner Skalen für Epilepsie (BPSE) and the depression inventory D-S of von Zerssen. Patients reported high levels of dependency on others and poor coping capabilities. Our data also showed specific ADL-behaviour suggesting social withdrawal and isolation. Our results indicate emotional impairment as a major problem in TLE, because 45% of our patients scored in the depressive range of the D-S depression scale. Depression score was found to be a powerful predictor of self-reported quality of life after adjusting for seizure-related variables, demographic variables and cognitive functioning (IQ). The only scale showing a significant laterality effect was ADL-home. No relationship between the dependent measures of HRQOL, ADL-social, ADL-cultural, depressive mood disorder and laterality of the epileptogenic zone or absence/presence of HA/HS was found. HRQOL and depressive mood disorder are strongly interrelated indicating that patients with depressive symptoms report lower quality of life and specific patterns of ADL. HRQOL, ADL and depressive mood disorder are largely independent of biological markers such as laterality of seizure onset zone and absence/presence of HA/HS in TLE.

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

    DEFF Research Database (Denmark)

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

    2014-01-01

    questionnaire about exposure to torture and trauma. Ten months later, 17 participants were accessible for re-assessment, based on the same instruments as above. The participants took part in the usual activities in a centre during the time between baseline and follow-up. Results: At entrance, the asylum seekers...... impairment that increased during time spent in a centre, and that the increase may be associated with exposure to number of applied torture methods. Contribution to practice/evidence base of occupational therapy: The knowledge contributes to the planning and execution of preventive and rehabilitation...

  3. Wavelet-based algorithm for auto-detection of daily living activities of older adults captured by multiple inertial measurement units (IMUs).

    Science.gov (United States)

    Ayachi, Fouaz S; Nguyen, Hung P; Lavigne-Pelletier, Catherine; Goubault, Etienne; Boissy, Patrick; Duval, Christian

    2016-03-01

    A recent trend in human motion capture is the use of inertial measurement units (IMUs) for monitoring and performance evaluation of mobility in the natural living environment. Although the use of such systems have grown significantly, the development of methods and algorithms to process IMU data for clinical purposes is still limited. The aim of this work is to develop algorithms based on wavelet transform and discrete-time detection of events for the automatic segmentation of tasks related activities of daily living (ADL) from body worn IMUs. Seven healthy older adults (73  ±  4 years old) performed 10 ADL tasks in a simulated apartment during trials of different durations (3, 4, and 5 min). They wore a suit (Synertial UK Ltd IGS-180) comprised of 17 IMUs positioned strategically on body segments to capture full body motion. The proposed method automatically detected the number of template waveforms (representing each movement separately) using discrete wavelet transform (DWT) and discrete-time detection of events based on angular velocity, linear acceleration and 3D orientation data of pertinent IMUs. The sensitivity (Se.) and specificity (Sp.) of detection for the proposed method was established using time stamps of10tasks obtained from visual segmentation of each trial using the video records and the avatar provided by the system's software. At first, we identified six pertinent sensors that were strongly associated to different activities (at most two sensors/task) that allowed detection of tasks with high accuracy. The proposed algorithm exhibited significant global accuracy (N events  =  1999, Se.  =  97.5%, Sp.  =  94%), despite the variation in the occurrences of the performed tasks (free living). The Se. varied from 94% to 100% for all the detected ADL tasks and Sp. ranged from 90% to 100% with the worst Sp.  =  85 and 87% for Release_mid (reaching for object held just beyond reach at chest height) and Turning

  4. 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

    Directory of Open Access Journals (Sweden)

    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.

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

    DEFF Research Database (Denmark)

    Andersen, Christian; Wittrup-Jensen, Kim U; Lolk, Anette;

    2004-01-01

    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...

  6. Evaluation of Three State-of-the-Art Classifiers for Recognition of Activities of Daily Living from Smart Home Ambient Data

    Directory of Open Access Journals (Sweden)

    Tobias Nef

    2015-05-01

    Full Text Available Smart homes for the aging population have recently started attracting the attention of the research community. The “health state” of smart homes is comprised of many different levels; starting with the physical health of citizens, it also includes longer-term health norms and outcomes, as well as the arena of positive behavior changes. One of the problems of interest is to monitor the activities of daily living (ADL of the elderly, aiming at their protection and well-being. For this purpose, we installed passive infrared (PIR sensors to detect motion in a specific area inside a smart apartment and used them to collect a set of ADL. In a novel approach, we describe a technology that allows the ground truth collected in one smart home to train activity recognition systems for other smart homes. We asked the users to label all instances of all ADL only once and subsequently applied data mining techniques to cluster in-home sensor firings. Each cluster would therefore represent the instances of the same activity. Once the clusters were associated to their corresponding activities, our system was able to recognize future activities. To improve the activity recognition accuracy, our system preprocessed raw sensor data by identifying overlapping activities. To evaluate the recognition performance from a 200-day dataset, we implemented three different active learning classification algorithms and compared their performance: naive Bayesian (NB, support vector machine (SVM and random forest (RF. Based on our results, the RF classifier recognized activities with an average specificity of 96.53%, a sensitivity of 68.49%, a precision of 74.41% and an F-measure of 71.33%, outperforming both the NB and SVM classifiers. Further clustering markedly improved the results of the RF classifier. An activity recognition system based on PIR sensors in conjunction with a clustering classification approach was able to detect ADL from datasets collected from different

  7. Evaluation of Three State-of-the-Art Classifiers for Recognition of Activities of Daily Living from Smart Home Ambient Data.

    Science.gov (United States)

    Nef, Tobias; Urwyler, Prabitha; Büchler, Marcel; Tarnanas, Ioannis; Stucki, Reto; Cazzoli, Dario; Müri, René; Mosimann, Urs

    2015-01-01

    Smart homes for the aging population have recently started attracting the attention of the research community. The "health state" of smart homes is comprised of many different levels; starting with the physical health of citizens, it also includes longer-term health norms and outcomes, as well as the arena of positive behavior changes. One of the problems of interest is to monitor the activities of daily living (ADL) of the elderly, aiming at their protection and well-being. For this purpose, we installed passive infrared (PIR) sensors to detect motion in a specific area inside a smart apartment and used them to collect a set of ADL. In a novel approach, we describe a technology that allows the ground truth collected in one smart home to train activity recognition systems for other smart homes. We asked the users to label all instances of all ADL only once and subsequently applied data mining techniques to cluster in-home sensor firings. Each cluster would therefore represent the instances of the same activity. Once the clusters were associated to their corresponding activities, our system was able to recognize future activities. To improve the activity recognition accuracy, our system preprocessed raw sensor data by identifying overlapping activities. To evaluate the recognition performance from a 200-day dataset, we implemented three different active learning classification algorithms and compared their performance: naive Bayesian (NB), support vector machine (SVM) and random forest (RF). Based on our results, the RF classifier recognized activities with an average specificity of 96.53%, a sensitivity of 68.49%, a precision of 74.41% and an F-measure of 71.33%, outperforming both the NB and SVM classifiers. Further clustering markedly improved the results of the RF classifier. An activity recognition system based on PIR sensors in conjunction with a clustering classification approach was able to detect ADL from datasets collected from different homes. Thus, our

  8. Aplicabilidade da escala London Chest Activity of Daily Living em pacientes em lista de espera para transplante de pulmão Applicability of the London Chest Activity of Daily Living scale in patients on the waiting list for lung transplantation

    OpenAIRE

    Jocimar Prates Muller; Patrícia Ayres Guterres Gonçalves; Fabrício Farias da Fontoura; Rita Mattiello; Juliessa Florian

    2013-01-01

    OBJETIVO: Avaliar a aplicabilidade da escala London Chest Activity of Daily Living (LCADL), em pacientes em lista de transplante pulmonar. MÉTODOS: Estudo transversal com 26 pacientes em lista de espera para transplante de pulmão, de ambos os sexos, entre maio e setembro de 2010 tratados no Programa de Reabilitação Pulmonar, Complexo Hospitalar Santa Casa de Misericórdia de Porto Alegre, em Porto Alegre, RS. Todos os pacientes foram submetidos ao teste de caminhada de seis minutos (TC6) e a t...

  9. Ecological Assessment of Autonomy in Instrumental Activities of Daily Living in Dementia Patients by the Means of an Automatic Video Monitoring System.

    Science.gov (United States)

    König, Alexandra; Crispim-Junior, Carlos Fernando; Covella, Alvaro Gomez Uria; Bremond, Francois; Derreumaux, Alexandre; Bensadoun, Gregory; David, Renaud; Verhey, Frans; Aalten, Pauline; Robert, Philippe

    2015-01-01

    Currently, the assessment of autonomy and functional ability involves clinical rating scales. However, scales are often limited in their ability to provide objective and sensitive information. By contrast, information and communication technologies may overcome these limitations by capturing more fully functional as well as cognitive disturbances associated with Alzheimer disease (AD). We investigated the quantitative assessment of autonomy in dementia patients based not only on gait analysis but also on the participant performance on instrumental activities of daily living (IADL) automatically recognized by a video event monitoring system (EMS). Three groups of participants (healthy controls, mild cognitive impairment, and AD patients) had to carry out a standardized scenario consisting of physical tasks (single and dual task) and several IADL such as preparing a pillbox or making a phone call while being recorded. After, video sensor data were processed by an EMS that automatically extracts kinematic parameters of the participants' gait and recognizes their carried out activities. These parameters were then used for the assessment of the participants' performance levels, here referred as autonomy. Autonomy assessment was approached as classification task using artificial intelligence methods that takes as input the parameters extracted by the EMS, here referred as behavioral profile. Activities were accurately recognized by the EMS with high precision. The most accurately recognized activities were "prepare medication" with 93% and "using phone" with 89% precision. The diagnostic group classifier obtained a precision of 73.46% when combining the analyses of physical tasks with IADL. In a further analysis, the created autonomy group classifier which obtained a precision of 83.67% when combining physical tasks and IADL. Results suggest that it is possible to quantitatively assess IADL functioning supported by an EMS and that even based on the extracted data the

  10. Ecological Assessment of Autonomy in Instrumental Activities of Daily Living in Dementia Patients by the means of an Automatic Video Monitoring System

    Directory of Open Access Journals (Sweden)

    Alexandra eKönig

    2015-06-01

    Full Text Available Currently, the assessment of autonomy and functional ability involves clinical rating scales. However, scales are often limited in their ability to provide objective and sensitive information. In contrast, information and communication technologies may overcome these limitations by capturing more fully the functional, as well as cognitive disturbances associated with Alzheimer disease (AD. We investigated the quantitative assessment of the autonomy of dementia patients based not only on gait analysis but also on the participant performance on Instrumental Activities of Daily Living (IADL automatically recognized by a video event monitoring system (EMS. Three groups of participants (healthy controls, Mild Cognitive Impairment and AD patients had to carry out a standardized scenario consisting of physical tasks (single and dual task and several IADLs such as preparing a pillbox or making a phone call while being recorded. After, video sensor data was processed by an event monitoring system that automatically extracts kinematic parameters of the participants’ gait and recognizes their carried out activities. These parameters were then used for the assessment of the participants’ performance levels, here referred as autonomy. Autonomy assessment were approached as classification task using artificial intelligence methods that takes as input the parameters extracted by the event monitoring system, here referred as behavioral data. Activities were accurately recognized by the EMS with high precision. The most accurately recognized activities were: ‘prepare medication’ with 93% and ‘using phone’ with 89% precision. The diagnostic group classifier obtained a precision of 73.46% when combining the analyses of physical tasks with IADLs. In a further analysis, the created autonomy group classifier which obtained a precision of 83.67% when combining physical tasks and IADLs. Results suggest that it is possible to quantitatively assess IADL

  11. Hierarchical Linear Model Approach to the Determinants of Activities of Daily Living of Chinese Oldest Old at Both Individual and Regional levels

    Institute of Scientific and Technical Information of China (English)

    Yin Deting; Lu Jiehua

    2007-01-01

    Based on the Chinese longitudinal healthy longevity survey conducted in 2002,this paper uses hierarchical linear model(HLM)to make an approach to the possible determinants of activities of daily living(ADL)of Chinese oldest old(aged 80 and above)by combining both individual and provincial level factors.The descriptive analysis shows that there is a great differential in ADL by province among Chinese oldest old.The findings turn out that there does exist a significant differential in ADL between oldest old and young old,and that there is also a great differential in ADL by province among Chinese oldest old.The HLM demonstrates that comorbidity,age,cognitive impairment,visual impairment,and emotion could be the most important individual factors while natural environment,medical facilities,type of staple food and poverty rate in urban areas are the most significantly regional determinants of ADL of oldest old.The findings imply that future actions should not only be taken at individual level,but also at regional level in order to achieve the goal of a healthy aging society in China.

  12. Effects of neurofeedback and computer-assisted cognitive rehabilitation on relative brain wave ratios and activities of daily living of stroke patients: a randomized control trial

    Science.gov (United States)

    Cho, Hwi-Young; Kim, Ki-Tae; Jung, Jin-Hwa

    2016-01-01

    [Purpose] This study investigated the effects of neurofeedback (NFB) and computer-assisted cognitive rehabilitation (CACR) on the relative brain wave ratios and activities of daily living (ADL) of stroke patients. [Subjects and Methods] Forty-four participants were randomly allocated to the NFB (n=14), CACR (n=14), or control (CON) (n=16) groups. Two expert therapists provided the NFB, CACR, and CON groups with traditional rehabilitation therapy in 30-minute sessions, 5 times a week, for 6 weeks. NFB training was provided only to the NFB group and CACR training was provided only to the CACR group. The CON group received traditional rehabilitation therapy only. Before and after 6 weeks of intervention, brain wave and ADL evaluations were performed, and the results were analyzed. [Results] The relative ratio of beta waves, only showed a significant increase in the frontal and parietal areas of the NFB group. Significant changes in ADL were shown by all three groups after the intervention. However, there were no significant differences between the NFB and CACR groups and the CON group. [Conclusion] Our results suggest that CACR and NFB are effective at improving cognitive function and ADL of stroke patients. PMID:27512287

  13. Effects of neurofeedback and computer-assisted cognitive rehabilitation on relative brain wave ratios and activities of daily living of stroke patients: a randomized control trial.

    Science.gov (United States)

    Cho, Hwi-Young; Kim, Ki-Tae; Jung, Jin-Hwa

    2016-07-01

    [Purpose] This study investigated the effects of neurofeedback (NFB) and computer-assisted cognitive rehabilitation (CACR) on the relative brain wave ratios and activities of daily living (ADL) of stroke patients. [Subjects and Methods] Forty-four participants were randomly allocated to the NFB (n=14), CACR (n=14), or control (CON) (n=16) groups. Two expert therapists provided the NFB, CACR, and CON groups with traditional rehabilitation therapy in 30-minute sessions, 5 times a week, for 6 weeks. NFB training was provided only to the NFB group and CACR training was provided only to the CACR group. The CON group received traditional rehabilitation therapy only. Before and after 6 weeks of intervention, brain wave and ADL evaluations were performed, and the results were analyzed. [Results] The relative ratio of beta waves, only showed a significant increase in the frontal and parietal areas of the NFB group. Significant changes in ADL were shown by all three groups after the intervention. However, there were no significant differences between the NFB and CACR groups and the CON group. [Conclusion] Our results suggest that CACR and NFB are effective at improving cognitive function and ADL of stroke patients. PMID:27512287

  14. The Glittre-ADL test reflects functional performance measured by physical activities of daily living in patients with chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Manuela Karloh

    2016-01-01

    Full Text Available ABSTRACT Background The Glittre-ADL test (TGlittre is a valid and reliable test for the evaluation of functional capacity and involves multiple physical activities of daily living (PADL, which are known to be troublesome to patients with Chronic Obstructive Pulmonary Disease (COPD. However, it is still unknown if this test is also able to reflect the functional performance of patients with COPD. Objective To investigate whether the TGlittre reflects the functional performance of COPD patients and whether the necessary time to complete the TGlittre and the PADL varies according to disease severity. Method Thirty-eight patients with COPD (age 65, SD=7 years; forced expiratory volume in the first second 41.3, SD=15.2% predicted underwent anthropometric and lung function assessments and were submitted to the TGlittre and PADL measurement. Results TGlittre performance correlated significantly (p<0.05 with PADL variables, such as time sitting (r=0.50, walking (r=-0.46, number of steps taken (r=–0.53, walking movement intensity (r=–0.66, walking energy expenditure (r=-0.50, and total energy expenditure (r=–0.33. TGlittre performance was not significantly different in patients among the Global Initiative for COPD (GOLD spirometric stages, but walking and sitting time were significantly lower and greater, respectively, in severe and very severe patients compared to those with moderate disease (p<0.05. Conclusion The performance on the TGlittre correlates with walking and sitting time and other real life PADL measurements. The severity of the disease is associated with the differences in the level of physical activity in daily life more than in functional capacity.

  15. Specific cognitive domains and symptoms of depression as predictors of activities of daily living in older adults with heterogeneous cognitive backgrounds

    Directory of Open Access Journals (Sweden)

    Jonas Jardim de Paula

    2015-07-01

    Full Text Available Cognitive functioning play an important role in the performance of activities of daily living (ADL. Although and association between this two measures are usually reported in neuropsychological studies, the results are inconsistent, especially in what aspects cognitive functioning are more or less related to each functional aspect. In addition, only a few studies investigated if depressive symptoms are associated with worse functional performance in older adults. Our objective is to investigate the role of different cognitive functions and the depressive symptoms in the performance of different groups of ADL and each activity individually. We assessed 264 older adults (96 normal aging controls, 85 patients diagnosed with mild cognitive impairment and 93 with mild probable Alzheimer’s disease dementia with low formal education (about 4 years. We used measures of ADL with different levels of complexity: Selfcare, Instrumental-Domestic and Instrumental Complex, along with composite factors of cognitive functions and the score of the Geriatric Depression Scale. Multiple linear regression analysis showed significant predictors of Instrumental-Domestic ADL (executive functions and episodic memory and Instrumental-Complex ADL (executive functions, episodic memory and language/semantic memory, with large effect sizes (22 and 28% of explained variance. Individual analysis of each Instrumental ADL shows a heterogeneous pattern of association with different cognitive factors and depressive symptoms, with effect sizes ranging from 22 to 38% of explained variance. Our results suggest that specific measures of ADL have different cognitive predictors and that depressive symptoms are associated with activities more dependent on social contact.

  16. The Manchester Respiratory Activities of Daily Living questionnaire for use in COPD patients: translation into Portuguese and cross-cultural adaptation for use in Brazil

    Science.gov (United States)

    Junkes-Cunha, Maíra; Mayer, Anamaria Fleig; Reis, Cardine; Yohannes, Abebaw M.; Maurici, Rosemeri

    2016-01-01

    Objective : To translate The Manchester Respiratory Activities of Daily Living (MRADL) questionnaire into Portuguese and to create a version of the MRADL that is cross-culturally adapted for use in Brazil. Methods : The English-language version of the MRADL was translated into Portuguese by two health care researchers who were fluent in English. A consensus version was obtained by other two researchers and a pulmonologist. That version was back-translated into English by another translator who was a native speaker of English and fluent in Portuguese. The cognitive debriefing process consisted in having 10 COPD patients complete the translated questionnaire in order to test its understandability, clarity, and acceptability in the target population. On the basis of the results, the final Portuguese-language version of the MRADL was produced and approved by the committee and one of the authors of the original questionnaire. Results : The author of the MRADL questioned only a few items in the translated version, and some changes were made to the mobility and personal hygiene domains. Cultural differences regarding the domestic activities domain were found, in particular regarding the item "Do you have the ability to do a full clothes wash and hang them out to dry?", due to socioeconomic and climatic issues. The item "Do you take care of your garden?" was questioned by the participants who lived in apartments, being modified to "Do you take care of your garden or plants in your apartment?" Conclusions : The final Portuguese-language version of the MRADL adapted for use in Brazil was found to be easy to understand and easily applied. PMID:26982036

  17. Greater Independence in Activities of Daily Living is Associated with Higher Health-Related Quality of Life Scores in Nursing Home Residents with Dementia

    Directory of Open Access Journals (Sweden)

    Charice S. Chan

    2015-06-01

    Full Text Available Health-related quality of life (HRQL for nursing home residents is important, however, the concept of quality of life is broad, encompasses many domains and is difficult to assess in people with dementia. Basic activities of daily living (ADL are measured routinely in nursing homes using the Resident Assessment Instrument-Minimum Data Set Version 2.0 (RAI-MDS and Functional Independence Measure (FIM instrument. We examined the relationship between HRQL and ADL to assess the future possibility of ADL dependency level serving as a surrogate measure of HRQL in residents with dementia. To assess ADL, measures derived from the RAI-MDS and FIM data were gathered for 111 residents at the beginning of our study and at 6-month follow-up. Higher scores for independence in ADL were correlated with higher scores for a disease-specific HRQL measure, the Quality of Life—Alzheimer’s Disease Scale. Preliminary evidence suggests that FIM-assessed ADL is associated with HRQL for these residents. The associations of the dressing and toileting items with HRQL were particularly strong. This finding suggests the importance of ADL function in HRQL. The RAI-MDS ADL scales should be used with caution to evaluate HRQL.

  18. Non-Motor symptoms in Portuguese Parkinson's Disease patients: correlation and impact on Quality of Life and Activities of Daily Living.

    Science.gov (United States)

    Bugalho, Paulo; Lampreia, Tânia; Miguel, Rita; Mendonça, Marcelo D; Caetano, André; Barbosa, Raquel

    2016-01-01

    The prevalence of non-motor symptoms (NMS) in Parkinson's Disease (PD) has varied between studies. Their interrelation isn't totally understood. Also, the relative importance of each symptom, regarding its impact on activities of daily living (ADL) and health related quality of life (HRQL), remains debatable. We assessed all PD patients attending a Portuguese tertiary movement disorders center during one year (n = 134), with ADL, HRQL and other clinical scales approved for identifying the most relevant NMS in PD. All patients had at least one NMS. Sleep/fatigue, affect/cognition, attention/memory were the most frequent complaints, and their prevalence, above 80%, was higher than in most studies. There were significantly correlations between: sleepiness, psychosis and cognition; gastrointestinal, cardiovascular symptoms and pain; depression and apathy; anxiety and insomnia; olfaction, weight and hyperhidrosis. Depression/apathy exerted the strongest influence on HRQL and non-tremor motor dysfunction on ADL. Compared to studies in other countries, we found a higher prevalence of NMS, which could be specific of this population. The interrelation between NMS could be related to degeneration of different brain structures. NMS exert a stronger influence than MS in HRQL, which should be taken in account regarding treatment options. PMID:27573215

  19. Non-Motor symptoms in Portuguese Parkinson’s Disease patients: correlation and impact on Quality of Life and Activities of Daily Living

    Science.gov (United States)

    Bugalho, Paulo; Lampreia, Tânia; Miguel, Rita; Mendonça, Marcelo D.; Caetano, André; Barbosa, Raquel

    2016-01-01

    The prevalence of non-motor symptoms (NMS) in Parkinson’s Disease (PD) has varied between studies. Their interrelation isn’t totally understood. Also, the relative importance of each symptom, regarding its impact on activities of daily living (ADL) and health related quality of life (HRQL), remains debatable. We assessed all PD patients attending a Portuguese tertiary movement disorders center during one year (n = 134), with ADL, HRQL and other clinical scales approved for identifying the most relevant NMS in PD. All patients had at least one NMS. Sleep/fatigue, affect/cognition, attention/memory were the most frequent complaints, and their prevalence, above 80%, was higher than in most studies. There were significantly correlations between: sleepiness, psychosis and cognition; gastrointestinal, cardiovascular symptoms and pain; depression and apathy; anxiety and insomnia; olfaction, weight and hyperhidrosis. Depression/apathy exerted the strongest influence on HRQL and non-tremor motor dysfunction on ADL. Compared to studies in other countries, we found a higher prevalence of NMS, which could be specific of this population. The interrelation between NMS could be related to degeneration of different brain structures. NMS exert a stronger influence than MS in HRQL, which should be taken in account regarding treatment options. PMID:27573215

  20. Instrumental activities of daily living among community-dwelling older adults: personality associations with self-report, performance, and awareness of functional difficulties.

    Science.gov (United States)

    Suchy, Yana; Williams, Paula G; Kraybill, Matthew L; Franchow, Emilie; Butner, Jonathan

    2010-09-01

    Self-reports of the ability to engage in instrumental activities of daily living (IADLs) among older adults are known to be related to personality traits. However, self-reports are sometimes discrepant with performance-based IADL assessments, and little is known about personality associations with objective functionality or with poor insight about functional deficits. This study examined the NEO Personality Inventory-Revised profiles associated with (a) self-report of functional problems, (b) functional errors evidenced on performance-based IADL assessment, and (c) discrepancies between self-report and performance. Participants were 65 community-dwelling individuals ranging in age from 60 to 87 years. The results showed that self-report of IADL problems are associated with higher neuroticism and lower conscientiousness, actual IADL difficulties with higher neuroticism and lower agreeableness and openness to experience, underreporting of problems with higher conscientiousness, and overreporting of problems with higher extraversion and neuroticism. These relationships were partly mediated by age, education, and cognitive status. When unique personality associations with self-report and performance were examined, neuroticism and agreeableness, respectively, emerged as the strongest predictors.

  1. Long-term effects of 6-week whole-body vibration on balance recovery and activities of daily living in the postacute phase of stroke: a randomized, controlled trial.

    NARCIS (Netherlands)

    Nes, I.J.W. van; Latour, H.; Schils, F.; Meijer, R.; Kuijk, A. van; Geurts, A.C.H.

    2006-01-01

    BACKGROUND AND PURPOSE: The long-term effects of 6-weeks whole-body vibration, as a novel method of somatosensory stimulation, on postural control and activities of daily living were compared with those of 6 weeks of exercise therapy on music of the same intensity in the postacute phase of stroke. M

  2. Quantitative regional cerebral blood flow study with 123I-IMP in patients with dementia and in patients with poor activities of daily living

    International Nuclear Information System (INIS)

    N-isopropyl-p[123I]iodoamphetamine (123I-IMP) SPECT and quantitative regional cerebral blood flow (rCBF) studies were performed in 111 patients with cerebral disorders. Continuous arterial blood sampling method based on the microsphere model was used as a quantitative rCBF measurement. We evaluated rCBF in patients with dementia and also in patients with poor activities of daily living (ADL). Patients with dementia showed significant reduction of mean CBF in contrast to patients without dementia. Significant decrease of rCBF in the bilateral frontal cortex, parietal cortex and basal ganglia and the right temporal cortex were found in demented patients. Although patients with vascular dementia showed decreased rCBF in bilateral basal ganglia, demented patients with Parkinson's disease showed no significant reduction of rCBF in any region. Patients with poor ADL showed decreased rCBF in all brain regions. And particularly frontal and basal ganglionic defects were most pronounced. Patients with poor ADL resulting from cerebral infarction showed significant decrease of rCBF in bilateral basal ganglia. However, there was no significant correlation in Parkinson's disease between ADL and rCBF. The rCBF measurement with 123I-IMP is useful for clinical evaluation of demented patients and patients with poor ADL. (author)

  3. The relationship between sarcopenia, undernutrition, physical mobility and basic activities of daily living in a group of elderly women of Mexico City

    Directory of Open Access Journals (Sweden)

    María del Consuelo Velázquez Alva

    2013-04-01

    Full Text Available Background: Sarcopenia is a geriatric syndrome, which affects the functional status and mobility of individuals. Objective: To identify the prevalence of sarcopenia and undernutrition, and to assess the association between sarcopenia and mobility, and sarcopenia and basic activities of daily living (ADL in a group of elderly women. Subjects and methods: A cross-sectional study was performed in patients attending a geriatric service at a government hospital in Mexico City. Sarcopenia was identified applying Baumgartner's equation by obtaining skeletal muscle mass index (SMI and undernutrition was diagnosed using mininutritional assessment instrument (MNA. The SENECA questionnaire and Katz index were used to evaluate mobility and ADL, respectively. Statistical analysis: lineal regression models were constructed fitting SMI as a dependent variable and SENECA, and ADL scores as independent variables, adjusted for age. Results: 90 women with a mean age of 78.2 (± 6.8 were studied. Undernutrition was identified in 15.5% of the patients. The prevalence of sarcopenia was 41.1%. Patients with sarcopenia presented a high prevalence of undernutrition (p < 0.001. Sarcopenia was associated with difficulty in climbing stairs (OR = 2.63, p = 0.03, adjusted for age. The mobility score was associated with sarcopenia, in the group without sarcopenia the mean score was 16.3, and with sarcopenia it was 18.3, (p = 0.04. Regarding ADL, 64.9% of the patients with intermediate independence and dependence had sarcopenia, while 35.1% with total independence presented sarcopenia (p < 0.001. Conclusions: The elder women with sarcopenia had a higher prevalence of undernutrition. Sarcopenia was associated with difficulties in mobility, particularly difficulties in climbing stairs.

  4. Psychosocial impact of electronic aids to daily living.

    Science.gov (United States)

    Jutai, J; Rigby, P; Ryan, S; Stickel, S

    2000-01-01

    Electronic aids to daily living (EADLs) allow persons who have a degenerative neuromuscular condition such as Duchenne's muscular dystrophy to operate a wide variety of household and workplace appliances without assistance (independent of family members or other caregivers). There is very little published research to describe how well EADLs are perceived by users to enhance their sense of personal autonomy, functional independence, and psychological well being. Psychosocial impact is a significant determinant of how users perceive the benefit of assistive devices to their quality of life. This study compared the perceived psychosocial impact of EADLs on a group of device users with the anticipated impact of EADLs reported by a group who were eligible for, but had not yet received, these devices. The perceptions of the user group were measured at two points in time, approximately 6 to 9 months apart, to examine the stability of psychosocial impact. The Psychosocial Impact of Assistive Devices Scale was the instrument used to assess perceived impact. EADLs were found to produce similar degrees of positive impact on users and positive perceptions of anticipated impact on those without devices. The psychosocial impact on users was stable over time. The results indicate that the perceived benefits of EADLs to the autonomy, functional independence, and psychological well being of both users and nonusers are positive and strikingly similar. The study is an important first step in attempting to quantify psychosocial outcomes for EADLs in a way that might facilitate economic analysis of these devices in the future. PMID:11508402

  5. 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

    NARCIS (Netherlands)

    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

  6. SIST-M-IR activities of daily living items that best discriminate clinically normal elderly from those with mild cognitive impairment

    Science.gov (United States)

    Zoller, Amy S.; Gaal, Ildiko M.; Royer, Christine A.; Locascio, Joseph J.; Amariglio, Rebecca E.; Blacker, Deborah; Okereke, Olivia I.; Johnson, Keith A.; Sperling, Reisa A.; Rentz, Dorene M.; Marshall, Gad A.

    2014-01-01

    Background Activities of daily living (ADL) impairment is a hallmark of Alzheimer's disease (AD) dementia, but impairment in instrumental ADL (IADL) has been reported in mild cognitive impairment (MCI). The Structured Interview and Scoring Tool-Massachusetts Alzheimer's Disease Research Center (MADRC)-Informant Report (SIST-M-IR) includes 60 graded items that assist in scoring the Clinical Dementia Rating; it assesses the spectrum of cognitive and ADL changes relevant to early AD. Of the 60 SIST-M-IR items, 41 address IADL; we aimed to determine which of these best discriminate individuals with MCI from clinically normal (CN) elderly. Methods We assessed 447 subjects participating in the MADRC longitudinal cohort (289 CN, 158 MCI). We performed logistic regression analyses predicting the probability of CN vs. MCI diagnosis using the SIST-M-IR items. Analyses were adjusted for demographic characteristics. Results We found that 4 SIST-M-IR items best discriminated between CN and MCI subjects (MCI performing worse than CN): “participating in games that involve retrieving words” (p=0.0001), “navigating to unfamiliar areas” (p=0.001), “performing mental tasks involved in a former primary job” (p=0.002), and “fixing things or finishing projects” (p=0.002). Conclusions Our results point to the earliest functional changes seen in elderly at risk for AD, which could be captured by a few simple questions. Honing the sensitivity of clinical assessment tools will help clinicians differentiate those individuals with normal aging from those who are developing cognitive impairment. PMID:25212917

  7. Assessment of the daily physical activity in free-living Japanese men : validation and application study of an accelerometer against the doubly labeled water method

    OpenAIRE

    Rafamantanantsoa, Hoby Hasina

    2003-01-01

    Background - There is a general agreement that measurement of total energy expenditure (TEE) is indispensable to elucidate the changes in energy balance.With the advancement and availability of the doubly labeled water (DLW) method to measure human energy expenditure in free-living condition since 1982, attempts have made to calculate the TEE by adding expenditures from basal metabolic rate (BMR), diet-induced thermogenesis (DIT), and physical activity. However, findings on physical activity-...

  8. Effect of action observation therapy on daily activities and motor recovery in stroke patients

    Directory of Open Access Journals (Sweden)

    Mei-Hong Zhu

    2015-09-01

    Conclusion: Action observation therapy significantly improves upper extremity motor function and performance of activities of daily living, and alleviates upper limb spasticity in patients with stroke.

  9. Strategies for Daily Living

    Science.gov (United States)

    ... Attention problems: Medication may be helpful. Keep the child’s environment as simple as possible, and structure time with brief activities. Easily frustrated/tantrums: Remove your child from the situation and use calming techniques such ...

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

    Directory of Open Access Journals (Sweden)

    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.

  11. Entrenamiento en actividades de la vida diaria en un paciente con daño cerebral adquirido = Activities of daily living training in brain damage patient

    Directory of Open Access Journals (Sweden)

    Ruiz Sancho, A

    2007-09-01

    Full Text Available RESUMENLas personas que se ven afectadas por un daño cerebral adquirido pueden sufrir secuelas físicas, cognitivas, conductuales y emocionales. La gravedad de las mismas varía en función de la magnitud y naturaleza del daño, dificultando que la persona mantenga su autonomía y que requiera de terceras personas durante el desempeño de sus tareas cotidianas.Dentro del proceso rehabilitador es función del terapeuta ocupacional intervenir en el entrenamiento de las actividades de la vida diaria básicas e instrumentales para lograr el nivel más alto de independencia posible. Cuánto más ecológico sea el tratamiento más posibilidades tendremos de que éste se generalice, sobre todo en los casos en que la gravedad de la lesión sea importante.El siguiente artículo describe el tratamiento en terapia ocupacional de una persona con daño cerebral adquirido mediante el entrenamiento en la realización de las actividades de la vida diaria básicas, permitiendo así la generalización de los aprendizajes en su entorno cotidiano con el fin de favorecer su autonomía personal. SUMARYPeople who have been affected by a cerebral acquired damage could suffer physical, cognitive, behavioural and emotional sequels. The gravity of these sequels changes depending on the magnitude and nature of the damage. And it makes more difficult that the person supports his/her autonomy and it could be necessary third persons for his/her daily care.By this way, in the rehabilitation process, the occupational therapist has to intervene in the training of the daily life basic and instrumental activities to get the highest possible level of independence. The more ecological it is the treatment, the more possibilities we will have that this one is generalized, especially the more serious is the person damage.The following article intents to describe an occupational therapy intervention with a person who has suffered an acquired brain damage, especially working by the

  12. Differences between questionnaire-and interview-based measures of activities of daily living (ADL) ability and their association with observed ADL ability in women with rheumatoid arthritis, knee osteoarthritis, and fibromyalgia

    DEFF Research Database (Denmark)

    Wæhrens, E. E.; Bliddal, Henning; Danneskiold-Samsøe, Bente;

    2012-01-01

    Although self-report based on questionnaire is the common method to obtain information about activities of daily living (ADL) ability in rheumatic diseases, little is known about the relationship between measures of ADL ability based on questionnaire, interview, and observation. The present study...... examined whether measures of self-reported ADL ability based on questionnaire and interview yielded different results, determined whether the magnitude of the difference varied among women with rheumatoid arthritis (RA), knee osteoarthritis (OA), and fibromyalgia (FM), and investigated the relationships...

  13. Tradução, validação e adaptação cultural da escala de atividade de vida diária Translation, validation and cultural adaptation of the 'activities of daily living' scale (ADLS

    Directory of Open Access Journals (Sweden)

    Priscila Zeitune Nigri

    2007-01-01

    Full Text Available OBJETIVO: Realizar a tradução, adaptação cultural e validação do "Knee Outcome Survey- Activities of Daily Living Scale" (ADLS para a língua portuguesa, bem como verificar suas propriedades de medida, reprodutibilidade e validade, para que o mesmo possa ser usado como um instrumento específico para avaliação de sintomas em pacientes brasileiros portadores de afecções no joelho durante as atividades de vida diária. MÉTODOS: Foram realizadas 2 entrevistas,na primeira o questionário foi aplicado em conjunto ao Lysholm, SF-36 e EAV (examinador 1. Após aproximadamente 30 minutos da primeira entrevista, os mesmos pacientes responderam apenas ao ADLS (examinador 2. Após um intervalo entre 7 a 10 dias, foi realizada a terceira entrevista constituída de nova aplicação do ADLS (examinador 2. RESULTADOS: A amostra consistiu de 53 entrevistados, sendo a média de idade de 33.0566 anos e patologia mais freqüente a lesão ligamentar (56,6%. O índice de Sperman obteve um valor de 0,986 (alfa=0,05, roOBJECTIVES: To perform the translation, cultural adaptation and validation of the "Knee Outcome Survey - Activities of Daily Living Scale" (ADLS into Portuguese, as well as to check its measurement, reproducibility and validity properties in order to make it useful as a specific instrument for evaluating symptoms in Brazilian patients with knee injuries during their daily living activities. METHODS: Two interviews were performed; in the first interview, the questionnaire was applied along with Lysholm's, SF-36 and VAS (investigator 1. Approximately 30 minutes after the first interview, the same patients answered only the ADLS (investigator 2. After a break of 7 to 10 days, a third additional interview with the ADLS was applied (investigator 2. RESULTS: The sample was constituted of 53 subjects, with mean age of 33.0566 years, with the most frequent pathology being ligamentar injury (56.6%. The Spearman's index used for inter

  14. Users' perceptions of the impact of electronic aids to daily living throughout the acquisition process.

    Science.gov (United States)

    Ripat, Jacquie; Strock, Anne

    2004-01-01

    This study investigated the experience of seven new users of a particular type of assistive technology through the stages of anticipating, acquiring, and using an electronic aid to daily living. A mixed methods research approach was used to explore each of these stages. The Psychosocial Impact of Assistive Devices Scale was used to measure the perceived impact of the new assistive technology on users' quality of life, and findings were further explored and developed through open-ended questioning of the participants. Results indicated that preacquisition of the device, users predicted that the electronic aid to daily living would have a positive impact on their feelings of competence and confidence and that the device would enable them in a positive way. One month after acquiring the device a reduced, yet still positive, impact was observed. By 3 and 6 months after acquisition, perceived impact returned to the same positive high level as preacquisition. It is suggested that prior to receiving the device, potential users have positive expectations for the device that are not based in experience. At the early acquisition time, users adjust expectations of the role of the assistive technology in their lives and strive to balance expectations with reality. Three to 6 months after acquiring an electronic aid to daily living, the participants have a high positive view of how the device impacts on their lives based in experience and reality. A model illustrating the electronic aids to daily living acquisition process is proposed, and suggestions for future study are provided.

  15. Validation of dental impact on daily living questionnaire among tribal population of India

    Directory of Open Access Journals (Sweden)

    C V Deepan Kumar

    2015-01-01

    Full Text Available Background: Oral conditions are known to affect various aspects of quality of life. Similarly, the social consequence of the quality of life in the day to day living is also equally important. Several studies have quantified the social consequences of diseases through activity limitations in people's daily living. The instruments which cover a broad spectrum of life are proposed to be compared with the clinical oral hygiene status of people from different social classes. Aim: To assess the validity of dental impact on daily living (DIDL questionnaire measuring subjective dental problems and their impact in the day to day life among tribes of Wayanad. Study Design: Cross-sectional. Materials and Methods: DIDL questionnaire developed by Leao and Sheiham was used. We recorded the clinical oral health status using decayed, missing, filled, simplified oral hygiene index, and community periodontal index indices, to correlate the subjective findings of dental impact tribe to obtain construct validity of the questionnaire. Analysis: Descriptive statistics and Spearman's correlation using IBM SPSS software version 20. Results: In the study population of 250 participants, the majority of the participants were from the age group between 36 and 50 years (40% and females were in the majority (64%. The clinical status of the participants was poor in the majority while their perceived impact in their day to day living was found to be relatively satisfied. The study results show the DIDL tool had weak validity in relation to the clinical status with relevance to the social status of Indian tribal population. Conclusion: The study result shows that there was insignificant and weak validity between the DIDL tool and the oral health status among these tribes who were from a low social class. This might be because their priority in life which is different from what a person from high social class. So the dental problem is ignored at the level of individual

  16. Association between the degree of physical impairment from leprosy and dependence in activities of daily living among the elderly in a health unit in the State of Minas Gerais

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    Alisson da Costa Silva

    2014-04-01

    Full Text Available Introduction In addition to the common alterations and diseases inherent in the aging process, elderly persons with a history of leprosy are particularly vulnerable to dependence because of disease-related impairments. Objective determine whether physical impairment from leprosy is associated with dependence among the elderly. Methods An analytical cross-sectional study of elderly individuals with a history of leprosy and no signs of cognitive impairment was conducted using a database from a former leprosy colony-hospital. The patients were evaluated for dependence in the basic activities of daily living (BADL and instrumental activities of daily living (IADL, respectively and subjected to standard leprosy physical disability grading. Subsequently, descriptive and univariate analyses were conducted, the latter using Pearson's chi-squared test. Results A total of 186 elderly persons were included in the study. Of these individuals, 53.8% were women, 49.5% were older than 75 years of age, 93% had four or less years of formal education, 24.2% lived in an institution for the long-term care of the elderly (ILTC, and 18.3% had lower limb amputations. Among those evaluated, 79.8% had visible physical impairments from leprosy (grade 2, 83.3% were independent in BADL, and 10.2% were independent in IADL. There was a higher impairment grade among those patients who were IADL dependent (p=0.038. Conclusion s: The leprosy physical impairment grade is associated with dependence for IADL, creating the need for greater social support and systematic monitoring by a multidisciplinary team. The results highlight the importance of early diagnosis and treatment of leprosy to prevent physical impairment and dependence in later years.

  17. Investigation and analysis on 210 Senior citizens’ activity of daily living (ADL) in senior apartment%老年公寓210例老人日常生活能力(ADL)调查分析

    Institute of Scientific and Technical Information of China (English)

    周琦; 秦生发; 马秋平; 梁凯讴; 黄子民

    2013-01-01

    目的:调查住老年公寓的日常生活能力与健康状况。方法:应用日常生活能力量表(ADL)对入住老年公寓210例老人测评。结果:调查对象中,平均每人患1.15种疾病(242/210);80-89岁组与60-69岁组,70-79岁组ADL分值比较,差异具有统计学意义(p<0.05)。结论:入住老年公寓老人具有高龄多病的特点,随着增龄日常生活能力显著下降,日常生活能力量表(ADL)具有良好的区分性。引入日常生活能力量表(ADL)进行评定,不失为老人分级管理的简便可靠的工具。%Objective:Investigation health conditions and activity of daily living of senior citizens living in senior apartment. Method:Appraising 210 senior citizens in senior apartment by using the Activity of Daily Living (ADL) scale. Result:On average, each respondent suffers from 1.15 kinds of disease (242/210), According to the comparison of the ADL values from 3 age groups of 80-89,60-69 and 70-79, the difference is statistically significant (p<0.05).Conclusion: Senior citizens living in senior apartment are characterized by the features of advanced ages and being troubled by diseases. While the age increases, the ability of daily living decreases. ADL scale has a fine distinguish ability. Therefore ADL scale is a convenient and reliable tool to classify senior citizens and furthermore facilitate a better care for the old.

  18. Children of the "Sug": A Study of the Daily Lives of Street Children in Khartoum, Sudan, with Intervention Recommendations

    Science.gov (United States)

    Kudrati, Mustafa; Plummer, Mary L.; Yousif, Nassrin Dafaalla El Hag

    2008-01-01

    Objectives: The study examines street children's daily lives in Khartoum, Sudan to recommend ways to improve their conditions and to successfully assist them off the streets. Methods: In 2000-2001, eight researchers conducted participant observation for 7 weeks; 20 groups of children engaged in role-plays and drawing activities; over 500 children…

  19. The Self-Assessment of Role-Performance and Activities of Daily Living Abilities (SARA™): Development and Clinical Utility of a Client-Centered Screening Tool and Outcome Measure.

    Science.gov (United States)

    Watkins, Sarah L; Lounsbury, Peggy A; Fleming-Castaldy, Rita P

    2016-01-01

    This article describes the development and use of the Self-Assessment of Role-performance and activities of daily living Abilities (SARA™), a standardized client-centered index of functional abilities. Developed in four phases, this article describes the initial development, pilot testing and revision, examination of psychometric properties, and finalization. Pilot studies found the SARA™ to be reliable, valid, and responsive to change. The use of the SARA™ in clinical practice and for outcome monitoring promotes client-centered goal setting and client-valued rehabilitation. It is a viable alternative to deficit-focused measures. The SARA™ is a promising new tool that warrants increased utilization and further research. PMID:26115016

  20. Loneliness in the daily lives of young adults: Testing a socio-cognitive model

    NARCIS (Netherlands)

    Roekel, G.H. van; Ha, P.T.; Scholte, R.H.J.; Engels, R.C.M.E.; Verhagen, M.

    2016-01-01

    A socio-cognitive model of loneliness states that lonely people are characterized by two characteristics, hypersensitivity to social threat and hyposensitivity to social reward. However, these characteristics have not yet been examined in the daily lives of young adults. Therefore, the main aim of t

  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

    Directory of Open Access Journals (Sweden)

    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. 居家养老老年人日常生活活动能力及其影响因素%Activities of Daily Living and Related Factors of the Elderly Homecare Receivers

    Institute of Scientific and Technical Information of China (English)

    汤军克; 陈林利; 陈建平

    2012-01-01

    Objective To understand the activities of daily living and related factors of the elderly homecare receivers. Methods The elderly homecare receivers in 3 towns and 1 street of Shanghai Minhang District were enrolled by stratified cluster sampling, 830 elderly persons were investigated with Activities of Daily Living Scale (ADL). Results The score of the elderly in local areas was as following: ADL score was (25.59± 11.16), Physical Self-maintenance Scale (PSMS) score was (8.74±4.29), Instrumental Activity of Daily Living Scale (IADL) score was (16.85±7.53). PSMS impairment or dysfunction accounted for 55.19%, and IADL accounted for 79.64%. ADL score >16 points had 593 people, accounting for 71.45%, ≥22 points had 458 people, accounting for 55.18%. Conclusion The elderly homecare receivers have relatively poor ability of daily living. Related factors were whether to go out for a walk every day, monthly income, cerebrovas-cular accident, medical insurance, educational level, diabetes, the current life satisfaction, disease and loss of spouse.%目的 了解居家养老老年人日常生活活动能力(ADL)及其影响因素.方法 采用分层整群抽样方法抽取上海市闵行区3 个镇1 个街道的830 名居家养老老年人,采用ADL 量表进行调查.结果 居家养老老年人ADL 得分情况为:人均ADL 总分为(25.59±11.16)分,其中躯体生活自理能力(PSMS)得分为(8.74±4.29)分,工具性日常生活活动能力(IADL)得分为(16.85±7.53)分.830名老年人中,PSMS、IADL 受损或功能下降的分别占55.19%,79.64%.ADL 总分>16 分的有593(71.45%)人,≥22 分的有458(55.18%)人.结论 居家养老老年人ADL 较差;影响居家养老老年人ADL 的因素有:是否每天外出散步、每月收入、是否患有脑血管意外、医疗保险、文化程度、糖尿病、对目前生活满意度、有无疾病、是否丧偶.

  3. Correlation between activities of daily living and sleeping disturbance after cerebral infarction%脑梗死后日常生活活动能力与睡眠障碍相关性研究

    Institute of Scientific and Technical Information of China (English)

    黄校权; 吴炯松; 王凤娟

    2015-01-01

    Objective Aimed to investigate the correlation between activities of daily living and sleeping disturbance after cerebral infarction.Methods 62 patients with acute cerebral infarction were assessed by the Self-Rating Scale of Sleep( SRSS) and activities of daily living scale( ADL) before intervention and one month after intervention.Results Thedifferenceof score of SRSS between patients with ADL>60 and patients with ADL≤60 was statistically significant ( P<0.05).Conclusions Patients who can't take care of themselves after cerebral infarction tend to develop sleeping disturbance.Positive prevention and treatment are beneficial to improve their life quality.%目的:探讨脑梗死患者日常生活活动能力与睡眠障碍的相关性。方法选择62例急性脑梗死的患者,分别采用日常生活活动能力评定量表( ADL)及睡眠状况自评量表( SRSS),在治疗前、治疗1月后分别对患者进行评分。结果治疗后ADL>60分患者睡眠状况评分( SRSS)明显低于治疗后ADL≤60分的患者,差异显著(P<0.05)。结论脑梗死后生活不能自理的患者容易出现睡眠障碍,积极干预睡眠障碍,有利于改善患者生活质量。

  4. Daily activities of school-age children with cerebral palsy : development and learning

    NARCIS (Netherlands)

    Smits, H.W.

    2011-01-01

    In care and research, there is increasing interest in the daily lives of children with cerebral palsy (CP). So far, we know that CP can have a limiting impact on daily activities such as locomotion and self-care. What we, however, don’t know is how children with CP develop over time in terms of thei

  5. Daily living skills in individuals with autism spectrum disorder from 2 to 21 years of age.

    Science.gov (United States)

    Bal, Vanessa Hus; Kim, So-Hyun; Cheong, Daniel; Lord, Catherine

    2015-10-01

    Daily living skills (DLS), such as personal hygiene, meal preparation, and money management, are important to independent living. Research suggests that many individuals with autism spectrum disorder exhibit impairments in daily living skills relative to their cognitive skills. This study examined predictors of daily living skills attainment and trajectories of daily living skills in a longitudinal sample referred for possible autism spectrum disorder and followed from 2 to 21 years of age. Consistent with previous studies, participants with autism spectrum disorder and nonspectrum diagnoses showed continual development of daily living skills throughout childhood and adolescence. Early childhood nonverbal mental age was the strongest predictor of daily living skills attainment for both diagnostic groups. Group-based modeling suggested two distinct trajectories of daily living skills development for participants with autism spectrum disorder. Skill levels for both groups of young adults with autism spectrum disorder remained considerably below age level expectations. Whereas the "High-DLS" group gained approximately 12 years in daily living skills from T2 to T21, the "Low-DLS" group's daily living skills improved 3-4 years over the 16- to 19-year study period. Nonverbal mental age, receptive language, and social-communication impairment at 2 years predicted High- versus Low-DLS group membership. Receiving greater than 20 h of parent-implemented intervention before age 3 was also associated with daily living skills trajectory. Results suggest that daily living skills should be a focus of treatment plans for individuals with autism spectrum disorder, particularly adolescents transitioning to young adulthood. PMID:25922445

  6. Long Term Outcome and Prediction Models of Cognition, Activities of Daily Living and Nursing Home Placement in Alzheimer’s Disease with Cholinesterase Inhibitor Treatment

    OpenAIRE

    Wattmo, Carina

    2011-01-01

    Background Prospective longitudinal studies in Alzheimer's disease (AD) that include cholinesterase inhibitor (ChEI) treatment in routine clinical settings are scarce. The patients vary in severity of the disease, clinical course, rate of progression and response to treatment. Knowledge about the predicted course of the disease, sociodemographic and clinical factors affecting the outcome and the impact of ChEI therapy, could be valuable for clinicians and the social services. This info...

  7. Some Environmental Factors Affecting Birth Weight, Weaning Weight and Daily Live Weight Gain of Holstein Calves

    Directory of Open Access Journals (Sweden)

    Erdal Yaylak

    2015-07-01

    Full Text Available The present study was conducted to determine some environmental factors affecting birth weight, weaning weight and daily live weight gain of Holstein calves of a livestock facility in Izmir, Turkey. The data on 2091 calves born between the years 2005-2010 were used to assess the relevant parameters. Effects of calving year, calving month, calf gender and the interaction between calving year and calving month on calves’ birth weights were highly significant. The overall mean of birth weights was 39.6±0.15 kg. In addition, effects of calving year, calving month, gender, birth weight, weaning age, calving year x calving month, calving year x gender and calving year x calving month x gender interactions on weaning weight (WW and daily live weight gain (DLWG were highly significant. The overall means of WW and DLWG were respectively found to be 79.7±0.20 kg and 525±2.5 g. A one kilogram increase in birth weight resulted in an increase of 0.89 kg in weaning weight and a decrease of 1.26 g in daily live weight gain. Prenatal temperature-humidity index (THI affected birth weight of calves (R2=0.67. Increasing THI from 50 to 80 resulted in 3.8 kg decrease in birth weight.

  8. 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

    Directory of Open Access Journals (Sweden)

    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

  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

    Institute of Scientific and Technical Information of China (English)

    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. A Daily Process Analysis of Intentions and Physical Activity in College Students

    OpenAIRE

    Conroy, David E.; Elavsky, Steriani; Doerksen, Shawna E; Maher, Jaclyn P.

    2013-01-01

    Social-cognitive theories, such as the theory of planned behavior, posit intentions as proximal influences on physical activity (PA). This paper extends those theories by examining within-person variation in intentions and moderate-vigorous physical activity (MVPA) as a function of the unfolding constraints in people’s daily lives (e.g., perceived time availability, fatigue, soreness, weather, overeating). College students (N = 63) completed a 14-day diary study rating daily motivation, conte...

  11. Is the patient able to watch TV or read the newspaper? A functional semi-structured scale to observe Hemineglect symptoms in Activities of Daily Living (H-ADL).

    Science.gov (United States)

    Piccardi, L; Magnotti, L; Tanzilli, A; Aloisi, M; Guariglia, P

    2016-01-01

    We developed a functional semi-structured scale to observe Hemineglect symptoms in Activities of Daily Living (H-ADL). The scale could assist clinicians in assessing rehabilitation priorities aimed at correcting any persisting errors or omissions. In addition, the scale could also be used by caregivers to observe patients' progress and improve their participation. Two groups of right brain-damaged patients (25 with hemineglect; 27 without hemineglect) were tested twice: at admission and before discharge from hospital. A control group of healthy individuals matched to patients for age and education and patients' caregivers also participated. Two raters (A; B), experts in neuropsychology, observed patients and healthy individuals using the H-ADL. We found that the H-ADL final scores correlated with the standard hemineglect tests. The three groups differed in performance and differences also emerged between the first and the second assessment, suggesting an improvement due to the remission of hemineglect as a consequence of the treatment. Raters A and B did not differ in their observations, but there were some discrepancies with caregivers' observations. Therefore, although caregivers could help clinicians in detecting persistent hemineglect behaviour, the assessment should be performed by experts in neuropsychology.

  12. Avaliação das atividades de vida diária de idosos com diferentes níveis de demência Evaluation of the activities of daily living of elderly people with different levels of dementia

    Directory of Open Access Journals (Sweden)

    TA Marra

    2007-08-01

    Full Text Available OBJETIVOS: Comparar o desempenho de idosos com diferentes níveis de gravidade de demência em questionários de atividades básicas de vida diária (ABVDs e atividades instrumentais de vida diária (AIVDs. Verificar se existe correlação entre os questionários de AIVDs aplicados. METODOLOGIA: Foram aleatorizados 90 idosos (75,46 ± 7,66 anos atendidos no Centro de Referência do Idoso-MG, com diagnóstico clínico de demência (DSM-IV/APA e classificados quanto ao nível de gravidade da demência (Clinical Dementia Rating. As ABVDs foram avaliadas pelo Índice de Katz, e as AIVDs, pelo Índice de Lawton-Brody e de Pfeffer. Os testes de Kruskal-Wallis e de Mann-Whitney foram utilizados para verificar o desempenho dos idosos nas ABVDs, e a correlação de Spearman, para investigar a relação entre os instrumentos de AIVDs (alfaOBJECTIVE: To compare the performance of elderly people with different levels of severity of dementia using questionnaires on basic activities of daily living (BADLs and instrumental activities of daily living (IADLs. Also, to verify whether there were any association between the IADL questionnaires applied. METHOD: Ninety elderly people, aged 75.46 ± 7.66 years with a clinical diagnosis of dementia (DSM-IV/APA who were seen at the Minas Gerais Reference Center for the Elderly, were randomized selected and classified according to the level of severity of their dementia (Clinical Dementia Rating. Their BADLs were assessed using the Katz Index and their IADLs by the Lawton-Brody and Pfeffer indexes. The Kruskal-Wallis and Mann-Whitney tests were used in order to investigate the elderly people's performance regarding BADLs, while the Spearman correlation was used to investigate the relationships among the IADL (alpha< 0.05. RESULTS: Statistically significant differences in performance were found between the elderly people with different levels of severity of dementia, as assessed by the BADL and IADL questionnaires (p< 0

  13. Seasonal variations in daily rhythms of activity in athletic horses.

    Science.gov (United States)

    Bertolucci, C; Giannetto, C; Fazio, F; Piccione, G

    2008-07-01

    Circadian rhythms reflect extensive programming of biological activity that meets and exploits the challenges and opportunities offered by the periodic nature of the environment. In the present investigation, we recorded the total activity of athletic horses kept at four different times of the year (vernal equinox, summer solstice, autumn equinox and winter solstice), to evaluate the presence of seasonal variations of daily activity rhythms. Athletic Thoroughbred horses were kept in individual boxes with paddock. Digitally integrated measure of total activity of each mare was continuously recorded by actigraphy-based data loggers. Horse total activities were not evenly distributed over the day, but they were mainly diurnal during the year. Daily activity rhythms showed clear seasonal variations, with the highest daily amount of activity during the vernal equinox and the lowest during the winter solstice. Interestingly, the amount of activity during either photophase or scotophase changed significantly throughout the year. Circadian analysis of horse activities showed that the acrophase, the estimated time at which the peak of the rhythm occurs, did not change during the year, it always occurred in the middle of the photoperiod. Analysing the time structure of long-term and continuously measured activity and feeding could be a useful method to critically evaluate athletic horse management systems in which spontaneous locomotor activity and feeding are severely limited. Circadian rhythms are present in several elements of sensory motor and psychomotor functions and these would be taken into consideration to plan the training schedules and competitions in athletic horses. PMID:22443706

  14. 反映肢体残疾人日常生活活动能力的主要指标筛选%Principal Items Respond to Activities of Daily Living for Persons with Physical Disability

    Institute of Scientific and Technical Information of China (English)

    王玉龙; 李旭辉; 郭珊珊; 余飞; 范佳进; 吕星; 王玉珍; 王坤; 袁健

    2015-01-01

    Objective To investigate the principal indicators of self-care ability in activities of daily living for the persons with physical disability. Methods Persons with physical disability were asked to select the top 3 items out of 27 items of activities of daily living in 3 lev-els. Results A total of 1960 questionnaires were send out, and 1862 were returned. For all the subjects, the items related with personal hy-giene, such as toileting, self-cleaning and bathing, were selected 899 times (16.1%). The items related with personal health, as visiting com-munity clinics and community exercising, were selected 570 times (10.2%). The items related with social interaction, as making a telephone and chatting, were selected 500 times (9.0%). For the persons with physical disability of first grade, the major items most selected were eat-ing, entertaining, self-cleaning and transferring;and self-cleaning and housework for those of second grade;self-cleaning, community activi-ties and housework for those of third grade;and community and interaction for those of fourth grade. Conclusion The persons with physical disability mostly focused on the activities related with personal hygiene, health and social interaction, and varied with the severity of disabili-ty, from self-cleaning to housework and social participation.%目的:调查最能反映肢体残疾人日常生活自理能力的主要指标。方法对肢体残疾人进行入户调查。要求受访残疾人从3个层次,27个日常生活活动项目中选择3个与自身日常生活活动能力最为相关的项目。结果共发放调查表1960份,回收有效调查表1862份。在所有肢体残疾人中,与个人卫生相关的如厕、个人清洁、洗澡3项共被选899次(16.1%);与健康相关的小区诊所看病和小区锻炼共被选570次(10.2%);与社交相关的聊天和打电话共被选500次(9.0%)。一级肢体残疾人主要选择进食、个人卫生、转移和娱乐,二级残疾人主

  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.

    Science.gov (United States)

    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. PMID:26079525

  16. Incapacidade funcional para atividades básicas e instrumentais da vida diária em idosos Disability relating to basic and instrumental activities of daily living among elderly subjects

    Directory of Open Access Journals (Sweden)

    Giovâni Firpo Del Duca

    2009-10-01

    ndice de Katz y la Escala de Lawton, respectivamente. Se definió como incapacidad funcional para cada dominio la necesidad de ayuda parcial o total para la realización de, como mínimo, una actividad de la vida diaria. Se empleó la regresión de Poisson con varianza robusta en los análisis bruto y ajustado considerándose el muestreo por conglomerados. RESULTADOS: La prevalencia de incapacidad para las actividades básicas fue de 26,8% (IC 95%:23,0;30,8 y la menor proporción de independencia fue para controlar funciones de orinar y/o evacuar. Para las actividades instrumentales, la prevalencia de incapacidad funcional fue de 28,8% (IC 95%:24,5;33,1, sobre todo para realizar traslados utilizando algún medio de transporte. Elevado porcentual de ancianos (21,7% presentó más de una actividad con incapacidad en las actividades instrumentales; ya en las actividades básicas, la mayor parte presentó dependencia para solo una actividad (16,6%. En el análisis ajustado, la incapacidad para las actividades básicas se asoció con color de la piel parda/negra/otras (p=0,01 y con el aumento de la edad (pOBJECTIVE: To assess the prevalence of disability and associated factors in elderly, by focusing on basic and instrumental activities of daily living. METHODS: This was a cross-sectional study on 598 subjects aged 60 years or over who were selected through two-stage cluster sampling in Pelotas, Southern Brazil, between 2007 and 2008. Basic and instrumental activities were evaluated using the Katz Index and the Lawton Scale, respectively. Disability relating to each domain was defined as the need for partial or total assistance to perform at least one activity of daily living. Poisson regression with robust variance was used in the crude and adjusted analyses, taking the cluster sampling into account. RESULTS: The prevalence of disability relating to basic activities was 26.8% (95% CI: 23.0; 30.8. The lowest proportion of independence was in relation to controlling the

  17. 跨学科前沿与应用的交汇点:日常活动理解%Confluence of interdisciplinary frontiers and real-world application:understanding activities of daily living

    Institute of Scientific and Technical Information of China (English)

    徐光祐; 陶霖密; 邸慧军

    2013-01-01

    Population aging is a current social factor which impacts significantly on the future of most countries. To relieve such economic and social pressures, one feasible way is to automatically understand the activities of daily living (ADL) of eldly people by using the highly developed information and communication techniques, so as to provide living assistance for eldly people to prolong their independent living time in home. ADL happens under unstructured natural environment. ADL recognition and understanding is actually a process of observation, analysis, inference and decision in space-time domain under dynamic environment. It essentially requires that the computer system should have the human-like cognitive competence. Therefore, ADL recognition and understanding is a confluence of interdisciplinary research ( such as computer vision, cognitive computing, and pervasive computing) and real-world applications to cope with the problem of population aging. The goal of this paper is to discuss the challenges and basic scientific problems in ADL recognition and understanding , and to discuss possible future directions to reduce the gap between the start-of-art and requirements of ADL recognition in real world.%人口老龄化是对当今大多数国家的未来产生重大影响的社会因素.为了解决由此而来的巨大经济和社会压力,目前现实可行的方法是依靠高度发展的信息和通信技术,自动识别和理解人们在家居环境下的日常活动(ADL),向老人提供日常生活辅助以尽可能地延长老人在家中独立生活的时间.由于日常生活发生的物理环境是非结构化的自然环境.ADL识别与理解的任务就是动态上下境下,在时间和空间上对用户的日常活动进行观察、处理、分析、推理和决策的过程.这本质上是要求系统具有类似人类的认知能力.因此,ADL的识别和理解是传统的信息处理方法特别是计算机视觉方法、认知计算和推理等

  18. Global impact of asthma on children and adolescents' daily lives : The room to breathe survey

    NARCIS (Netherlands)

    Wildhaber, Johannes; Carroll, William D.; Brand, Paul L. P.

    2012-01-01

    Objective: To establish children and adolescents' perspectives regarding their asthma and its impact upon their daily lives. Design: A 14-item questionnaire. Setting: Canada, Greece, Hungary, The Netherlands, the United Kingdom, and South Africa. Participants: Children/adolescents (aged 8-15 years)

  19. Study on nursing cost accounting of patients with different activity of daily living%日常生活自理能力不同病人的护理成本核算研究

    Institute of Scientific and Technical Information of China (English)

    郭盈; 宋艳燕; 许伟; 郑守华; 崔丹

    2011-01-01

    [目的]构建合适的护理成本核算体系,真实地描述护理过程劳动耗费发生的实际情况,切实体现护理工作劳动价值,为管理者制订护理收费标准提供理论依据.[方法]在同一时期随机抽取我院7个科室的420例病例,分别运用按等级护理收费与按日常生活自理能力(ADL)分级结合护理项目成本核算两种计费方法,计算所发生的护理费用,比较两者之间的差异.[结果]不同ADL等级病人,其护理操作时间与护理成本差异有统计学意义(P<0.05).病人住院期间,现行收费标准所产生的护理费用大大低于按ADL分级所产生的护理费用差异有统计学意义(P<0.01).[结论]按ADL分级进行护理项目成本核算,并以此为依据制订护理服务价格,能很好地体现护理人员的劳动价值.%Objective: To build an appropriate nursing cost accounting system,and describe the actual situation occurred in nursing process labor cost really, so as to practically embody the value of nursing work and provide theoretical evidences for hospital management making nursing charging standards. Methods: A total of 420 patients from 7 departments in our hospital were randomly extracted during the same period. Respectively using the charging based on graded nursing and charging based on activity of daily living (ADD grading in combined with nursing cost accounting to calculate the care cost occurred, then to compare the difference between them. Results: There was statistical significant difference in time and cost of nursing care among difference ADL grades (Pof nursing staff better

  20. Development and Initial Testing of the Penn Parkinson's Daily Activities Questionnaire

    Science.gov (United States)

    Brennan, Laura; Siderowf, Andrew; Rubright, Jonathan D.; Rick, Jacqueline; Dahodwala, Nabila; Duda, John E.; Hurtig, Howard; Stern, Matthew; Xie, Sharon X.; Rennert, Lior; Karlawish, Jason; Shea, Judy A.; Trojanowski, John Q.; Weintraub, Daniel

    2015-01-01

    Objective The aim of this work was to describe the development and psychometric analysis of the Penn Parkinson's Daily Activities Questionnaire. The questionnaire is an item response theory-based tool for rating cognitive instrumental activities of daily living in PD. Methods Candidate items for the Penn Parkinson's Daily Activities Questionnaire were developed through literature review and focus groups of patients and knowledgeable informants. Item selection and calibration of item-response theory parameters were performed using responses from a cohort of PD patients and knowledgeable informants (n = 388). In independent cohorts of PD patients and knowledgeable informants, assessments of test-retest reliability (n = 50), and construct validity (n = 68) of the questionnaire were subsequently performed. Construct validity was assessed by correlating questionnaire scores with measures of motor function, cognition, an existing activities of daily living measure, and directly observed daily function. Results Fifty items were retained in the final questionnaire item bank. Items were excluded owing to redundancy, difficult reading level, and when item-response theory parameters could not be calculated. Test-retest reliability was high (intraclass correlation coefficient = 0.97; P < 0.001). The questionnaire correlated strongly with cognition (r = 0.68; P < 0.001) and directly observed daily function (r = 0.87; P < 0.001), but not with motor impairment (r = 0.08; P = 0.53). The questionnaire score accurately discriminated between PD patients with and without dementia (receiver operating characteristic curve = 0.91; 95% confidence interval: 0.85–0.97). Conclusions The Penn Parkinson's Daily Activities Questionnaire shows strong evidence of reliability and validity. Item response theory-based psychometric analysis suggests that this questionnaire can discriminate across a range of daily functions. PMID:26249849

  1. 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

    Institute of Scientific and Technical Information of China (English)

    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

  2. A daily process analysis of intentions and physical activity in college students.

    Science.gov (United States)

    Conroy, David E; Elavsky, Steriani; Doerksen, Shawna E; Maher, Jaclyn P

    2013-10-01

    Social-cognitive theories, such as the theory of planned behavior, posit intentions as proximal influences on physical activity (PA). This paper extends those theories by examining within-person variation in intentions and moderate-to-vigorous physical activity (MVPA) as a function of the unfolding constraints in people's daily lives (e.g., perceived time availability, fatigue, soreness, weather, overeating). College students (N = 63) completed a 14-day diary study over the Internet that rated daily motivation, contextual constraints, and MVPA. Key findings from multilevel analyses were that (1) between-person differences represented 46% and 33% of the variability in daily MVPA intentions and behavior, respectively; (2) attitudes, injunctive norms, self-efficacy, perceptions of limited time availability, and weekend status predicted daily changes in intention strength; and (3) daily changes in intentions, perceptions of limited time availability, and weekend status predicted day-to-day changes in MVPA. Embedding future motivation and PA research in the context of people's daily lives will advance understanding of individual PA change processes. PMID:24197717

  3. Four types of coping with COPD-induced breathlessness in daily living: a grounded theory study

    DEFF Research Database (Denmark)

    Bastrup, Lene; Dahl, Ronald; Pedersen, Preben Ulrich;

    2013-01-01

    COPD predominantly cope with breathlessness during daily living. We chose a multimodal grounded theory design that holds the opportunity to combine qualitative and quantitative data to capture and explain the multidimensional coping behaviour among poeple with COPD. The participants' main concern...... comprised distrinctive physiological, cognitive, affective and psychosocial features constituting coping-type-specific indicators. In theory, four predominant coping types with distinct physiological, cognitive, affective and psychosocial properties are observed among people with COPD. The four coping types...

  4. Detection of Early Morning Daily Activities with Static Home and Wearable Wireless Sensors

    Directory of Open Access Journals (Sweden)

    David Vanderpool

    2007-10-01

    Full Text Available This paper describes a flexible, cost-effective, wireless in-home activity monitoring system for assisting patients with cognitive impairments due to traumatic brain injury (TBI. The system locates the subject with fixed home sensors and classifies early morning bathroom activities of daily living with a wearable wireless accelerometer. The system extracts time- and frequency-domain features from the accelerometer data and classifies these features with a hybrid classifier that combines Gaussian mixture models and a finite state machine. In particular, the paper establishes that despite similarities between early morning bathroom activities of daily living, it is possible to detect and classify these activities with high accuracy. It also discusses system training and provides data to show that with proper feature selection, accurate detection and classification are possible for any subject with no subject specific training.

  5. Correlation between motor function and activity of daily living in hemiplegic patient%偏瘫患者运动能力与日常生活能力的相关性

    Institute of Scientific and Technical Information of China (English)

    陆晓; 陈旗

    2005-01-01

    背景:偏瘫患者日常生活能力的恢复一定程度上涉及到运动能力的恢复情况,但两者是不是有高度的相关性,既往的研究没有定论.目的:探讨脑卒中偏瘫患者上、下肢运动能力与日常生活能力的相关性.设计:病例分析.单位:南京医科大学第一附属医院康复科.对象:选择2002-08/2003-06在江苏省人民医院康复科住院的脑卒中偏瘫患者30例.男20例,女10例;年龄39~76岁.方法:采用简易Fugl-Meyer运动功能评分方法评定患者运动能力,改良Barthel指数评定患者的日常生活能力.主要观察指标:①脑卒中偏瘫患者运动功能评分和改良Barthel指数评分.②脑卒中偏瘫患者运动能力与日常生活能力的相关性.结果:30例患者进入结果分析.①全身Fugl-Meyer运动功能评分平均为40.96±32.04,上肢运动功能评分平均为21.78±22.87,下肢运动功能评分平均为18.43±10.29.改良Barthel指数评分平均为39.46±25.94.②全身总Fugl-Meyer运动功能评分与改良Barthel指数评分的相关系数为0.65,其中上肢运动功能评分与改良Barthel指数评分的相关系数为0.62,下肢运动功能评分与改良Barthel指数评分的相关系数为0.61.结论:偏瘫患者的运动能力与日常生活能力有一定的相关性,且上、下肢运动能力对日常生活能力的影响几乎相等.%BACKGROUND: The recovery of activity of daily living (ADL) in hemiplegic patient is related to the recovery of motor function to certain extent. But the correlation between two aspects has not been determined yet over the past study.OBJECTIVE: To probe into the correlation between the motor function of upper and lower limbs and ADL of hemiplegic patients after cerebral apoplexy.DESIGN: Case analysis.SETTING: Department of Rehabilitation of First Affiliated Hospital of Nanjing Medical University.PARTICIPANTS: Thirty cases of hemiplegia of cerebral apoplexy were selected from inpatients of Department of

  6. Predictive value of daily living score in acute respiratory failure of COPD patients requiring invasive mechanical ventilation pilot study

    Directory of Open Access Journals (Sweden)

    Langlet Ketty

    2012-10-01

    Full Text Available Abstract Background Mechanical ventilation (MV is imperative in many forms of acute respiratory failure (ARF in COPD patients. Previous studies have shown the difficulty to identify parameters predicting the outcome of COPD patients treated by invasive MV. Our hypothesis was that a non specialized score as the activities daily living (ADL score may help to predict the outcome of these patients. Methods We studied the outcome of 25 COPD patients admitted to the intensive care unit for ARF requiring invasive MV. The patients were divided into those weaning success (group A n = 17, 68% or failure (group B n = 8, 32%. We investigated the correlation between the ADL score and the outcome and mortality. Results The ADL score was higher in group A (5.1 ±1.1 vs 3.7 ± 0.7 in group B, p  Conclusion Our pilot study demonstrates that the ADL score is predictive of weaning success and mortality at 6 months, suggesting that the assessment of daily activities should be an important component of ARF management in COPD patients.

  7. Effect of action observation therapy on daily activities and motor recovery in stroke patients

    OpenAIRE

    Mei-Hong Zhu; Jing Wang; Xu-Dong Gu; Mei-Fang Shi; Ming Zeng; Chun-Yuan Wang; Qiao-Ying Chen; Jian-Ming Fu

    2015-01-01

    Objective: To evaluate the effects of action observation therapy, which is based on mirror neuron theory, on upper limb function and activities of daily living in patients with stroke. Methods: Sixty-one patients with stroke were randomly divided into two groups; those in the control group received routine rehabilitation treatment and nursing, whereas those in the experimental group additionally received eight weeks of action observation therapy for 30 min, six times per week. Patients rec...

  8. Effects of Positive and Negative Reinforcement on Daily Living Skills in Chronic Psychiatric Patients in Community Residences.

    Science.gov (United States)

    Lippman, Matthew R.; Motta, Robert W.

    1993-01-01

    Examined contingent positive and negative reinforcement and adaptive behavior and mood among 36 chronic, psychiatric outpatients who received either contingent positive token reinforcement to improve daily living skills, negative reinforcement procedure based on removal of free-tokens, or no treatment. Found significant differences between control…

  9. A Residential Summer Camp--A Vehicle for Promoting Daily Living Skills.

    Science.gov (United States)

    Maron, Sheldon; Hassler, Therese

    1979-01-01

    In an eight-week residential summer camp program for visually impaired children, activities of daily living (ADL) were offered as part of the regular program. Campers consistently indicated that this was a most worthwhile learning experience. (CL)

  10. A Survey of Daily Trips of Persons Who Are Visually Impaired Living in Communities in Japan

    Science.gov (United States)

    Shimizu, Michiko

    2009-01-01

    According to the Ministry of Health, Labor, and Welfare of Japan (2006), there are 379,000 persons with visual impairments (both those who are blind and those with low vision) in Japan. Of these persons, 30% travel almost daily, 30% travel two to three days per week, 22% travel two to three days per month, and 11% travel several days a year; in…

  11. The relationships between social network and physical health and activities of daily living among older persons in Macau%澳门老年人社会网络与身体健康状况及日常居家活动能力的相关性分析

    Institute of Scientific and Technical Information of China (English)

    曾文; 李卫燕; 陆嘉燕

    2012-01-01

    Objective To identify relationships between social network and physical health and activities of daily living among older persons in Macau. Methods A total of 741 older persons were recruited in 15 day activity centers in Macau with cluster sampling method. Lubben Social Network Scale, Physical Health Status Questionnaire, Reduced Item Barthel Index, Lawton Instrument of Activities of Daily Living Questionnaire were employed to do the investigation. Results Among all the participants, there were 49. 39% (n =366) participants were at extreme risk for limited social network,only 25.10% participants reported their physical health were good in general. Bone and joint pain or back pain was most mentioned (63. 56% ) , and 55. 74% (n =413) suffered from three or more symptoms. Hypertension was the most reported physical disorder (57.76% ) , and 51.15% ( n = 379) suffered from three or more physical disorders. Nineteen point nine seven percent (n = 148) suffered from the physical impairment in undertaking activities of daily living, 32. 93% (n=244) were unable to undertake instrumental activities of daily living. Pearsons correlations showed that there were positive relationship between social network and activities of daily living and instrumental activities of daily living ( P <0.01). Conclusions Older persons suffer from physical impairment and limited social network. The activities of daily living of older persons are correlate with their social network.%目的 探讨澳门老年人的社会网络与身体健康状况及日常居家活动能力的相关性.方法 采用整群抽样方法,抽取澳门15个老人日间活动中心的741名老年人,采用Lubben社会网络量表、身体健康状况问卷、巴氏日常活动能力评估量表、Lawton工具性日常活动能力评估量表对其进行问卷调查.结果 366名老年人的社会网络不足(49.39%);仅有25.10%的老年人觉得身体健康良好,以骨关节痛/腰背痛症状最多(63.56

  12. Tradução, adaptação cultural e análise das propriedades psicométricas do Activities of Daily Living Questionnaire (ADLQ para avaliação funcional de pacientes com a doença de Alzheimer Translation, cultural adaptation and psychometric analysis of the Activities of Daily Living Questionnaire (ADLQ for functional assessment of patients with Alzheimer's disease

    Directory of Open Access Journals (Sweden)

    ME Medeiros

    2009-06-01

    Full Text Available OBJETIVOS: Realizar a tradução e a adaptação transcultural de um instrumento de medida do desempenho das atividades de vida diária de pacientes com a doença de Alzheimer e analisar as suas propriedades psicométricas. MÉTODOS: A amostra foi composta por 60 pacientes e os respectivos 60 cuidadores. A pesquisa ocorreu com a tradução do instrumento pela técnica de retrotradução associada ao método bilíngue. A versão traduzida foi respondida pelo cuidador e o Mini Exame do Estado Mental (MEEM aplicado ao paciente. A análise psicométrica foi realizada por meio da validade das medidas do instrumento. RESULTADOS: Os resultados verificaram uma correlação inversamente significativa (-0,793 ao nível de 5% entre os instrumentos, com uma explicação da variância total de 62%. As matrizes de correlação interitens demonstraram que alguns itens se correlacionam com as medidas globais de capacidade funcional de forma pouco positiva e significante. A correlação realizada entre os itens do instrumento traduzido com o MEEM permitiu testar a coerência interna do instrumento com um já validado. As variáveis correlacionadas significativamente com o MEEM foram selecionadas, sugerindo um instrumento mais condensado. Por meio do teste t para amostras correlacionadas, as médias do ADLQ-versão traduzida e versão condensada não diferem estatisticamente ao nível de 5% de significância, de forma que a simplificação do instrumento não alterou a média do nível de dependência funcional. A análise fatorial realizada pela rotação Varimax indicou seis dimensões. CONCLUSÃO: O estudo disponibiliza uma nova ferramenta de avaliação funcional, visando contribuir para a mensuração mais cuidadosa do estado funcional do paciente por todos os profissionais da área da saúde.OBJECTIVES: To translate and cross-culturally adapt an instrument that measures the performance of Alzheimer's patients in their activities of daily living and to

  13. Daily portraits of five and six-year old boys: the play activity

    Directory of Open Access Journals (Sweden)

    Flavia Bignardi da Silva Nunes

    2013-08-01

    Full Text Available Introduction: Daily life experiences provide maturity along human development, and the environments in which they occur are essential for this process. These experiences help to build children’s personalities and the way they deal with the world around them. Objectives: In this study, we aimed to understand the occupational behavior of four children aged five to six years old through their mothers’ reports. Methodology: The average time spent with daily activities is described, and playing was a central theme of analysis. We analyzed the preferences, companies and emotional characteristics of the play activity. We used an Activity Clock and semi-structured interviews with the children’s mothers as data collection instruments. Results: The main results show that most of their daily life time is spent with sleep, school and play activities. They indicate that children prefer games that challenge acquisitions that are under construction. Regarding company, these children still have their mothers as a reference to the play activity, but also peers their age or a little older. Conclusion: Play has an important representation in the daily occupational lives of these children and it stands as a key life experience to acquire skills and face challenges.

  14. Relationships among Depression, Social Network and Activities of Daily Living of Older People in Macau%澳门日间中心老年人抑郁状态与社会网络及日常居家活动能力的相关性分析

    Institute of Scientific and Technical Information of China (English)

    曾文; 李卫燕; 陆嘉燕

    2011-01-01

    Objective To explore depression status of community-dwelling older people and to identify relationships among depression, social network and activities of daily living of older people in Macau Methods A descriptive survey was conducted among 741 older people in 15 day centers in Macau with questionnaires of Geriatric Depression Scale (GDS), Lubben Social Network Scale (LSNS), Reduced Item Barthel Index (BI) and Lawton Instrument of Activities of Daily living Questionnaire (IADL). Pearson correlation analysis were applied to analyze the results. Results 27.0% (n=200) of the older people had been identified as depressed. Pearson's correlation analysis suggested there were negative relationships among depression and social network (r=-0.315,P<0.01), activities of daily living (r=-0.219, P<0.01) and instrument of activities of daily living (r=-0.246, P<0.01). Conclusion The factors related to depression of older people include not only activities of daily living, but also their social network. Enhancing social connections and activities of daily living for older people may improve depressive symptoms.%目的 描述澳门日间中心老年人的抑郁状态,并进一步分析与其社会网络及日常、居家活动能力的相关性.方法 采用随机整群抽样方法,抽取澳门15个老人日间中心的老年人741名;上门进行问卷调查,主要包括老年抑郁量表、巴氏日常活动能力评估量表、Lawton居家日常活动能力评估量表、Lubben社会网络量表;并将各项指标进一步作Pearson相关检验.结果 200名老年人(27.0%)出现抑郁状态;Pearson相关分析显示,抑郁状态与社会网络(r=-0.315,P<0.01)、日常活动能力(r=-0.219,P<0.01)及居家活动能力(r=-0.246,P<0.01)呈负相关.结论 澳门日间中心老年人的抑郁状态不仅与日常活动能力和居家活动能力有关,与其社会网络亦有关;加强社交及日常、居家活动能力有助于改善澳门老年人的抑郁状态.

  15. How Narrative Journalistic Stories Can Communicate the Individual’s Challenges of Daily Living with Amyotrophic Lateral Sclerosis”

    DEFF Research Database (Denmark)

    Jeppesen, Jørgen; Rahbek, Jes; Gredal, Ole;

    2015-01-01

    Background: To complement the clinical and therapeutic knowledge about the symptoms, prognosis, and social implications of amyotrophic lateral sclerosis (ALS), health research and care need to develop methods that capture and communicate the unique individual impact on daily living with the disease...... storytelling may educate health professionals to more effectively comprehend that a medical prognosis should be complemented by understanding the individual’s unique experience of vulnerability. In particular, this applies to severe rare diseases where insight is difficult to obtain....

  16. 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

    Institute of Scientific and Technical Information of China (English)

    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

  17. The Daily Activity Report (DAR) a Novel Measure of Functional Outcome for Serious Mental Illness.

    Science.gov (United States)

    Velligan, Dawn I; Mintz, Jim; Sierra, Cynthia; Martin, Mona L; Fredrick, Megan; Maglinte, Gregory A; Corey-Lisle, Patricia K

    2016-05-01

    The assessment of real-world functional outcomes in clinical trials for medications targeting negative symptoms and cognitive impairment is extremely important. We tested the psychometric properties of the Daily Activity Report (DAR), a novel assessment of productive daily activity. We administered the DAR and additional assessments of functional outcome, functional capacity, cognition and symptomatology to 50 individuals with schizophrenia at 2 time points, 1 month apart and to 25 healthy controls. The DAR records a person's daily activity for 7 consecutive days based upon phone calls made 3 times a day. A total score and scores in 3 domains; instrumental activities (ie, independent living), social and work or school related activities are generated for the DAR. Inter-item consistency was high 0.89-0.94 for each domain and 0.88 overall. Test-retest reliability across 1 month for the total DAR score was 0.67,Psmart phone technology with automatic scoring is the next step. PMID:26712856

  18. Contribution of Structured Exercise Class Participation and Informal Walking for Exercise to Daily Physical Activity in Community-Dwelling Older Adults.

    Science.gov (United States)

    Tudor-Locke, C.; Jones, G. R.; Myers, A. M.; Paterson, D. H.; Ecclestone, N. A.

    2002-01-01

    Examined the physical activity and exercise habits of independent-living older adults from a structured exercise program, noting the contribution of formal and informal exercise participation relative to total daily physical activity measured using pedometer and daily activity logs. Participation in structured exercise was an important contributor…

  19. The Effects of Posture Nursing on Complication and Activity of Daily Living of Patients With Cerebral Apoplexy Hemiplegia%体位护理对脑卒中偏瘫患者并发症及日常生活能力的影响

    Institute of Scientific and Technical Information of China (English)

    卢孟婷

    2015-01-01

    Objective To investigate the effects of posture nursing on complication and activity of daily living of patients with cerebral apoplexy hemiplegia.Methods 58 patients with cerebral apoplexy hemiplegia were randomly divided into observation group and control group,29 cases each.The control group patients were given rehabilitation training,the observation group patients were given posture nursing on this basis.The situations were compared between two groups in the incidence of complications and the activity of daily living.Results The incidence of comp- lications of the observation group patients was obviously lower than that in control group (P<0.05).The independent living rate of the observation group patients was obviously higher than that in control group(P<0.05).ConclusionThe posture nursing can effectively reduce the incidence of complications of patients with cerebral apoplexy hemi plegiaand improve the activity of daily living.%目的:探讨体位护理对脑卒中偏瘫患者并发症及日常生活能力的影响。方法将58例脑卒中偏瘫患者随机分为观察组与对照组,各29例。对照组患者进行康复训练,观察组患者在此基础上给予体位护理。比较两组患者的并发症发生率及日常生活能力。结果观察组患者的并发症发生率明显低于对照组(P<0.05);观察组患者的生活自理率明显高于对照组(P<0.05)。结论体位护理可有效减少脑卒中偏瘫患者的并发症发生率,提高其日常生活能力。

  20. Introduction to Technologies in the Daily Lives of Individuals with Autism.

    Science.gov (United States)

    Shic, Frederick; Goodwin, Matthew

    2015-12-01

    In this introduction to the Special Issue on Technology we explore the continued evolution of technologies designed to help individuals with autism. Through review articles, empirical reports, and perspectives, we examine how far the field has come and how much further we still can go. Notably, even as we highlight the continuing need for larger empirical studies of autism-focused technology, we note how improvements in the portability, sophistication, ubiquity, and reach of daily technologies are providing new opportunities for research, education, enhancement, knowledge, and inspiration. We conclude by discussing how the next generation of technologies may leverage the increasing promise of big-data approaches to move us towards a future where technology is more personal, more relevant, and pervasively transformative. PMID:26530715

  1. Tiredness in daily activities at age 70 as a predictor of mortality during the next 10 years

    DEFF Research Database (Denmark)

    Avlund, K; Schultz-Larsen, K; Davidsen, M

    1998-01-01

    This study examined whether self-reported tiredness in mobility and activities of daily living is predictive of mortality, when controlled for global self-rated health, smoking, and socio-demographic factors. The investigation is part of the 1984 longitudinal study of the residents of Glostrup...

  2. Hospitalar radioactive waste of low activity, a daily practice

    Energy Technology Data Exchange (ETDEWEB)

    Rezio, M.T.; Vieira, M.R. [Instituto Portugues de Oncologia de Francisco Gentil - CROL, Lisboa (Portugal)

    2006-07-01

    Introduction According to the law we should have a specific area for storing and treating waste. That area should have special containers for temporary storage in order to assure the radioactive decay for all the radioactive waste, biological contaminated or non biological and in solid or liquid form. According with that law the limits established for discharge are: For solid waste, we must not discharge more than 370 MBq in a minimum volume of 0,1 m{sup 3} and is not allowed waste with activities higher than 3,7 kBq; For liquid waste discharges from the department to the public sewer, the average concentrations calculated taking into account the water flow of the sewer system that serves the installation, should be the following:The annual medium concentration must not exceed 3 times the reference concentration (C.R.) for that nuclide; The monthly medium concentration must not exceed 15 times the reference concentration (C.R.); The daily medium concentration must not exceed 60 times the reference concentration (C.R.); The reference concentration (C.R.), expressed in Bq.m{sup -3}, should be calculated taking into account the relevant incorporation per ingestion. The calculation of C.R. in liquid waste should have into account the following: For the general public the effective dose E achieved, per ingestion by an individual in the group of age g is determined according to the following formula(1):E= {sigma}{sub i} h(g){sub j,ing} X J{sub j,ing}, where h(g){sub j,ing} is the committed effective dose per unit-intake for the ingested radionuclide j (Sv/Bq) by an individual in the group of age g; J{sub j,ing} is the relevant intake via ingestion of the radionuclide j (Bq). The effective dose E achieved by an individual in the group of age g should not be higher than 0,1 mSv/year. If the average water volume ingested by an individual adult is 800 l, the value J{sub j,ing}, calculated by the formula (1) should be referred to 1000 l, in order to obtain the C.R., for the

  3. Daily ingestion of alginate reduces energy intake in free-living subjects

    OpenAIRE

    Paxman, J. R.; Richardson, J. C.; Dettmar, P. W.; Corfe, B.M

    2008-01-01

    Sodium alginate is a seaweed-derived fibre that has previously been shown to moderate appetite in models of acute feeding. The mechanisms underlying this effect may include slowed gastric clearance and attenuated uptake from the small intestine. In order to assess whether alginate could be effective as a means of appetite control in free-living adults, 68 males and females (BMI range: 18.50-32.81 kgl M-2) completed this randomised, controlled two-way crossover intervention to compare the effe...

  4. Daily Spousal Influence on Physical Activity in Knee Osteoarthritis

    Science.gov (United States)

    Martire, Lynn M.; Stephens, Mary Ann Parris; Mogle, Jacqueline; Schulz, Richard; Brach, Jennifer; Keefe, Francis J.

    2012-01-01

    Background Physical activity is critical for the management of knee osteoarthritis, and the spouse may play a role in encouraging or discouraging physical activity. Purpose To examine four types of spousal influence—spouses' daily activity, autonomy support, pressure, and persuasion--on the daily physical activity of adults living with knee osteoarthritis. Methods A total of 141 couples reported their daily experiences for 22 days using a handheld computer, and wore an accelerometer to measure moderate activity and steps. Results Spouses' autonomy support for patient physical activity, as well as their own level of activity, was concurrently associated with patients' greater daily moderate activity and steps. In addition, on days when male patients perceived that spouses exerted more pressure to be active, they spent less time in moderate activity. Conclusions Couple-oriented interventions for knee osteoarthritis should target physical activity in both partners and spousal strategies for helping patients stay active. PMID:23161472

  5. 成人自发性基底节区脑出血患者日常生活活动能力的影响因素%Factors Affecting Activities of Daily Living in Patients with Spontaneous Basal Ganglia Hemorrhage

    Institute of Scientific and Technical Information of China (English)

    张志竖; 邹耀兵; 肖静; 江思德; 潘成德; 饶富兰; 张建新; 唐明山

    2011-01-01

    Objective To investigate the factors affecting activities of daily life (ADD in patients with first basal ganglia hemorrhage, and to formulate intervention strategies for improving the capability of ADL. Methods A prospective study was conducted on 97 patients with the first spontaneous intracerebral hemorrhage who survived with no surgical treatment. Demographic risk factors for stroke were examined and National Institute of Health stroke scale (NIHSS) and Glasgow coma score (GCS) were recorded on the day of admission. White blood cell(WBC) count and plasma glucose (PG) were measured on the second day of hospitalization. NIHSS score and Barthel index (BI) were recorded 3 weeks after onset. Occurrences of urinary tract and lung infection were determined after discharge from hospital. BI was recorded by clinic or telephone follow-up 3 months after onset. Results The amount of bleeding,initial PG levels, WBC count and initial NIHSS score were independently associated with BI at 3 weeks and 3 months after spontaneous intracerebral hemorrhage. Furthermore, urinary tract infection and the history of ischemic stroke were associated with BI at 3 months after intracerebral hemorrhage. Conclusion Positive measures should be taken to control risk factors so as to improve the capability of ADL in patients with spontaneous intracerebral hemorrhage.%目的 探讨未行手术治疗的成人首发基底节区脑出血患者日常生活活动能力的影响因素,以期早期制定干预措施,提高患者日常生活活动能力.方法 采用前瞻性队列研究连续收集成人首发基底节区脑出血未行手术治疗且存活的患者97例.入院当天记录人口基线资料,进行卒中危险因素调查,行美国国立卫生研究所脑卒中评分(national institute of health stroke scale,NIHSS)和格拉斯哥昏迷评分(GCS);入院次日清晨行白细胞计数、空腹血糖等多项实验室指标的测定;发病3周行NIHSS评分及Barthel指数(Barthelindex

  6. Empathic accuracy for happiness in the daily lives of older couples: Fluid cognitive performance predicts pattern accuracy among men.

    Science.gov (United States)

    Hülür, Gizem; Hoppmann, Christiane A; Rauers, Antje; Schade, Hannah; Ram, Nilam; Gerstorf, Denis

    2016-08-01

    Correctly identifying other's emotional states is a central cognitive component of empathy. We examined the role of fluid cognitive performance for empathic accuracy for happiness in the daily lives of 86 older couples (mean relationship length = 45 years; mean age = 75 years) on up to 42 occasions over 7 consecutive days. Men performing better on the Digit Symbol test were more accurate in identifying ups and downs of their partner's happiness. A similar association was not found for women. We discuss the potential role of fluid cognitive performance and other individual, partner, and situation characteristics for empathic accuracy. (PsycINFO Database Record PMID:27362351

  7. Affective and Self-Esteem Instability in the Daily Lives of People with Generalized Social Anxiety Disorder

    OpenAIRE

    Farmer, Antonina S.; Kashdan, Todd B.

    2014-01-01

    Research on affect and self-esteem in social anxiety disorder (SAD) has focused on trait or average levels, but we know little about the dynamic patterns of these experiences in the daily lives of people with SAD. We asked 40 adults with SAD and 39 matched healthy controls to provide end-of-day reports on their affect and self-esteem over two weeks. Compared to healthy adults, participants with SAD exhibited greater instability of negative affect and self-esteem, though the self-esteem effect...

  8. Determining Connections between the Daily Lives of Zoo Elephants and Their Welfare: An Epidemiological Approach.

    Science.gov (United States)

    Meehan, Cheryl L; Mench, Joy A; Carlstead, Kathy; Hogan, Jennifer N

    2016-01-01

    Concerns about animal welfare increasingly shape people's views about the acceptability of keeping animals for food production, biomedical research, and in zoos. The field of animal welfare science has developed over the past 50 years as a method of investigating these concerns via research that assesses how living in human-controlled environments influences the behavior, health and affective states of animals. Initially, animal welfare research focused on animals in agricultural settings, but the field has expanded to zoos because good animal welfare is essential to zoos' mission of promoting connections between animals and visitors and raising awareness of conservation issues. A particular challenge for zoos is ensuring good animal welfare for long-lived, highly social species like elephants. Our main goal in conducting an epidemiological study of African (Loxodonta africana) and Asian (Elephas maximus) elephant welfare in 68 accredited North American zoos was to understand the prevalence of welfare indicators in the population and determine the aspects of an elephant's zoo environment, social life and management that are most important to prevent and reduce a variety of welfare problems. In this overview, we provide a summary of the findings of the nine papers in the collection titled: Epidemiological Investigations of North American Zoo Elephant Welfare with a focus on the life history, social, housing, and management factors found to be associated with particular aspects of elephant welfare, including the performance of abnormal behavior, foot and joint problems, recumbence, walking rates, and reproductive health issues. Social and management factors were found to be important for multiple indicators of welfare, while exhibit space was found to be less influential than expected. This body of work results from the largest prospective zoo-based animal welfare study conducted to date and sets in motion the process of using science-based welfare benchmarks to

  9. Determining Connections between the Daily Lives of Zoo Elephants and Their Welfare: An Epidemiological Approach.

    Directory of Open Access Journals (Sweden)

    Cheryl L Meehan

    Full Text Available Concerns about animal welfare increasingly shape people's views about the acceptability of keeping animals for food production, biomedical research, and in zoos. The field of animal welfare science has developed over the past 50 years as a method of investigating these concerns via research that assesses how living in human-controlled environments influences the behavior, health and affective states of animals. Initially, animal welfare research focused on animals in agricultural settings, but the field has expanded to zoos because good animal welfare is essential to zoos' mission of promoting connections between animals and visitors and raising awareness of conservation issues. A particular challenge for zoos is ensuring good animal welfare for long-lived, highly social species like elephants. Our main goal in conducting an epidemiological study of African (Loxodonta africana and Asian (Elephas maximus elephant welfare in 68 accredited North American zoos was to understand the prevalence of welfare indicators in the population and determine the aspects of an elephant's zoo environment, social life and management that are most important to prevent and reduce a variety of welfare problems. In this overview, we provide a summary of the findings of the nine papers in the collection titled: Epidemiological Investigations of North American Zoo Elephant Welfare with a focus on the life history, social, housing, and management factors found to be associated with particular aspects of elephant welfare, including the performance of abnormal behavior, foot and joint problems, recumbence, walking rates, and reproductive health issues. Social and management factors were found to be important for multiple indicators of welfare, while exhibit space was found to be less influential than expected. This body of work results from the largest prospective zoo-based animal welfare study conducted to date and sets in motion the process of using science-based welfare

  10. Determining Connections between the Daily Lives of Zoo Elephants and Their Welfare: An Epidemiological Approach.

    Science.gov (United States)

    Meehan, Cheryl L; Mench, Joy A; Carlstead, Kathy; Hogan, Jennifer N

    2016-01-01

    Concerns about animal welfare increasingly shape people's views about the acceptability of keeping animals for food production, biomedical research, and in zoos. The field of animal welfare science has developed over the past 50 years as a method of investigating these concerns via research that assesses how living in human-controlled environments influences the behavior, health and affective states of animals. Initially, animal welfare research focused on animals in agricultural settings, but the field has expanded to zoos because good animal welfare is essential to zoos' mission of promoting connections between animals and visitors and raising awareness of conservation issues. A particular challenge for zoos is ensuring good animal welfare for long-lived, highly social species like elephants. Our main goal in conducting an epidemiological study of African (Loxodonta africana) and Asian (Elephas maximus) elephant welfare in 68 accredited North American zoos was to understand the prevalence of welfare indicators in the population and determine the aspects of an elephant's zoo environment, social life and management that are most important to prevent and reduce a variety of welfare problems. In this overview, we provide a summary of the findings of the nine papers in the collection titled: Epidemiological Investigations of North American Zoo Elephant Welfare with a focus on the life history, social, housing, and management factors found to be associated with particular aspects of elephant welfare, including the performance of abnormal behavior, foot and joint problems, recumbence, walking rates, and reproductive health issues. Social and management factors were found to be important for multiple indicators of welfare, while exhibit space was found to be less influential than expected. This body of work results from the largest prospective zoo-based animal welfare study conducted to date and sets in motion the process of using science-based welfare benchmarks to

  11. Determining Connections between the Daily Lives of Zoo Elephants and Their Welfare: An Epidemiological Approach

    Science.gov (United States)

    Meehan, Cheryl L.; Mench, Joy A.; Carlstead, Kathy; Hogan, Jennifer N.

    2016-01-01

    Concerns about animal welfare increasingly shape people’s views about the acceptability of keeping animals for food production, biomedical research, and in zoos. The field of animal welfare science has developed over the past 50 years as a method of investigating these concerns via research that assesses how living in human-controlled environments influences the behavior, health and affective states of animals. Initially, animal welfare research focused on animals in agricultural settings, but the field has expanded to zoos because good animal welfare is essential to zoos’ mission of promoting connections between animals and visitors and raising awareness of conservation issues. A particular challenge for zoos is ensuring good animal welfare for long-lived, highly social species like elephants. Our main goal in conducting an epidemiological study of African (Loxodonta africana) and Asian (Elephas maximus) elephant welfare in 68 accredited North American zoos was to understand the prevalence of welfare indicators in the population and determine the aspects of an elephant’s zoo environment, social life and management that are most important to prevent and reduce a variety of welfare problems. In this overview, we provide a summary of the findings of the nine papers in the collection titled: Epidemiological Investigations of North American Zoo Elephant Welfare with a focus on the life history, social, housing, and management factors found to be associated with particular aspects of elephant welfare, including the performance of abnormal behavior, foot and joint problems, recumbence, walking rates, and reproductive health issues. Social and management factors were found to be important for multiple indicators of welfare, while exhibit space was found to be less influential than expected. This body of work results from the largest prospective zoo-based animal welfare study conducted to date and sets in motion the process of using science-based welfare benchmarks

  12. The effect of selected sociodemographic characteristics on daily travel-activity behavior

    OpenAIRE

    E I Pas

    1984-01-01

    The hypothesis that daily travel-activity behavior is influenced by the role, life-cycle, and life-style attributes of individuals and households is examined. Daily travel-activity behavior is described by a five-state categorical variable which is defined by analytical classification of a sample of daily travel-activity patterns. The explanatory variables used in this study are age, marital status, gender, employment status, education level, presence of young children, auto-ownership, income...

  13. A Glimpse of Korean Daily Lives%新韩国常识问答

    Institute of Scientific and Technical Information of China (English)

    金荣勋

    2011-01-01

    The number of foreigners visiting Korea with diverse purposes is growing faster than ever. The Korean way of life attracts more curiosities and questions among those who have experienced Korean culture. What is the significance of Hangul (Korean Alphabet) to Korean7 Why do Koreans cut their meat with scissors instead of knives.9 By addressing some of these questions, simple or complex, I attempt to provide a glimpse of Korean daily life and culture.%跟以往相比,带着各种不同目的访问韩国的外国人迅速增加。体验过韩国的文化的外国人对于韩国的生活方式既感觉吸引又感觉困惑。韩文的字母到底有何特征?为什么韩国人不用刀而用剪刀切肉呢?对于以上这些问题,作者试图为韩国的日常生活和文化提供一个掠影式的解答。

  14. Housework: Words and Chores for Daily Living Skills. Book 3.

    Science.gov (United States)

    Riley, Anita Marcott; Whitted, Paula A. Farmer

    This is the third of three books in a series providing a systematic training program of relevant daily living skills for individuals with moderate to severe mental impairment. Useful terms and expressions are taught through crossword puzzles, experience stories, picture sequencing, flip books, word closure and other exercises. This book covers…

  15. Housework: Words and Chores for Daily Living Skills. Book 1.

    Science.gov (United States)

    Riley, Anita Marcott; Whitted, Paula A. Farmer

    This is the first of three books in a series providing a systematic training program of relevant daily living skills for individuals with moderate to severe mental impairment. Useful terms and expressions are taught through crossword puzzles, experience stories, picture sequencing, flip books, word closure and other exercises. This book covers…

  16. Housework: Words and Chores for Daily Living Skills. Book 2.

    Science.gov (United States)

    Riley, Anita Marcott; Whitted, Paula A. Farmer

    This is the second of three books in a series providing a systematic training program of relevant daily living skills for individuals with moderate to severe mental impairment. Useful terms and expressions are taught through crossword puzzles, experience stories, picture sequencing, flip books, word closure and other exercises. This book covers…

  17. [Daily eating habits of obese women living in Rocinha Shanytown (Rio de Janeiro, RJ, Brazil)].

    Science.gov (United States)

    Ferreira, Vanessa Alves; Magalhães, Rosana

    2011-06-01

    This article presents conclusions of research conducted at Ensp/Fiocruz, as part of a master's degree course. One of the objectives of the research to investigate the eating habits of women living in the Rocinha Shantytown (Rio de Janeiro, RJ, Brazil) from a socio-anthropological perspective. The results revealed that the eating habits of the group were repetitive, with few variations in the menu consisting basically of rice, bean, sugars and fats. We further observed the rejection of industrialized and canned products. This food consumption pattern seems to conform to Brazilian food culture revealing the preservation of the national identity based on feeding habits. Consequently, it is necessary to set aside presuppositions regarding the relationship between food consumption and obesity, especially with respect to the predominant idea of changes in diet with the incorporation of a "modern" or "western" diet that prevail in studies in the field of nutrition in Brazil. In this sense, we signaled the need to reassert a multidimensional approach for studies about food and nutrition in the country. This proposal involves overcoming restricted conceptual outlooks and the creation of new avenues of investigation.

  18. Effects of microsurgical technique treatment on acknowledge ability,activities of daily living, cortex blood perfusion and neuropeptide levels of brain glioma patients%显微手术对87例脑胶质瘤患者认知、生活能力及血流灌注和神经肽水平的影响

    Institute of Scientific and Technical Information of China (English)

    苏祖禄; 陈浩皓; 苏海; 张毅

    2014-01-01

    目的:研究显微手术治疗对于脑胶质瘤患者认知、生活能力、皮层血流灌注和脑脊液神经肽类物质水平的影响。方法采用显微手术和传统手术分别治疗87例脑胶质瘤患者,采用长谷川智能量表(HDS)、简易精神状态量表(MMSE)和日常生活能力量表(ADL)评估患者认知、生活能力,并检测患者术后皮层血流灌注情况和脑脊液精氨酸加压素(AVP)、催产素(OT)、β-内啡肽(β-EP)、生长抑素(SS)和神经降压素(NT)的水平。结果显微手术患者的 HDS、MMSE和ADL量表评分均显著优于传统手术,且皮层血流灌注丰富,差异均有统计学意义(P<0.05);脑脊液中5种神经肽类物质水平也高于传统手术患者,差异有统计学意义(P<0.05)。结论显微手术能够改善脑胶质瘤患者认知、生活能力,改善脑血流灌注,恢复脑脊液神经肽水平。%Objective To explore the effects of microsurgical technique treatment on acknowledge ability ,activities of daily liv-ing ,cortex blood perfusion and neuropeptide levels of brain glioma patients .Methods Microsurgical technique treatment and tradi-tional operation were given to 87 brain glioma patients ,respectively .The acknowledge ability and activities of daily living were measured by HDS ,MMSE and ADL ;the cortex blood perfusion were revealed by PET ,and the neuropeptide levels including argi-nine vasopressin ,oxytocin ,β-endorphin ,somatostatin and neurotensin of patients from two different surgical groups were compared . Results As compared with the traditional operation ,the acknowledge ability and activities of daily living of patients from microsur-gical treatment group were significantly improved(P<0 .05) ,the cortex blood perfusion were statistically increased (P<0 .05) and the levels of five kinds of neuropeptide were all profoundly increased (P< 0 .05) .Conclusion Microsurgical technique treatment could

  19. Effect of Upper Limb PNF Training on Activity of Daily Living of Patients with Neck Incomplete Spinal Cord Injury%上肢PNF训练对颈部不完全性脊髓损伤患者日常生活能力的影响

    Institute of Scientific and Technical Information of China (English)

    曹永武; 姚加佳; 吴雪莹; 刘华卫; 陈斌; 唐恺; 秦佳维

    2015-01-01

    Objective:To observe the effect of upper extremity proprioceptive neuromuscular facilitation techniques (PNF) on activity of daily living of patients with neck incomplete spinal cord injury. Methods:40 cases of incomplete cervical cord injury were randomly divided into treatment group (20 cases) and control group (20 cases), all with physical, occupational and other conventional rehabilitation therapy, treatment group added upper limb PNF training, to observe the improvement of FIM, SCIM score between the two groups after 8 weeks. Results:The FIM, SCIM score of treat-ment group were higher than those of control group after treatment (P<0.05). Conclusion:Upper limb PNF training is helpful to improve the activity of daily living of patients with neck incomplete spinal cord injury.%目的:观察上肢本体神经肌肉促进技术(proprioceptive neuromusclar facilitation,PNF)对颈部不完全性脊髓损伤患者日常生活能力的影响。方法:将40例不完全性颈髓损伤患者随机分为治疗组(20例)和对照组(20例),均接受物理治疗、作业治疗等常规康复治疗,治疗组则在此基础上配合上肢PNF训练,观察训练8周后两组患者FIM、SCIM评分的改善情况。结果:治疗后,治疗组FIM评分、SCIM评分均高于对照组(P<0.05)。结论:上肢PNF训练有助于提高颈部不完全性脊髓损伤患者的日常生活能力。

  20. 上肢PNF训练对颈部不完全性脊髓损伤患者日常生活能力的影响%Effect of Upper Limb PNF Training on Activity of Daily Living of Patients with Neck Incomplete Spinal Cord Injury

    Institute of Scientific and Technical Information of China (English)

    曹永武; 姚加佳; 吴雪莹; 刘华卫; 陈斌; 唐恺; 秦佳维

    2015-01-01

    目的:观察上肢本体神经肌肉促进技术(proprioceptive neuromusclar facilitation,PNF)对颈部不完全性脊髓损伤患者日常生活能力的影响。方法:将40例不完全性颈髓损伤患者随机分为治疗组(20例)和对照组(20例),均接受物理治疗、作业治疗等常规康复治疗,治疗组则在此基础上配合上肢PNF训练,观察训练8周后两组患者FIM、SCIM评分的改善情况。结果:治疗后,治疗组FIM评分、SCIM评分均高于对照组(P<0.05)。结论:上肢PNF训练有助于提高颈部不完全性脊髓损伤患者的日常生活能力。%Objective:To observe the effect of upper extremity proprioceptive neuromuscular facilitation techniques (PNF) on activity of daily living of patients with neck incomplete spinal cord injury. Methods:40 cases of incomplete cervical cord injury were randomly divided into treatment group (20 cases) and control group (20 cases), all with physical, occupational and other conventional rehabilitation therapy, treatment group added upper limb PNF training, to observe the improvement of FIM, SCIM score between the two groups after 8 weeks. Results:The FIM, SCIM score of treat-ment group were higher than those of control group after treatment (P<0.05). Conclusion:Upper limb PNF training is helpful to improve the activity of daily living of patients with neck incomplete spinal cord injury.

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

    Science.gov (United States)

    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.

  2. Role of physical activity on the maintenance of cognition and activities of daily living in elderly with Alzheimer's disease Papel da atividade física na manutenção da cognição e atividades de vida diária em idosos com doença de Alzheimer

    Directory of Open Access Journals (Sweden)

    Cynthia Arcoverde

    2008-06-01

    Full Text Available BACKGROUND: The practice of physical activities has proved to be an efficient strategy in the improvement of independency and cognitive functions in the elderly with Alzheimer's disease (AD. OBJECTIVE: To evaluate the relation between the practice of physical activity, cognition and activities of daily living (ADL of patients with AD. METHOD: The cognitive and physical aspects and ADL were evaluated of 37 elders (19 normal controls, 11 sedentary with AD and 7 active with AD. RESULTS: The variable that best predicts the cognitive state (MMSE is the duration of disease for the AD sedentary group and Lawton's Scale for the AD active group. We observed a correlation between MMSE score and duration of disease in the sedentary group and between MMSE and ADL in the active group. CONCLUSION: Our study showed that physical and cognitive stimulation in patients with AD can contribute to decrease cognitive and functional decline.FUNDAMENTO: A prática de atividade física tem se mostrado uma estratégia eficaz na melhora da independência e das funções cognitivas em idosos com doença de Alzheimer (DA. OBJETIVO: Avaliar a relação entre a prática de atividade física, a cognição e as atividades de vida diária (AVD em pacientes com DA. MÉTODO: Foram avaliados os aspectos cognitivos, físicos e as AVD de 37 idosos (19 controles normais, 11 com DA sedentários e 7 com DA ativos. RESULTADOS: A variável que melhor prediz o estado cognitivo (MEEM foi o tempo de doença para o grupo DA sedentários e a Escala de Lawton para o grupo DA ativo. Observou-se correlação entre MEEM e tempo de doença no grupo sedentário e MEEM e AVD no grupo ativo. CONCLUSÃO: O nosso estudo mostrou que a estimulação física e cognitiva em pacientes com DA pode contribuir na diminuição do declínio cognitivo e funcional.

  3. Daily physical activity and its contribution to the health-related quality of life of ambulatory individuals with chronic stroke

    Directory of Open Access Journals (Sweden)

    Rand Debbie

    2010-08-01

    Full Text Available Abstract Background Participation in daily physical activity (PA post-stroke has not previously been investigated as a possible explanatory variable of health-related quality of life (HRQL. The aims were 1 to determine the contribution of daily PA to the HRQL of individuals with chronic stroke and 2 to assess the relationship between the functional ability of these individuals to the amount of daily PA. Methods The amount of daily PA of forty adults with chronic stroke (mean age 66.5 ± 9.6 years was monitored using two measures. Accelerometers (Actical were worn on the hip for three consecutive days in conjunction with a self-report questionnaire [the PA Scale for Individuals with Physical Disabilities (PASIPD]. The daily physical activity was measured as the mean total accelerometer activity counts/day and the PASIPD scores as the metabolic equivalent (MET hr/day. HRQL was assessed by the Physical and Mental composite scores of the Medical Outcomes Study Short-Form 36 (SF-36 in addition to the functional ability of the participants. Correlation and regression analyses were performed. Results After controlling for the severity of the motor impairment, the amount of daily PA, as assessed by the PASIPD and accelerometers, was found to independently contribute to 10-12% of the variance of the Physical Composite Score of the SF-36. No significant relationship was found between PA and the Mental Composite Score of the SF-36.The functional ability of the participants was found to be correlated to the amount of daily PA (r = 0.33 - 0.67, p Conclusion The results suggest that daily PA is associated with better HRQL (as assessed by the Physical composite score of the SF-36 for people living with stroke. Daily PA should be encouraged to potentially increase HRQL. Accelerometers in conjunction with a self-report questionnaire may provide important measures of PA which can be monitored and modified, and potentially influence HRQL.

  4. Health-related aspects of objectively measured daily physical activity in children

    DEFF Research Database (Denmark)

    Dencker, Magnus; Andersen, Lars Bo

    2008-01-01

    It is well established that physical inactivity in adults is associated with increased mortality and morbidity. Whether daily physical activity level is related to risk factors for cardiovascular disease (CVD) in children has been debated. Furthermore, objective data on the habitual daily physical...... activity in children have at large been scarce in the literature. The main reason for this is the fact that daily physical activity is very difficult to measure in children. In recent years, a new device, the accelerometer, has emerged as a frequently used instrument for the measurement of daily physical...... activity. This review summarizes recently published studies that have used accelerometers to measure daily physical activity in children and related activity data to known risk factors for CVD....

  5. Association of total daily physical activity with disability in community-dwelling older persons: a prospective cohort study

    Directory of Open Access Journals (Sweden)

    Shah Raj C

    2012-10-01

    Full Text Available Abstract Background Based on findings primarily using self-report measures, physical activity has been recommended to reduce disability in old age. Collecting objective measures of total daily physical activity in community-dwelling older adults is uncommon, but might enhance the understanding of the relationship of physical activity and disability. We examined whether greater total daily physical activity was associated with less report of disability in the elderly. Methods Data were from the Rush Memory and Aging Project, a longitudinal prospective cohort study of common, age-related, chronic conditions. Total daily physical activity was measured in community-dwelling participants with an average age of 82 using actigraphy for approximately 9 days. Disability was measured via self-reported basic activities of daily living (ADL. The odds ratio and 95% Confidence Interval (CI were determined for the baseline association of total daily physical activity and ADL disability using a logistic regression model adjusted for age, education level, gender and self-report physical activity. In participants without initial report of ADL disability, the hazard ratio and 95% CI were determined for the relationship of baseline total daily physical activity and the development of ADL disability using a discrete time Cox proportional hazard model adjusted for demographics and self-report physical activity. Results In 870 participants, the mean total daily physical activity was 2. 9 × 105 counts/day (range in 105 counts/day = 0.16, 13. 6 and the mean hours/week of self-reported physical activity was 3.2 (SD = 3.6. At baseline, 718 (82.5% participants reported being independent in all ADLs. At baseline, total daily physical activity was protective against disability (OR per 105 counts/day difference = 0.55; 95% CI = 0.47, 0.65. Of the participants without baseline disability, 584 were followed for 3.4 years on average. Each 105 counts/day additional total

  6. Travel Behavior Comparisons of Active Living and Inactive Living Lifestyles

    OpenAIRE

    Burbidge, Shaunna K; Goulias, Konstadinos G.; Kim, Tae-Gyu

    2006-01-01

    The past century’s radical change, innovation in transportation technology and concomitant increase in options for our travel modes moves us away from walking to an almost total extinction of modes that require physical exercise. This is accompanied by a modern American city design that requires the use of an automobile with urban sprawl creating distant destinations that alter older methods of travel and make active forms of transportation almost impossible. However, many more reasons exis...

  7. The Bayer: Activities of Daily Living Scale (B-ADL in the differentiation between mild to moderate dementia and normal aging A escala da Bayer: Atividades da Vida Diária (B-AVD na diferenciação entre demência leve e moderada e o envelhecimento normal

    Directory of Open Access Journals (Sweden)

    Jefferson C Folquitto

    2007-12-01

    Full Text Available OBJECTIVES: To investigate the applicability of the Bayer - Activities of Daily Living scale and its efficiency in differentiating individuals with mild to moderate dementia from normal elderly controls. METHOD: We selected 33 patients with diagnosis of mild to severe dementia, according to ICD-10 criteria, and 59 controls. All the subjects were evaluated with the Mini-Mental State Examination and the Clinical Dementia Rating Scale and the Bayer - Activities of Daily Living scale was applied to informants. RESULTS: The internal consistency of the Bayer - Activities of Daily Living was high (Cronbach's alpha = 0.981. Mean Mini-Mental State Examination and Bayer - Activities of Daily Living scores of demented patients and controls were significantly different (p OBJETIVOS: Investigar a aplicabilidade da escala Bayer - Atividades de Vida Diária e sua eficiência em diferenciar indivíduos com demência leve a moderada de indivíduos normais. MÉTODO: Foram selecionados 33 pacientes com diagnóstico de demência leve a grave, de acordo com os critérios da CID-10, e 59 controles. Todos os indivíduos foram avaliados pelo Mini-Exame do Estado Mental e pela Escala de Avaliação Clínica de Demência e os informantes responderam à Bayer - Atividades de Vida Diária. RESULTADOS: A consistência interna da Bayer - Atividades de Vida Diária foi alta (Cronbach Alpha = 0,981. A pontuação média do Mini-Exame do Estado Mental e da Bayer - Atividades de Vida Diária foi significativamente diferente entre os pacientes com demência e o grupo controle (p < 0,001. Os valores do Mini-Exame do Estado Mental e da Bayer - Atividades de Vida Diária foram significativamente diferentes entre a Escala de Avaliação Clínica de Demência 0 (controles; n = 59 e a Escala de Avaliação Clínica de Demência 1 (demência leve; n = 15, a Escala de Avaliação Clínica de Demência 0 e a Escala de Avaliação Clínica de Demência 2 (demência moderada; n = 13 e entre

  8. Daily Public Assistance Grants Award Activity

    Data.gov (United States)

    Department of Homeland Security — Daily activity of Public Assistance Grant Awards, including FEMA Region, State, Disaster Declaration Number, Event description, Mission Assigned agency, Assistance...

  9. Canada's crude oil resources : crude oil in our daily lives

    International Nuclear Information System (INIS)

    Created in 1975, the Petroleum Communication Foundation is a not-for-profit organization. The objective of the Foundation is to inform Canadians about the petroleum industry in Canada. It produces educational, fact-based publications and programs, employing a multi-stakeholder review process. The first section of this publication is devoted to crude oil and the benefits that are derived from it. It begins by providing a brief definition of crude oil, then moves to the many uses in our daily lives and the environmental impacts like air pollution, spills, and footprint on the land from exploration and production activities. Section 2 details the many uses of crude oil and identifies the major oil producing regions of Canada. A quick mention is made of non-conventional sources of crude oil. The search for crude oil is the topic of section 3 of the document, providing an overview of the exploration activities, the access rights that must be obtained before gaining access to the resource. The drilling of oil is discussed in section 4. Section 5 deals with issues pertaining to reservoirs within rocks, while section 6 covers the feeding of the refineries, discussing topics from the movement of oil to market to the refining of the crude oil, and the pricing issues. In section 7, the uncertain future is examined with a view of balancing the supply and demand, as crude oil is a non-renewable resource. Supplementary information is provided concerning additional publications published by various organizations and agencies. figs

  10. Vida cotidiana após adoecimento mental: desafio para atenção em saúde mental Vida cotidiana después de la enfermedad mental: desafío para la atención en salud mental The effect of mental illness on the activity of daily living: a challenge for mental health care

    Directory of Open Access Journals (Sweden)

    Mariana Moraes Salles

    2009-02-01

    esta población. CONCLUSIONES: Se indica que los servicios sustitutivos deben valorizar las pequeñas actividades de la vida cotidiana que generan autonomía e inician un proceso de construcción de un lugar social, sin olvidar los grandes desafíos como la inclusión en el mercado de trabajo y las relaciones afectivas.OBJECTIVES: To investigate the effect of mental illness on the activity of daily living among individuals living in the community and to examine the options of those individuals for social inclusion. METHODS: This qualitative study was guided by Agnes Heller's conceptualization of daily life. The sample consisted of 13 individuals who received care in a psychiatric hospital and 9 of their family members. Data were analyzed through content analysis. RESULTS: Mental illness affected an individual's social participation and his or her activities of daily living. Although there were less opportunities for social inclusion, individuals with mental illness continued to be able to find other social possibilities. CONCLUSIONS: Mental health services valued the importance of daily life activities, which can promote autonomy and a place in society. It is important to recognize the challenges of individuals with mental illness for inclusion in the job market and interpersonal relationships.

  11. Biological effects of daily inhalation of radon and its short-lived daughters in experimental animals

    International Nuclear Information System (INIS)

    Syrian golden hamsters, C57BL mice, and specific-pathogen-free rats were exposed simultaneously in groups of 16 animals each for 90 hours per week to aerosols consisting of radon plus 3000--6000 Working Levels of radon-daughters with and without 18 mg/m3 carnotite uranium ore dust. Condensation nuclei concentrations ranged from 2000--4000 per ml and from 90,000--120,000 per ml in the chamber without and with uranium ore dust, respectively. At 4 months of exposure only one of the rodents remained alive. Histopathology of radon-daughter exposed mice includes acute interstitial pneumonitis, severe pulmonary congestion, and supperative rhinitis; mice inhaling radon-daughters with ore showed these lesions plus macrophage proliferation, alveolar septal cell hyperplasia, and bronchial epithelial hyperplasia. Hamsters inhaling radon-daughters showed proliferating lesions characterized by alveolar septal thickening, bronchiolar epithelial hyperplasia, septal fibrosis, and occasionally adenomatoid metaplasia and squamous metaplasia. Hamsters inhaling radon-daughters with ore dust showed similar effects plus granulomatous response and intense septal fibrosis. Rats inhaling radon-daughters showed lesions similar to those of hamsters but more focalized with classic radiation pneumonitis; rats exposed to radon-daughters with ore showed similar lesions, with greater consolidation and pneumoconiosis. These findings will be discussed in relation to pulmonary pathology in uranium miners

  12. Effects of irradiation with conventional and multiple daily fractionation on serum amylase activity

    International Nuclear Information System (INIS)

    The behaviour of serum α-amylase activity was determined in patients with head and neck cancer treated by radiation therapy. The levels of serum α-analyse activity during conventional and multiple daily fractionation were compared. Starting from the second day of treatment an increase of serum α-amylase activity was observed. The increase and its duration depended on the total daily dose: after the first day of treatment a linear correlation between serum levels and total daily dose could be observed. The size of the amylase increase correlated to the proportion of salivary gland tissue included in the irradiated volume. (orig.)

  13. The use of choice heuristic in daily activity travel behaviour: an expert system

    OpenAIRE

    HANNES, Els; JANSSENS, Davy; Wets, Geert

    2007-01-01

    This research project aims at identifying the critical spatial factors in an individual’s mental map which influence daily activity travel behaviour in order to improve the agentbased modelling of activity travel behaviour by means of a computational process model. A qualitative travel survey and in depth interviews are used to identify the spatial factors that appear in the destination and travel mode choice heuristics of experts when discussing their daily activity space. Recorded interview...

  14. Daily physical activity related to aerobic fitness and body fat in an urban sample of children

    DEFF Research Database (Denmark)

    Dencker, M; Thorsson, O; Karlsson, M K;

    2008-01-01

    This study evaluates associations between objectively measured daily physical activity vs aerobic fitness and body fat in children aged 8-11 years. A cross-sectional study of 225 children aged 7.9-11.1 years was performed. Abdominal fat mass (AFM) and total body fat (TBF) were quantified by dual....... In this population, low daily accumulation of vigorous activity was, already in children aged 8-11 years, associated with more body fat and lower aerobic fitness. A similar relation was not found for daily accumulation of moderate-to-vigorous activity....

  15. Enhancing activities of daily living of chronic stroke patients in primary health care by modified constraint-induced movement therapy (HOMECIMT): study protocol for a cluster randomized controlled trial

    OpenAIRE

    Barzel, Anne; Ketels, Gesche; Tetzlaff, Britta; Krüger, Heike; Haevernick, Kerstin; Daubmann, Anne; Wegscheider, Karl; Scherer, Martin

    2013-01-01

    Background Stroke leads to constant rehabilitation needs even at the chronic stage. However, although many stroke patients receive physical or occupational therapy in primary health care, treatment prescriptions do not generally specify therapeutic goals; in particular, participation is not established as an explicit therapeutic goal in the ambulatory setting. The primary aim of this study is to evaluate the efficacy of a therapy regimen for chronic stroke patients (modified ‘constraint-induc...

  16. Daily variation of radon gas and its short-lived progeny concentration near ground level and estimation of aerosol residence time

    Science.gov (United States)

    M, Mohery; A, M. Abdallah; A, Ali; S, S. Baz

    2016-05-01

    Atmospheric concentrations of radon (222Rn) gas and its short-lived progenies 218Po, 214Pb, and 214Po were continuously monitored every four hours at the ground level in Jeddah city, Kingdom of Saudi Arabia. The measurements were performed three times every week, starting from November 2014 to October 2015. A method of electrostatic precipitation of positively charged 218Po and 214Po by a positive voltage was applied for determining 222Rn gas concentration. The short-lived 222Rn progeny concentration was determined by using a filter holder connected with the alpha-spectrometric technique. The meteorological parameters (relative air humidity, air temperature, and wind speed) were determined during the measurements of 222Rn and its progeny concentrations. 222Rn gas as well as its short-lived progeny concentration display a daily and seasonal variation with high values in the night and early morning hours as compared to low values at noon and in the afternoon. The observed monthly atmospheric concentrations showed a seasonal trend with the highest values in the autumn/winter season and the lowest values in the spring/summer season. Moreover, and in parallel with alpha-spectrometric measurements, a single filter-holder was used to collect air samples. The deposited activities of 214Pb and the long-lived 222Rn daughter 210Pb on the filter were measured with the gamma spectrometric technique. The measured activity concentrations of 214Pb by both techniques were found to be relatively equal largely. The highest mean seasonally activity concentrations of 210Pb were observed in the autumn/winter season while the lowest mean were observed in the spring/summer season. The mean residence time (MRT) of aerosol particles in the atmospheric air could be estimated from the activity ratios of 210Pb/214Pb. Project supported by the Deanship of Scientific Research (DSR), King Abdulaziz University, Jeddah (Grant No. 291/965/1434).

  17. Ethical issues in the development of ICT mediated support for daily living in adolescents with autism

    DEFF Research Database (Denmark)

    Holm, Søren; Ploug, Thomas

    2012-01-01

    The EU-funded project HANDS was aimed at assisting young people with an autism spectrum disorder to increase their participation in social life. The core of the project was the development of a mobile device using personalizable software utilizing persuasive technology techniques. This chapter an...

  18. Business school techspectations Technology in the daily lives and educational experiences of business students

    OpenAIRE

    Alexopoulos, Angelos; Lynn, Theo

    2010-01-01

    Business School Techspectations is the second in a series of reports based on research by the DCU Leadership, Innovation and Knowledge Research Centre (LInK) at DCU Business School. With its roots in an Irish business school, it is no surprise that LInK’s mission is to strengthen the competitiveness, productivity, innovation and entrepreneurial capacity of the Irish economy. Ireland’s next generation transformation will be enabled by information and communication technologies (ICT) and digita...

  19. Actividades Instrumentales de la Vida Diaria en Personas Mayores atendidas en la red de Atención Primaria de Salud en la comuna de Chillán Viejo-Chile Instrumental activities of daily living of older people cared for at the Primary Health Care network in the commune of Chillan Viejo-Chile

    Directory of Open Access Journals (Sweden)

    Roxana Alejandra Lara Jaque

    2012-06-01

    Full Text Available Justificación. Estadísticas nacionales e internacionales demuestran que los equipos de salud tendrán que responder a la necesidad de cuidado de las personas mayores, reconociendo la trascendencia de la capacidad funcional como variable de evaluación de su estado de salud. Objetivo. Determinar características de las personas mayores que pueden influir en su capacidad funcional según las Actividades Instrumentales de la Vida Diaria. Diseño. Estudio cuantitativo, descriptivo-correlacional de corte transversal. Resultados. De 136 individuos estudiados (61% mujeres y una edad promedio de 73,28 ± 6,77 años, se observó que las Actividades Instrumentales de la Vida Diaria dependen significativamente de: nivel de alfabetización (p=0,002, nivel de instrucción (p=0,024, participación comunitaria (p=0,007, estado nutricional (p=0,028 y depresión (p=0,018. Conclusión. Factores sociales, físicos y mentales se relacionan con la funcionalidad de las personas mayores. Es primordial la generación de políticas públicas de protección a este grupo de la población, con un enfoque multidisciplinario y sistémico.Justification. National and International statistics show that health teams will have to respond to the needs of caring for older people, considering the implication of the functional capacity as a variable of evaluation of their health condition. Objective. To determine those characteristics in older people that may influence their functional capacity, according to the Instrumental Activities of Daily Living. Design. Quantitative, descriptive-correlational cross sectional study. Results. Out of 136 individuals studied (61% female and an average age of 73,28 ± 6,77 years old, it was observed that the Instrumental Activities of Daily Living depend significantly on: literacy level (p=0,002, instruction level (p=0,024, community participation (p=0,007, nutritional status (p=0,028 and depression (p=0,018. Conclusion. Social, physical and

  20. Does Improving Exercise Capacity and Daily Activity Represent the Holistic Perspective of a New COPD Approach?

    Science.gov (United States)

    Di Marco, Fabiano; Santus, Pierachille; Sotgiu, Giovanni; Blasi, Francesco; Centanni, Stefano

    2015-01-01

    In COPD patients a reduced daily activity has been well documented, resulting from both respiratory and non-respiratory manifestations of the disease. An evaluation by multisensory armband has confirmed that daily physical activity is mainly associated with dynamic hyperinflation, regardless of COPD severity. This aspect is crucial, since exercise capacity is closely correlated to life expectancy. Notwithstanding the causal key role of lung impairment in the patient's symptoms, some authors have suggested that other factors, such as systemic inflammation and co-morbidities, have an important role, particularly as mortality risk factors. Many studies suggest the efficacy of bronchodilators and rehabilitation in improving exercise capacity, and, speaking in terms of daily life, in increasing the number of days in which patients are able to perform their usual activities. On this evidence, the first aim in the management of COPD should be to improve exercise capacity and daily activity since these outcomes have direct effects on patients' quality of life, co-morbidities (heart and metabolic diseases), and prognosis. Thus, improving physical activity represents a modern approach aimed at dealing with both pulmonary and systemic manifestations of the disease. It is however worth of notice to remember that in patients affected by COPD the relationship between the improvement of "potential" exercise capacity and daily physical activity has been found to be only moderate to weak. Obtaining a significant behavior modification with regard to daily physical activity, together with the optimization of therapy thus represents currently the true challenge. PMID:26457460

  1. 家居环境改造对脊髓损伤患者出院后生存质量及日常生活能力的影响%Effects of House Modificaiton on Quality of Life and Activities of Daily Living for Discharged Patients with Spinal Cord Injury

    Institute of Scientific and Technical Information of China (English)

    缪碧琴; 周科

    2013-01-01

    Objective To investigate the effects of house modification on quality of life and activities of daily living of discharged pa-tients with spinal cord injury. Methods 65 patients with spinal cord injury were followed up. Among them, 31 patients accepted house modi-fication (observation group), and 34 did not (control group). Both groups accepted routinely rehabilitation direction after discharge. They were assessed with Barthel index and World Health Organization Quality of Life Brief Form (WHO QOL-BRIEF) 1 and 3 months after dis-charge. Results The score of QOL and BI improved more in the observation group than in the control group (P<0.05). Conclusion House modification can improve the quality of life and activities of daily living for patients with spinal cord injury.%目的探讨家居环境改造对脊髓损伤患者出院后生存质量及日常生活活动能力的影响。方法对65例脊髓损伤患者进行跟踪随访,其中31例进行了家居环境改造(观察组),34例未进行家居环境改造(对照组)。两组出院后均按常规定期进行康复训练指导。分别于出院后1个月、3个月采用Barthel指数(BI)和世界卫生组织生存质量测定简表(WHO QOL-BRIEF)进行评定。结果观察组出院后1个月、3个月QOL和BI评分高于对照组(P<0.05)。结论对脊髓损伤患者进行家居环境改造,能最大限度地利用其残存功能,提高生存质量及日常生活活动能力。

  2. Pro·kin平衡训练仪对脑卒中患者步行能力和日常生活活动能力的影响%Effects of Pro·kin Balance Training Instrument on Walking Ability and Activities of Daily Living (ADL) of Stroke Patients

    Institute of Scientific and Technical Information of China (English)

    迪晓霞; 张巧俊; 李鑫铭; 翟月萍

    2015-01-01

    Objective:To study the effect of Pro·kin balance training instrument on walking ability and activities of daily living (ADL) of stroke pa-tients. Methods:48 stroke patients were randomly divided into treatment group (24 cases) and control group (24 cases), control group with conven-tional rehabilitation training, treatment group adopted rehabilitation training with Pro·kin balance training instrument, Berg balance scale, Fugl-Mey-er balance scale, Holden walking ability scale and Barthel index were used to evaluate effect. Results:After treatment of 6 weeks, the BBS score, BI score, Holden grade and F-M score of treatment group were all better than those of control group (P<0.05). Conclusion:Pro·kin balance training in-strument can improve the walking ability and activities of daily living of stroke patients more effectively.%目的:探讨Pro·kin平衡训练仪对脑卒中患者步行能力及日常生活活动能力(ADL)的影响。方法:将48例脑卒中患者随机分为治疗组(24例)和对照组(24例),对照组给予常规康复训练,治疗组则采用Pro·kin平衡功能训练仪进行康复训练,采用Berg平衡量表、Fugl-Meyer平衡量表、Holden步行能力量表和Barthel指数进行疗效评价。结果:治疗6周后,治疗组BBS评分、BI评分、Holden分级、F-M评分均优于对照组(P<0.05)。结论:Pro·kin平衡功能训练仪能更有效改善脑卒中患者的步行能力和日常生活活动能力。

  3. The correlation of 27 day period solar activity and daily maximum temperature in continental Australia

    OpenAIRE

    Edmonds, Ian

    2013-01-01

    We report the first observation of a 27 day period component in daily maximum temperature recorded at widely spaced locations in Australia. The 27 day component, extracted by band pass filtering, is correlated with the variation of daily solar radio flux during years close to solar minimum. We demonstrate that the correlation is related to the emergence of regions of solar activity on the Sun separated, temporally, from the emergence of other active regions. In this situation, which occurs on...

  4. 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

    OpenAIRE

    Jhankar; Preete

    2014-01-01

    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 h...

  5. Pain-related Impairment of Daily Activities After Thoracic Surgery

    DEFF Research Database (Denmark)

    Ringsted, Thomas K; Wildgaard, Kim; Kreiner, Svend;

    2013-01-01

    questions were redundant. The remaining 13 questions from low to intensive activity described functional impairment following persistent pain from thoracotomy and video-assisted thoracic surgery (VATS). No evidence for differential item functioning for gender, age or differences between open or VATS, were...

  6. 社区干预对农村脑卒中患者日常生活能力和生活满意度的影响%Influence of Integrated Community Rehabilitation Intervention on the Activities of Daily Living and Life Satisfaction in Stroke Patients

    Institute of Scientific and Technical Information of China (English)

    张瑞红; 董秀娟; 吴超; 郝丽; 邵敬会; 马会娜

    2012-01-01

    目的 探讨社区综合干预对农村脑卒中患者日常生活能力和生活满意度的影响.方法 将110例患者随机分为干预组57例和对照组53例,干预组给予6个月的社区干预方案,包括定期随访指导、发放光盘、充分利用可及资源进行康复锻炼;对照组给予常规出院宣教,门诊随访.在干预后6个月、12个月时应用巴氏指数(Barthel Index)法和生活满意度量表(Satisfaction with Life Scale,SWLS)对两组患者分别进行日常生活能力和生活满意度评定.结果 干预后6个月、12个月,干预组日常生活能力、生活满意度得分均明显高于对照组,差异有统计学意义.结论 社区综合干预能显著提高农村脑卒中患者的日常生活能力和生活满意度,能充分调动各种资源并发挥患者的康复潜力,促进患者康复.%Objective To explore the influence of integrated community rehabilitation intervention on the activities of daily living (ADL) and life satisfaction in stroke patients. Methods A total of 110 stroke patients were randomly divided into experiment group (n=57) and control group (n=53). Patients in experiment group were provided with a six-month integrated community rehabilitation intervention and those in control group received routine discharge guide. The follow-up was conducted in outpatient department 6 months and 12 months after the intervention with Barthel Index and Satisfaction with Life Scale (SWLS). Results The scores of ADL and SWLS of experiment group were higher than those of control group (P<0.01). Conclusion The activities of daily living and life satisfaction of stroke patients in rural areas are significantly improved with the integrated community rehabilitation intervention.

  7. The contact mechanics and occurrence of edge loading in modular metal-on-polyethylene total hip replacement during daily activities.

    Science.gov (United States)

    Hua, Xijin; Li, Junyan; Jin, Zhongmin; Fisher, John

    2016-06-01

    The occurrence of edge loading in hip joint replacement has been associated with many factors such as prosthetic design, component malposition and activities of daily living. The present study aimed to quantify the occurrence of edge loading/contact at the articulating surface and to evaluate the effect of cup angles and edge loading on the contact mechanics of a modular metal-on-polyethylene (MoP) total hip replacement (THR) during different daily activities. A three-dimensional finite element model was developed based on a modular MoP bearing system. Different cup inclination and anteversion angles were modelled and six daily activities were considered. The results showed that edge loading was predicted during normal walking, ascending and descending stairs activities under steep cup inclination conditions (≥55°) while no edge loading was observed during standing up, sitting down and knee bending activities. The duration of edge loading increased with increased cup inclination angles and was affected by the cup anteversion angles. Edge loading caused elevated contact pressure at the articulating surface and substantially increased equivalent plastic strain of the polyethylene liner. The present study suggested that correct positioning the component to avoid edge loading that may occur during daily activities is important for MoP THR in clinical practice.

  8. Activity of daily living performance amongst Danish asylum seekers

    DEFF Research Database (Denmark)

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

    2014-01-01

    AMPS motor and process cut-offs for effortless and efficient ADL performance. There were statistically significant - weak to moderate - correlations between self-reported psychological distress, VAS average pain, pain distribution and the AMPS measures. CONCLUSION: The study results supported...

  9. Seasonal and Daily Patterns in Activity of the Western Drywood Termite, Incisitermes minor (Hagen

    Directory of Open Access Journals (Sweden)

    Vernard Lewis

    2011-12-01

    Full Text Available Activity of colonies of the western drywood termite, Incisitermes minor, was measured with acoustic emission (AE technology in five loquat (Eriobotrya japonica logs. Termite activity, whether it was feeding, excavation or movement, was monitored for 11 months under ambient conditions in a small wooden structure maintained at the University of California Richmond Field Station. AE, temperature, and humidity data were measured in 3-minute increments. Termite activity was greater during the warmer summer months compared to the cooler winter months. Termites in all five logs displayed a similar daily cycle of activity, peaking in the late afternoon. Seasonal and daily fluctuations in termite activity were significantly associated with temperature, whereas humidity did not appear to have a noticeable effect on termite activity. Possible mechanisms that drive the seasonal and daily cycles in termite activity, as measured by AE technology, and the possible implications for inspections and post-treatment analysis are discussed.

  10. Effect of early rehabilitation nursing intervention on the activities of daily living of hemiplegic patients with stroke%早期康复护理干预对脑卒中偏瘫患者日常生活活动能力的影响

    Institute of Scientific and Technical Information of China (English)

    杜振莲

    2012-01-01

    To investigate the effect of early rehabilitation nursing intervention on the activities of daily living ( ADL) of hemiplegic patients with stroke. Methods; 118 hemiplegic patients with stroke were randomly divided into a rehabilitation group and a control group (59 cases in each group). The nursing care was given to the patients in the control group according to the routine nursing care of neurological department and the responsible nurses provided patients early systematic rehabilitation nursing intervention by following nursing program in the rehabilitation group, including essential nursing care, psychological care, early rehabilitation training of the affected limbs, language function exercise, swallowing function training and daily living skills training. The Barthel index was used to evaluate and compare ADL of the patients between the two groups before and after intervention. Results;The Barthel index in both groups was significantly higher after intervention than that before intervention ( P <0. 01 ) ; Barthel index was obviously higher in the rehabilitation group than that in the control group after intervention ( P < 0.01) . Conclusion: The early rehabilitation nursing intervention can enhance the ADL of the hemiplegic patients with stroke, reduce disability rate and improve the quality of life.%目的:探讨早期康复护理干预对脑卒中偏瘫患者日常生活活动能力(ADL)的影响.方法:将118例脑卒中偏瘫患者随机分为康复组和对照组各59例,对照组按神经内科护理常规进行护理,康复组由责任护士按护理程序实施系统化早期康复护理干预,包括基础护理、心理护理、早期患肢康复锻炼、语言功能锻炼、吞咽功能锻炼、日常生活能力训练.采用Barthel指数对两组患者干预前后ADL进行评定比较.结果:两组干预后Barthel指数均较干预前明显升高(P<0.01),康复组干预后Barthel指数明显高于对照组(P<0.01).结论:早期康复护理干

  11. The Daily Lives of People With HIV Infection: A Qualitative Study of the Control Group in an Expressive Writing Intervention.

    Science.gov (United States)

    Metaweh, Maria; Ironson, Gail; Barroso, Julie

    2016-01-01

    Emotional disclosure is an expressive writing technique used in psychotherapy to process traumatic and stressful life experiences. While emotional disclosure interventions frequently use control groups, there are few qualitative analyses of these control groups. Our study's purpose was to analyze the control essays written by HIV-infected informants about their daily activities in an augmented written emotional disclosure intervention. Latent and manifest qualitative content analyses revealed prevalent contextual themes within the data. The emergent themes were socioeconomic status (SES), self-care, religiosity/spirituality, and social support. Emotional disclosure control subjects contributed substantial findings in terms of SES, self-care, resiliency, religiosity/spirituality, and social support and altruism. PMID:27426408

  12. The association of daily physical activity and birth outcome: A population-based cohort study

    NARCIS (Netherlands)

    M.I. Both (Marieke); M.A. Overvest (Mathilde); M.F. Wildhagen (Mark); J. Golding (Jean); H.I.J. Wildschut (Hajo)

    2010-01-01

    textabstractThe potential relationship between daily physical activity and pregnancy outcome remains unclear because of the wide variation in study designs and physical activity assessment measures. We sought to prospectively quantify the potential effects of the various domains of physical activity

  13. Electronic aids to daily living: be able to do what you want.

    LENUS (Irish Health Repository)

    Verdonck, Michèle Claire

    2011-01-01

    This study explores the experiences of Irish people with high cervical spinal cord injuries living with electronic aids to daily living (EADL) and the meaning attributed to such systems in the context of participation in everyday life.

  14. Comparing one-year recall and daily household records of livelihood activities

    DEFF Research Database (Denmark)

    Larsen, Helle Overgaard; Treue, Thorsten; Ngaga, Yonika;

    2014-01-01

    activities. In this study we examine discrepancies between activities and associated incomes (cash and subsistence) reported by sample households through interviews conducted at the end of a one-year recall period and based on daily records of livelihood activities made by the same households throughout...

  15. Daily durations of spontaneous activity in cat's ankle muscles

    NARCIS (Netherlands)

    Hensbergen, E; Kernell, D

    1997-01-01

    For an understanding of how various degrees of altered use (training, disuse) affect the properties of skeletal muscles, it is important to know how much they are used normally. The main aim of the present project was to produce such background knowledge for hindlimb muscles of the cat. In four adul

  16. The Relating Level of Teacher Candidates Based on Scientific Information with Their Daily Lives: A Case of Ataturk and Caucasian Universities

    Science.gov (United States)

    Kurt, Murat

    2014-01-01

    The aim of this research is to determine and compare candidate teachers' level of relating scientific information with their daily lives. The teachers were studying in the 1st and 4th classes in Atatürk and Caucasian Universities, Education Faculty, Elementary School Science Teaching Department during the 2012-2013 academic year. The research…

  17. How nurses assess breakthrough cancer pain, and the impact of this pain on patients' daily lives - Results of a European survey

    NARCIS (Netherlands)

    Rustoen, Tone; Geerling, Jenske I.; Pappa, Theodora; Rundstrom, Carina; Weisse, Isolde; Williams, Sian C.; Zavratnik, Bostjan; Wengstrom, Yvonne

    2013-01-01

    Purpose: To increase our knowledge of how nurses assess breakthrough cancer pain (BTCP); and whether they find it difficult to distinguish BTCP from background pain; how they estimate the impact of BTCP on patients' daily lives, and the factors that nurses consider to induce BTCP. Variations in thei

  18. Analysis of sitting forces on stationary chairs for daily activities.

    Science.gov (United States)

    Hu, Lingling; Tackett, Bob; Tor, Onder; Zhang, Jilei

    2016-04-01

    No literature related to the study of sitting forces on chairs sat on by people who weighed over 136 kg was found. The Business Institutional Furniture Manufactures Association needs force data for development of performance test standards to test chairs for users who weigh up to 181 kg. 20 participants who weighed from 136 to 186 kg completed 6 tasks on an instrumented chair in the sequence of sitting down, remaining seated and rising. Effects of sitting motion, armrest use and seat cushion thickness on vertical sitting forces and centre-of-force were investigated. Results indicated hard sitting down yielded the highest sitting force of 213% in terms of participants' body weights. Armrest use affected sitting forces of normal sitting down, but not of rising and hard sitting down. Cushion thickness affected sitting forces of normal and hard sitting down and shifting, but not of rising, static seating or stretching backward situations. Practitioner Summary: Results of the sitting force and centre-of-force data obtained for this research can help furniture manufacturers develop new product performance test standards for creating reliable engineering design and manufacturing quality and durable products to meet a niche market need. PMID:26257071

  19. Grip pressure measurements during activities of daily life

    Science.gov (United States)

    Sanford, Joe; Young, Carolyn; Popa, Dan; Bugnariu, Nicoleta; Patterson, Rita

    2014-06-01

    Research has expanded human-machine communication methods past direct programming and standard hand- held joystick control. Individual force sensors have been used as a simple means of providing environmental information to a robot and research has shown that more advanced sensitive skins can be viable input devices. These touch sensitive surfaces allow for additional modes of interaction between machines in open, undefined environments. These interactions include object detection for navigation and safety but can also be used for recognition of users command gestures by their machine partner. Key to successful implementation of these gestures is the understanding of varied strategies used for communication and interaction and the development of performance limits. Data of dominant hand grip forces was collected using a Tekscan Grip VersaTek Pressure Measurement System during opening of a door. Analysis of data from 10 male and female subjects is presented. The results of qualitative and quantitative analysis of these data show variability in hand configurations between users. Average data over the cohort is reported. These data will be used in future work to provide human metrology constraints and limits for use in simulation and design of new, physical human-robot interaction systems.

  20. Self-Selected Walking Speed is Predictive of Daily Ambulatory Activity in Older Adults.

    Science.gov (United States)

    Middleton, Addie; Fulk, George D; Beets, Michael W; Herter, Troy M; Fritz, Stacy L

    2016-04-01

    Daily ambulatory activity is associated with health and functional status in older adults; however, assessment requires multiple days of activity monitoring. The objective of this study was to determine the relative capabilities of self-selected walking speed (SSWS), maximal walking speed (MWS), and walking speed reserve (WSR) to provide insight into daily ambulatory activity (steps per day) in community-dwelling older adults. Sixty-seven older adults completed testing and activity monitoring (age 80.39 [6.73] years). SSWS (R2 = .51), MWS (R2 = .35), and WSR calculated as a ratio (R2 = .06) were significant predictors of daily ambulatory activity in unadjusted linear regression. Cutpoints for participants achieving 26371593

  1. Effect of electromyographic biofeedback combined with rehabilitation training on motor function and activities of daily living after stroke survivors%肌电生物反馈治疗联合康复训练对脑血管病患者运动功能和日常生活活动能力的影响

    Institute of Scientific and Technical Information of China (English)

    郝淑芹; 王亚辉; 常丽静; 董颖辉

    2013-01-01

    目的 观察肌电生物反馈治疗联合康复训练对脑血管病患者运动功能和日常生活活动能力的影响.方法 将50例患者按随机数字表法分为2组,对照组25例给予传统康复治疗,治疗组25例在此基础上辅以肌电生物反馈疗法.评价治疗前及治疗4周后Fugl-Meyer、神经功能缺损量表及Barthel指数并进行疗效评定.结果 治疗前2组的FMA、NBD及BI评分比较均无显著性差异(P均>0.05);治疗4周后,2组患者FMA、NBD及BI评分较治疗前均显著改善(P均 0.05 ). After treated for 4 weeks, the FMA, NBD and BI scores were significantly improved in both groups (all P<0.05) , and the improvement was more obvious in treatment group than that of control group (P <0.05). Conclusion Conventional rehabilitation therapy based on electronic biofeedback therapy can improve the motor function and then im -prove the patient' s activities of daily living.

  2. Tiredness in daily activities among nondisabled old people as determinant of onset of disability

    DEFF Research Database (Denmark)

    Avlund, Kirsten; Damsgaard, Mogens Trab; Sakari-Rantala, Ritva;

    2002-01-01

    The purpose of this article was to examine whether self-reported tiredness in daily activities at age 75 is an independent determinant of onset of disability at 5-year follow-up. The investigation is based on two subgroups of nondisabled participants of 75 year olds who survived and participated...... in the follow-up study 5 years later (n = 510 and 429). Persons who felt tired in their daily activities had a larger risk of becoming disabled in mobility (OR = 3.2, 95% CI = 1.4-7.6) and in daily activities (OR = 2.1, 95% CI = 1.0-4.2) compared to persons without tiredness. In addition, persons with poor...

  3. The influence of club football on children’s daily physical activity

    DEFF Research Database (Denmark)

    Nielsen, Glen; Bugge, Anna; Andersen, Lars Bo

    2016-01-01

    how playing football as a club sport is associated to the total amount of daily PA among children and how increased school recess activity impacts on this. Using accelerometers, the average daily amount of children’s PA as well the activity levels in specific contexts, such as during club......-sports and school recess, was measured on a sample of 518 Danish children aged 9–10. The study found that children playing club football had higher total daily amounts of PA than both children taking part in other club-sports and children not taking part in club-sports at all. About half of the difference in total...... PA could be explained by higher activity levels during school recess. The association between club football and total PA, and the mediating effect of school recess PA, can be interpreted as the result of two main factors: the high activity levels during club football, and that Danish school grounds...

  4. Analysis of the effect of unit nursing on activities of daily living and rehabilitation for patients with stroke%单元护理对脑卒中患者日常生活能力和康复效果的影响

    Institute of Scientific and Technical Information of China (English)

    郭燕; 董锐

    2014-01-01

    Objective:To investigate the effect of unit nursing on activities of daily living and rehabilitation for patients with stroke. Methods:50 patients with stroke were selected from 2011 to 2013,and we retrospectively analyzed their clinical data.They were randomily divided into the observation group and the control group according to the double-blind principle with 25 cases in each group.Patients in the control group were given routine nursing,while the observation group were treated with unit nursing.Then follow-up for 1 months,we evaluated the effect of recovery and daily life ability using the National Institutes of health the nerve function deficit score(NIHSS) standard and abilities of daily living(ADL) standard.Results:The NIHSS scale of patients in the observation group were lower than those in the control group,while the ADL score was higher than the control group,and the differences were statistically significant(P<0.05).Conclusion:The unit nursing on patients with stroke can improve the quality of nursing,and ultimately improve patient quality of life and self-care ability,effectively reduce the relapse rate and mutilation rate, so it is worthy of clinical promotion.%目的:探讨单元护理对脑卒中患者日常生活能力及康复效果的影响。方法:2011-2013年收治脑卒中患者50例,对其资料进行回顾性分析,按照随机、对照、双盲原则将患者分为观察组与对照组,各25例,对照组进行常规护理,观察组进行单元护理,随访1个月,采用美国国立卫生院神经功能缺损评分(NIHSS)标准和患者日常生活自理能力(ADL)标准对患者的恢复效果及日常生活能力进行评价。结果:观察组NIHSS评分低于对照组,ADL评分高于对照组,比较差异有统计学意义(P<0.05)。结论:对脑卒中患者进行单元护理能提高护理质量,最终提高患者的生活质量和生活自理能力,有效降低疾病的复发率和致残率,值得在临床推广。

  5. High average daily intake of PCDD/Fs and serum levels in residents living near a deserted factory producing pentachlorophenol (PCP) in Taiwan: influence of contaminated fish consumption.

    Science.gov (United States)

    Lee, C C; Lin, W T; Liao, P C; Su, H J; Chen, H L

    2006-05-01

    An abandoned pentachlorophenol plant and nearby area in southern Taiwan was heavily contaminated by dioxins, impurities formed in the PCP production process. The investigation showed that the average serum PCDD/Fs of residents living nearby area (62.5 pg WHO-TEQ/g lipid) was higher than those living in the non-polluted area (22.5 and 18.2 pg WHO-TEQ/g lipid) (Pfarm (0.15 pg WHO-TEQ/g), and Tilapia and shrimp showed the similar trend. The average daily PCDD/Fs intake of 38% participants was higher than 4 pg WHO-TEQ/kg/day suggested by the world health organization. Serum PCDD/F was positively associated with average daily intake (ADI) after adjustment for age, sex, BMI, and smoking status. In addition, a prospective cohort study is suggested to determine the long-term health effects on the people living near factory. PMID:16213641

  6. Perfil do nível de atividade física na vida diária de pacientes portadores de DPOC no Brasil Profile of the level of physical activity in the daily lives of patients with COPD in Brazil

    Directory of Open Access Journals (Sweden)

    Nidia Aparecida Hernandes

    2009-10-01

    Full Text Available OBJETIVO: Avaliar as características de atividades físicas na vida diária de pacientes portadores de DPOC no Brasil e sua relação com diferentes variáveis fisiológicas. MÉTODOS: Foram avaliados 40 pacientes portadores de DPOC (18 homens; 66 ± 8 anos; VEF1 = 46 ± 16 % predito; índice de massa corpórea = 27 ± 6 kg/m² e 30 idosos saudáveis pareados por gênero e idade quanto às atividades físicas na vida diária, utilizando-se um acelerômetro multiaxial por 12 h/dia durante dois dias consecutivos. Foram ainda avaliados as capacidades máxima e funcional de exercício através do teste incremental máximo e do teste de caminhada de seis minutos (TC6, respectivamente; PImáx e PEmáx; força muscular periférica através dos testes de uma repetição máxima e de força de preensão manual; qualidade de vida através de Saint George's Respiratory Questionnaire (SGRQ; estado funcional através do questionário London Chest Activity of Daily Living; e sensação de dispneia através da escala do Medical Research Council (MRC. RESULTADOS: Os pacientes portadores de DPOC apresentaram menor tempo de caminhada/dia quando comparados aos idosos saudáveis (55 ± 33 vs. 80 ± 28 min/dia; p = 0,001 e menor intensidade de movimento (1,9 ± 0,4 vs. 2,3 ± 0,6 m/s²; p = 0,004. Os pacientes com DPOC também tenderam a passar mais tempo sentados (294 ± 114 vs. 246 ± 122 min/dia; p = 0,08. O tempo de caminhada/dia correlacionou-se com TC6 (r = 0,42; p = 0,007, carga máxima de trabalho (r = 0,41; p = 0,009, idade, escala MRC e domínio atividade do SGRQ (-0,31 OBJECTIVE: To evaluate characteristics of physical activities in daily life in COPD patients in Brazil, correlating those characteristics with physiological variables. METHODS: Physical activities in daily life were evaluated in 40 COPD patients (18 males; 66 ± 8 years of age; FEV1 = 46 ± 16 % of predicted; body mass index = 27 ± 6 kg/m² and 30 healthy age- and gender-matched subjects

  7. Telemonitoring of Daily Activity and Symptom Behavior in Patients with COPD

    Directory of Open Access Journals (Sweden)

    Monique Tabak

    2012-01-01

    Full Text Available Objectives. This study investigated the activity behavior of patients with COPD in detail compared to asymptomatic controls, and the relationship between subjective and objective activities (awareness, and readiness to change activity behavior. Methods. Thirty-nine patients with COPD (66.0 years; FEV1% predicted: 44.9% and 21 healthy controls (57.0 years participated. Objective daily activity was assessed by accelerometry and expressed as amount of activity in counts per minute (cpm. Patients' baseline subjective activity and stage of change were assessed prior to measurements. Results. Mean daily activity in COPD patients was significantly lower compared to the healthy controls ( cpm versus  cpm, . COPD patients showed a temporary decrease in objective activities in the early afternoon. Objective and subjective activities were significantly moderately related and most patients (55.3% were in the maintenance phase of the stages of change. Conclusions. COPD patients show a distinctive activity decrease in the early afternoon. COPD patients are moderately aware of their daily activity but regard themselves as physically active. Therefore, future telemedicine interventions might consider creating awareness of an active lifestyle and provide feedback that aims to increase and balance activity levels.

  8. Pattern of physical activity among persons with type 2 diabetes with special consideration to daily routine

    OpenAIRE

    Arshad, Rozina; Younis, Bilal Bin; Masood, Junaid; Tahira, Maham; Khurhsid, Saima

    2016-01-01

    Objective: Physical activity is essential in maintaining a healthy lifestyle. Physical activity can improve general health, quality of life and diabetes management. The aim and objective of the study was to assess the physical activity trends in daily routine of people with type 2 diabetes. Methods: Two hundred persons with diabetes from four different clinical settings were included to access the trends of physical activity using a customized questionnaire EPIC-2. Pattern of physical activit...

  9. Heuristic use of mental map information gained from behavioural inspection of routines in daily activities (HUMMINGBIRDS)

    OpenAIRE

    HANNES, Els; JANSSENS, Davy; Wets, Geert

    2007-01-01

    This research project aims at identifying the critical spatial factors in an individual’s mental map which influence daily activity travel behaviour in order to improve the agent-based modelling of activity travel behaviour by means of a computational process model. A qualitative travel survey and in depth interviews are used to identify the spatial factors that appear in the destination and travel mode choice heuristics of experts when discussing their activity space. Recorded interviews are...

  10. Children with Autism Spectrum Disorder and Patterns of Participation in Daily Physical and Play Activities

    OpenAIRE

    Amir Hossein Memari; Nekoo Panahi; Elaheh Ranjbar; Pouria Moshayedi; Masih Shafiei; Ramin Kordi; Vahid Ziaee

    2015-01-01

    Autism spectrum disorder (ASD) indicates several neurodevelopmental impairments which may end in impairments in motor or physical activities. Daily physical activity involvement was investigated in a total of 83 children (52 boys and 31 girls) with ASD aged 6–15 years. Results indicated that only 10 (12%) of children with ASD were physically active. Children were predominantly engaged in solitary play rather than social play activities. Gender, family income, and household structure were foun...

  11. Dual Sensory Loss and Depressive Symptoms: The Importance of Hearing, Daily Functioning and Activity Engagement

    Directory of Open Access Journals (Sweden)

    Kim Matthew Kiely

    2013-12-01

    Full Text Available Background: The association between dual sensory loss (DSL and mental health has been well established. However, most studies have relied on self-report data and lacked measures that would enable researchers to examine causal pathways between DSL and depression. This study seeks to extend this research by examining the effects of DSL on mental health, and identify factors that explain the longitudinal associations between sensory loss and depressive symptoms. Methods: Piecewise linear-mixed models were used to analyse 16-years of longitudinal data collected on up to five occasions from 1611 adults (51% men aged between 65 and 103 years. Depressive symptoms were assessed by the Centre for Epidemiological Studies Depression (CES-D. Vision loss (VL was defined by corrected visual acuity greater than 0.3 logMAR in the better eye, blindness or glaucoma. Hearing loss (HL was defined by pure tone average (PTA greater than 25 dB in the better hearing ear. Analyses were adjusted for socio-demographics, medical conditions, lifestyle behaviours, Activities of Daily Living (ADLs, cognitive function, and social engagement. Results: Unadjusted models indicated that higher levels of depressive symptoms were associated with HL (B=1.16, SE=0.33 and DSL (B=2.15, SE=0.39 but not VL. Greater rates of change in depressive symptoms were also evident after the onset of HL (B=0.16, SE=0.06, p

  12. Daily and seasonal activity patterns of free range South-American rattlesnake (Crotalus durissus

    Directory of Open Access Journals (Sweden)

    ALEXANDRO M. TOZETTI

    2013-09-01

    Full Text Available This study aimed at describing daily and seasonal variation in the activity of a population of South-American rattlesnakes (Crotalus durissus in a savanna like habitat (Cerrado in Southeastern Brazil. Seasonal and daily activities of snakes were evaluated by the number of captures of snakes during road surveys, accidental encounters, and relocations by radio-tracking. Our results show that climatic variables such as air temperature and rainfall have little influence on the activity pattern of rattlesnakes. Our findings indicate that rattlesnakes spend most of the day resting and most of the night in ambush posture. The South-American rattlesnake is active throughout the year with a discrete peak in activity of males during the matting season. The possibility of maintaining activity levels even during the coldest and driest season can facilitate the colonization of several habitats in South America. This possibility currently facilitates the colonization of deforested areas by rattlesnakes.

  13. 综合康复护理对老年血管性痴呆的认知功能及日常生活自理能力的影响%Influence of comprehensive rehabilitation nursing on cognitive function and ability of daily living activities of elderly patients with vascular dementia

    Institute of Scientific and Technical Information of China (English)

    宋建云

    2013-01-01

    Objective To implement comprehensive rehabilitation nursing among elderly patients with vascular dementia and discuss its influence on the cognitive function and ability of daily living activities in order to provide guidance for clinical application.Methods Fifty-six elderly patients with vascular dementia admitted to Xiangya Hospital of Central South University from March 2010 to August 2012 were selected and randomly divided into the study group and the control group using the random number table,with 28 patients in each group.The study group was given comprehensive rehabilitation nursing measures and the control group was given conventional nursing measures.The minimental state examination (MMSE),Hasegawa Dementia Scale (HDS),Clinical Dementia Scale (CDR),Wechsler Memory Scale (WMS-RC),simple Fugl-Meyer motor function score (FMA),activities of daily living scale (ADL) and social function activity questionnaire (FAQ) were given to both groups of patients before the intervention and 4 weeks after the intervention,and the results were recorded and compared.Results In the study group,there existed statistical dif ference in each scale score between before the intervention and after the intervention (P < 0.05).In the control group,there existed statistical difference in only MMSE,CDR,HDS and FAQ scores between before the intervention and af ter the intervention (P < 0.05),and the other scores were not different (P > 0.05 s).At the end of the 4th week after the intervention,the study group had a MMSE score of (19.85±3.14),HDS score of (24.84±2.38),WMS-RC score of (68.23±8.72),FMA score of (68.71±14.19),ADL score of (67.38±14.28) and FAQ score of (5.42±1.05),which were all higher than those of the control group,with significant difference (P < 0.05).Conclusion For elderly patients with vascular dementia,the implementation of a comprehensive rehabilitation nursing can improve the patient's cognitive function and ability of daily living activities

  14. Objective measurements of daily physical activity patterns and sedentary behaviour in older adults

    DEFF Research Database (Denmark)

    Arnardottir, Nanna Yr; Koster, Annemarie; Van Domelen, Dane R;

    2013-01-01

    objectively measured population physical activity (PA) data from older persons is lacking. The aim of this study was to describe free-living PA patterns and sedentary behaviours in Icelandic older men and women using accelerometer.......objectively measured population physical activity (PA) data from older persons is lacking. The aim of this study was to describe free-living PA patterns and sedentary behaviours in Icelandic older men and women using accelerometer....

  15. Daily physical activities of patients with chronic pain or fatigue versus asymptomatic controls : a systematic review

    NARCIS (Netherlands)

    Weering, van Marit; Vollenbroek-Hutten, M.M.R.; Kotte, E.M.; Hermens, H.J.

    2007-01-01

    Objective: To gain an insight into the daily physical activity levels of patients with chronic pain or fatigue compared with asymptomatic controls. Data sources: MEDLINE, EMBASE, PsycINFO, Picarta, Cochrane Database of Systematic Reviews, reference tracking and a manual search of relevant journals.

  16. Daily recovery from work: the role of activities, effort and pleasure

    NARCIS (Netherlands)

    M.L.M. van Hooff; S.A.E. Geurts; D.G.J. Beckers; M.A.J. Kompier

    2011-01-01

    Knowledge of the cycle of work and recovery is crucial for protecting employee health and well-being and preserving working capabilities. However, the daily process of effort and recovery is not well understood. This study investigated how the time spent on activities in the work and off-job domains

  17. Daily recovery from work: The role of activities, effort and pleasure

    NARCIS (Netherlands)

    Hooff, M.L.M. van; Geurts, S.A.E.; Beckers, D.G.J.; Kompier, M.A.J.

    2011-01-01

    Knowledge of the cycle of work and recovery is crucial for protecting employee health and well-being and preserving working capabilities. However, the daily process of effort and recovery is not well understood. This study investigated how the time spent on activities in the work and off-job domains

  18. Active Travel - Healthy Lives

    OpenAIRE

    Institute of Public Health in Ireland

    2011-01-01

    Across Ireland, there is considerable scope to replace many short car journeys with walking and cycling which would bring about a range of benefits to health as well as saving money for individuals and society.'Active travel, healthy lives' presents a summary of international evidence on the health and economic benefits of active travel and makes recommendations on how active travel can become a viable, safe and attractive alternative to car use.

  19. The Changing Locus of Health Data Production and Use: Patient-Generated Health Data, Observations of Daily Living, and Personal Health Information Management

    OpenAIRE

    Piras, Enrico Maria

    2016-01-01

    Despite the growing attention of researcher, healthcare managers and policy makers, data gathering and information management practices are largely untheorized areas. In this work are presented and discussed some early-stage conceptualizations: Patient-Generated Health Data (PGHD), Observations of Daily Living (ODLs) and Personal Health Information Management (PHIM). As I shall try to demonstrate, these labels are not neutral rather they underpin quite different perspectives with respect to h...

  20. Effect of computerized cognitive rehabilitation program on cognitive function and activities of living in stroke patients

    OpenAIRE

    Yoo, Chanuk; Yong, Mi-hyun; Chung, Jaeyeop; Yang, YeongAe

    2015-01-01

    [Purpose] The objective of this study was to examine the effect of cognitive rehabilitation using a computer on cognitive function and activities of daily living in stroke patients presenting impairment of cognitive function. [Subjects] Forty-six stroke patients were divided into two groups (a training group and control group) through random assignment. [Methods] The training group received rehabilitation therapy and an additional computerized cognitive rehabilitation program using The RehaCo...

  1. Momentary affective states are associated with momentary volume, prospective trends and fluctuation of daily physical activity

    Directory of Open Access Journals (Sweden)

    Martina K. Kanning

    2016-05-01

    Full Text Available Several interventions aiming to enhance physical activity in everyday life showed mixed effects. Affective constructs are thought to potentially support health behavior change. However, little is known about within-subject associations between momentary affect and subsequent physical activity in everyday life. This study analyzed the extent to which three dimensions of affective states (valence, calmness, and energetic arousal were associated with different components of daily activity trajectories. Sixty-five undergraduates’ students (Age: M = 24.6; SD = 3.2; females: 57% participated in this study. Physical activity was assessed objectively through accelerometers during 24 hours. Affective states assessments were conducted randomly every 45min using an e-diary with a six-item mood scale that was especially designed for ambulatory assessment. We conducted three-level multi-level analyses to investigate the extent to which momentary affect accounted for momentary volume, prospective trends and stability vs. fluctuation of physical activity in everyday life. All three affect dimensions were significantly associated with momentary activity volumes and prospective trends over 45 minute periods. Physical activity didn’t fluctuate freely, but featured significant autocorrelation across repeated measurements, suggesting some stability of physical activity across 5-minute assessments. After adjusting for the autoregressive structure in physical activity assessments, only energetic arousal remained a significant predictor. Feeling energized and awake was associated with an increased momentary volume of activity and initially smaller but gradually growing decreases in subsequent activity within the subsequent 45 minutes. Although not related to trends in physical activity, higher valence predicted lower stability in physical activity across subsequent 45 minutes, suggesting more short-term fluctuations in daily activity the more participants reported

  2. Elderly disabled persons in the home setting : aspects of activities in daily life

    OpenAIRE

    Lilja, Margareta

    2000-01-01

    The overall aim of this thesis was to explore and describe elderly disabled persons' activities in daily life in the home environment from an occupational perspective and, secondly to describe occupational therapy interventions provided to elderly disabled persons in their home setting. Study I explored and described elderly persons' performance in ADL, and occupational therapy interventions provided. Most of the participants wanted to engage in more activities than they...

  3. Identifying types of physical activity with a single accelerometer: Evaluating laboratory trained algorithms in daily life

    NARCIS (Netherlands)

    Cuba Gyllensten, I.; Bonomi, A.G.

    2011-01-01

    Accurate identification of physical activity types has been achieved in laboratory conditions using single-site accelerometers and classification algorithms. This methodology is then applied to free-living subjects to determine activity behaviour. This study aimed at analysing the reproducibility of

  4. Policy at the time of the Guerra Grande : its impact on the daily lives of two cities

    Directory of Open Access Journals (Sweden)

    Alfredo Alpini

    2014-07-01

    Full Text Available City and politics influence each other when starting the “Guerra Grande” (Great War, and the siege of Montevideo, installed by the White Army in 1843, squeezes the city to the confinement of the walls’ times. In turn, the conflict disrupts daily life by the surveillance  systems their inhabitants suffer. Montevideo stopped expanding and, as a mirror, another city is born, the Restoration. The government and police of both cities control their inhabitants; look over their privacy, their spaces for socializing and communications. Also, in the course of the war, Montevideo and the Restoration built their own image based on their mutual gaze.

  5. Influence of specific motor signs to the activities of daily living of patients with Darkinson's disease%不同运动功能障碍对帕金森病患者日常生活活动能力的影响

    Institute of Scientific and Technical Information of China (English)

    唐勇; 叶瑞东; 屈秋民

    2013-01-01

    目的 探讨影响帕金森病(PD)患者日常生活活动(ADL)的运动症状.方法 93例PD患者接受了调查.采用PD统一评分量表第2、3、4部分,分别评估患者的ADL、运动功能障碍和运动并发症.将帕金森病综合评分量表(UPDRS)运动评分分为6部分:震颤、肌强直、动作缓慢、面部表情、语言表达和中轴(步态和姿势)损伤.采用逐步线性回归来评估患者ADL与各具体运动功能障碍之间的相关性.结果 中轴损伤是PD患者UPDRSⅡ评分最主要的预测因子,语言表达、动作缓慢和震颤也有一定的预测作用.4项因素相加能够解释72%的UPDRS Ⅱ评分变化.结论 PD治疗过程中应重视患者的中轴运动损伤症状,加强康复治疗,以提高患者的ADL.%Objective To investigate the contribution of specific motor signs to the activities of daily living (ADL) of idiopathic PD patients. Methods A total of 93 PD patients participated in this study. Ⅱ, Ⅲ, Ⅳ parts of the unified Parkinson s disease rating scale ( UPDRS part Ⅱ, Ⅲ, Ⅳ) were applied to evaluate the ADL, motor impediments, dyskinesias, and clinical fluctuations. The total Unified Parkinsons Disease Rating Scale (UPDRS) motor score was divided into 6 motor domains; tremor, rigidity, bradykinesia, facial expression, speech, and axial (gait and postural) impairment. Analyses were performed using linear regression models with the UPDRS II as the outcome. Results The most important predictive factor was axial impairment, followed by speech, bradykinesia, and tremor, which account for 72% of the variance of outcome. Conclusion Recognition of axial impairment shall become an important part of treatment of PD. Additional rehabilitation treatment may be required to improve the ADL of PD patients.

  6. Seasonal variation in daily activity patterns of free-ranging European ground squirrels (Spermophilus citellus).

    Science.gov (United States)

    Everts, Lammina G; Strijkstra, Arjen M; Hut, Roelof A; Hoffmann, Ilse E; Millesi, Eva

    2004-01-01

    Daily aboveground activity of European ground squirrels (Spermophilus citellus) in their natural habitat was recorded with a visual scanning procedure during the active seasons of 1992 and 1993. Activity patterns were analyzed with respect to time of year and to the animal's reproductive state. Aboveground activity started on average 3.9 h (SD 0.6 h, n = 37 days) after civil twilight at dawn and ended on average 3.2 h (SD 0.9 h, n = 37 days) before civil twilight at dusk. Between onset and offset of activity, 54% was spent aboveground, of which 73% was spent foraging. Activity patterns were influenced by photoperiod, rainfall, and by reproductive state. During mating, reproductively active males started activity earlier than females and reproductively inactive males. For females, time spent foraging was high during lactation. The midpoint of daily activity was at 12:16 h (SD 0.37 h, n = 37 days). Activity patterns of European ground squirrels thus appear robustly positioned in the middle of the photoperiod. PMID:15129824

  7. Prediction of Optimal Daily Step Count Achievement from Segmented School Physical Activity

    Directory of Open Access Journals (Sweden)

    Ryan D. Burns

    2015-01-01

    Full Text Available Optimizing physical activity in childhood is needed for prevention of disease and for healthy social and psychological development. There is limited research examining how segmented school physical activity patterns relate to a child achieving optimal physical activity levels. The purpose of this study was to examine the predictive relationship between step counts during specific school segments and achieving optimal school (6,000 steps/day and daily (12,000 steps/day step counts in children. Participants included 1,714 school-aged children (mean age = 9.7±1.0 years recruited across six elementary schools. Physical activity was monitored for one week using pedometers. Generalized linear mixed effects models were used to determine the adjusted odds ratios (ORs of achieving both school and daily step count standards for every 1,000 steps taken during each school segment. The school segment that related in strongest way to a student achieving 6,000 steps during school hours was afternoon recess (OR = 40.03; P<0.001 and for achieving 12,000 steps for the entire day was lunch recess (OR = 5.03; P<0.001. School segments including lunch and afternoon recess play an important role for optimizing daily physical activity in children.

  8. Onset of mobility disability among community-dwelling old men and women. The role of tiredness in daily activities

    DEFF Research Database (Denmark)

    Avlund, Kirsten; Vass, Mikkel; Hendriksen, Carsten

    2003-01-01

    BACKGROUND: in the primary prevention of disability among older adults it might be useful to identify individuals at high risk for functional decline before it occurs. OBJECTIVE: to examine whether tiredness in daily activities is an independent determinant of onset of mobility disability at 1 1....../2-year follow-up among non-disabled older men and women. DESIGN: a prospective study with 1 1/2-year follow-up. SETTING: 34 communities in four counties in Denmark. SUBJECTS: 1396 older non-disabled adults (74-75 and 80 years old) living in 17 of the participating communities. METHODS: questionnaire...... activities at baseline had a higher risk of onset of mobility disability at 1 1/2-year follow-up, when adjusted by the covariates. In addition, low social participation, poor psychological function, and physical inactivity were independent risk factors of onset of mobility disability among men, and home help...

  9. Prediction of correlates of daily physical activity in Spanish children aged 8-9 years.

    Science.gov (United States)

    Saavedra, J M; Escalante, Y; Domínguez, A M; García-Hermoso, A; Hernández-Mocholí, M A

    2014-06-01

    The aims of the study were (a) to examine the associations between the daily physical activity (PA) of 8- to 9-year-old children and their parents, and (b) to examine what effect the child's daily PA has on its cardiorespiratory fitness (CRF), body mass index (BMI), and health-related quality of life (HRQoL). The sample consisted of 1021 persons [351 children (8.73 ± 0.69 years in age) and 670 parents]. Pedometers were used to evaluate PA in parents and their children over the course of 4 days (Thursday-Sunday), with the instructions on how to wear the pedometers for 24 h a day. Also evaluated were height, weight, BMI, CRF (via the maximal multistage 20-m shuttle run test), and HRQoL (via the EQ-5D-Y questionnaire). Associations between these variables were studied using path model techniques. The father's PA predicts his child's daily PA. This in turn predicts the child's lower BMI, CRF, and perceived quality of life. The findings suggest that the role model of a physically active father positively influences the child's PA habits, and hence that the family environment can have an important part to play in promoting health.

  10. The Promise of mHealth: Daily Activity Monitoring and Outcome Assessments by Wearable Sensors

    OpenAIRE

    Dobkin, Bruce H.; Dorsch, Andrew

    2011-01-01

    Mobile health tools that enable clinicians and researchers to monitor the type, quantity, and quality of everyday activities of patients and trial participants have long been needed to improve daily care, design more clinically meaningful randomized trials of interventions, and establish cost-effective, evidence-based practices. Inexpensive, unobtrusive wireless sensors, including accelerometers, gyroscopes, and pressure-sensitive textiles, combined with Internet-based communications and mach...

  11. Influence of nursing intervention on the ability of daily living of patients with senile dementia%护理干预对老年痴呆患者日常生活自理能力的影响

    Institute of Scientific and Technical Information of China (English)

    严翠香; 曾晓兰

    2009-01-01

    Objective To probe into the influence of active nursing intervention on the ability of daily living of patients with senile dementia. Methods Nursing of daily living, training for self-care and cognitive capacity, safety management and psychological nursing were carried out in a total of 33 patients who suffered from senile dementia. 6 months later, the effect of nursing intervention was appraised. Re-sults The ability of daily living of 33 patients with senile dementia had obvious improvement after nursing intervention compared with that before nursing intervention. Conclusions Active nursing intervention can largely facilitate the ability of daily living of patients with senile dementia.%目的 探讨积极的护理干预对老年痴呆患者日常生活自理能力的影响.方法 对33例老年痴呆患者采取日常生活的护理、自我照顾能力的训练、认知训练及安全管理、心理护理.6个月后采用χ2检验评估护理干预效果.结果 33例老年痴呆患者日常生活能力较护理干预实施前有显著改变.结论 积极的护理干预对老年痴呆患者日常生活自理能力有显著改善作用.

  12. Children with Autism Spectrum Disorder and Patterns of Participation in Daily Physical and Play Activities

    Directory of Open Access Journals (Sweden)

    Amir Hossein Memari

    2015-01-01

    Full Text Available Autism spectrum disorder (ASD indicates several neurodevelopmental impairments which may end in impairments in motor or physical activities. Daily physical activity involvement was investigated in a total of 83 children (52 boys and 31 girls with ASD aged 6–15 years. Results indicated that only 10 (12% of children with ASD were physically active. Children were predominantly engaged in solitary play rather than social play activities. Gender, family income, and household structure were found to be associated with activity scores. Financial burden and lack of opportunities were noted as the leading barriers to physical activities. In conclusion, findings indicated a low rate of physical activity participation in children with ASD that is closely associated with sociodemographic variables.

  13. MOTOmed康复训练仪对脑卒中偏瘫患者运动功能及日常生活活动能力的影响%Effect of MOTOmed Rehabilitation Training Instrument on Motor Functions and Activities of Daily Living in Hemiplegic Stroke Patients

    Institute of Scientific and Technical Information of China (English)

    杨小燕; 李云; 李妙玲; 刘摩; 程海波; 杨志华

    2013-01-01

    目的 观察MOTOmed康复训练仪对脑卒中致偏瘫患者运动功能及日常生活能力的影响.方法 将60例脑卒中致偏瘫患者按随机数字表法分为2组:试验组和对照组,每组30例.对照组采用常规的康复疗法,试验组在对照组治疗的基础上加用MOTOmed康复训练仪治疗.采用简式Fugl-Meyer量表(Fugl-Meyer assessment,FMA)对2组患者治疗前、治疗8周后上、下肢运动功能进行评分,采用巴氏指数(barthel index,BI)对2组患者治疗前、治疗8周后日常生活活动能力进行评分.结果 试验组患者治疗8周后FMA(上、下肢)评分、BI评分均显著高于对照组(均P<0.05).结论 MOTOmed康复训练仪治疗脑卒中致偏瘫患者上、下肢运动功能障碍的疗效更佳,日常生活活动能力有所提高.%Objective To observe the effect of MOTOmed rehabilitation training instrument on motor functions and activities of daily living (ADL) in hemiplegic stroke patients. Methods Sixty hemiplegic stroke patients were randomly assigned to receive conventional rehabilitation therapy (control group, n= 30) or in combination with MOTOmed rehabilitation training (experimental group, n=30). The upper and lower extremity motor performance was evaluated using Fugl-Mey-er assessment (FMA) and the ADL was measured using Barthel Index (BI) before and after treatment for 8 weeks. Results Compared with control group, FMA score and BI score significantly increased in experimental group after treatment for 8 weeks (all P<0.05). Conclusion MOTOmed rehabilitation training instrument can effectively treat upper and lower extremity motor dysfunction and improve ADL in hemiplegic stroke patients.

  14. Touch as an interpersonal emotion regulation process in couples' daily lives: the mediating role of psychological intimacy.

    Science.gov (United States)

    Debrot, Anik; Schoebi, Dominik; Perrez, Meinrad; Horn, Andrea B

    2013-10-01

    Interpersonal touch seems to promote physical health through its effects on stress-sensitive parameters. However, less is known about the psychological effects of touch. The present study investigates associations between touch and romantic partners' affective state in daily life. We hypothesized that this association is established by promoting the recipient's experience of intimacy. Both partners of 102 dating couples completed an electronic diary 4 times a day during 1 week. Multilevel analyses revealed that touch was associated with enhanced affect in the partner. This association was mediated by the partner's psychological intimacy. Touch was also associated with intimacy and positive affect in the actor. Finally, participants who were touched more often during the diary study week reported better psychological well-being 6 months later. This study provides evidence that intimate partners benefit from touch on a psychological level, conveying a sense of strengthened bonds between them that enhances affect and well-being. PMID:23885034

  15. Physical Activity in the Lives of Hong Kong Chinese Children

    Science.gov (United States)

    Ha, Amy S.; Macdonald, Doune; Pang, Bonnie O. H.

    2010-01-01

    To understand the physical activity culture in the lives of Hong Kong Chinese children and their parents, 48 young people between the ages 9 and 16 and their parents, with different socio-economic backgrounds and geographical locations, were interviewed for this study. By applying Confucianism and postcolonialism, this study aimed to investigate…

  16. Efeitos da ventilação não-invasiva sobre a hiperinsuflação dinâmica de pacientes com DPOC durante atividade da vida diária com os membros superiores Effects of noninvasive ventilation on dynamic hiperinflation of patients with COPD during activities of daily living with upper limbs

    Directory of Open Access Journals (Sweden)

    Isabela M. B. Sclauser Pessoa

    2012-02-01

    Full Text Available CONTEXTUALIZAÇÃO: Pacientes com doença pulmonar obstrutiva crônica (DPOC queixam-se de dispneia nas atividades de vida diária (AVD com os membros superiores (MMSS. A hiperinsuflação dinâmica (HD é um dos mecanismos ventilatórios que contribuem para a dispneia. Para minimizar a HD, propõe-se a utilização de sistemas de ventilação não-invasiva (VNI. OBJETIVOS: Verificar se existe HD e dispneia durante a realização de uma AVD com os MMSS com e sem o uso da VNI. MÉTODOS: Participaram 32 pacientes com DPOC de moderada a muito grave, com idades entre 54 a 87 anos (69,4±7,4. Os pacientes elevaram potes com pesos de 0,5 a 5 kg durante 5 minutos, iniciando a elevação a partir da cintura pélvica em direção a uma prateleira localizada acima da cabeça, com e sem o uso da VNI (BiPAP®; IPAP 10 cmH2O; EPAP 4 cmH2O. Foram avaliadas a capacidade inspiratória (CI e a dispneia (Escala de Borg. A CI foi mensurada antes e após a simulação da AVD. Na análise dos dados foram utilizados o teste t de Student para amostras dependentes e o teste de Wilcoxon. RESULTADOS: Houve redução significativa da CI após a AVD com e sem VNI (p=0,01. A dispneia aumentou após a AVD com e sem a VNI, mas entre ambos os protocolos não houve diferença. CONCLUSÕES: A simulação da AVD com os MMSS resultou em aumento da HD e dispneia. A VNI ofertada com pressões preestabelecidas não foi suficiente para evitar a HD e a dispneia.BACKGROUND: Patients with chronic obstructive pulmonary disease (COPD complain of dyspnea on activities of daily living (ADLs with the upper limbs. Dynamic hyperinflation (DH is one of the ventilatory mechanisms that may contribute towards dyspnea. To minimize the DH it is indicated the use of noninvasive ventilation (NIV. OBJECTIVES: To verify whether there is DH and dyspnea during the performance of ADL with the upper limbs with and without the use of NIV. METHODS: 32 patients with moderate-to-severe COPD, aged 54 to 87 years

  17. 偏瘫患者与正常人日常生活活动的三维运动学分析%Three-dimensional kinematic analysis of the ability in the activities of daily living of hemiplegic patients and normal subjects

    Institute of Scientific and Technical Information of China (English)

    杨唐柱; 黄晓琳; 陈文斌; 熊蔡华; 孙容磊

    2010-01-01

    目的 采用三维运动学分析方法研究正常人和偏瘫患者在日常生活活动(ADL)中的上肢运动学特点.方法 应用Vcion运动捕捉系统(简称Vicon系统)采集15名正常人(健康组)和10例偏瘫患者(偏瘫组)在执行抬臂、梳头、喝水、摸对侧肩、摸后口袋这5项ADL时的上肢关节三维运动数据.经数据处理得到2组的胸锁关节、肩锁关节、肩关节、肘关节、腕关节的三维运动角度和各动作的运动时间,并进行比较.结果 偏瘫组胸锁关节旋外和外展角度,肩锁关节旋内和后伸角度,肘关节屈曲角度较健康组均显著增大,差异有统计学意义(P<0.05),而其肩锁关节内收角度,肩关节内收、外展、前屈、后伸、旋外和旋内角度较健康组则显著减小,差异有统计学意义(P<0.05);偏瘫组运动时间较健康组显著延长,差异有统计学意义(P<0.05).结论 初步建立了一种基于Vicon系统的上肢三维运动学分析方法,所得结果提示偏瘫患者采用与正常人不同的关节运动模式来完成ADL.%Objective To study the kinematic characteristics of normal subjects and hemiplegic patients in activities of daily living (ADL) by three-dimensional (3D) kinematic analysis. Methods A Vicon motion capture system was used to record 3D kinematic data on 15 normal subjects ( the healthy group) and 10 hemiparetic patients (the hemiplegic group) performing 5 ADL tasks: reaching up, combing, drinking, touching the opposite shoulder and touching the back pocket. The movement times and the 3D motion angles of the sternoclavicular joint,the acromioclavicular joint, the shoulder joint, the elbow joint and the wrist joint were recorded. Three-dimensional joint angles and movement times were compared between the normal group and the hemiplegic group. Results Compared with the normal group, the hemiplegic group had significantly more lateral rotation and abduction of the sternoclavicular joint, medial rotation and

  18. 本体感觉训练对脑卒中偏瘫患者运动功能及日常生活活动能力的影响%Effects of proprioception training on the motor function and ability in the activities of daily living of hemiplegic stroke patients

    Institute of Scientific and Technical Information of China (English)

    谢凌锋; 黄晓琳; 黄杰; 肖少华; 韩肖华

    2012-01-01

    目的 研究本体感觉训练对脑卒中偏瘫患者运动功能及日常生活活动能力的影响.方法 将脑卒中偏瘫患者40例按随机数字表法分为治疗组(20例)和对照组(20例).2组患者均给予常规康复治疗及药物治疗,治疗组在此基础上辅以本体感觉训练.2组患者均于治疗前和治疗4周后(治疗后)采用Tecnobody本体感觉系统评估、Fugl-Meyer下肢运动功能评定(FMA)、Berg平衡最表(BBS)、改良Barthel指数评定表(BI)分别评估其本体感觉、下肢运动功能、平衡能力及日常生活活动能力.结果 治疗后,治疗组患者本体感觉能力、下肢运动功能、平衡能力及日常生活活动能力均较治疗前有明显提高(P<0.05);对照组患者下肢运动功能、平衡能力及日常生活活动能力均较治疗前有明显提高(P<0.05),但本体感觉能力较治疗前未见明显改善(P>0.05);组间比较发现,治疗组平衡能力及日常生活活动能力的改善优于对照组(P<0.05).结论 本体感觉训练能更好地改善脑卒中偏瘫患者的运动功能(包括本体感觉、平衡功能)及日常生活活动能力.%Objective To study the effects of proprioception training on the motor function and ability in the activities of daily living (ADL) of hemiplegic stroke patients. Methods Forty hemiplegic stroke patients were divided into study group and a control group ( n =20 in each).The two groups received conventional rehabilitation treatment and pharmacotherapy,but the study group received additional proprioception training.The Technobody proprioceptive system assessment,the Fugl-Meyer lower limb assessment (FMA),the Berg balance scale (BBS) and the modified Barthel index (MBI) were used to evaluate their proprioceptive ability,lower limb motor function,balance and ADL ability,before and after 4 weeks of treatment. Results After 4 weeks,proprioception,lower limb motor function,balance and ADL ability had all improved

  19. Stress situations of daily living in patients with obsessive-compulsive disorder: a retrospective case note study.

    Science.gov (United States)

    Tarumi, Shin; Tashiiro, Nobutada

    2004-02-01

    About 40% of patients with obsessive-compulsive disorder (OCD) are said to have treatment-refractory symptoms and chronic course of illness in spite of cognitive-behavior therapy and pharmacotherapy. The present purpose was to investigate factors relevant to OCD patients' chronic course and disturbed daily functions in view of human basic needs based on Maslow's hierarchy of five basic needs. Case notes of 101 outpatients with OCD (47 men and 54 women who were 18 to 55 years old) and seen on a psychiatry unit of a general hospital were studied to explore their stressful situations and identify thwarted basic needs. 84 of the 101 patients had Love Needs, and Esteem Needs (n = 47) and Safety Needs (n = 45) were next. The Poor-functioning group mainly had histories with problems of Safety Needs (70.8%), while the Good-functioning group tended to mainly have problems of Esteem Needs (51.5%) rather than Safety Needs (33.3%). 57 patients (23 men and 34 women) who were treated for more than three months were divided into two groups according to their Global Assessment of Functioning score at the final assessment (cut-off point: 61); patients in the Good-functioning group tended to have problems of higher needs.

  20. Surface electromyographic analysis during five kinds of activities of daily living in normal subjects and hemiplegic patients%偏瘫患者与正常人在五项日常生活活动中的表面肌电分析

    Institute of Scientific and Technical Information of China (English)

    杨唐柱; 黄晓琳; 熊蔡华; 孙容磊

    2011-01-01

    目的:应用表面肌电描记术(sEMG)来研究偏瘫患者和正常人在日常生活活动(ADL)中的上肢相关肌肉表面肌电特点.方法:应用Megawin表面肌电系统来采集15例正常人(正常组)和10例偏瘫患者(偏瘫组)在执行抬臂、梳头、喝水、摸对侧肩、摸后口袋这5项ADL时的上肢相关肌肉表面肌电信号.经信号处理得到肱二头肌、肱三头肌、三角肌前部、三角肌中部、三角肌后部、前锯肌、背阔肌、斜方肌上部、斜方肌下部的均方根(RMS)比值,并分析正常组和偏瘫组上肢相关肌肉RMS比值异同.结果:偏瘫组较正常组肱三头肌、三角肌前部、三角肌中部、三角肌后部、前锯肌和斜方肌下部RMS比值显著增大(P<0.05).结论:偏瘫患者可采用与正常人不同的肌肉收缩策略来完成ADL.%Objective:To study the surface electromyography (sEMG) features of normal subjects and hemiplegic patients in 5kinds of activities of daily living (ADL).Method:Megawin sEMG system was used to record the sEMG data of 15 normal subjects(normal group) and 10hemiparetic patients(hemiplegic group) during performing 5 kinds of ADLs. The tasks were reaching up, combing,drinking, touching lateral shoulder and touching back pocket. After managing, the root-mean-square (RMS) ratios of biceps brachii muscle, triceps brachii muscle, anterior part of deltoid muscle, median part of deltoid muscle,lateral part of deltoid muscle, serratus anterior muscle, latissimus dorsi muscle, upper part of trapezius muscle and lower part of trapezius muscle were obtained. And then, the RMS ratios in normal group and hemiplegic group were compared.Result: The RMS ratios of hemiplegic group increased significantly in triceps brachii, anterior part of deltoid muscle, median part of deltoid muscle, laterior part of deltoid muscle, serratus anterior muscle and lower part of trapezius muscle(P<0.05).Conclusion: The hemiplegic patients may utilize different from

  1. Relationship between the cognitive impairment in senile stroke patients and the restoration of activities of daily living%老年脑卒中患者认知功能障碍与日常生活活动能力恢复的关系

    Institute of Scientific and Technical Information of China (English)

    孙新芳; 肖桂荣; 宋建良

    2004-01-01

    BACKGROUND: One of the main problems of rehabilitative treatment of stroke is that the cognitive impairment disturbs the restoration of activities of daily life (ADL).OBJECTIVE: To explore the disturbance of cognitive impairment to the improvement of ADL in stroke patients.DESIGN: A non-randomized and controlled trial based on diagnosis.SETTING: The neurological department of Shaoxing People' s Hospital.PARTICIPANTS: A total of 40 hospitalized stroke patients in the neurological department of Shaoxing People' s Hospital were evaluated with concise mental state examination table within 3 days after stroke attack and were divided into two groups(normal and abnormal group), based on the evaluation results. In abnormal group were 20 patients(male 11, female 9)with cognitive impairment. In normal group were 20 patients(male 13, female 7) without cognitive impairment.METHODS: The patients in the two groups were frist evaluated and then treated respectively according to the treatment plans, which includes posture setting, daily punctual from passive gradually to active movement acoompanied with acupuncture, hyperbaric oxygen treatment and low-frequency circulation treatment. Evaluation was conducted regularly and the treatment plans were adjusted correspondingly to the evaluation results. The change and effect of ADL at the second week, third month and 6th month were recorded and compared. The comparison was conducted according to the clinical neurological deficit scale for stroke.MAIN OUTCOME MEASURES:①) The improvement of ADL in the two groups before and after the treatment. ② The result of therapeutic effect.RESULTS: The improvement of ADL between the two groups was also different ( P < 0. 05). The total effective rate in the two groups was different,too(80% vs 15%, P <0.001).CONCLUSION: The cognitive impairment seriously affects senile stroke patient' s improvement in ADL. It is of great importance to evaluate the cognitive impairment and prescribe timely

  2. Robust and Soft Elastomeric Electronics Tolerant to Our Daily Lives.

    Science.gov (United States)

    Sekiguchi, Atsuko; Tanaka, Fumiaki; Saito, Takeshi; Kuwahara, Yuki; Sakurai, Shunsuke; Futaba, Don N; Yamada, Takeo; Hata, Kenji

    2015-09-01

    Clothes represent a unique textile, as they simultaneously provide robustness against our daily activities and comfort (i.e., softness). For electronic devices to be fully integrated into clothes, the devices themselves must be as robust and soft as the clothes themselves. However, to date, no electronic device has ever possessed these properties, because all contain components fabricated from brittle materials, such as metals. Here, we demonstrate robust and soft elastomeric devices where every component possesses elastomeric characteristics with two types of single-walled carbon nanotubes added to provide the necessary electronic properties. Our elastomeric field effect transistors could tolerate every punishment our clothes experience, such as being stretched (elasticity: ∼ 110%), bent, compressed (>4.0 MPa, by a car and heels), impacted (>6.26 kg m/s, by a hammer), and laundered. Our electronic device provides a novel design principle for electronics and wide range applications even in research fields where devices cannot be used. PMID:26218988

  3. Robust and Soft Elastomeric Electronics Tolerant to Our Daily Lives.

    Science.gov (United States)

    Sekiguchi, Atsuko; Tanaka, Fumiaki; Saito, Takeshi; Kuwahara, Yuki; Sakurai, Shunsuke; Futaba, Don N; Yamada, Takeo; Hata, Kenji

    2015-09-01

    Clothes represent a unique textile, as they simultaneously provide robustness against our daily activities and comfort (i.e., softness). For electronic devices to be fully integrated into clothes, the devices themselves must be as robust and soft as the clothes themselves. However, to date, no electronic device has ever possessed these properties, because all contain components fabricated from brittle materials, such as metals. Here, we demonstrate robust and soft elastomeric devices where every component possesses elastomeric characteristics with two types of single-walled carbon nanotubes added to provide the necessary electronic properties. Our elastomeric field effect transistors could tolerate every punishment our clothes experience, such as being stretched (elasticity: ∼ 110%), bent, compressed (>4.0 MPa, by a car and heels), impacted (>6.26 kg m/s, by a hammer), and laundered. Our electronic device provides a novel design principle for electronics and wide range applications even in research fields where devices cannot be used.

  4. Reliability and validity of daily physical activity measures during inpatient spinal cord injury rehabilitation

    Directory of Open Access Journals (Sweden)

    Dominik Zbogar

    2016-08-01

    Full Text Available Objectives: To assess the test–retest reliability and convergent validity of daily physical activity measures during inpatient spinal cord injury rehabilitation. Design: Observational study. Setting: Two inpatient spinal cord injury rehabilitation centres. Subjects: Participants (n = 106 were recruited from consecutive admissions to rehabilitation. Methods: Physical activity during inpatient spinal cord injury rehabilitation stay was recorded on two days via (1 wrist accelerometer, (2 hip accelerometer if ambulatory, and (3 self-report (Physical Activity Recall Assessment for People with Spinal Cord Injury questionnaire. Spearman’s correlations and Bland–Altman plots were utilized for test–retest reliability. Correlations between physical activity measures and clinical measures (functional independence, hand function, and ambulation were performed. Results: Correlations for physical activity measures between Day 1 and Day 2 were moderate to high (ρ = 0.53–0.89. Bland–Altman plots showed minimal bias and more within-subject differences in more active individuals and wide limits of agreement. None of these three physical activity measures correlated with one another. A moderate correlation was found between wrist accelerometry counts and grip strength (ρ = 0.58 and between step counts and measures of ambulation (ρ = 0.62. Functional independence was related to wrist accelerometry (ρ = 0.70 and step counts (ρ = 0.56, but not with self-report. Conclusion: The test–retest reliability and convergent validity of the instrumented measures suggest that wrist and hip accelerometers are appropriate tools for use in research studies of daily physical activity in the spinal cord injury rehabilitation setting but are too variable for individual use.

  5. 影响脑出血患者出院时日常生活活动能力的相关因素分析%Factors influencing the recovery of ability in the activities of daily living after cerebral hemorrhage

    Institute of Scientific and Technical Information of China (English)

    王瑜元; 古丽娜孜·那比尔; 何嫱; 张备; 白玉龙; 吴毅; 胡永善

    2012-01-01

    目的 本研究通过对108例脑出血患者康复情况进行分析,探讨影响脑出血患者出院时日常生活活动能力的相关因素.方法 对2007年1月至2011年6月间在我院康复病区治疗的108例脑出血患者进行分析,收集每位患者病史,详细记录包括患者性别、年龄、改良Barthel指数(MBI)、Brunnstrom分期等12项临床资料.治疗前、后疗效比较采用配对t检验,对可能影响脑出血患者功能恢复的相关因素进行单因素分析;对单因素分析具有统计学意义的相关因素再进行多因素逐步线性回归分析.结果 出院时脑出血患者MBI评分及Brunnstrom分期(包括上肢、手、下肢)均有明显改善(均P<0.05);通过单因素相关分析发现,患者年龄、人院时Brunnstrom分期(包括上肢、手、下肢)、入院时MBI评分与出院时MBI评分具有显著相关性;而康复介入时间、康复疗程、入院时MBI评分与出入院时MBI差值(△MBI)具有相关性;通过多因素分析发现,入院时MBI、入院时上肢Brunnstrom分期、年龄与出院时MBI评分密切相关;康复介入时间、康复疗程与出入院时MBI差值(△MBl)密切相关.结论 充分探讨影响脑出血患者出院时MBI及出入院时MBI差值的相关因素有利于临床制订康复方案及评估预后,以促进患者日常生活活动能力尽可能改善.%Objective To explore the factors influencing the recovery of ability in the activities of daily living (ADL) after intracerebral hemorrhage. Methods A total of 108 patients with intracerebral hemorrhage admitted for rehabilitation to the rehabilitation medicine department of Huashan Hospital between January 2007 and June 2011 were studied.Twelve items of clinical data were collected with regard to the patients' medical history,physical status,modified Barthel index (MBI) score and Brunnstrom stage at admission.Functional status was classified according to the MBI scores and Brunnstrom stages

  6. Daily rhythms of digestive enzyme activity and gene expression in gilthead seabream (Sparus aurata) during ontogeny.

    Science.gov (United States)

    Mata-Sotres, José Antonio; Moyano, Francisco Javier; Martínez-Rodríguez, Gonzalo; Yúfera, Manuel

    2016-07-01

    In order to identify daily changes in digestive physiology in developing gilthead seabream larvae, the enzyme activity (trypsin, lipases and α-amylase) and gene expression (trypsinogen-try, chymotrypsinogen-ctrb, bile salt-activated lipase-cel1b, phospholipase A2-pla2 and α-amylase-amy2a) were measured during a 24h cycle in larvae reared under a 12h light/12h dark photoperiod. Larvae were sampled at 10, 18, 30 and 60days post-hatch. In each sampling day, larvae were sampled every 3h during a complete 24h cycle. The enzyme activity and gene expression exhibited a marked dependent behavior to the light/darkness cycle in all tested ages. The patterns of activity and expression of all tested enzymes were compared to the feeding pattern found in the same larvae, which showed a rhythmic feeding pattern with a strong light synchronization. In the four tested ages, the activities of trypsin, and to a lesser extent lipases and amylase, were related to feeding activity. Molecular expression of the pancreatic enzymes tended to increase during the night, probably as an anticipation of the forthcoming ingestion of food that will take place during the next light period. It follows that the enzymatic activities are being regulated at translational and/or post-translational level. The potential variability of enzyme secretion along the whole day is an important factor to take into account in future studies. A particularly striking consequence of the present results is the reliability of studies based in only one daily sample taken at the same hour of the day, as those focused to assess ontogeny of digestive enzymes.

  7. Daily rhythms of digestive enzyme activity and gene expression in gilthead seabream (Sparus aurata) during ontogeny.

    Science.gov (United States)

    Mata-Sotres, José Antonio; Moyano, Francisco Javier; Martínez-Rodríguez, Gonzalo; Yúfera, Manuel

    2016-07-01

    In order to identify daily changes in digestive physiology in developing gilthead seabream larvae, the enzyme activity (trypsin, lipases and α-amylase) and gene expression (trypsinogen-try, chymotrypsinogen-ctrb, bile salt-activated lipase-cel1b, phospholipase A2-pla2 and α-amylase-amy2a) were measured during a 24h cycle in larvae reared under a 12h light/12h dark photoperiod. Larvae were sampled at 10, 18, 30 and 60days post-hatch. In each sampling day, larvae were sampled every 3h during a complete 24h cycle. The enzyme activity and gene expression exhibited a marked dependent behavior to the light/darkness cycle in all tested ages. The patterns of activity and expression of all tested enzymes were compared to the feeding pattern found in the same larvae, which showed a rhythmic feeding pattern with a strong light synchronization. In the four tested ages, the activities of trypsin, and to a lesser extent lipases and amylase, were related to feeding activity. Molecular expression of the pancreatic enzymes tended to increase during the night, probably as an anticipation of the forthcoming ingestion of food that will take place during the next light period. It follows that the enzymatic activities are being regulated at translational and/or post-translational level. The potential variability of enzyme secretion along the whole day is an important factor to take into account in future studies. A particularly striking consequence of the present results is the reliability of studies based in only one daily sample taken at the same hour of the day, as those focused to assess ontogeny of digestive enzymes. PMID:26987267

  8. Effects of repetitive transcranial magnetic stimulation on post-stroke depression, sleep quality and activities of daily living%重复经颅磁刺激对脑卒中后抑郁患者抑郁情绪、睡眠障碍及日常生活活动能力的影响

    Institute of Scientific and Technical Information of China (English)

    何予工; 李鹏

    2015-01-01

    TMS treatment,the combined treatment group the above both,lasting 8 weeks.Before and after the treatment,the Hamilton depression (HAMD) scale,the Pittsburgh sleep quality index (PQSI),the Chinese stroke scale (CSS) and the modified Barthel index (MBI) were employed to evaluate depression,quality of sleep,neurological impairment and the activities of daily living (ADL) of patients in three groups.Results Before treatment,there was no significant difference in the HAMD,CSS,PSQI and MBI score among the 3 groups.After 8 weeks' treatment,the HAMD,PSQI and CSS scores of three groups had significantly decreased,but their MBI scores had significantly increased.Compared with the control group,no significant differences were observed in HAMD,CSS,PSQI and MBI scores of the treatment group and the combined treatment group (P > 0.05).After treatment,there was no significant difference in the above four values between the combined treatment group,and the treatment group.Conclusion The rTMS can significantly improve PSD patient's depressive symptoms,relieve sleep disorders and neurological deficit situation,and effectively improve their ADL.

  9. Influence of indacaterol on daily physical activity in patients with untreated chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Nishijima Y

    2015-02-01

    Full Text Available Yu Nishijima,1,* Seigo Minami,1,* Suguru Yamamoto,1 Yoshitaka Ogata,1 Taro Koba,1,2 Shinji Futami,1 Kiyoshi Komuta1 1Department of Respiratory Medicine, Osaka Police Hospital, Tennoji-ku, Osaka, Japan; 2Department of Internal Medicine, National Hospital Organization, Kinki-Chuo Chest Medical Center, Kita-ku, Sakai, Osaka, Japan *These authors contributed equally to this work Background: Indacaterol, a once-daily, long-acting ß2-agonist, may improve not only respiratory function, dyspnea symptoms, and quality of life, but also physical activity for patients with chronic obstructive pulmonary disease (COPD. This study aimed to evaluate the effect of 12-week indacaterol therapy on daytime physical activity in patients with untreated COPD. Methods: The subjects were stable and untreated COPD outpatients with a percent predicted forced expiratory volume in 1 second (%FEV1 below 80%. Baseline assessments included clinical assessment, respiratory function testing, arterial blood gas analysis, the COPD assessment test (CAT™, and the Medical Outcomes Study 36-Item Short-Form Health Survey, Japanese version 2 (SF-36v2®. Patients underwent monitoring by uniaxial accelerometer before and after 12 weeks once-daily inhalation of indacaterol 150 µg/day. Results: Eighteen patients were evaluable. Patient characteristics included a mean age of 74.2 years, and three patients were current smokers. Indacaterol improved mean (± standard deviation [SD] %FEV1 from 55.2% (±17.9% to 61.0% (±17.3% (P=0.003, CAT scores from 16.4 (±10.2 points to 12.4 (±8.2 points (P=0.04, some scales of the SF-36v2 (physical component summary, 41.6±9.7 points to 45.1±7.9 points, P=0.03, and number of daily steps (3,311.5±2,103.3 steps/day to 3,841.8±2,096.8 steps/day, P=0.02, but did not affect daily energy expenditure (85.0±77.2 kcal change to 90.9±56.8 kcal, P=0.29 or exercise duration of an intensity of level 1 or more (36.4±23.9 minutes increase to 40.8±21.6 minutes

  10. Detection of daily activities and sports with wearable sensors in controlled and uncontrolled conditions.

    Science.gov (United States)

    Ermes, M; Pärkka, J; Mantyjarvi, J; Korhonen, I

    2008-01-01

    Physical activity has a positive impact on people's well-being, and it may also decrease the occurrence of chronic diseases. Activity recognition with wearable sensors can provide feedback to the user about his/her lifestyle regarding physical activity and sports, and thus, promote a more active lifestyle. So far, activity recognition has mostly been studied in supervised laboratory settings. The aim of this study was to examine how well the daily activities and sports performed by the subjects in unsupervised settings can be recognized compared to supervised settings. The activities were recognized by using a hybrid classifier combining a tree structure containing a priori knowledge and artificial neural networks, and also by using three reference classifiers. Activity data were collected for 68 h from 12 subjects, out of which the activity was supervised for 21 h and unsupervised for 47 h. Activities were recognized based on signal features from 3-D accelerometers on hip and wrist and GPS information. The activities included lying down, sitting and standing, walking, running, cycling with an exercise bike, rowing with a rowing machine, playing football, Nordic walking, and cycling with a regular bike. The total accuracy of the activity recognition using both supervised and unsupervised data was 89% that was only 1% unit lower than the accuracy of activity recognition using only supervised data. However, the accuracy decreased by 17% unit when only supervised data were used for training and only unsupervised data for validation, which emphasizes the need for out-of-laboratory data in the development of activity-recognition systems. The results support a vision of recognizing a wider spectrum, and more complex activities in real life settings. PMID:18270033

  11. Modelo de enfermagem baseado nas atividades de vida diária: adolescente diabética e deficiente visual Modelo de enfermería fundamentado en las actividades de la vida cotidiana: adolescente con diabetes y deficiencia visual Nursing model based on activities of daily living: a diabetic and visually-impaired adolescent

    Directory of Open Access Journals (Sweden)

    Camilla Pontes Bezerra

    2009-12-01

    auto confianza, lo que aumentó su autoestima y la ayudó a mejorar el desempeño de sus actividades diarias de una forma más independiente.Diabetes mellitus, a chronic degenerative disease, can compromise the retina. This study aimed to apply the Nursing Model Based on Activities of Daily Living, involving a visually impaired adolescent girl due to type I diabetes mellitus, using a case study. Data were collected in September 2006 through home interviews. The results show an insecure home environment due to inadequate illumination, altered nutrition and knowledge deficit related to glucose control, arterial pressure, sedentariness and sexuality. The Model was a valid instrument, as it permitted and promoted care and objective communication between the researchers and the adolescent, who presented good understanding, revealed to be secure and self-confident, and leading to increased self-esteem and more independent activity performance.

  12. The role of daily mobility in mental health inequalities: the interactive influence of activity space and neighbourhood of residence on depression.

    Science.gov (United States)

    Vallée, Julie; Cadot, Emmanuelle; Roustit, Christelle; Parizot, Isabelle; Chauvin, Pierre

    2011-10-01

    The literature reports an association between neighbourhood deprivation and individual depression after adjustment for individual factors. The present paper investigates whether vulnerability to neighbourhood features is influenced by individual "activity space" (i.e., the space within which people move about or travel in the course of their daily activities). It can be assumed that a deprived residential environment can exert a stronger influence on the mental health of people whose activity space is limited to their neighbourhood of residence, since their exposure to their neighbourhood would be greater. Moreover, we studied the relationship between activity space size and depression. A limited activity space could indeed reflect spatial and social confinement and thus be associated with a higher risk of being depressed, or, conversely, it could be linked to a deep attachment to the neighbourhood of residence and thus be associated with a lower risk of being depressed. Multilevel logistic regression analyses of a representative sample consisting of 3011 inhabitants surveyed in 2005 in the Paris, France metropolitan area and nested within 50 census blocks showed, after adjusting for individual-level variables, that people living in deprived neighbourhoods were significantly more depressed that those living in more advantaged neighbourhoods. We also observed a statistically significant cross-level interaction between activity space and neighbourhood deprivation, as they relate to depression. Living in a deprived neighbourhood had a stronger and statistically significant effect on depression in people whose activity space was limited to their neighbourhood than in those whose daily travels extended beyond it. In addition, a limited activity space appeared to be a protective factor with regard to depression for people living in advantaged neighbourhoods and a risk factor for those living in deprived neighbourhoods. It could therefore be useful to take activity space

  13. The text telephone as an empowering technology in the daily lives of deaf people-A qualitative study.

    Science.gov (United States)

    Roos, Carin; Wengelin, Åsa

    2016-01-01

    Text-telephone technology (TTY) has been used for communication between deaf people since 1964. There is a gap in the scientific knowledge about the influence this may have had especially in relation to effective participation in society as well as the feeling of capability, confidence and collective meaningfulness. The aim of the present paper is, first, to disentangle the different aspects of TTY as an empowering artifact; and, second, to explore the role of TTY in their lives. To provide a framework for the empirical analysis, the paper draws on Empowerment Theory: personal control, a proactive approach to life, and a critical awareness of one's socio-political environment. Twenty-four people aged 16-64 with Swedish Sign Language (SSL) as their first language were interviewed. The findings indicate that the introduction of the TTY was of great importance for self-esteem, equality and independence. The findings show that feelings of empowerment are closely linked to language use and contextually driven, and it is in interaction between deaf and hearing that such feelings arise (or not). The results indicate the need for further research into Deaf people's use of other means of interacting, using modern technique for example in social digital media and interactive platforms. PMID:26479953

  14. Daily Physical Activity in Stable Heart Failure Patients

    OpenAIRE

    Dontje, Manon L.; van der Wal, Martje H.L; Stolk, Ronald P; Brügemann, Johan; Jaarsma, Tiny; Wijtvliet, Petra E P J; van der Schans, Cees P; Greef, Mathieu H.G.

    2014-01-01

    BACKGROUND:: Physical activity is the only nonpharmacological therapy that is proven to be effective in heart failure (HF) patients in reducing morbidity. To date, little is known about the levels of daily physical activity in HF patients and about related factors. OBJECTIVE:: The objectives of this study were to (a) describe performance-based daily physical activity in HF patients, (b) compare it with physical activity guidelines, and (c) identify related factors of daily physical activity. ...

  15. Ambulatory activity monitoring: Progress in measurement of activity, posture, and specific motion patterns in daily life

    NARCIS (Netherlands)

    J.B.J. Bussmann (Hans); U.W. Ebner-Priemer (Ulrich); J. Fahrenberg (Jochen)

    2009-01-01

    textabstractBehavior is central to psychology in almost any definition. Although observable activity is a core aspect of behavior, assessment strategies have tended to focus on emotional, cognitive, or physiological responses. When physical activity is assessed, it is done so mostly with questionnai

  16. Motivation of health professionals and associates to perform daily job activities

    Directory of Open Access Journals (Sweden)

    Suvada Švrakić

    2012-12-01

    Full Text Available Introduction: Motivation is one of the most complex elements of human behavior, it is the subject of debates by which we answer to the question of why someone behaves in a certain way. The aim of this study wasto examine the factors of motivation for health workers and staff in working with diffi cult patients in intensive care units and to evaluate implementation of motivation factors by managers in their daily work with a team of health professionals.Methods: The study was designed as prospective. It was conducted on 27 employees who work in intensive care units in Clinical Center of Sarajevo University. The survey questionnaire was used with a clear andconcise questions , aimed at testing the factors of motivation for daily work with diffi cult patients, as well as implementation of motivational factors by managers in the organizational unit (OU.Results: Respondents indicated that motivates them, good organization of work - 10 of them (37%, while 26% of respondents indicated that they are motivated by fi nancial gain. In our study 21 (77% of respondentssaid that their managers infuenced the motivation for a better job. Mobbing at the workplace did not had 80% of respondents, while 8% of respondents stated that they had some form of mobbing, and 12% of respondents give partial response.Conclusions: The survey showed that most respondents have a good motivation factors for the performance of daily activities to work with diffi cult patients. As the main motivating factors respondents reportedgood organization of work, as well as positive examples of their managers.

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

    Directory of Open Access Journals (Sweden)

    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

  18. Needs of daily living care and their influential factors among elderly female%老年女性日常生活照料需求及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    宋洁

    2013-01-01

    Objective To analyze the resource needs of daily living care and their influential factors among elderly female in Shandong province. Methods Totally 378 elderly female were interviewed with a questionnaire about their demographic information, economic state, physical health, psychological health, social health, and resource needs of daily living care. T test,Chi-square test,variance analysis,and regression analysis were used in data analysis. Results Of the elderly female,256(67. 72% ) depended on themselves in daily living care and 119(31.48% ) depended on family,of which 87(23. 02% ) on spouse and 32(8. 47% ) on filial caregiving. Only 3(0. 79% ) elderly female were involved in social care resources. Both single-factor and multivariate analysis indicated that age,living condition,self-rated health,activities of daily living(ADL) , instrumental activities of daily living(IADL) ,and cognitive function were major factors affecting resource needs of daily living care among the elderly. Conclusion Self care is the main resource for elderly female in daily living care and spouse is a major part of family care resources. Concerning and increasing ADL,IADL,and cognitive function could contribute to healthy aging for elderly female.%目的 分析山东省老年女性日常生活照料资源需求现状及其影响因素,探讨适合老年女性的日常生活照料资源.方法 采用问卷调查收集378名老年女性的人口学资料、经济状况、躯体健康、心理健康、社会健康及日常生活照料资源需求状况,采用t检验、x2检验、方差分析和逐步回归方法进行统计分析.结果 老年女性日常生活依靠自身照料者256人,占67.72%,依靠家庭照料者119人,占31.48%,其中依靠配偶照料者87人,占23.02%,靠子女及其他亲属照料者32人,占8.47%,依靠社会照料者仅为3人,占0.79%;无论单因素分析还是多因素分析,年龄、居住状况、健康自评、日常生活能力(ADL)、功能

  19. Elderly care in daily living in rural Vietnam: Need and its socioeconomic determinants

    Directory of Open Access Journals (Sweden)

    Hoi Le V

    2011-12-01

    Full Text Available Abstract Background The proportion of older people is increasing rapidly in Vietnam. The majority of the elderly live in rural areas. Their health status is generally improving but this is less pronounced among the most vulnerable groups. The movement of young people for employment and the impact of other socioeconomic changes leave more elderly on their own and with less family support. This study aims to assess the daily care needs and their socioeconomic determinants among older people in a rural setting. Methods In 2007, people aged 60 years and older, living in 2,240 households, were randomly selected from the FilaBavi Demographic Surveillance System (DSS. They were interviewed using structured questionnaires to assess needed support in activities of daily living (ADLs. Individuals were interviewed about the presence of chronic illnesses that had been diagnosed by a physician. Participant socioeconomic characteristics were extracted from the FilaBavi repeat census. The repeat census used a repeat of the same survey methods and questions as the original FilaBavi DSS. Distributions of study participants by socioeconomic group, supports needed, levels of support received, types of caregivers, and the ADL index were described. Multivariate analyses were performed to identify socioeconomic determinants of the ADL index. Results The majority of older people do not need of support for each specific ADL item. Dependence in instrumental or intellectual ADLs was more common than for basic ADLs. People who need total help were less common than those who need some help in most ADLs. Over three-fifths of those who need help receive enough support in all ADL dimensions. Children and grandchildren are the main caregivers. Age group, sex, educational level, marital status, household membership, working status, household size, living arrangement, residential area, household wealth, poverty status, and chronic illnesses were determinants of daily care needs

  20. Effect of constraint-induced movement therapy on improving the activities of daily living among stroke patients%强制性运动疗法对提高脑卒中患者日常生活能力的疗效观察

    Institute of Scientific and Technical Information of China (English)

    章晓英; 左惠榕; 孙晓东; 钱开林

    2015-01-01

    Objective To observe the effect of constraint-induced movement therapy (CIMT) on improving the activities of daily living (ADL) among stroke patients.Methods Thirty stroke patients who were hospitalized in Haining Kanghua Hospital during May 2012 to May 2014 were selected. Fifteen patients took only routine rehabilitation therapy (control group), while the other 15 patients took routine rehabilitation therapy plus CIMT (experimental group). All treatment plans were made according to patients’ conditions and willingness, for which informed consent forms were signed. The control group received routine therapy including proprioceptive neuromuscular facilitation, joint moving training, gaittraining, and therapeutic cexercises, whereas the experimental group received CIMT in addition to routine therapy (which manily including limit of usage of healthy side and strengthening of activities of affected sides, the intensive training including eating training, washing training, putting on and off upper garment training, putting on and off trousers training, using the toilet training, transferring bed and chair training and up and down toilet stool training). Both groups received treatments for 4 weeks, after which Fugl-Meyer Assessment(FMA) was implemented to assess their motor function and functional independence measurement(FIM) was used to assess patients’ ADL. For measurement data, paired t test was used for in-group comparison and independent t test was used for between-group comparison. For enumeration data, χ² test was used for comparison.Results The difference of the FMA scores of the two groups of patients had no statistical meaning before treatments (t=1.76,P>0.05). The difference of their FMA scores still had no statistical meaning after two weeks of treatments (t=2.01,P>0.05). After 3 and 4 weeks of treatments the FMA scores of the experimental group were signiifcantly higher than the control group (64±22, 75±20 and 47±30, 55±28) and the difference had

  1. DAILY MORALITY UNDERSTANDING BASED ON LIVED MORAL CONFLICTS IN TURKEY

    OpenAIRE

    Cesur, S; F. Kahraman; TURGUT, İ.; DEVECİ, E.; ALTINAL, B.E.; AYGÜL, Z.; YETKİNOĞLU, Ö.

    2010-01-01

    Having two steps, this research aims is to do an introductory research about how moral conflict is conceptualized in a sample from Turkey. It was seen that above %80 of the respondents shared some conflicts as important moral issues. Although all these themes are mentioned as important moral conflicts, their frequency of living mentioned by the %71 of the respondents was as "never lived". Some conflicts derived from the previous step were not seen as moral conflicts in this second step ...

  2. Older Adults with Diabetes and Osteoarthritis and Their Spouses: Effects of Activity Limitations, Marital Happiness, and Social Contacts on Partners' Daily Mood

    Science.gov (United States)

    Roper, Susanne Olsen; Yorgason, Jeremy B.

    2009-01-01

    Using daily diary data from 28 later life couples where one spouse had diabetes and osteoarthritis, we examined crossover effects of target spouses' daily activity limitations and their partners' daily mood. On days when target spouses' daily activity limitations were higher than average, partners' positive mood decreased and negative mood…

  3. An Observational Research Study to Evaluate the Impact of Breakthrough Cancer Pain on the Daily Lives and Functional Status of Patients.

    Science.gov (United States)

    Twomey, F; O'Brien, T; O'Reilly, M; Bogan, C; Fleming, J

    2015-06-01

    Breakthrough cancer pain (BTcP) is common, resulting in significant physical and psychosocial morbidity. We assessed the impact of BTcP on 81 cancer patients attending Irish specialist palliative care services. BTcP occurred up to twice daily in 24 (30%) and 3-4 times daily in 57 (70%) of cases. Median scores for the 'worst' and 'least' pains in the previous 24 hours were 7 and 2/10 respectively. Pain lasted 60 minutes in 19 (23.5%) of patients. BTcP had a negative impact on general activity, mood, walking ability, work, relations with others, sleep and overall enjoyment of life. BTcP increased anxiety, depression, anger, isolation, financial difficulties and an inability to undergo cancer treatments. Systematic assessment of BTcP should form an integral part of every oncology/palliative medicine assessment. Once identified, BTcP should be managed assiduously. PMID:26182800

  4. 基于镜像神经元理论的动作观察疗法对脑卒中患者上肢运动功能和日常生活活动能力的影响%Effects of action observation therapy based on mirror neuron theory on upper limb function and the activities of daily living of stroke survivors

    Institute of Scientific and Technical Information of China (English)

    王春苑; 梁群林; 崔尧; 朱美红; 顾旭东

    2015-01-01

    Objective To observe the effects of action observation therapy based on mirror neuron theory on upper-extremity motor function and performance in activities of daily living(ADL) after stroke.Methods Eightyone stroke patients were randomly assigned to an observational group (41 cases) or a control group (40cases).Both groups received conventional rehabilitation,and the observational group also received action observation therapy for 16 weeks,10 times per week.Upper-extremity motor function and ADL performance were assessed before treatment using the Fugl-Meyer assessment (FMA) and the Barthel index (BI) and then again after 4,8 and 16 weeks of treatment.Results The average FMA scores and BI scores in the observational group at the 4th week (32.50 ± 9.32 and 67.41 ± 16.81),the 8th week (36.35 ± 8.32 and 78.74 ± 15.63) and the 16 th week (41.32 ± 13.45 and 93.85 ± 13.45) had increased significantly compared with the pre-treatment assessment and were significantly better than at the same time point for the control group (P < 0.05).Conclusion Action observation therapy based on mirror neuron theory can promote the recovery of upper-extremity motor function and ADL performance after stroke.%目的 观察基于镜像神经元(MNs)理论的动作观察疗法对早期脑卒中患者上肢运动功能和日常生活活动(ADL)能力的影响.方法 将81例脑卒中偏瘫患者按随机数字表法分为观察组(41例)和对照组(40例).对照组采用常规康复治疗,观察组在对照组常规康复治疗方案的基础上增加动作观察疗法.2组疗程均为16周,每周治疗10次.于治疗前和治疗4、8、16周后,采用简式Fugl-Meyer运动功能评定量表(FMA)和Barthel指数(BI)分别评定2组患者的上肢运动功能和ADL能力,同时计算2组患者治疗4、8、16周后3个时间点的各项评分与组内治疗前的差值,并进行组间比较.结果 治疗4周、8周、16周后,观察组上肢FMA评分分别为(32.50 ±9.32)分、(36

  5. A System Design for Studying Geriatric Patients with Dementia and Hypertension Based on Daily Living Information

    Science.gov (United States)

    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.

  6. Three-dimensional knee kinematics by conventional gait analysis for eleven motor tasks of daily living: typical patterns and repeatability.

    Science.gov (United States)

    Scheys, Lennart; Leardini, Alberto; Wong, Pius D; Van Camp, Laurent; Callewaert, Barbara; Bellemans, Johan; Desloovere, Kaat

    2013-04-01

    The availability of detailed knee kinematic data during various activities can facilitate clinical studies of this joint. To describe in detail normal knee joint rotations in all three anatomical planes, 25 healthy subjects (aged 22-49 years) performed eleven motor tasks, including walking, step ascent and descent, each with and without sidestep or crossover turns, chair rise, mild and deep squats, and forward lunge. Kinematic data were obtained with a conventional lower-body gait analysis protocol over three trials per task. To assess the repeatability with standard indices, a representative subset of 10 subjects underwent three repetitions of the entire motion capture session. Extracted parameters with good repeatability included maximum and minimum axial rotation during turning, local extremes of the flexion curves during gait tasks, and stride times. These specific repeatable parameters can be used for task selection or power analysis when planning future clinical studies.

  7. Synchronization by Food Access Modifies the Daily Variations in Expression and Activity of Liver GABA Transaminase

    Directory of Open Access Journals (Sweden)

    Dalia De Ita-Pérez

    2014-01-01

    Full Text Available Daytime restricted feeding (DRF is an experimental protocol that influences the circadian timing system and underlies the expression of a biological clock known as the food entrained oscillator (FEO. Liver is the organ that reacts most rapidly to food restriction by adjusting the functional relationship between the molecular circadian clock and the metabolic networks. γ-Aminobutyric acid (GABA is a signaling molecule in the liver, and able to modulate the cell cycle and apoptosis. This study was aimed at characterizing the expression and activity of the mostly mitochondrial enzyme GABA transaminase (GABA-T during DRF/FEO expression. We found that DRF promotes a sustained increase of GABA-T in the liver homogenate and mitochondrial fraction throughout the entire day-night cycle. The higher amount of GABA-T promoted by DRF was not associated to changes in GABA-T mRNA or GABA-T activity. The GABA-T activity in the mitochondrial fraction even tended to decrease during the light period. We concluded that DRF influences the daily variations of GABA-T mRNA levels, stability, and catalytic activity of GABA-T. These data suggest that the liver GABAergic system responds to a metabolic challenge such as DRF and the concomitant appearance of the FEO.

  8. Digital daily cycles of individuals

    DEFF Research Database (Denmark)

    Aledavood, Talayeh; Jørgensen, Sune Lehmann; Saramäki, Jari

    2015-01-01

    day-night pattern, there are individual differences: e.g., some of us are intrinsically morning-active, while others prefer evenings. In this article, we look at digital daily cycles: circadian patterns of activity viewed through the lens of auto-recorded data of communication and online activity. We...

  9. Manual of positioning orientation and execution of activities of daily life for stroke patients

    Directory of Open Access Journals (Sweden)

    Natalia Cristina Thinen

    2013-04-01

    Full Text Available The objective of this manuscript is to guide caregiversin relation to the lying position in bed, activities of daily life (ADL, position transfer, and hospital discharge preparation of Cerebral Vascular Accident (CVApatients by means of verbal orientation, finalizing with the handing over of manuals. Ten caregivers participated in the study. The methodology consisted of two phases: in the first part of the study, a survey was conducted on caregivers’ doubts regarding the necessities of Stroke patients; in the second part, orientation was provided to caregivers and the information manuals were handed over; caregivers were also requested to evaluate the respective manuals. Results showed that none of the caregivers knew the correct positioning of the patient in bed and, considering the illustrations and the objectivity of the manual, all caregivers interviewed demonstrated positive perception regarding the manual, and reported that its guidance improved their way of caring for patients. We conclude that caregivers have been instructed and guided, acquiring information and conditions to initiate the rehabilitation process at home.

  10. The Evaluation of Daily Life Activities after Application of an Osseointegrated Prosthesis Fixation in a Bilateral Transfemoral Amputee

    OpenAIRE

    Schalk, Stephanie A.F.; Jonkergouw, Niels; Meer, Fred; Swaan, Willem M.; Aschoff, Horst-H.; van der Wurff, Peter

    2015-01-01

    Abstract Individuals with a transfemoral amputation (TFA) may experience limitations in daily life due to reduced mobility and prosthesis-related problems. An osseointegrated prosthesis fixation (OPF) procedure in amputees might contribute to a solution for patients with short stumps or socket-related problems. To date, no study has specifically described the application of an OPF procedure in individuals with a TFA. This study evaluated the level of daily life activities of a 21-year old ser...

  11. RECOVERY ASSESSMENT OF DAILY AND LABOUR ACTIVITIES (FOOD PREPARING AND FEEDING IN PATIENTS WITH CEREBROVASCULAR DISEASE

    Directory of Open Access Journals (Sweden)

    Danelina Vacheva

    2013-08-01

    Full Text Available Bulgaria is in a leading position concerning morbidity and mortality rate from cerebrovascular disease (CVD. The goal of this research was to examine, follow up and assess the recovery and the ability for food preparation and feeding in patients with CVD.Materials and methods: Sixty one patients were included in the research. All of them underwent physical rehabilitation program, based on their individual status. The program included: kinesitherapy, labour-therapy [(occupational therapy (OT and activities of daily life (ADL]; electrotherapy. The patients were assessed twice: in the beginning and at the end of the rehabilitation course. They self evaluated the basic parameters nevertheless which of the limbs was particularly affected. Wilcoxon rank test was used for the statistical analysis of non parametrical data and distribution. Results and analysis: At the end of the rehabilitation course the Wilcoxon’s curves were found shifted to the right, which confirmes improvement of the main parameter (self independence in the main task set to be fulfilled, no matter which limb was paretic.Conclusion: Early initiation of the rehabilitation course including labour activities and elements of ADL, given as instructions is essential for achieving better results in the rehabilitation of patients with CVD and for enhancing the self service ability. Functional OT stimulates the independence of patients and facilitates their recovering to independent everyday life and social activities.

  12. Daily activities are sufficient to induce dynamic pulmonary hyperinflation and dyspnea in chronic obstructive pulmonary disease patients

    OpenAIRE

    Antonio A.M. Castro; Claudia Kümpel; Rosana Chaves Rangueri; Maurício Dalcin Oliveira; Rodrigo Alves Dornelles; Emerson Roberto Brito; Tânia Maria Seki; Porto, Elias F

    2012-01-01

    OBJECTIVE: The aim of this study was to measure dynamic lung hyperinflation and its influence on dyspnea perception in moderate and severe chronic obstructive pulmonary disease patients after performing activities of daily living. METHODS: We measured inspiratory capacity, sensation of dyspnea, peripheral oxygen saturation, heart rate and respiratory rate in 19 chronic obstructive pulmonary disease patients. These measurements were taken at rest and after performing activities of daily living...

  13. Fluid electrolyte changes in physically healthy subjects during prolonged restriction of motor activity and daily hyperhydration.

    Science.gov (United States)

    Zorbas, Y G; Ichinose, M N; Sakagamis, M B

    1993-01-01

    The aim of this report was to present some of our results, in a compressed form, obtained from our previous studies on the effect of 364-d hypokinesia (decreased number of steps taken per day by the volunteers) on the following: (1) regulation of fluid volume and osmosis, (2) regulation of electrolytes, and (3) functional condition of the kidneys and its role in the fluid-electrolyte homeostasis on 30 physically healthy male volunteers aged 22-26 years. Prior to their exposure to hypokinesia all subjects were on 13.8 km/day (10,000 running steps/day) and were all well conditioned, with (oxygen uptake capacities (VO2 max 68 ml/kg-min). During the hypokinetic period of 364 days, the 1st group was subjected to pure hypokinesia (HK), that is without the use of physical exercise (PE), the 2nd group was subjected to a set of intensive PE (energy expenditure of 700 kcal/h) and the 3rd group submitted to a set of moderate PE (energy expenditure of 400 kcal/h). All volunteers consumed daily fluid and salt supplementation (FSS) aimed at increasing body hydration level during the hypokinetic period. For the simulation of the hypokinetic effect all volunteers were kept on 2.7 km/day (3000 walking steps per day). All volunteers were on a diet of freshly prepared food, with a daily intake of 2500-2700 kcal, 3340 ml water, 1500 mgs calcium, 500 mgs magnesium, 1200 mgs potassium, 1500 mgs phosphorus, 8.5 gms sodium and 9.8 gms chloride. The amount of fluid and electrolytes consumed and eliminated in urine, as well as their concentrations in the urine and blood plasma were determined. There were also measured urinary volume, osmolality, creatine, and urea changes in urine. During HK the amount of fluid and electrolytes consumed daily decreased while the rate of excretion increased significantly. During post HK the fluid and electrolytes concentrations in urine decreased significantly. The urinary urea, osmolality and creatinine increased significantly during HK. It was concluded

  14. Association between daily activities, process skills, and motor skills in community-dwelling patients after left hemiparetic stroke

    Science.gov (United States)

    Ahn, Sinae

    2016-01-01

    [Purpose] The purpose of this study was to evaluate the relationships between daily activities, information processing, and motor skills in individuals with hemineglect after having a left hemiparetic stroke. [Subjects and Methods] The instrumental activities of daily living of 35 patients (22 male and 13 female; age: 57.1 ± 16.9 years) with hemineglect after having a left hemiparetic stroke were assessed by using three clinical measurement tools, including activity card sorting, assessment of motor and process skills, and the modified Barthel Index. [Results] The results of the regression analysis indicated that the patients’ processing skills in instrumental activities of daily living after having a left hemiparetic stroke were reduced. Participation in leisure and social activities was also affected as assessed by using the modified Barthel Index. [Conclusion] This study supports the clinical need for rehabilitation intervention after a left hemiparetic stroke to improve patients’ processing skills and independence in performing activities of daily living. PMID:27390426

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

    Science.gov (United States)

    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

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

    Science.gov (United States)

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

    2016-01-01

    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

  17. Loneliness in the Daily Lives of Adolescents: An Experience Sampling Study Examining the Effects of Social Contexts

    Science.gov (United States)

    van Roekel, Eeske; Scholte, Ron H. J.; Engels, Rutger C. M. E.; Goossens, Luc; Verhagen, Maaike

    2015-01-01

    The main aim of the present study was to examine state levels of loneliness in adolescence. Both concurrent associations and temporal dynamics between social contexts and state levels of loneliness were examined. Data were collected from 286 adolescents (M[subscript age] = 14.19 years, 59% girls) by using the Experience Sampling Method. Results…

  18. Loneliness in the Daily Lives of Adolescents : An Experience Sampling Study Examining the Effects of Social Contexts

    NARCIS (Netherlands)

    van Roekel, Eeske; Scholte, Ron H. J.; Engels, Rutger C. M. E.; Goossens, Luc; Verhagen, Maaike

    2015-01-01

    The main aim of the present study was to examine state levels of loneliness in adolescence. Both concurrent associations and temporal dynamics between social contexts and state levels of loneliness were examined. Data were collected from 286 adolescents (M-age = 14.19 years, 59% girls) by using the

  19. Researching children's individual empathic abilities in the context of their daily lives: The importance of Mixed Methods

    Directory of Open Access Journals (Sweden)

    Simone eRoerig

    2015-07-01

    Full Text Available In social neuroscience, empathy is often approached as an individual ability, whereas researchers in anthropology focus on empathy as a dialectic process between agents. In this perspective paper, we argue that to further elucidate the mechanisms underlying development of empathy, social neuroscience research should draw on insights and methods from anthropology. First, we discuss neuropsychological studies that investigated empathy in inter-relational context. Second, we highlight differences between the social neuroscience and anthropological conceptualization of empathy. Third, we introduce a new study design based on a mixed method approach, and present initial results of one classroom that was part of the larger study and included 28 children (m=13, f =15. Participants (age 9-11 were administered behavioral tasks and a social network questionnaire; an observational study was conducted during a period of 10 - 14 weeks. Initial results showed how children’s expressions of their empathic abilities were influenced by situational cues in classroom processes. This effect was further explained by children’s position in the classroom network. Our results emphasize the value of interdisciplinary research in the study of empathy.

  20. Researching children’s empathic abilities in the context of their daily lives: the importance of mixed methods

    OpenAIRE

    Roerig, Simone; Wesel, F. van; Evers, Sandra J. T. M.; Krabbendam, Lydia

    2015-01-01

    In social neuroscience, empathy is often approached as an individual ability, whereas researchers in anthropology focus on empathy as a dialectic process between agents. In this perspective paper, we argue that to further elucidate the mechanisms underlying the development of empathy, social neuroscience research should draw on insights and methods from anthropology. First, we discuss neuropsychological studies that investigate empathy in inter-relational contexts. Second, we highlight differ...

  1. Researching children's individual empathic abilities in the context of their daily lives: the importance of mixed methods

    OpenAIRE

    Roerig, Simone; van Wesel, Floryt; Evers, Sandra J. T. M.; Krabbendam, Lydia

    2015-01-01

    In social neuroscience, empathy is often approached as an individual ability, whereas researchers in anthropology focus on empathy as a dialectic process between agents. In this perspective paper, we argue that to further elucidate the mechanisms underlying the development of empathy, social neuroscience research should draw on insights and methods from anthropology. First, we discuss neuropsychological studies that investigate empathy in inter-relational contexts. Second, we highlight differ...

  2. Genetic associations between daily BW gain and live fleshiness of station-tested young bulls and carcass and meat quality traits of commercial intact males in Piemontese cattle.

    Science.gov (United States)

    Bonfatti, V; Albera, A; Carnier, P

    2013-05-01

    The aim of this study was to investigate genetic relationships between beef traits of station-tested young bulls and carcass and meat quality traits (MQ) of commercial intact males in Piemontese cattle. Phenotypes for daily gain (DG) and live fleshiness traits (width at withers: WW; shoulder muscularity: SM; loin width: LW; loin thickness: LT; thigh muscularity: TM; thigh profile: TP) and thinness of the shin bone (BT) were available for 3,109 and 2,183 performance-tested young bulls, respectively. Carcass daily gain (CDG), carcass conformation (SEUS), pH at 24 h (pH24h) and 8 d after slaughter (pH8d), lightness (L*), redness (a*), yellowness (b*), hue angle (HA), saturation index (SI), drip loss (DL), cooking loss (CL), and shear force (SF) were assessed for 1,208 commercial intact males. (Co) variance components were estimated in a set of twelve 9-traits analyses using REML and linear animal models including all performance-test traits and 1 carcass or MQ trait at a time. Heritabilities ± SE of beef traits ranged from 0.26 ± 0.03 (LW) to 0.47 ± 0.01 (DG), whereas those of carcass traits and MQ from 0.06 ± 0.03 (CL) to 0.63 ± 0.04 (HA). The genetic correlation (rg) between DG and CDG was 0.75 ± 0.10, indicating that DG, as measured at the test station, is a good indicator of the carcass gain achieved by commercial animals under farms conditions. Daily BW gain of station-tested bulls correlated positively with color traits (from 0.11 ± 0.12 to 0.54 ± 0.09), ph8d (rg ± SE = 0.31 ± 0.11), DL (rg ± SE = 0.29 ± 0.17), and CL (rg ± SE = 0.27 ± 0.18). Live fleshiness of station-tested bulls exhibited genetic correlations with MQ of commercial animals that were positive for L* and b* (from 0.13 ± 0.08 to 0.65 ± 0.14) and negative for pH (from -0.27 ± 0.15 to -0.57 ± 0.11), CL (from -0.16 ± 0.23 to -0.43 ± 0.22), and SF (TM: rg ± SE = -0.31 ± 0.15; TP: rg ± SE = -0.41 ± 0.17). The thinness of the shin bone correlated unfavorably with CDG (rg ± SE

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

    Science.gov (United States)

    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.

  4. Getting out and about in older adults: the nature of daily trips and their association with objectively assessed physical activity

    OpenAIRE

    Sharp Debbie J; Coulson Jo C; Hillsdon Melvyn; Fox Kenneth R; Davis Mark G; Stathi Afroditi; Thompson Janice L

    2011-01-01

    Abstract Background A key public health objective is increasing health-enhancing physical activity (PA) for older adults (OAs). Daily trip frequency is independently associated with objectively assessed PA volumes (OAs). Little is known about correlates and these trips' transport mode, and how these elements relate to PA. Purpose: to describe the frequency, purpose, and travel mode of daily trips in OAs, and their association with participant characteristics and objectively-assessed PA. Metho...

  5. Characteristics of the activity-affect association in inactive people: an ambulatory assessment study in daily life.

    Directory of Open Access Journals (Sweden)

    Birte eVon Haaren

    2013-04-01

    Full Text Available Acute and regular exercise as well as physical activity is related to wellbeing and positive affect. Recent studies have shown that even daily, unstructured physical activities increase positive affect. However, the attempt to achieve adherence to physical activity or exercise in inactive people through public health interventions has often been unsuccessful. Most studies analyzing the activity-affect association in daily life, did not report participants´ habitual activity behavior. Thus, samples included active and inactive people, but they did not necessarily exhibit the same affective reactions to physical activity in daily life. Therefore the present study investigated whether the association between physical activity and subsequent affective state in daily life can also be observed in inactive individuals. We conducted a pilot study with 29 inactive university students (mean age 21.3 yrs ± 1.7 using the method of ambulatory assessment. Affect was assessed via electronic diary and physical activity was measured with accelerometers. Participants had to rate affect every two hours on a six item bipolar scale reflecting the three basic mood dimensions energetic arousal, valence and calmness. We calculated activity intensity level (mean Metabolic Equivalent (MET value and the amount of time spent in light activity over the last 15 minutes before every diary prompt and conducted within-subject correlations. We did not find significant associations between activity intensity and the three mood dimensions. Due to the high variability in within-subject correlations we conclude that not all inactive people show the same affective reactions to physical activity in daily life. Analyzing the physical activity-affect association of inactive people was difficult due to little variance and distribution of the assessed variables. Interactive assessment and randomized controlled trials might help solving these problems. Future studies should examine

  6. Forecast daily indices of solar activity, F10.7, using support vector regression method

    Institute of Scientific and Technical Information of China (English)

    Cong Huang; Dan-Dan Liu; Jing-Song Wang

    2009-01-01

    The 10.7cm solar radio flux (F10.7), the value of the solar radio emission flux density at a wavelength of 10.7cm, is a useful index of solar activity as a proxy for solar extreme ultraviolet radiation. It is meaningful and important to predict F10.7 values accurately for both long-term (months-years) and short-term (days) forecasting, which are often used as inputs in space weather models. This study applies a novel neural network technique, support vector regression (SVR), to forecasting daily values of F10.7. The aim of this study is to examine the feasibility of SVR in short-term F10.7 forecasting. The approach, based on SVR, reduces the dimension of feature space in the training process by using a kernel-based learning algorithm. Thus, the complexity of the calculation becomes lower and a small amount of training data will be sufficient. The time series of F10.7 from 2002 to 2006 are employed as the data sets. The performance of the approach is estimated by calculating the norm mean square error and mean absolute percentage error. It is shown that our approach can perform well by using fewer training data points than the traditional neural network.

  7. Avaliação das atividades da vida diária dos pacientes com doença de Parkinson submetidos a cirurgia estereotáxica Daily living activities in Parkinson's disease patients underwent to stereotactic surgery

    Directory of Open Access Journals (Sweden)

    Roberta Arb Saba Rodrigues Pinto

    2002-06-01

    left hemisphere and seven on the right; 17 ventrolateral thalamotomies (VLT, 12 on the left and five on the right; two VLT on the left associated with PVP on the right at the same surgical procedure. The mean "off" phase scores of Schwab & England scale were: 60.6 before surgery, 74 after the first, 76.6 after the third, 75.6 after the sixth, 72.3 after the twelfth and 71.1 after the twenty fourth months after surgery. The mean "off" phase scores of UPDRS - part II scale were: 21 before surgery, 12.3 after the first, 14.7 after the third, 15.27 after the sixth, 17.1 after the twelfth and 17.5 after the twenty fourth months after surgery. CONCLUSION: VTL and PVP are useful procedures to improve daily living activities of the PD patients and the best results are seen by six months after surgery.

  8. [The estimation of daily physical activity with the coefficient of variation (CV) of heart rates continuously recorded].

    Science.gov (United States)

    Tono-oka, T; Kaneko, I

    1993-05-01

    The daily level of physical activity was estimated using the heart rate monitor, PE3000 (Polar Electro, Finland). The level was expressed with the coefficient of variation (CV) of heart rates recorded from waking time to dinner time. In the course of a day of intense physical activity, CV was confirmed to rise significantly. Then the CV was estimated and compared among 3 age classes, young (10-18 years), middle-aged (30-47 years), and elderly (62-76 years). The CVs of young people were significantly higher than those of middle-aged (P < 0.001) and elderly (P < 0.01), regardless of sex. However there was no significant sex difference in all age classes. These results suggest that the CV is an accurate index of daily physical activity. Thus clinicians can use the CV of heart rates to estimate the level of physical activity of individuals which closely relates to QOL.

  9. The Influence of Autonomic Dysfunction Associated with Aging and Type 2 Diabetes on Daily Life Activities

    Directory of Open Access Journals (Sweden)

    Jerrold Petrofsky

    2012-01-01

    Full Text Available Type 2 diabetes (T2D and ageing have well documented effects on every organ in the body. In T2D the autonomic nervous system is impaired due to damage to neurons, sensory receptors, synapses and the blood vessels. This paper will concentrate on how autonomic impairment alters normal daily activities. Impairments include the response of the blood vessels to heat, sweating, heat transfer, whole body heating, orthostatic intolerance, balance, and gait. Because diabetes is more prevalent in older individuals, the effects of ageing will be examined. Beginning with endothelial dysfunction, blood vessels have impairment in their ability to vasodilate. With this and synaptic damage, the autonomic nervous system cannot compensate for effectors such as pressure on and heating of the skin. This and reduced ability of the heart to respond to stress, reduces autonomic orthostatic compensation. Diminished sweating causes the skin and core temperature to be high during whole body heating. Impaired orthostatic tolerance, impaired vision and vestibular sensing, causes poor balance and impaired gait. Overall, people with T2D must be made aware and counseled relative to the potential consequence of these impairments.

  10. The validity of the non-exercise activity thermogenesis questionnaire evaluated by objectively measured daily physical activity by the triaxial accelerometer

    OpenAIRE

    Hamasaki, Hidetaka; Yanai, Hidekatsu; Kakei, Masafumi; Noda, Mitsuhiko; Ezaki, Osamu

    2014-01-01

    Background Physical inactivity is a major cardiovascular risk factor. Recently, we showed that non-exercise activity thermogenesis (NEAT) assessed by the self-reported questionnaire is favorably associated with metabolic risks in patients with type 2 diabetes. The purpose of the present study was to examine the validity of the questionnaire by comparing with objectively measured daily physical activity (PA) by using the triaxial accelerometer. Methods Daily physical activity level (PAL) of 51...

  11. Association of Irisin with Fat Mass, Resting Energy Expenditure, and Daily Activity in Conditions of Extreme Body Mass Index

    Directory of Open Access Journals (Sweden)

    María Pardo

    2014-01-01

    Full Text Available FNDC5/irisin has been recently postulated as beneficial in the treatment of obesity and diabetes because it is induced in muscle by exercise, increasing energy expenditure. However, recent reports have shown that WAT also secretes irisin and that circulating irisin is elevated in obese subjects. The aim of this study was to evaluate irisin levels in conditions of extreme BMI and its correlation with basal metabolism and daily activity. The study involved 145 female patients, including 96 with extreme BMIs (30 anorexic (AN and 66 obese (OB and 49 healthy normal weight (NW. The plasma irisin levels were significantly elevated in the OB patients compared with the AN and NW patients. Irisin also correlated positively with body weight, BMI, and fat mass. The OB patients exhibited the highest REE and higher daily physical activity compared with the AN patients but lower activity compared with the NW patients. The irisin levels were inversely correlated with daily physical activity and directly correlated with REE. Fat mass contributed to most of the variability of the irisin plasma levels independently of the other studied parameters. Conclusion. Irisin levels are influenced by energy expenditure independently of daily physical activity but fat mass is the main contributing factor.

  12. Effects of photoperiod on daily activity rhythm of juvenile sea cucumber, Apostichopus japonicus (Selenka)

    Institute of Scientific and Technical Information of China (English)

    DONG Guancang; DONG Shuanglin; TIAN Xiangli; WANG Fang

    2011-01-01

    In nature,Apostichopus japonicus exhibits a behavioral characteristic of emerging at night and sheltering during the day.Hence,it was commonly believed that longer and darker light conditions are better for a population of A.japonicus.In aquaculture situations therefore,animals have commonly been cultured without lighting,especially during juvenile-hatching culture.However,how the length of darkness each day affects A.japonicus and what the mechanism is of behavioral response ofA.japonicus to different photoperiods remain unclear,and are specifically addressed in this study.We applied nine photoperiod treatments (light:dark (LD) cycles at 0:24,3:21,6:18,9:15,12:12,15:9,18:6,21:3,and 24:0under 500 lx) to 60 individuals (29.73±0.23 g) per treatment (with 3 replicates).The environmental conditions were set as:water temperature= 16.9±0.3℃,dissolved oxygen>6.0 mg/L,ammonia<0.3 mg/L,pH=7.8-8.2,and salinity=30-32.Under experimental conditions of continuous darkness as well as continuous light,cyclic nocturnal activity patterns of A.japonicus (viz.the animals emerged and fed at night and sheltered during the day) were observed.However,they spent more and less time,respectively,moving and feeding under continuous darkness and continuous light,than those under a natural light cycle.Under photoperiods with 6-12 h of light,the animals showed one sheltering behavior transition and two emerging behavior transitions.These behavior transitions appeared to be governed by some internal physiological factors and induced by daily light variation.The behavior of the animals was significantly affected by different photoperiods,and the distribution rate (DR) of the animals emerging at “daytime” increased with lengthening “light time” (except for the LD 3:21 cycle).We also found that there was no significant difference in mean DR per day under LD cycles of 6:18,9:15,15:9,and 12:12.Mean DRs per day were significantly lower for these photoperiods,than for those under LD

  13. Daily physical activity and screen time, but not other sedentary activities, are associated with measures of obesity during childhood.

    Science.gov (United States)

    Lee, Shoo Thien; Wong, Jyh Eiin; Shanita, Safii Nik; Ismail, Mohd Noor; Deurenberg, Paul; Poh, Bee Koon

    2015-01-01

    Childhood obesity is related to low physical activity level and a sedentary lifestyle. The aim of this study was to assess the physical activity level and sedentary behaviour of Malaysian children aged 7 to 12 years and to examine their association with body mass index (BMI), BMI-for-age Z-score (BAZ), body fatness (%BF) and waist circumference (WC). A total of 1736 children, representing all ethnic groups were recruited from six regions of Malaysia. Anthropometric measurements included body weight, height and waist circumference. Body fat percentage (%BF) was assessed using bioelectrical impedance. Physical activity was assessed by a physical activity questionnaire (PAQ) in all children and by pedometers in a subsample (n = 514). PAQ score and pedometer step counts were negatively associated with BMI, BAZ, %BF and WC after adjusting for covariates. Screen time was positively associated with BAZ and WC. However, other sedentary activities were not significantly related with any anthropometric indicators. Strategies to promote active living among children in Malaysia should focus not only on increasing physical activity but also emphasise reduction in sedentary behaviours. PMID:25546277

  14. Daily Physical Activity and Screen Time, but Not Other Sedentary Activities, Are Associated with Measures of Obesity during Childhood

    Directory of Open Access Journals (Sweden)

    Shoo Thien Lee

    2014-12-01

    Full Text Available Childhood obesity is related to low physical activity level and a sedentary lifestyle. The aim of this study was to assess the physical activity level and sedentary behaviour of Malaysian children aged 7 to 12 years and to examine their association with body mass index (BMI, BMI-for-age Z-score (BAZ, body fatness (%BF and waist circumference (WC. A total of 1736 children, representing all ethnic groups were recruited from six regions of Malaysia. Anthropometric measurements included body weight, height and waist circumference. Body fat percentage (%BF was assessed using bioelectrical impedance. Physical activity was assessed by a physical activity questionnaire (PAQ in all children and by pedometers in a subsample (n = 514. PAQ score and pedometer step counts were negatively associated with BMI, BAZ, %BF and WC after adjusting for covariates. Screen time was positively associated with BAZ and WC. However, other sedentary activities were not significantly related with any anthropometric indicators. Strategies to promote active living among children in Malaysia should focus not only on increasing physical activity but also emphasise reduction in sedentary behaviours.

  15. Daily physical activity and screen time, but not other sedentary activities, are associated with measures of obesity during childhood.

    Science.gov (United States)

    Lee, Shoo Thien; Wong, Jyh Eiin; Shanita, Safii Nik; Ismail, Mohd Noor; Deurenberg, Paul; Poh, Bee Koon

    2015-01-01

    Childhood obesity is related to low physical activity level and a sedentary lifestyle. The aim of this study was to assess the physical activity level and sedentary behaviour of Malaysian children aged 7 to 12 years and to examine their association with body mass index (BMI), BMI-for-age Z-score (BAZ), body fatness (%BF) and waist circumference (WC). A total of 1736 children, representing all ethnic groups were recruited from six regions of Malaysia. Anthropometric measurements included body weight, height and waist circumference. Body fat percentage (%BF) was assessed using bioelectrical impedance. Physical activity was assessed by a physical activity questionnaire (PAQ) in all children and by pedometers in a subsample (n = 514). PAQ score and pedometer step counts were negatively associated with BMI, BAZ, %BF and WC after adjusting for covariates. Screen time was positively associated with BAZ and WC. However, other sedentary activities were not significantly related with any anthropometric indicators. Strategies to promote active living among children in Malaysia should focus not only on increasing physical activity but also emphasise reduction in sedentary behaviours.

  16. Digital Daily Cycles of Individuals

    Science.gov (United States)

    Aledavood, Talayeh; Lehmann, Sune; Saramäki, Jari

    2015-10-01

    Humans, like almost all animals, are phase-locked to the diurnal cycle. Most of us sleep at night and are active through the day. Because we have evolved to function with this cycle, the circadian rhythm is deeply ingrained and even detectable at the biochemical level. However, within the broader day-night pattern, there are individual differences: e.g., some of us are intrinsically morning-active, while others prefer evenings. In this article, we look at digital daily cycles: circadian patterns of activity viewed through the lens of auto-recorded data of communication and online activity. We begin at the aggregate level, discuss earlier results, and illustrate differences between population-level daily rhythms in different media. Then we move on to the individual level, and show that there is a strong individual-level variation beyond averages: individuals typically have their distinctive daily pattern that persists in time. We conclude by discussing the driving forces behind these signature daily patterns, from personal traits (morningness/eveningness) to variation in activity level and external constraints, and outline possibilities for future research.

  17. Digital Daily Cycles of Individuals

    Directory of Open Access Journals (Sweden)

    Talayeh eAledavood

    2015-10-01

    Full Text Available Humans, like almost all animals, are phase-locked to the diurnal cycle. Most of us sleep at night and are active through the day. Because we have evolved to function with this cycle, the circadian rhythm is deeply ingrained and even detectable at the biochemical level. However, within the broader day-night pattern, there are individual differences: e.g., some of us are intrinsically morning-active, while others prefer evenings. In this article, we look at digital daily cycles: circadian patterns of activity viewed through the lens of auto-recorded data of communication and online activity. We begin at the aggregate level, discuss earlier results, and illustrate differences between population-level daily rhythms in different media. Then we move on to the individual level, and show that there is a strong individual-level variation beyond averages: individuals typically have their distinctive daily pattern that persists in time. We conclude by discussing the driving forces behind these signature daily patterns, from personal traits (morningness/eveningness to variation in activity level and external constraints, and outline possibilities for future research.

  18. Environmental physiology: effects of energy-related pollutants on daily cycles of energy metabolism, motor activity, and thermoregulation

    International Nuclear Information System (INIS)

    This section contains a summary of research on the effects of energy-related pollutants on daily cycles of energy metabolism, motor activity, and thermoregulation. So far, mice have been exposed to fast neutron-gamma radiation or to the chemical effluents of an atmospheric pressure experimental fluidized-bed combustor. The physiological parameters measured included: O2 consumption; CO2 production; motor activity; and deep body temperatures

  19. Unsupervised daily routine and activity discovery in smart homes.

    Science.gov (United States)

    Jie Yin; Qing Zhang; Karunanithi, Mohan

    2015-08-01

    The ability to accurately recognize daily activities of residents is a core premise of smart homes to assist with remote health monitoring. Most of the existing methods rely on a supervised model trained from a preselected and manually labeled set of activities, which are often time-consuming and costly to obtain in practice. In contrast, this paper presents an unsupervised method for discovering daily routines and activities for smart home residents. Our proposed method first uses a Markov chain to model a resident's locomotion patterns at different times of day and discover clusters of daily routines at the macro level. For each routine cluster, it then drills down to further discover room-level activities at the micro level. The automatic identification of daily routines and activities is useful for understanding indicators of functional decline of elderly people and suggesting timely interventions.

  20. Imaging of influenza virus sialidase activity in living cells.

    Science.gov (United States)

    Kurebayashi, Yuuki; Takahashi, Tadanobu; Otsubo, Tadamune; Ikeda, Kiyoshi; Takahashi, Shunsaku; Takano, Maiko; Agarikuchi, Takashi; Sato, Tsubasa; Matsuda, Yukino; Minami, Akira; Kanazawa, Hiroaki; Uchida, Yuko; Saito, Takehiko; Kawaoka, Yoshihiro; Yamada, Toshihiro; Kawamori, Fumihiko; Thomson, Robin; von Itzstein, Mark; Suzuki, Takashi

    2014-01-01

    Influenza virus is rich in variation and mutations. It would be very convenient for virus detection and isolation to histochemically detect viral infection regardless of variation and mutations. Here, we established a histochemical imaging assay for influenza virus sialidase activity in living cells by using a new fluorescent sialidase substrate, 2-(benzothiazol-2-yl)-4-bromophenyl 5-acetamido-3,5-dideoxy-α-D-glycero-D-galacto-2-nonulopyranosidonic acid (BTP3-Neu5Ac). The BTP3-Neu5Ac assay histochemically visualized influenza virus-infected cells regardless of viral hosts and subtypes. Influenza virus neuraminidase-expressed cells, viral focus formation, and virus-infected locations in mice lung tissues were easily, rapidly, and sensitively detected by the BTP3-Neu5Ac assay. Histochemical visualization with the BTP3-Neu5Ac assay is extremely useful for detection of influenza viruses without the need for fixation or a specific antibody. This novel assay should greatly improve the efficiency of detection, titration, and isolation of influenza viruses and might contribute to research on viral sialidase.

  1. Teaching daily living skills to children with autism in unsupervised settings through pictorial self-management.

    OpenAIRE

    Pierce, K L; Schreibman, L

    1994-01-01

    We investigated the efficacy of pictorial self-management to teach daily living skills to 3 low-functioning children with autism. Stimulus and response generalization, stimulus control of self-management materials, and maintenance of behavior change were also assessed. Results showed that children with autism could successfully use pictures to manage their behavior in the absence of a treatment provider, generalize their behavior across settings and tasks, and maintain behaviors at follow-up....

  2. Applications of short-lived activation products in neutron activation analysis of bio-environmental specimens

    International Nuclear Information System (INIS)

    This report discusses the advantages and disadvantages, special techniques, and actual and potential applications of neutron activation analysis (NAA) utilizing short-lived neutron-induced products, with special reference to the analysis of samples of biological and environmental origin. Attention is devoted mainly to products having half-lives in roughly the range of 10 milliseconds to 60 seconds, but with some discussion of the usefulness of even shorter-lived species, and ones with half-lives as long as a few minutes. Important aspects of the analytical methodology include sample preparation, irradiation/transfer systems, activity measurements, data processing and analytical quality assurance. It is concluded that several trace elements can be determined in bio-environmental samples (as well as in samples of industrial, geochemical and other origin). In particular, this method provides analytical possibilities for several elements (e.g. B, F, Li and V) that are difficult to determine in some matrices at trace levels by any other technique. These conclusions are illustrated in an annex by results of calculations in which the applicability of the techniques to the analysis of several biological and environmental reference materials is evaluated by means of an advance computer prediction program. The report concludes with an annotated bibliography of relevant publications (including abstracts, where available) taken from the INIS database. (author)

  3. Association of Irisin with Fat Mass, Resting Energy Expenditure, and Daily Activity in Conditions of Extreme Body Mass Index

    OpenAIRE

    María Pardo; Ana B. Crujeiras; María Amil; Zaida Aguera; Susana Jiménez-Murcia; Rosa Baños; Cristina Botella; Rafael de la Torre; Xavier Estivill; Fagundo, Ana B.; Jose M Fernández-Real; Fernández-García, José C.; Gema Fruhbeck; Javier Gómez-Ambrosi; Roser Rodríguez

    2014-01-01

    FNDC5/irisin has been recently postulated as beneficial in the treatment of obesity and diabetes because it is induced in muscle by exercise, increasing energy expenditure. However, recent reports have shown that WAT also secretes irisin and that circulating irisin is elevated in obese subjects. The aim of this study was to evaluate irisin levels in conditions of extreme BMI and its correlation with basal metabolism and daily activity. The study involved 145 female patients, including 96 with...

  4. The Influence of Daily Structured Physical Activity on Academic Progress of Elementary Students with Intellectual Disabilities

    Science.gov (United States)

    Everhart, Brett; Dimon, Chelsea; Stone, Danielle; Desmond, Deborah; Casilio, Mary

    2012-01-01

    Recent evidence suggests regular physical activity can positively influence academic performance. Although, little has been published on physical activity's impact on academic performance of students with intellectual disabilities, research shows the impact on brain and cognitive function of movement and physical activity. In this study, seven…

  5. Effects of Resveratrol on Daily Rhythms of Locomotor Activity and Body Temperature in Young and Aged Grey Mouse Lemurs

    Directory of Open Access Journals (Sweden)

    Fabien Pifferi

    2013-01-01

    Full Text Available In several species, resveratrol, a polyphenolic compound, activates sirtuin proteins implicated in the regulation of energy balance and biological clock processes. To demonstrate the effect of resveratrol on clock function in an aged primate, young and aged mouse lemurs (Microcebus murinus were studied over a 4-week dietary supplementation with resveratrol. Spontaneous locomotor activity and daily variations in body temperature were continuously recorded. Reduction in locomotor activity onset and changes in body temperature rhythm in resveratrol-supplemented aged animals suggest an improved synchronisation on the light-dark cycle. Resveratrol could be a good candidate to restore the circadian rhythms in the elderly.

  6. Mobile robotic assistive balance trainer - an intelligent compliant and adaptive robotic balance assistant for daily living.

    Science.gov (United States)

    Tiseo, Carlo; Lim, Zhen Yi; Shee, Cheng Yap; Ang, Wei Tech

    2014-01-01

    Balance control probably has the greatest impact on independence in activities of daily living (ADL), because it is a fundamental motor skill and prerequisite to the maintenance of a myriad of postures and mobile activities. We propose a new rehabilitation therapy to administer standing and mobile balance control training, enabled by a Mobile Robotic Assistive Balance Trainer (MRABT). The targeted group for this initial work is post stroke patients, although it can be extended to subjects with other neurological insults in the future. The proposed system consists of a mobile base and a parallel robotic arm which provides support to the patient at the hip. The compliant robotic arm with intelligent control algorithm will only provide support and assistance to the patient when the center of mass of the body deviates beyond the predefined safety boundary, mimicking the helping hands of a parent when a toddler learns to walk. In this paper, we present our initial work in the design and kinematic analysis of the system.

  7. A Count Model to Study the Correlates of 60 Min of Daily Physical Activity in Portuguese Children

    Directory of Open Access Journals (Sweden)

    Alessandra Borges

    2015-02-01

    Full Text Available This study aimed to present data on Portuguese children (aged 9–11 years complying with moderate-to-vigorous physical activity (MVPA guidelines, and to identify the importance of correlates from multiple domains associated with meeting the guidelines. Physical activity (PA was objectively assessed by accelerometry throughout seven days on 777 children. A count model using Poisson regression was used to identify the best set of correlates that predicts the variability in meeting the guidelines. Only 3.1% of children met the recommended daily 60 min of MVPA for all seven days of the week. Further, the Cochrane–Armitage chi-square test indicated a linear and negative trend (p < 0.001 from none to all seven days of children complying with the guidelines. The count model explained 22% of the variance in meeting MVPA guidelines daily. Being a girl, having a higher BMI, belonging to families with higher income, sleeping more and taking greater time walking from home to a sporting venue significantly reduced the probability of meeting daily recommended MVPA across the seven days. Furthermore, compared to girls, increasing sleep time in boys increased their chances of compliance with the MVPA recommendations. These results reinforce the relevance of considering different covariates’ roles on PA compliance when designing efficient intervention strategies to promote healthy and active lifestyles in children.

  8. Daily Living Movement Recognition for Pedestrian Dead Reckoning Applications

    Directory of Open Access Journals (Sweden)

    Alessio Martinelli

    2016-01-01

    Full Text Available Nowadays, activity recognition is a central topic in numerous applications such as patient and sport activity monitoring, surveillance, and navigation. By focusing on the latter, in particular Pedestrian Dead Reckoning navigation systems, activity recognition is generally exploited to get landmarks on the map of the buildings in order to permit the calibration of the navigation routines. The present work aims to provide a contribution to the definition of a more effective movement recognition for Pedestrian Dead Reckoning applications. The signal acquired by a belt-mounted triaxial accelerometer is considered as the input to the movement segmentation procedure which exploits Continuous Wavelet Transform to detect and segment cyclic movements such as walking. Furthermore, the segmented movements are provided to a supervised learning classifier in order to distinguish between activities such as walking and walking downstairs and upstairs. In particular, four supervised learning classification families are tested: decision tree, Support Vector Machine, k-nearest neighbour, and Ensemble Learner. Finally, the accuracy of the considered classification models is evaluated and the relative confusion matrices are presented.

  9. Getting out and about in older adults: the nature of daily trips and their association with objectively assessed physical activity

    Directory of Open Access Journals (Sweden)

    Sharp Debbie J

    2011-10-01

    Full Text Available Abstract Background A key public health objective is increasing health-enhancing physical activity (PA for older adults (OAs. Daily trip frequency is independently associated with objectively assessed PA volumes (OAs. Little is known about correlates and these trips' transport mode, and how these elements relate to PA. Purpose: to describe the frequency, purpose, and travel mode of daily trips in OAs, and their association with participant characteristics and objectively-assessed PA. Methods Participants (n = 214, aged 78.1 SD 5.7 years, completed a seven-day trips log recording daily-trip frequency, purpose and transport mode. Concurrently participants wore an accelerometer which provided mean daily steps (steps·d-1, and minutes of moderate to vigorous PA (MVPA·d-1. Participants' physical function (PF was estimated and demographic, height and weight data obtained. Results Trip frequency was associated with gender, age, physical function, walking-aid use, educational attainment, number of amenities within walking distance and cars in the household. Participants reported 9.6 (SD 4.2 trips per week (trips·wk-1. Most trips (61% were by car (driver 44%, passenger 17%, 30% walking or cycling (active and 9% public transport/other. Driving trips·wk-1 were more common in participants who were males (5.3 SD 3.6, well-educated (5.0 SD 4.3, high functioning (5.1 SD 4.6, younger (5.6 SD 4.9, affluent area residents (5.1 SD 4.2 and accessing > one car (7.2 SD 4.7. Active trips·wk-1 were more frequent in participants who were males (3.4 SD 3.6, normal weight (3.2 SD 3.4, not requiring walking aids (3.5 SD 3.3, well-educated (3.7 SD 0.7, from less deprived neighbourhoods (3.9 SD 3.9 and with ≥ 8 amenities nearby (4.4 SD 3.8. Public transport, and active trip frequency, were significantly associated with steps·d-1 (p -1 (p Conclusions Daily trips are associated with objectively-measured PA as indicated by daily MVPA and steps. Public transport and

  10. The Healthy Lifestyle and Personal Control Questionnaire (HLPCQ): a novel tool for assessing self-empowerment through a constellation of daily activities

    OpenAIRE

    Darviri, Christina; Alexopoulos, Evangelos C.; Artemiadis, Artemios K; Tigani, Xanthi; Kraniotou, Christina; Darvyri, Panagiota; Chrousos, George P.

    2014-01-01

    Background The main goal of stress management and health promotion programs is to improve health by empowering people to take control over their lives. Daily health-related lifestyle choices are integral targets of these interventions and critical to evaluating their efficacy. To date, concepts such as self-efficacy, self-control and empowerment are assessed by tools that only partially address daily lifestyle choices. The aim of this study is to validate a novel measurement tool, the Healthy...

  11. Contribution of the After-School Period to Children's Daily Participation in Physical Activity and Sedentary Behaviours.

    Directory of Open Access Journals (Sweden)

    Lauren Arundell

    Full Text Available Children's after-school physical activity (PA and sedentary behaviours (SB are not well understood, despite the potential this period holds for intervention. This study aimed to describe children's after-school physical activity and sedentary behaviours; establish the contribution this makes to daily participation and to achieving physical activity and sedentary behaviours guidelines; and to determine the association between after-school moderate- to vigorous-intensity physical activity (MVPA, screen-based sedentary behaviours and achieving the physical activity and sedentary behaviour guidelines.Children (n = 406, mean age 8.1 years, 58% girls wore an ActiGraph GT3X accelerometer. The percentage of time and minutes spent sedentary (SED, in light- physical activity (LPA and MVPA between the end-of-school and 6pm (weekdays was calculated. Parents (n = 318, 40 years, 89% female proxy-reported their child's after-school participation in screen-based sedentary behaviours. The contribution that after-school SED, LPA, MVPA, and screen-based sedentary behaviours made to daily levels, and that after-school MVPA and screen-based sedentary behaviours made to achieving the physical activity/sedentary behaviour guidelines was calculated. Regression analysis determined the association between after-school MVPA and screen-based sedentary behaviours and achieving the physical activity/sedentary behaviours guidelines.Children spent 54% of the after-school period SED, and this accounted for 21% of children's daily SED levels. Boys spent a greater percentage of time in MVPA than girls (14.9% vs. 13.6%; p<0.05, but this made a smaller contribution to their daily levels (27.6% vs 29.8%; p<0.05. After school, boys and girls respectively performed 18.8 minutes and 16.7 minutes of MVPA, which is 31.4% and 27.8% of the MVPA (p<0.05 required to achieve the physical activity guidelines. Children spent 96 minutes in screen-based sedentary behaviours, contributing to 84

  12. Beneficial Effect of Brewers' Yeast Extract on Daily Activity in a Murine Model of Chronic Fatigue Syndrome

    Directory of Open Access Journals (Sweden)

    Takashi Takahashi

    2006-01-01

    Full Text Available The aim of this study was to assess the effect of Brewers' yeast extract (BYE on daily activity in a mouse model of chronic fatigue syndrome (CFS. CFS was induced by repeated injection of Brucella abortus (BA antigen every 2 weeks. BYE was orally administered to mice in a dose of 2 g per kg per day for 2 weeks before injecting BA and for 4 weeks thereafter. We evaluated daily running activity in mice receiving BYE as compared with that in untreated mice. Weekly variation of body weight (BW and survival in both groups was monitored during the observation period. Spleen weight (SW, SW/BW ratio, percent splenic follicular area and expression levels of interferon-γ (IFN-γ and interleukin-10 (IL-10 mRNA in spleen were determined in both groups at the time of sacrifice. The daily activity during 2 weeks after the second BA injection was significantly higher in the treated group than in the control. There was no difference in BW between both groups through the experimental course. Two mice in the control died 2 and 7 days after the second injection, whereas no mice in the treated group died. Significantly decreased SW and SW/BW ratio were observed in the treated mice together with elevation of splenic follicular area. There were suppressed IFN-γ and IL-10 mRNA levels in spleens from the treated mice. Our results suggest that BYE might have a protective effect on the marked reduction in activity following repeated BA injection via normalization of host immune responses.

  13. Beneficial effect of brewers' yeast extract on daily activity in a murine model of chronic fatigue syndrome.

    Science.gov (United States)

    Takahashi, Takashi; Yu, Fei; Zhu, Shi-Jie; Moriya, Junji; Sumino, Hiroyuki; Morimoto, Shigeto; Yamaguchi, Nobuo; Kanda, Tsugiyasu

    2006-03-01

    The aim of this study was to assess the effect of Brewers' yeast extract (BYE) on daily activity in a mouse model of chronic fatigue syndrome (CFS). CFS was induced by repeated injection of Brucella abortus (BA) antigen every 2 weeks. BYE was orally administered to mice in a dose of 2 g per kg per day for 2 weeks before injecting BA and for 4 weeks thereafter. We evaluated daily running activity in mice receiving BYE as compared with that in untreated mice. Weekly variation of body weight (BW) and survival in both groups was monitored during the observation period. Spleen weight (SW), SW/BW ratio, percent splenic follicular area and expression levels of interferon-gamma (IFN-gamma) and interleukin-10 (IL-10) mRNA in spleen were determined in both groups at the time of sacrifice. The daily activity during 2 weeks after the second BA injection was significantly higher in the treated group than in the control. There was no difference in BW between both groups through the experimental course. Two mice in the control died 2 and 7 days after the second injection, whereas no mice in the treated group died. Significantly decreased SW and SW/BW ratio were observed in the treated mice together with elevation of splenic follicular area. There were suppressed IFN-gamma and IL-10 mRNA levels in spleens from the treated mice. Our results suggest that BYE might have a protective effect on the marked reduction in activity following repeated BA injection via normalization of host immune responses.

  14. Determinants of Developmental Gain in Daily Activities in Young Children with Cerebral Palsy.

    Science.gov (United States)

    Kruijsen-Terpstra, Anne J A; Ketelaar, Marjolijn; Verschuren, Olaf; Smits, Dirk-Wouter; Jongmans, Marian J; Gorter, Jan Willem

    2014-09-18

    ABSTRACT The aim of this study was to examine which child and family characteristics at the child's age of 2 years are determinants of development of self-care and mobility activities over a period of 2 years in young children with cerebral palsy (CP). Longitudinal data of 92 children, representing all levels of the Gross Motor Function Classification System (GMFCS), were analyzed. Children's self-care and mobility activities were assessed with the Functional Skills Scale of the Pediatric Evaluation of Disability Inventory. Development of self-care and mobility activities was related to several child determinants but no family determinants. GMFCS, type of CP, intellectual capacity, and epilepsy were related to the development of self-care and mobility activities, while manual ability and spasticity were related to development of mobility activities. Multivariate analysis indicated that GMFCS and intellectual capacity were the strongest determinants of development of self-care activities, and GMFCS was the strongest determinant of development of mobility activities. The change in self-care and mobility activities was less favorable in severely affected children with severe disability. Knowledge of GMFCS level and intellectual capacity is important in anticipating change over time and goal setting in young children with CP.

  15. Daily physical activity and type 2 diabetes: A review

    OpenAIRE

    Hamasaki, Hidetaka

    2016-01-01

    Physical activity improves glycemic control and reduces the risk of cardiovascular disease (CVD) and mortality in patients with type 2 diabetes (T2D). Moderate to vigorous physical activity is recommended to manage T2D; however, patients with T2D can be physically weak, making it difficult to engage in the recommended levels of physical activity. Daily physical activity includes various activities performed during both occupational and leisure time such as walking, gardening, and housework th...

  16. Mitochondrial metabolism during daily torpor in the dwarf Siberian hamster: role of active regulated changes and passive thermal effects.

    Science.gov (United States)

    Brown, Jason C L; Gerson, Alexander R; Staples, James F

    2007-11-01

    During daily torpor in the dwarf Siberian hamster, Phodopus sungorus, metabolic rate is reduced by 65% compared with the basal rate, but the mechanisms involved are contentious. We examined liver mitochondrial respiration to determine the possible role of active regulated changes and passive thermal effects in the reduction of metabolic rate. When assayed at 37 degrees C, state 3 (phosphorylating) respiration, but not state 4 (nonphosphorylating) respiration, was significantly lower during torpor compared with normothermia, suggesting that active regulated changes occur during daily torpor. Using top-down elasticity analysis, we determined that these active changes in torpor included a reduced substrate oxidation capacity and an increased proton conductance of the inner mitochondrial membrane. At 15 degrees C, mitochondrial respiration was at least 75% lower than at 37 degrees C, but there was no difference between normothermia and torpor. This implies that the active regulated changes are likely more important for reducing respiration at high temperatures (i.e., during entrance) and/or have effects other than reducing respiration at low temperatures. The decrease in respiration from 37 degrees C to 15 degrees C resulted predominantly from a considerable reduction of substrate oxidation capacity in both torpid and normothermic animals. Temperature-dependent changes in proton leak and phosphorylation kinetics depended on metabolic state; proton leakiness increased in torpid animals but decreased in normothermic animals, whereas phosphorylation activity decreased in torpid animals but increased in normothermic animals. Overall, we have shown that both active and passive changes to oxidative phosphorylation occur during daily torpor in this species, contributing to reduced metabolic rate.

  17. Gender differences in the daily physical activities of Danish school children

    DEFF Research Database (Denmark)

    Nielsen, Glen; Pfister, Gertrud Ursula; Andersen, Lars Bo

    2011-01-01

    studies in Denmark as well as internationally. However, this study adds to this knowledge by showing that the gender difference in total amounts of activity was mainly due to large gender differences in the amounts of self-organized physical activity such as after-school day care (difference at age 6...

  18. Neural activity to positive expressions predicts daily experience of schizophrenia-spectrum symptoms in adults with high social anhedonia.

    Science.gov (United States)

    Hooker, Christine I; Benson, Taylor L; Gyurak, Anett; Yin, Hong; Tully, Laura M; Lincoln, Sarah Hope

    2014-02-01

    Social anhedonia (SA), the diminished pleasure from social relationships, is a prominent characteristic of the vulnerability and manifestation of schizophrenia disorder. However, SA can develop for multiple reasons and little is known about its neural basis; these 2 issues hinder the utility and sensitivity of SA as a marker of schizophrenia pathology. This study investigated whether lateral prefrontal cortex (LPFC) deficits in social reward processing are associated with both SA and other schizophrenia-spectrum symptoms. During functional MRI (fMRI), a community sample of healthy adults (N = 30) with high and low SA viewed positive, negative, and neutral facial expressions. Afterward, participants completed an online daily diary in which they rated schizophrenia-spectrum symptoms and occurrence of interpersonal conflict each day for 21 days. Compared with low SA, high SA participants had less ventral (V)LPFC activity to positive versus neutral expressions. In addition, participants with a combination of high SA and low VLPFC activity to positive versus neutral expressions had worse daily diary ratings of schizophrenia-spectrum symptoms, including worse cognition, paranoia, motivation/productivity, and vigor/positive affect (i.e., psychomotor activation). Finally, among high SA participants, VLPFC activity predicted the daily relationship between distress from interpersonal conflict and symptom-severity; specifically, high SA participants with low VLPFC activity had worse paranoia on days of high conflict distress. These findings indicate that VLPFC deficits in positive emotion are associated with both SA and other schizophrenia-spectrum symptoms and that understanding the interaction of SA, VLPFC function, and social stress could facilitate the use of SA in the prevention and treatment of schizophrenia.

  19. Prevalence and characteristics of migraine in medical students and its impact on their daily activities

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    Bindu Menon

    2013-01-01

    Full Text Available Background: Migraine is a common neurological disorder with significant impact on quality of life. The aim of this study was to investigate the prevalence and characteristics of migraine headaches in medical students, to measure its impact on their life, and to assess their knowledge about the ailment. Information about lifestyle variables was also collected. Materials and Methods: All medical students who confirmed of having headache for more than 1 year formed the study group. Students filled a detailed questionnaire focusing on demographics, pain characteristics, accompanying factors, triggers, and family history of migraine. Lifestyle variables were enquired and migraine associated disability was assessed by MIDAS (Migraine Disability Assessment. The diagnosis of migraine was made according to the International Headache Society criteria. Results are expressed in n = numbers and percentage. Results: Sixty-eight percent of medical students had headache. The prevalence of migraine in the whole cohort was 28%; however, of the headache group, migraine constituted 42%. There was a female preponderance. One-fourth of the students had weekly or daily attacks with 31% students reporting increase in their headache intensity and frequency. Forty-four percent of students had severe headaches. Dizziness, allodynia, and neck stiffness were reported as accompanying symptoms. Trigger factors were identified in 99% students, predominant of which were poor sleep hygiene, environmental changes, head movements, and mental stress. Only 4% of students did regular exercise. Twenty-seven percent of students reported self-medication use of analgesics. One-fourth of the students had migraine-associated disability but only 6% realized that they had migraine. Conclusion: Our study found a high prevalence of headache with migraine in medical students. The students′ awareness of the disease was very low with one-fourth of the students resorting to self-medication. Our

  20. Participation in Daily Activities of Young Adults with High Functioning Autism Spectrum Disorder

    Science.gov (United States)

    McCollum, Mary; LaVesser, Patti; Berg, Christine

    2016-01-01

    Young adults with an autism spectrum disorder (ASD) struggle to assume adult roles. This research assessed the feasibility of using the Adolescent and Young Adult Activity Card Sort (AYA-ACS) with emerging adults with high functioning ASD. Two phases were utilized during this research: (1) comparing the activity participation reported by emerging…

  1. A count model to study the correlates of 60 min of daily physical activity in Portuguese children.

    Science.gov (United States)

    Borges, Alessandra; Gomes, Thayse Natacha; Santos, Daniel; Pereira, Sara; dos Santos, Fernanda K; Chaves, Raquel; Katzmarzyk, Peter T; Maia, José

    2015-03-01

    This study aimed to present data on Portuguese children (aged 9-11 years) complying with moderate-to-vigorous physical activity (MVPA) guidelines, and to identify the importance of correlates from multiple domains associated with meeting the guidelines. Physical activity (PA) was objectively assessed by accelerometry throughout seven days on 777 children. A count model using Poisson regression was used to identify the best set of correlates that predicts the variability in meeting the guidelines. Only 3.1% of children met the recommended daily 60 min of MVPA for all seven days of the week. Further, the Cochrane-Armitage chi-square test indicated a linear and negative trend (psleeping more and taking greater time walking from home to a sporting venue significantly reduced the probability of meeting daily recommended MVPA across the seven days. Furthermore, compared to girls, increasing sleep time in boys increased their chances of compliance with the MVPA recommendations. These results reinforce the relevance of considering different covariates' roles on PA compliance when designing efficient intervention strategies to promote healthy and active lifestyles in children. PMID:25730296

  2. Human Daily Activities Indexing in Videos from Wearable Cameras for Monitoring of Patients with Dementia Diseases

    CERN Document Server

    Karaman, Svebor; Mégret, Rémi; Dovgalecs, Vladislavs; Dartigues, Jean-François; Gaëstel, Yann

    2010-01-01

    Our research focuses on analysing human activities according to a known behaviorist scenario, in case of noisy and high dimensional collected data. The data come from the monitoring of patients with dementia diseases by wearable cameras. We define a structural model of video recordings based on a Hidden Markov Model. New spatio-temporal features, color features and localization features are proposed as observations. First results in recognition of activities are promising.

  3. The mouse liver displays daily rhythms in the metabolism of phospholipids and in the activity of lipid synthesizing enzymes.

    Science.gov (United States)

    Gorné, Lucas D; Acosta-Rodríguez, Victoria A; Pasquaré, Susana J; Salvador, Gabriela A; Giusto, Norma M; Guido, Mario Eduardo

    2015-02-01

    The circadian system involves central and peripheral oscillators regulating temporally biochemical processes including lipid metabolism; their disruption leads to severe metabolic diseases (obesity, diabetes, etc). Here, we investigated the temporal regulation of glycerophospholipid (GPL) synthesis in mouse liver, a well-known peripheral oscillator. Mice were synchronized to a 12:12 h light-dark (LD) cycle and then released to constant darkness with food ad libitum. Livers collected at different times exhibited a daily rhythmicity in some individual GPL content with highest levels during the subjective day. The activity of GPL-synthesizing/remodeling enzymes: phosphatidate phosphohydrolase 1 (PAP-1/lipin) and lysophospholipid acyltransferases (LPLATs) also displayed significant variations, with higher levels during the subjective day and at dusk. We evaluated the temporal regulation of expression and activity of phosphatidylcholine (PC) synthesizing enzymes. PC is mainly synthesized through the Kennedy pathway with Choline Kinase (ChoK) as a key regulatory enzyme or through the phosphatidylethanolamine (PE) N-methyltransferase (PEMT) pathway. The PC/PE content ratio exhibited a daily variation with lowest levels at night, while ChoKα and PEMT mRNA expression displayed maximal levels at nocturnal phases. Our results demonstrate that mouse liver GPL metabolism oscillates rhythmically with a precise temporal control in the expression and/or activity of specific enzymes.

  4. Effects of a daily school based physical activity intervention program on muscle development in prepubertal girls.

    OpenAIRE

    Stenevi, Susanna; Daly, Robin; Lindén, Christian; Gärdsell, Per; Karlsson, Magnus

    2009-01-01

    This 12-month prospective controlled intervention evaluated the effect of a general school based physical activity program on muscle strength, physical performance and body composition in prepubertal girls. Fifty-three girls aged 7-9 years involved in a school based exercise program [40 min/day of general physical activity per school day (200 min/week)] were compared with 50 age-matched girls who participated in the general Swedish physical education curriculum (mean 60 min/week). Body compos...

  5. Determinants of Developmental Gain in Daily Activities in Young Children with Cerebral Palsy

    NARCIS (Netherlands)

    Kruijsen-Terpstra, Anne J A; Ketelaar, Marjolijn; Verschuren, Olaf; Smits, Dirk-Wouter; Jongmans, Marian J; Gorter, Jan Willem

    2015-01-01

    The aim of this study was to examine which child and family characteristics at the child's age of 2 years are determinants of development of self-care and mobility activities over a period of 2 years in young children with cerebral palsy (CP). Longitudinal data of 92 children, representing all level

  6. Determinants of developmental gain in daily activities in young children with cerebral palsy

    NARCIS (Netherlands)

    Kruijsen-Terpstra, Anne JA; Ketelaar, Marjolijn; Verschuren, Olaf; Smits, Dirk-Wouter; Jongmans, Marian J; Gorter, Jan Willem

    2015-01-01

    The aim of this study was to examine which child and family characteristics at the child's age of 2 years are determinants of development of self-care and mobility activities over a period of 2 years in young children with cerebral palsy (CP). Longitudinal data of 92 children, representing all level

  7. Influence of tourism and traffic on the Eurasian lynx hunting activity and daily movements

    Directory of Open Access Journals (Sweden)

    Belotti, E.

    2012-01-01

    Full Text Available Human presence influences survival of large carnivores in several ways and even outdoor activities can be a source of disturbance. As ungulate prey provide the Eurasian lynx (Lynx lynx with food for several nights and the pattern of lynx activity is mainly shaped by searching for and consuming large prey, the need to move decreases strongly while the prey is eaten. However, during the day, human activity may drive lynx to move to safe shelters and habitat features such as dense vegetation may increase tolerance. In the Bohemian Forest (Czech Republic, we found 116 prey killed by five GPS–collared lynxes. We tested whether the kill sites were located farther from roads or tourist trails than a set of randomly generated locations and whether presence of roads or tourist trails and habitat structure influenced the distance ‘kill site to daytime resting sites’. At night, with low human activity, lynxes did not avoid roads and even selected the surroundings of tourist trails. The distance ‘kill site to daytime resting sites’ correlated negatively with presence of habitat concealment and distance to tourist trails, suggesting that outdoor activities may have to be considered in lynx management plans.

  8. Correlates of average daily metabolism of field-active zebra-tailed lizards (Callisaurus draconoides).

    Science.gov (United States)

    Karasov, W H; Anderson, R A

    1998-01-01

    The extent of variation in reptile field metabolism, and its causal bases, are poorly understood. We studied the energetics of the insectivorous lizard Callisaurus draconoides at a site in the California Desert (Desert Center) and at a site at the southern tip of the Baja Peninsula (Cabo San Lucas; hereafter, Cabo). Reproducing Callisaurus were smaller at Cabo than at Desert Center. The allometry of metabolism with body mass can account for most differences in whole-animal metabolism. There was no significant effect of sex or source population on mass-adjusted metabolic rate in the laboratory (resting metabolism, measured by closed-system respirometry) or in the field (field metabolism, measured with doubly labeled water). The mass-adjusted resting metabolism and field metabolism of gravid females and the field metabolism of juvenile lizards were not significantly different from those of nonreproductive adults. Temperature had a significant effect on resting metabolism (Q10 = 2.7); fed lizards had resting metabolism that was 22% higher than that of fasted lizards; field metabolism was positively correlated with growth rate in juveniles; and field metabolism of adults increased from spring to late summer at Desert Center by 25%, probably because of longer activity period length and slightly higher activity period body temperature. We calculated from water influx and field metabolism that juveniles allocated 18% of their metabolizable energy intake to growth and that most energy deposited into eggs was transferred from energy stores rather than ingested in the weeks prior to laying. PMID:9472817

  9. RemoTable: Sharing Daily Activities and Moods Using Smart Furniture.

    Science.gov (United States)

    Wallbaum, Torben; Heuten, Wilko; Boll, Susanne

    2016-01-01

    Social Interaction and the feeling of emotional closeness to beloved ones is mainly driven by the communication with each other. For patients suffering from a serious disease due to intense mood changes, it is difficult to keep regular contact with relatives. This affects the need for direct and verbal communication with relatives. To continue the participation in each others lives, we have developed a concept to share daily activities, current moods and presence information using a smart living room table. A first lab study with a prototype showed promising results with regard to expressiveness, joy of use, and usability. PMID:27534325

  10. Aerobic Capacity, Activity Levels and Daily Energy Expenditure in Male and Female Adolescents of the Kenyan Nandi Sub-Group.

    Directory of Open Access Journals (Sweden)

    Alexander R Gibson

    Full Text Available The relative importance of genetic and socio-cultural influences contributing to the success of east Africans in endurance athletics remains unknown in part because the pre-training phenotype of this population remains incompletely assessed. Here cardiopulmonary fitness, physical activity levels, distance travelled to school and daily energy expenditure in 15 habitually active male (13.9±1.6 years and 15 habitually active female (13.9±1.2 adolescents from a rural Nandi primary school are assessed. Aerobic capacity ([Formula: see text] was evaluated during two maximal discontinuous incremental exercise tests; physical activity using accelerometry combined with a global positioning system; and energy expenditure using the doubly labelled water method. The [Formula: see text] of the male and female adolescents were 73.9±5.7 ml(. kg(-1. min(-1 and 61.5±6.3 ml(. kg(-1. min(-1, respectively. Total time spent in sedentary, light, moderate and vigorous physical activities per day was 406±63 min (50% of total monitored time, 244±56 min (30%, 75±18 min (9% and 82±30 min (10%. Average total daily distance travelled to and from school was 7.5±3.0 km (0.8-13.4 km. Mean daily energy expenditure, activity-induced energy expenditure and physical activity level was 12.2±3.4 MJ(. day(-1, 5.4±3.0 MJ(. day(-1 and 2.2±0.6. 70.6% of the variation in [Formula: see text] was explained by sex (partial R(2 = 54.7% and body mass index (partial R(2 = 15.9%. Energy expenditure and physical activity variables did not predict variation in [Formula: see text] once sex had been accounted for. The highly active and energy-demanding lifestyle of rural Kenyan adolescents may account for their exceptional aerobic fitness and collectively prime them for later training and athletic success.

  11. Variation in daily flight activity and foraging patterns in colonies of uruçu - Melipona scutellaris Latreille (Apidae, Meliponini

    Directory of Open Access Journals (Sweden)

    Leonardo Monteiro Pierrot

    2003-12-01

    Full Text Available The flight activities of five colonies of Melipona (Michmelia scutellaris Latreille, 1811 kept among mixed fruit crop plantations in within fragments of Atlantic Rainforest in Pernambuco, NE-Brazil was examined. The daily deployment of foragers to collect pollen, nectar, resin and mud was observed. The colonies performed between 2,640 and 14,250 flights per day. Variations in the number of total daily flights were similar between colonies on all observation days. Proportional allocation of foragers to the different resources also among colonies showed similar variation. More than 90% of the pollen collection flights were made early in the morning. Nectar was collected in similar proportional frequencies with a reduction in activity at noon. On a single day, was observed atypical intense pollen foraging during the afternoon by all colonies. This indicates a high plasticity in foraging behaviour and efficient recruitment to resources which are presented by mass flowering trees with synchronised big bang or multiple bang flowering. Resource availability of the surrounding vegetation, therefore, seems to be the major factor in defining the forager activities on a given day.

  12. Breathing rates and daily activities: parameters of exposure to inhaled substances

    International Nuclear Information System (INIS)

    The intake of inhaled toxic substances is based upon the air volumes breathed every day by people under exposure to gases and aerosols. On the occasion of the revision of the respiratory tract model by the International Commission on Radiological Protection (ICRP), modern standards have been assessed for average inspired air volumes according to age and sex. Recent data of breathing rates as a function of physical activity have been recorded, and economical surveys recently published by the National Institute of Statistics and Economical studies (INSEE) provided time budgets and activities of specific categories of the population. The results were calculated for adults and children, 3 months, 1, 5, 10 and 15 years old. These values are slightly different from those formerly published by ICRP and the United Nations scientific committee on the effects of atomic radiation (UNSCEAR). (author). 27 refs., 6 tabs

  13. My act: an automatic detection of daily physical activity and calorie expenditure using smart phones

    OpenAIRE

    Chinrungrueng, Jatuporn; Sartsatit, Seksun; Intarapanich, Apichart

    2014-01-01

    Several studies show that sedentary behavior poses dangerous signs to health. Patients requiring information of their physical activities can use a tri-axial accelerometer electronic device designed to attach to the waist of users. However, due to the low availability of devices, the applications were limited only to those patients who required special attention and who were to be closely monitored under a controlled environment. Many researchers have recently turned to smart phones to explor...

  14. The Whole Rockford Catalog; A Handbook for Daily Living.

    Science.gov (United States)

    Webster, Ernest; McSweeney, Marilee

    A catalog has been prepared as a guide to survival in Rockford, Illinois. Designed to acquaint both newcomers and long-term residents of Rockford with community resources, services, and agencies, it covers crisis situations, discrimination and civil rights, education, employment, family problems, having fun, housing, medical services, money, and…

  15. ACTIVITY ANALYSIS WITH HIDDEN MARKOV MODEL FOR AMBIENT ASSISTED LIVING

    Directory of Open Access Journals (Sweden)

    Dietmar Bruckner

    2012-06-01

    Full Text Available In an Ambient Assisted Living (AAL project the activities of the user will be analyzed. The raw data is from a motion detector. Through data processing the huge amount of dynamic raw data was translated to state data. With hidden Markov model, forward algorithm to analyze these state data the daily activity model of the user was built. Thirdly by comparing the model with observed activity sequences, and finding out the similarities between them, defined the best adapt routine in the model. Furthermore an activity routine net was built and used to compare with the hidden Markov model.

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

    DEFF Research Database (Denmark)

    Toft, Bente Skovsby; Uhrenfeldt, Lisbeth

    2015-01-01

    lead to long-term changes in activity level, if facilitators and barriers are approached in a holistic way by professionals. To develop lifestyle interventions, the perspective and experiences of this group of patients are essential for success. The methodology of the systematic review followed......The aim is to identify facilitators and barriers for physical activity (PA) experienced by morbidly obese adults in the Western world. Inactivity and a sedentary lifestyle have become a major challenge for health and well-being, particularly among persons with morbid obesity. Lifestyle changes may...

  17. Conceptualization and measurement of environmental exposure in epidemiology: accounting for activity space related to daily mobility.

    Science.gov (United States)

    Perchoux, Camille; Chaix, Basile; Cummins, Steven; Kestens, Yan

    2013-05-01

    A considerable body of literature has investigated how environmental exposures affect health through various pathways. These studies have generally adopted a common approach to define environmental exposures, focusing on the local residential environment, using census tracts or postcodes to delimit exposures. However, use of such administrative units may not be appropriate to evaluate contextual effets on health because they are generally not a 'true' representation of the environments to which individuals are exposed. Recent work has suggested that advances may be made if an activity-space approach is adopted. The present paper investigates how various disciplines may contribute to the refinement of the concept of activity space for use in health research. In particular we draw on seminal work in time geography, which provides a framework to describe individual behavior in space and time, and can help the conceptualization of activity space. In addition we review work in environmental psychology and social networks research, which provides insights on how people and places interact and offers new theories for improving the spatial definition of contextual exposures.

  18. Daily physical activities and sports in adult survivors of childhood cancer and healthy controls: a population-based questionnaire survey.

    Directory of Open Access Journals (Sweden)

    Corina S Rueegg

    Full Text Available BACKGROUND: Healthy lifestyle including sufficient physical activity may mitigate or prevent adverse long-term effects of childhood cancer. We described daily physical activities and sports in childhood cancer survivors and controls, and assessed determinants of both activity patterns. METHODOLOGY/PRINCIPAL FINDINGS: The Swiss Childhood Cancer Survivor Study is a questionnaire survey including all children diagnosed with cancer 1976-2003 at age 0-15 years, registered in the Swiss Childhood Cancer Registry, who survived ≥5 years and reached adulthood (≥20 years. Controls came from the population-based Swiss Health Survey. We compared the two populations and determined risk factors for both outcomes in separate multivariable logistic regression models. The sample included 1058 survivors and 5593 controls (response rates 78% and 66%. Sufficient daily physical activities were reported by 52% (n = 521 of survivors and 37% (n = 2069 of controls (p<0.001. In contrast, 62% (n = 640 of survivors and 65% (n = 3635 of controls reported engaging in sports (p = 0.067. Risk factors for insufficient daily activities in both populations were: older age (OR for ≥35 years: 1.5, 95CI 1.2-2.0, female gender (OR 1.6, 95CI 1.3-1.9, French/Italian Speaking (OR 1.4, 95CI 1.1-1.7, and higher education (OR for university education: 2.0, 95CI 1.5-2.6. Risk factors for no sports were: being a survivor (OR 1.3, 95CI 1.1-1.6, older age (OR for ≥35 years: 1.4, 95CI 1.1-1.8, migration background (OR 1.5, 95CI 1.3-1.8, French/Italian speaking (OR 1.4, 95CI 1.2-1.7, lower education (OR for compulsory schooling only: 1.6, 95CI 1.2-2.2, being married (OR 1.7, 95CI 1.5-2.0, having children (OR 1.3, 95CI 1.4-1.9, obesity (OR 2.4, 95CI 1.7-3.3, and smoking (OR 1.7, 95CI 1.5-2.1. Type of diagnosis was only associated with sports. CONCLUSIONS/SIGNIFICANCE: Physical activity levels in survivors were lower than recommended, but comparable to controls and

  19. Daily practices of health among sex workers

    Directory of Open Access Journals (Sweden)

    Elouyse Fernandes Leitão

    2012-09-01

    Full Text Available Objective: To describe the health practices adopted by sex workers in their daily lives. Methods: A qualitative study that took place at bars where sex workers of Maceió –AL, Brazil, work. The universe of participant subjects was integrated by 15 female sex workers, aged between 20 and 39 years, assisted by the team of a Street Clinic. The research took place between August and October 2011 and women were randomly selected. Data was collected through semi-structured interviews, which were all audio-recorded and transcribed for further analysis and interpretation. Results: Thematic analysis of the data produced and the theoretical framework of health promotion enabled the categorization of the health practices in daily life of these women, such as: prevention of sexually transmitted diseases, body care and aesthetics, physical activity, nutrition, leisure, interpersonal relationships, consumption of alcohol and others drugs, self-medication, and quest for health services. The ways they appropriate themselves of such practices are conditioned by the social vulnerability and economic and sociocultural context they are in. Conclusion: Despite the deficiencies found in the development of these practices, sex workers seek to preserve habits that improve their physical, social and mental health, as well as the pursuit of professional care and services to promote their health.

  20. Enhancement of daily physical activity increases physical fitness of outclinic COPD patients : Results of an exercise counseling program

    NARCIS (Netherlands)

    Hospes, Gieneke; Bossenbroek, Linda; ten Hacken, Nick H. T.; van Hengel, Peter; de Greef, Mathieu H. G.

    2009-01-01

    Objective: To investigate whether a 12-week pedometer-based exercise counseling strategy is feasible and effectively enhances daily physical activity in outclinic Chronic Obstructive Pulmonary Disease (COPD) patients who do not participate in a rehabilitation program in a controlled way. Methods: 35

  1. Feeding habits, microhabitat use, and daily activity of Cycloramphus brasiliensis (Anura: Cycloramphidae from the Atlantic Rainforest, Brazil

    Directory of Open Access Journals (Sweden)

    Thiago Maia-Carneiro

    2012-06-01

    Full Text Available We analyzed the feeding habits, microhabitat use, and daily activity period of the anuran species Cycloramphus brasiliensis (Steindachner, 1864, endemic to the Atlantic Rainforest biome. The only previous studies on this species focused on the systematics and new altitudinal records. This study was conducted in a large forest remnant located in the municipalities of Guapimirim and Cachoeiras de Macacu. We captured frogs through visual encounter surveys and recorded the frequency of microhabitat types used by them, and the time of capture. Diet was analyzed in terms of number, volume and frequency of occurrence of items. Individuals of C. brasiliensis occurred in association with fast-moving rocky portions of clear freshwater rivers, indicating a rheophilic habit, and were active mainly at night. Such as most anuran species, the diet of Cycloramphus brasiliensis was mainly based on arthropods, and included Blattodea, Formicidae, and Coleoptera as most important prey items.

  2. The Evaluation of Daily Life Activities after Application of an Osseointegrated Prosthesis Fixation in a Bilateral Transfemoral Amputee

    Science.gov (United States)

    Schalk, Stephanie A.F.; Jonkergouw, Niels; van der Meer, Fred; Swaan, Willem M.; Aschoff, Horst-H.; van der Wurff, Peter

    2015-01-01

    Abstract Individuals with a transfemoral amputation (TFA) may experience limitations in daily life due to reduced mobility and prosthesis-related problems. An osseointegrated prosthesis fixation (OPF) procedure in amputees might contribute to a solution for patients with short stumps or socket-related problems. To date, no study has specifically described the application of an OPF procedure in individuals with a TFA. This study evaluated the level of daily life activities of a 21-year old service member with a bilateral TFA and cerebral trauma. Due to a short stump length and coordination problems, an OPF procedure was deemed the most suitable option. The result of this procedure and the rehabilitation program showed an increased mobility and satisfaction as obtained by the assessment of life habits questionnaire (LIFE-H) and lower extremity functional scale. The participant was able to walk short distances and the Genium knee provided a stance position. Stair ambulation is impossible because of inadequate muscle capacity. In this specific case we conclude that the quality of life improved through the use of an OPF. However, OPF might not be the appropriate device for every individual with TFA, due to varying bone compositions, co-morbidities, and limited clinical experience and unknown long-term effects. PMID:26356693

  3. The daily living for informal caregivers with a partner with Parkinson’s disease: - An interview study of women´s experiences of care decisions and selfmanagement

    DEFF Research Database (Denmark)

    Hounsgaard, Lise; Pedersen, B. D.; Wagner, L.

    2011-01-01

    .  A phenomenological hermeneutic approach was used. Interviews with female partners (N = 10) of patients with Parkinson disease who were living at home were conducted in Denmark in 2008. The French philosopher Ricoeur’s theory of interpretation guided the data analysis. Conclusion.  This study shows that essential...... needs in favour of the care needs of their chronically ill partner. The women’s contribution should be better valued, and they should be supported to a greater extent to retain/maintain their self-management capacity. Respite and relief from the care burden should especially be provided for women who...

  4. Ubiquitous Support for Midwives to Leverage Daily Activities

    NARCIS (Netherlands)

    Al Mahmud, A.; Keyson, D.V.

    2013-01-01

    In this paper we present preliminary outcomes concerning the design of a support system for midwives in the Netherlands to carry out daily activities. The purpose of our design is to make the workflow of midwives more efficient. Our user studies confirm that the current workflows of midwives to supp

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

    Science.gov (United States)

    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. PMID:26630519

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

    Science.gov (United States)

    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.

  7. Habitat use, daily activity periods, and thermal ecology of Ameiva ameiva (Squamata: Teiidae in a caatinga area of northeastern Brazil

    Directory of Open Access Journals (Sweden)

    Eliza M. X. Freire

    2011-12-01

    Full Text Available We studied the use of spatial, temporal, and thermal resources by the Neotropical lizard Ameiva ameiva during rainy and dry seasons in a caatinga (xerophilous open forests environment in northeasternBrazil. Lizards used the vegetation habitats and microhabitats in the ground, but never were seen in the rocky habitat. Adults usually used the arboreal-shrubby habitat, whereas juveniles were sighted more often in the shrubby-herbaceous habitat. Ontogenetic differences in spatial use seem to be linked to different thermal needs between age groups owing to differences in body size. Body temperatures were significantly higher in juveniles than in adults. Most teiid species have elevated body temperatures, usually above 37oC, and are active during the hottest times of day, as was observed for A. ameiva in this study. Seasonality influenced habitat use and daily activity periods of adults, but not body temperatures. We verified annual fluctuations in adult abundance, with a decline of active lizards in the dry season; this phenomenon may be related to aestivation and/or increased mortality rate during the driest months.

  8. Daily Physical Activity and Screen Time, but Not Other Sedentary Activities, Are Associated with Measures of Obesity during Childhood

    OpenAIRE

    Shoo Thien Lee; Jyh Eiin Wong; Safii Nik Shanita; Mohd Noor Ismail; Paul Deurenberg; Bee Koon Poh

    2014-01-01

    Childhood obesity is related to low physical activity level and a sedentary lifestyle. The aim of this study was to assess the physical activity level and sedentary behaviour of Malaysian children aged 7 to 12 years and to examine their association with body mass index (BMI), BMI-for-age Z-score (BAZ), body fatness (%BF) and waist circumference (WC). A total of 1736 children, representing all ethnic groups were recruited from six regions of Malaysia. Anthropometric measurements included body ...

  9. A longitudinal qualitative study examining the factors impacting on the ability of persons with T1DM to assimilate the Dose Adjustment For Normal Eating (DAFNE) principles into daily living and how these factors change over time

    LENUS (Irish Health Repository)

    Casey, Dympna

    2011-08-30

    Abstract Background The literature reveals that structured education programmes, such as DAFNE, result in many positive outcomes for people with Type 1 diabetes including a decrease in HbA1c levels and reductions in hypoglycaemia. While there is evidence that some of these outcomes are maintained we do not know at present what factors are most important over time. The study aim was to identify the key factors impacting on persons with Type 1 diabetes ability to assimilate the Dose Adjustment For Normal Eating (DAFNE) DAFNE principles into their daily lives and how these factors change over time. Methods This is a longitudinal descriptive qualitative study. Interviews were undertaken with 40 participants who had attended DAFNE in one of 5 study sites across the Island of Ireland, at 6 weeks, 6 and 12 months after completion of the programme. The interviews lasted from 30 to 60 minutes and were transcribed verbatim. Data were analysed in three ways, a within time analysis, a cross sectional analysis for each participant and a thematic analysis which focused on examining changes over time Results Four themes that influenced participants\\' ability to assimilate DAFNE into their daily lives over time were identified. These were: embedded knowledge, continued responsive support, enduring motivation and being empowered. Support at the 6 month period was found to be crucial to continued motivation. Conclusions Understanding the factors that influence people\\'s ability to assimilate DAFNE principles over time into their daily lives can help health professionals give focused responsive support that helps people with diabetes become more empowered. Understanding that continued support matters, particularly around 6 months, is important as health professionals can influence good management by providing appropriate support and enhancing motivation. Trial registration ISRCTN79759174

  10. A longitudinal qualitative study examining the factors impacting on the ability of persons with T1DM to assimilate the Dose Adjustment for Normal Eating (DAFNE principles into daily living and how these factors change over time

    Directory of Open Access Journals (Sweden)

    White Florence

    2011-08-01

    Full Text Available Abstract Background The literature reveals that structured education programmes, such as DAFNE, result in many positive outcomes for people with Type 1 diabetes including a decrease in HbA1c levels and reductions in hypoglycaemia. While there is evidence that some of these outcomes are maintained we do not know at present what factors are most important over time. The study aim was to identify the key factors impacting on persons with Type 1 diabetes ability to assimilate the Dose Adjustment For Normal Eating (DAFNE DAFNE principles into their daily lives and how these factors change over time. Methods This is a longitudinal descriptive qualitative study. Interviews were undertaken with 40 participants who had attended DAFNE in one of 5 study sites across the Island of Ireland, at 6 weeks, 6 and 12 months after completion of the programme. The interviews lasted from 30 to 60 minutes and were transcribed verbatim. Data were analysed in three ways, a within time analysis, a cross sectional analysis for each participant and a thematic analysis which focused on examining changes over time Results Four themes that influenced participants' ability to assimilate DAFNE into their daily lives over time were identified. These were: embedded knowledge, continued responsive support, enduring motivation and being empowered. Support at the 6 month period was found to be crucial to continued motivation. Conclusions Understanding the factors that influence people's ability to assimilate DAFNE principles over time into their daily lives can help health professionals give focused responsive support that helps people with diabetes become more empowered. Understanding that continued support matters, particularly around 6 months, is important as health professionals can influence good management by providing appropriate support and enhancing motivation. Trial registration ISRCTN79759174

  11. Comparison of body-powered voluntary opening and voluntary closing prehensor for activities of daily life

    Directory of Open Access Journals (Sweden)

    Kelsey Berning

    2014-05-01

    Full Text Available Persons with an upper-limb amputation who use a body-powered prosthesis typically control the prehensor through contralateral shoulder movement, which is transmitted through a Bowden cable. Increased cable tension either opens or closes the prehensor; when tension is released, some passive element, such as a spring, returns the prehensor to the default state (closed or open. In this study, we used the Southampton Hand Assessment Procedure to examine functional differences between these two types of prehensors in 29 nondisabled subjects (who used a body-powered bypass prosthesis and 2 persons with unilateral transradial amputations (who used a conventional body-powered device. We also administered a survey to determine whether subjects preferred one prehensor or the other for specific tasks, with a long-term goal of assessing whether a prehensor that could switch between both modes would be advantageous. We found that using the voluntary closing prehensor was 1.3 s faster (p = 0.02 than using the voluntary opening prehensor, across tasks, and that there was consensus among subjects on which types of tasks they preferred to do with each prehensor type. Twenty-five subjects wanted a device that could switch between the two modes in order to perform particular tasks.

  12. Comparison of body-powered voluntary opening and voluntary closing prehensor for activities of daily life.

    Science.gov (United States)

    Berning, Kelsey; Cohick, Sarah; Johnson, Reva; Miller, Laura Ann; Sensinger, Jonathon W

    2014-01-01

    Persons with an upper-limb amputation who use a body-powered prosthesis typically control the prehensor through contralateral shoulder movement, which is transmitted through a Bowden cable. Increased cable tension either opens or closes the prehensor; when tension is released, some passive element, such as a spring, returns the prehensor to the default state (closed or open). In this study, we used the Southampton Hand Assessment Procedure to examine functional differences between these two types of prehensors in 29 nondisabled subjects (who used a body-powered bypass prosthesis) and 2 persons with unilateral transradial amputations (who used a conventional body-powered device). We also administered a survey to determine whether subjects preferred one prehensor or the other for specific tasks, with a long-term goal of assessing whether a prehensor that could switch between both modes would be advantageous. We found that using the voluntary closing prehensor was 1.3 s faster (p = 0.02) than using the voluntary opening prehensor, across tasks, and that there was consensus among subjects on which types of tasks they preferred to do with each prehensor type. Twenty-five subjects wanted a device that could switch between the two modes in order to perform particular tasks.

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

    OpenAIRE

    Sundsli K; Espnes GA; Söderhamn O

    2013-01-01

    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, NorwayB...

  14. Observation of nutrition supporting treatment's improvement in daily living ability of patients with long-term hemodialysis%营养支持改善长期血液透析患者日常生活活动能力观察

    Institute of Scientific and Technical Information of China (English)

    左巍

    2001-01-01

    @@Background:The body state of patients with long-term hemodialysis must have been decreased,of whom malnutrition are seen commonly,which affects patients' living activity ability and living quality directly,so nutrition supporting is very essential for patients with long-term hemodialysis. Objective:To observe the condition of nutrition supporting's improvement in ability of daily living(ADL) and nutrition condition of patients with long-term hemodialysis. Design:To evaluate ADL and nutrition condition of 30 cases patients with long-term hemodialysis before and after nutrition supporting.ADL Mark is according to reformed index marking graph. Unit:Internal Renal Department of General Hospital of Shenyang Military Region Subject:30 patients suffering from chronic renal failure and accepting long-term hemodialysis,male 13 cases,female 17 cases,average age(50.23± 3.41)years.

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

    NARCIS (Netherlands)

    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

  16. Rural Active Living: A Call to Action.

    Science.gov (United States)

    Umstattd Meyer, M Renée; Moore, Justin B; Abildso, Christiaan; Edwards, Michael B; Gamble, Abigail; Baskin, Monica L

    2016-01-01

    Rural residents are less physically active than their urban counterparts and disproportionately affected by chronic diseases and conditions associated with insufficient activity. While the ecological model has been successful in promoting and translating active living research in urban settings, relatively little research has been conducted in rural settings. The resulting research gap prohibits a comprehensive understanding and application of solutions for active living in rural America. Therefore, the purpose of this article was to assess the evidence base for an ecological model of active living for rural populations and outline key scientific gaps that inhibit the development and application of solutions. Specifically, we reexamined the 4 domains conceptualized by the model and suggest that there is a dearth of research specific to rural communities across all areas of the framework. Considering the limited rural-specific efforts, we propose areas that need addressing to mobilize rural active living researchers and practitioners into action. PMID:26327514

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

    DEFF Research Database (Denmark)

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

    2015-01-01

    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......, were assessed with validated instruments. For statistical power, 280 participants were required. Statistical analyses were performed on an intention-to-treat basis. RESULTS: There were no differences between the groups regarding changes in perceived participation, independence in ADL, or life...

  18. [Cognitive reserve in substance addicts in treatment: relation to cognitive performance and activities of daily living].

    Science.gov (United States)

    Pedrero-Pérez, Eduardo J; Rojo-Mota, Gloria; Ruiz-Sánchez de León, José M; Fernández-Méndez, Laura M; Morales-Alonso, Sara; Prieto-Hidalgo, Ana

    2014-12-01

    Introduccion. El concepto de reserva cognitiva ha ido ganando interes en la medida en que se ha acumulado evidencia sobre su relacion con la resistencia del cerebro a declinar en su funcionamiento ante amenazas o alteraciones neurologicas. Aunque se ha estudiado en un gran numero de alteraciones (degenerativas, traumaticas, psicopatologicas), pocos trabajos relacionan la reserva cognitiva con la adiccion a sustancias, un proceso multidimensional con clara base neurologica. Objetivo. Explorar la reserva cognitiva de pacientes en tratamiento por adiccion a drogas, relacionandolo con su rendimiento cognitivo en pruebas neuropsicologicas y en actividades de la vida diaria. Pacientes y metodos. Muestra de 57 pacientes en tratamiento por adiccion a sustancias en un centro especifico. Se administraron el cuestionario de reserva cognitiva, la evaluacion cognitiva de Montreal y el inventario de sintomas prefrontales, y se recogieron variables relacionadas con la adiccion. Resultados. Se encontro una relacion positiva entre la reserva cognitiva y el tiempo de abstinencia, y negativa con la gravedad de la adiccion. Aparecieron diferencias significativas segun la reserva cognitiva en rendimiento neuropsicologico (especialmente en ciertos dominios cognitivos) y en actividades cotidianas. Conclusiones. La reserva cognitiva aparece como una variable relacionada con la adiccion y los deficits cognitivos que la acompañan; resulta ser una potencial diana de las actividades rehabilitadoras, vinculada al paradigma de enriquecimiento ambiental, como estrategia para potenciar la resistencia frente al deterioro cognitivo que favorece y mantiene la adiccion y para disminuir el potencial reforzador de la conducta de consumo.

  19. Higher estimates of daily dietary net endogenous acid production (NEAP in the elderly as compared to the young in a healthy, free-living elderly population of Pakistan

    Directory of Open Access Journals (Sweden)

    Alam I

    2012-12-01

    Full Text Available Iftikhar Alam,1,2 Ibrar Alam,3 Parvez I Paracha,4 Graham Pawelec21Department of Agriculture, Bacha Khan University Charsadda, Khyber Pakhtunkhwa (KPK, Pakistan; 2Tübingen Aging and Tumor Immunology Group, Zentrum für Medizinische Forschung, University of Tübingen, Tübingen, Germany; 3Institute of Bio-technology and Genetics Engineering (IBGE, KPK Agricultural University, Peshawar, Pakistan; 4Department of Human Nutrition, KPK Agricultural University, Peshawar, KPK, PakistanAbstract: Dietary intake has been shown to influence the acid–base balance in human subjects; however, this phenomenon is poorly understood and rarely reported for the least well-studied segment of older people in a developing country. The aims of the present study were to: (1 quantify estimates of daily net endogenous acid production (NEAP (mEq/d in a sample of otherwise healthy elderly aged 50 years and above; and (2 compare NEAP between the elderly and young to determine the effects of aging, which could contribute to changes in the acid–base balance. Analyses were carried out among 526 elderly and 131 young participants (aged 50–80 and 23–28 years, respectively, all of whom were free of discernible disease, nonsmokers, and not on any chronic medication. Selected anthropometric factors were measured and 24-hour dietary recall was recorded. We used two measures to characterize dietary acid load: (1 NEAP estimated as the dietary potential renal acid load plus organic acid excretion, the latter as a multiple of estimated body surface area; and (2 estimated NEAP based on protein and K. For the young and elderly, the ranges of NEAP were 12.1–67.8 mEq/d and 2.0–78.3 mEq/d, respectively. Regardless of the method used, the mean dietary acid–base balance (NEAP was significantly higher for the elderly than the young (P = 0.0035 for NEAP [elderly, 44.1 mEq/d versus young 40.1 mEq/d]; and P = 0.0035 for the protein:potassium ratio [elderly, 1.4 mEq/d versus young 1

  20. Development of evaluation method of collective dose of general public considering the daily life activity and time use

    International Nuclear Information System (INIS)

    A code for evaluation of collective dose of general public to natural radiation has been developed, in which the variation of dose rate due to place of stay is taken into consideration. Only external exposure to natural radiation is subject to discussion in this report. Strict manner of dose evaluation requires the dose rate and the time period of stay for each place and for each person. It is possible to know (measure) them all, but not practicable. In this code, dose rate information was obtained from actually measured data by the authors and estimation based on the environmental conditions. Information on the time period of stay was obtained from a Survey Data on Time Use and Leisure Activities by Management and Coordination Agency, and from Statistical Yearbook of Tokyo with some realistic assumptions. By using them, collective dose was evaluated taking both the daily life style and dose rate varying place by place into consideration. In this report, the dose evaluation code and the results about doses for Tokyo citizens are mentioned. (author)

  1. Development of evaluation method of collective dose of general public considering the daily life activity and time use

    Energy Technology Data Exchange (ETDEWEB)

    Nagaoka, Toshi; Saito, Kimiaki; Sakamoto, Ryuichi; Tsutsumi, Masahiro; Moriuchi, Shigeru [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    1994-11-01

    A code for evaluation of collective dose of general public to natural radiation has been developed, in which the variation of dose rate due to place of stay is taken into consideration. Only external exposure to natural radiation is subject to discussion in this report. Strict manner of dose evaluation requires the dose rate and the time period of stay for each place and for each person. It is possible to know (measure) them all, but not practicable. In this code, dose rate information was obtained from actually measured data by the authors and estimation based on the environmental conditions. Information on the time period of stay was obtained from a Survey Data on Time Use and Leisure Activities by Management and Coordination Agency, and from Statistical Yearbook of Tokyo with some realistic assumptions. By using them, collective dose was evaluated taking both the daily life style and dose rate varying place by place into consideration. In this report, the dose evaluation code and the results about doses for Tokyo citizens are mentioned. (author).

  2. Safety evaluation by living probabilistic safety assessment. Procedures and applications for planning of operational activities and analysis of operating experience

    International Nuclear Information System (INIS)

    Living Probabilistic Safety Assessment (PSA) is a daily safety management system and it is based on a plant-specific PSA and supporting information systems. In the living use of PSA, plant status knowledge is used to represent actual plant safety status in monitoring or follow-up perspective. The PSA model must be able to express the risk at a given time and plant configuration. The process, to update the PSA model to represent the current or planned configuration and to use the model to evaluate and direct the changes in the configuration, is called living PSA programme. The main purposes to develop and increase the usefulness of living PSA are: Long term safety planning: To continue the risk assessment process started with the basic PSA by extending and improving the basic models and data to provide a general risk evaluation tool for analyzing the safety effects of changes in plant design and procedures. Risk planning of operational activities: To support the operational management by providing means for searching optimal operational maintenance and testing strategies from the safety point of view. The results provide support for risk decision making in the short term or in a planning mode. The operational limits and conditions given by technical specifications can be analyzed by evaluating the risk effects of alternative requirements in order to balance the requirements with respect to operational flexibility and plant economy. Risk analysis of operating experience: To provide a general risk evaluation tool for analyzing the safety effects of incidents and plant status changes. The analyses are used to: identify possible high risk situations, rank the occurred events from safety point of view, and get feedback from operational events for the identification of risk contributors. This report describes the methods, models and applications required to continue the process towards a living use of PSA. 19 tabs, 20 figs

  3. The Daily Dynamics of Phenolic Compounds Content and Guaiacol-Peroksidase Activity in Leaves and Flowers of Alchemilla subcrenata and Veronica chamaedrys

    OpenAIRE

    Zhivetev M.A.; Dudareva L.V.; Rudikovskaya E.G.; Graskova I.A.; Voinikov V.K.

    2015-01-01

    The daily dynamics of peroxidase activity and the total content of phenolic compounds in leaves and inflorescences of Alchemilla subcrenata Buser and Veronica chamaedrys L. were studied. Significant changes in the content of phenolic compounds and activity peroksidase depending on the time of day was shown.

  4. Employee discourse: tensions between the use of English and multilingual exchanges in daily work activities

    OpenAIRE

    LEJOT, EVE

    2016-01-01

    A number of European projects – ELAN (2006), Dylan (2006-2011), CELAN (2011-2013) – have confirmed the importance of multilingualism in the workplace. They provide evidence that a multilingual environment increases the diversity and the quality of projects, while monolingualism can mean a loss of markets. Since the ‘80s, English as a lingua franca (ELF) has been accepted as the international business language. Although English is not considered a threat to multilingualism (House, 2002, 2003),...

  5. Employee discourse: tensions between the use of English and multilingual exchanges in daily work activities.

    OpenAIRE

    LEJOT, EVE

    2016-01-01

    A number of European projects – ELAN (2006), Dylan (2006-2011), CELAN (2011-2013) – have confirmed the importance of multilingualism in the workplace. They provide evidence that a multilingual environment increases the diversity and the quality of projects, while monolingualism can mean a loss of markets. Since the ‘80s, English as a lingua franca (ELF) has been accepted as the international business language. Although English is not considered a threat to multilingualism (House, 2002, 2003),...

  6. The Daily Activities of Staff Employed at a Family Support Program Located in an Urban Setting.

    Science.gov (United States)

    Sharma, Jennifer; Epstein, Michael H.; McKelvey, Janet; Frankenberry, Erin

    This conference paper discusses the results of a study that investigated how the clients of the Chicago-based Satellite Family Outreach program are served by the social workers and family workers of Satellite. The Satellite Program is offered by Kaleidoscope, Inc., a child welfare agency that provides unconditional, individualized and, when…

  7. The impact of tinnitus on daily activities in adult tinnitus sufferers: A pilot study

    Directory of Open Access Journals (Sweden)

    Nomfundo F. Moroe

    2014-06-01

    Full Text Available Background: Few South African studies have been published on the impact of tinnitus on quality of life of tinnitus sufferers, although evidence suggests that a large portion of the general population suffers from tinnitus.Objectives: The current study aimed at describing the effects of tinnitus on the quality of life of the participants as measured by the Tinnitus Handicap Inventory (THI.Method: In a cross-sectional descriptive study design, 27 participants took part in the study by completing a self-administered THI questionnaire and participating in a semi-structured interview. Descriptive and inferential statistics were used to analyse the data. Descriptively, content analysis was used to organise and convey results from the interviews.Results: Participants reported a wide range of perceived disability on the THI. Results ranged from mild to catastrophic, with functional disability being most prominent in all participants, although there were differences when results were analysed according to gender. There was an association between gender and the type of perceived disability, although this was statistically non-significant (p > 0.05. Only 26% of the participants reported no effect on occupational performance and quality of life, with the remainder of the participants reporting a significant effect. Limited effective management strategies were reported to have been implemented – a significant implication for the audiologists.Conclusion: The results have implications for audiologists as they suggest that audiologists should take a detailed case history to determine the extent to which tinnitus affects the individual. Furthermore, audiologists should administer a scale such as the THI in the management of tinnitus.

  8. Skeletal Adaptation to Daily Activity: A Biochemical Perspective

    Science.gov (United States)

    Whalen, Robert T.; Dalton, Bonnie (Technical Monitor)

    2002-01-01

    Musculoskeletal forces generated by normal daily activity on Earth maintain the functional and structural properties of muscle and bone throughout most of one's adult life. A reduction in the level of cumulative daily loading caused by space flight, bed rest or spinal cord injury induces rapid muscle atrophy, functional changes in muscle, and bone resorption in regions subjected to the reduced loading. Bone cells in culture and bone tissue reportedly respond to a wide variety of non-mechanical and mechanical stimuli ranging, from electromagnetic fields, and hormones to small amplitude, high frequency vibrations, fluid flow, strain rate, and stress/strain magnitude. However, neither the transduction mechanism that transforms the mechanical input into a muscle or bone metabolic response nor the characteristics, of the loading history that directly or indirectly stimulates the cell is known. Identifying the factors contributing to the input stimulus will have a major impact on the design of effective countermeasures for long duration space flight. This talk will present a brief overview of current theories of bone remodeling and functional adaptation to mechanical loading. Work from our lab will be presented from the perspective of daily cumulative loading on Earth and its relationship to bone density and structure. Our objective is to use the tibia and calcaneus as model bone sites of cortical and cancellous bone adaptation, loaded daily by musculoskeletal forces in equilibrium with the ground reaction force. All materials that will be discussed are in the open scientific literature.

  9. Synchronization by Food Access Modifies the Daily Variations in Expression and Activity of Liver GABA Transaminase

    OpenAIRE

    Dalia De Ita-Pérez; Isabel Méndez; Olivia Vázquez-Martínez; Mónica Villalobos-Leal; Mauricio Díaz-Muñoz

    2014-01-01

    Daytime restricted feeding (DRF) is an experimental protocol that influences the circadian timing system and underlies the expression of a biological clock known as the food entrained oscillator (FEO). Liver is the organ that reacts most rapidly to food restriction by adjusting the functional relationship between the molecular circadian clock and the metabolic networks. γ-Aminobutyric acid (GABA) is a signaling molecule in the liver, and able to modulate the cell cycle and apoptosis. This stu...

  10. Mood instability in bipolar disorder type I versus type II-continuous daily electronic self-monitoring of illness activity using smartphones

    DEFF Research Database (Denmark)

    Faurholt-Jepsen, Maria; Ritz, Christian; Frost, Mads;

    2015-01-01

    BACKGROUND: A substantial proportion of patients with bipolar disorder remain symptomatic during inter-episode periods, and mood instability is associated with high risk of relapse and hospitalization. Few studies have investigated long-term daily illness activity and none has compared bipolar type...... I and II using daily data. The objectives were to investigate differences in daily illness activity between bipolar disorder type I and II. METHODS: A smartphone-based system for self-monitoring was developed. A total of 33 patients treated in a mood clinic used the system for daily self......-monitoring during a median period of 310 days [IQR 189; 437]. Data presented summarize over 8500 observations. RESULTS: Patients with bipolar disorder type II (n=20), compared to patients with bipolar disorder type I (n=13), experienced a significant lower mean level of mood on a scale from -3; +3 (-0.54 (95% CI...

  11. Comparison of variations between percentage of body fat, body mass index and daily physical activity among young Japanese and Thai female students

    Directory of Open Access Journals (Sweden)

    Morinaka Tomoko

    2012-08-01

    Full Text Available Abstract Background In our series of investigations concerning the causes of seasonal change in fat accumulation in young university students, we could not find any contribution of seasonal variation in the ratio of carbohydrate and fat metabolism to that of body fat percentage in Japanese and Thai participants. After our previous study, we examined the effect of daily physical activity on body fat percentage to look for the major causes of seasonal change in fat accumulation in young university students. Findings In this study, we measured participants’ (young Japanese and Thai university students daily physical activity by a uniaxial accelerometer in addition to the measurements of body fat percentage and body mass index by a bioelectrical impedance meter. We found that there was significant and moderate negative correlation between body fat percentage and daily step counts among Japanese but not Thai participants. We observed significant, moderate and positive correlations between the percentage of body fat and body mass index among Japanese and Thai participants. Conclusions Daily physical activity plays an important role in the seasonal variation of body fat percentage of Japanese female students. Our present study also confirmed the importance of daily physical activity for controlling body mass index and for the prevention of obesity.

  12. Log live high activity radioactive wastes / Researches and results law of the 30 December 1991. Separation and transmutation of long lived radionuclides

    International Nuclear Information System (INIS)

    The law of the 30 December 1991 on the high activity long lived radioactive wastes reached the end. This synthesis final document presents the scientific and technological results, obtained still the end of 2005, on the separation and the transmutation of long lived radionuclides of high activity long lived radioactive wastes. It is organized in five chapters: a presentation of the context and the historical aspects, the researches, the objectives and the strategy of the axis 1, the researches results on the advanced separation, the researches results on the transmutation, the scenario of separation-transmutation and their environmental, technical and economical impacts. (A.L.B.)

  13. Relação entre a limitação nas atividades de vida diária (AVD e o índice BODE em pacientes com doença pulmonar obstrutiva crônica Relationship between daily living activities (ADL limitation and the BODE index in patients with Chronic Obstructive Pulmonary Disease

    Directory of Open Access Journals (Sweden)

    Karen M. Simon

    2011-06-01

    Full Text Available CONTEXTUALIZAÇÃO: A Doença Pulmonar Obstrutiva Crônica (DPOC é uma doença progressiva que reduz a capacidade funcional, comprometendo as atividades de vida diária (AVD. A morbidade e a mortalidade na DPOC apresentam uma estreita relação com a limitação funcional nesses pacientes. OBJETIVOS: Verificar se há associação entre a limitação nas AVD e o índice preditor de mortalidade BODE em pacientes com DPOC moderada a muito grave e não moderada e grave. MÉTODOS: Trinta e nove pacientes com DPOC GOLD 2 a 4, em uma amostra de conveniência, foram submetidos às avaliações: espirometria, índice de massa corpórea (IMC, escala London Chest Activity of Daily Living (LCADL, teste da caminhada de seis minutos (TC6min; escala Medical Research Council (MRC, e o índice BODE foi calculado. O escore total e o percentual do escore total da LCADL (LCADL%total foram comparados entre os pacientes dos quatro quartis do BODE utilizando-se ANOVA. O Coeficiente de Correlação de Spearman foi utilizado para verificar a associação entre os escores da LCADL e do índice BODE. RESULTADOS: Os pacientes apresentaram em média VEF1%prev=37,0±12,2%, idade=66±8 anos. A LCADL%total apresentou correlação com o BODE (r=0,65, pBACKGROUND: Chronic Obstructive Pulmonary Disease (COPD is a progressive disease that reduces functional capacity, deteriorating the ability to perform activities of daily living (ADL. A close relationship between morbidity and mortality with functional limitation is observed in patients with COPD. OBJECTIVES: To determine if there is a relationship between ADL limitation and the BODE index, which is a predictor of mortality, in patients with moderate to severe COPD. METHODS: Thirty-nine patients with COPD GOLD 2 to 4 recruited by convenience, were submitted to the following tests: spirometry, body mass index (BMI, the London Chest Activity of Daily Living (LCADL scale, six-minute walking test (6MWT, the Medical Research Council

  14. Daily Activity Rhythm of Captive Red Pandas(Ailurus fulgens)%圈养小熊猫的昼夜活动节律

    Institute of Scientific and Technical Information of China (English)

    韩宗先; 魏辅文; 李明; 张泽钧; 胡锦矗

    2005-01-01

    Daily activity rhytlms of three radio-collared captive red pandas were monitored individually at 15 minute intervals for 3 euntinuous days each month at Yele Nature Reserve, Xiangling Mountains, June- October 1995. Our data indicated that mean rate of activity [0.51 ) of</