scholarly journals The Impact of FFC-AL-EIT on Resident and Setting Outcomes

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 343-343
Author(s):  
Marie Boltz

Abstract FFC-AL-EIT was implemented by a Research Nurse Facilitator working with a community champion and stakeholder team for 12 months to increase function and physical activity among residents. FFC-AL-EIT included four steps: (Step I) Environment and Policy Assessments; (Step II) Education; (Step III) Establishing Resident Function Focused Care Service Plans; and (Step IV) Mentoring and Motivating. A total of 85 communities and 794 residents were included. The age of participants was 89.48 (SD=7.43), the majority was female (N=561, 71%) and white (N=771, 97%). Resident measures, obtained at baseline, four and 12 months, included function, physical activity, and performance of function focused care. Setting outcomes, obtained at baseline and 12 months, included environment and policy assessments and service plans. Effectiveness was based on less decline in function (p<.001), more function focused care (p=.012) and better environment (p=.032) and policy (p=.003) support for function focused care in treatment sites.

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Shirley Crispilho ◽  
Eduardo J Duque ◽  
Carla Avesani ◽  
Rosa Maria R Pereira ◽  
Ana Lúcia De Sá-Pinto ◽  
...  

Abstract Background and Aims Increased levels of parathyroid hormone (PTH) are associated with a negative impact on the bone-muscle axis including sarcopenia with muscle weakness and muscle atrophy and osteoporosis, and it is possible that treating hyperparathyroidism (HPT) can ameliorate these disturbances. However, the effects of parathyroidectomy (PTX) on muscle mass, strength and performance, and physical activity have not been thoroughly investigated. This study aims to evaluate the impact of PTX on muscle (mass, strength, and performance), physical activity, body fat and resting energy expenditure (REE) in patients on hemodialysis with severe HPT. Method We are prospectively evaluating muscle mass strength, performance and physical activity of 30 patients before and after 6 months of PTX by using Actigraph GT3X accelerometer, timed-up-and-Go (TuG), Sit-to-Stand-to-Sit (STS) and muscle strength tests [handgrip (HGS), supine (SP) and leg press (LP)]. Body composition changes were assessed by dual-energy x-ray absorptiometry (DXA), and REE was examined by indirect calorimetry. Results At 6 months after PTX, 11 patients who already completed the protocol, showed a significant drop in PTH [1445 (1363-1937) vs. 54 (23-132) pg/mL; p = 0.002] and alkaline phosphatase [306 (235-744) vs. 77.5 (52-100] U/L); p = 0.002], a significant increase of number of steps/day [4321 (3384 – 6317) vs. 5950 (3918 – 7159); p = 0.04] and improvements of strength tests: HGS (27 ±14 vs. 31 ±15 kg; p = 0.01); SP (27 ±15 vs. 31 ±17 kg; p = 0.01] and LP [27 (2-36) vs. 36 (24-89) kg; p 0.04]. In addition, there was a significant reduction of TuG [10 (8-15) vs. 8 (7-11) seconds; p = 0.01], and a tendency towards STS improvement [6 (0-7) vs. 8 (7-11); p = 0.06]. A significant increase in body weight (66 ± 12 vs. 68 ± 14 Kg; p = 0.02), body mass index [24 (21–26) vs. 26 (21–28) kg/m2; p 0.001], and bone mineral content (BMC) [1.8 (1.3-2) vs. 2.1 (1.7-2.7); p=0.002] was seen. However, lean body mass (LBM) decreased [40.4 (38-55) vs. 39 (37-51) Kg; p=0.001], whereas fat mass (FAT) increased [18 (17-28) vs. 24 (17–30) kg; p = 0.02]. No change was noted in skeletal muscle index (SMI) and in REE [1580 (1193–1988) vs. 1473 (1326 - 1786) kcal/day; p = 0.7). We noticed a tendency toward an increase in IGF-1 levels [180 (141-207) vs. 223 (151-281) µg/L; p = 0.08], but no significant variation was found in serum albumin, insulin and HOMA index. Conclusion In hemodialysis patients with secondary hyperparathyroidism undergoing PTX, there were marked improvements of muscular function and bone mass, but not of muscle mass. Our findings suggest that PTH-associated sarcopenia is mediated not only by a decrease in muscle mass but also by muscle dysfunction. The long-term effect of PTX on muscle status remains to be further examined.


2021 ◽  
Author(s):  
Mayara Jeronymo Uébe Mansur ◽  
Bárbara Vieira Bolckau Miranda ◽  
Paloma Priscila Porreca ◽  
Victor Paes Dias Gonçalves ◽  
Anderson Pontes Morales ◽  
...  

The main way to combat and prevent the spread of COVID-19 is through the use of face masksin all situations, whether in public places or workspaces and also during physical activity or exercise. However, recommendations for the use of face masks during exercise vary globally and the physiological impact of using tissue or surgical masks duringthis activity is not well understood. Thus, the objective of this work is to carry out a systematic review to investigate the impact of using a mask during physical activity or exercise in the parameters: ventilatory, physiological, and performance. A structured search was performed following the guidelines of the Preferred Reporting Items for Systematic Review (PRISMA) in the Medline / PubMed and Web of Science, Scopus and Bireme / Lilacs / BVS databases until May 2021. Seven published studies were included in the systematic review. All studies were randomized controlled and crossover clinical trials, seven studies used a surgical mask in their analysis, three studies used a P95 mask, and two studies used a cloth mask. When analyzing the results, four studies showed no significant difference in the use of surgical masks in relation to performance, ventilatory and hemodynamic function parameters; three studies showed a significant worsening with the condition of using a mask in ventilatory, cardiorespiratoryand performance parameters. It was concluded that the findings of the evaluated studies showed divergences in ventilatory, physiological and performance parameters. It is believed that it may be related to the types of exercise protocols used in the assessment. In addition, the study methods had a low risk of bia


2020 ◽  
pp. 101269022094212
Author(s):  
James Bowness ◽  
John McKendrick ◽  
Emmanuelle Tulle

Parkrun is a mass sporting community event which presents itself as a global social movement that aims to create a healthier and happier population. Existing research has explored the impact of parkrun on physical and mental wellbeing, and the mechanisms through which it may change physical activity behaviours. This paper draws upon a UK-wide survey of 8157 parkrunners to explore the subjective athletic identities of those who initially self-identified as non-runners. We examine how identity change is associated with perceptions and experiences of parkrun and demonstrate that parkrun has facilitated subjectivity change that leads many former non-running parkrunners to engage in running outside of the event. Using a Bourdieusian framework we argue that those who frequently engage in parkrun perceive a variety of health and performance changes that become legitimising factors for new health/sport behaviours. Our data add to existing research by demonstrating that parkrun provides a platform for individuals to become ‘runners’, whilst also offering a sociological explanation of how behaviour change may occur.


2014 ◽  
Vol 4 ◽  
pp. 19-24 ◽  
Author(s):  
Tisha B. Suboc ◽  
Scott J. Strath ◽  
Kodlipet Dharmashankar ◽  
Leanne Harmann ◽  
Allison Couillard ◽  
...  

Author(s):  
Teo Chiang Hoon ◽  
Tuan Hairulnizam Tuan Kamaruzaman ◽  
Sarimah binti Abdullah

Introduction Occupation-related fatigue and sleep loss are common among shift workers in the emergency department (ED), who deliver round-the-clock critical care service to patients. These factors affect their performance and impose an unnecessary hazard to patients, while also endangering themselves.  


2005 ◽  
pp. 53-68 ◽  
Author(s):  
R. Kapeliushnikov ◽  
N. Demina

The paper provides new survey evidence on effects of concentrated ownership upon investment and performance in Russian industrial enterprises. Authors trace major changes in their ownership profile, assess pace of post-privatization redistribution of shareholdings and provide evidence on ownership concentration in the Russian industry. The major econometric findings are that the first largest shareholding is negatively associated with the firm’s investment and performance but surprisingly the second largest shareholding is positively associated with them. Moreover, these relationships do not depend on identity of majority shareholders. These results are consistent with the assumption that the entrenched controlling owners are engaged in extracting "control premium" but sizable shareholdings accumulated by other blockholders may put brakes on their expropriating behavior and thus be conductive for efficiency enhancing. The most interesting topic for further more detailed analysis is formation, stability and roles of coalitions of large blockholders in the corporate sector of post-socialist countries.


2019 ◽  
Vol 10 (2) ◽  
pp. 144-151
Author(s):  
Noora Ahmed Lari ◽  

The State of Qatar has implemented several family policies in order to improve the wellbeing of Qatari families and ensure fair distribution of development benefits for both men and women. However, there is a linkage between female employment outside the home and instability in the marriages of Qatari families. This paper investigates the impact of female employment on marital stability, based on the results of primary data collected in Qatar, a questionnaire that consisted of several sections such as challenges in the workplace, supervisor, family and spouse relations, work motivation and performance. Of the 824 questionnaires that were returned, 807 were completed and valid for analysis. Regression analysis and an ANOVA test have been used to test the relationship between the variables. The results of the research have produced mixed findings about how wives’ employment increases marital instability and have yielded few significant differences on mean scores of discuss on work demands, insufficient time together, housework, financial matters, communication, relatives and rearing children. The results indicates that in general Qatar working women face several challenges in relation to their marital life as part of cultural and social constraints.


2020 ◽  
Vol 18 (3) ◽  
pp. 221-228
Author(s):  
Piotr Czarnecki ◽  
◽  
Justyna Podgórska-Bednarz ◽  
Lidia Perenc ◽  
◽  
...  

Introduction. Physical activity is known to be an important factor influencing health throughout human life. This issue has become crucial for public health due to the aging of the population in both developed and developing countries. Aim. is to present a literature review on the forms of physical activity undertaken by the elderly, as well as on issues related to physical activity and the population aging. Material and methods. The study was prepared on the basis of a review of Polish and foreign literature. The following databases and data sources were used: EBSCO, ScienceDirect and Google Scholar. An additional source of data were the websites of the Central Statistical Office. Strictly defined key phrases were used during the collection of literature. The work has been divided into thematic subsections on the aging of the society, the impact of physical activity on health and the main topic, i.e. forms of physical activity selected by the elderly. Analysis of the literature. The number of elderly people in Polish society has increased by almost 3.7 million over three decades. Therefore, an important topic is prophylaxis aimed at increasing the number of days in good health, largely covering the broadly understood activation of the elderly. The available data indicate that only 12% of elderly people undertake physical activity once a week. The most common form of spending free time actively is walking (as many as 73% of people in this population declare this form of physical activity in one of the presented studies). Conclusion. Organized forms of physical activity are undertaken much less frequently by the analyzed age group mainly due to financial limitations and limited availability of sports infrastructure.


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