scholarly journals An empirical investigation of physical literacy-based adolescent health promotion

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Minmin Du ◽  
Yimin Liu ◽  
Lei Li

Abstract A reexamination of the health problems of Chinese adolescents based on the concept of physical literacy (PL) was necessary. Through the use of follow-up data collected from the China Education Panel Survey 2014–2015, the main factors affecting the health of adolescents were identified, and possible explanations were investigated after cluster and inductive analyses were conducted. The results showed that (1) the 10 main factors identified as affecting adolescent health promotion are in line with the four main elements of PL (emotional, cognitive, social and physical elements) and (2) the three major categories of influencing factors identified through a cluster analysis were aligned with the three main factors of PL (endogeneity, fundamentality and permeability). These findings suggest that the factors influencing adolescent health promotion are closely associated with PL. The study results can provide empirical evidence for adolescent health promotion research and a reference for the development of evidence-based PL training models.

2020 ◽  
Vol 7 (48) ◽  
pp. 2879-2884
Author(s):  
Pravitha M. Kumar ◽  
Naina Jabeen Hyder ◽  
Shaji A ◽  
Sunil M.S ◽  
Pappa P

BACKGROUND The term amblyopia literally means dullness of vision. It is defined as unilateral or bilateral reduction of visual acuity due to pattern vision deprivation or abnormal binocular interaction for which no ocular causes can be detected by ocular examination and can be reversed by therapeutic measures. The study was undertaken to estimate the proportion of non-compliance and factors affecting it in children undergoing occlusion therapy for amblyopia. METHODS The study was designed as a hospital based cross sectional study. Children aged 5 - 12 years undergoing occlusion therapy for amblyopia due to strabismus, anisometropia or both, who had been prescribed occlusion for a period of minimum 3 months were included in the study. Children with developmental or neurological disorders and other ocular conditions causing visual impairment, whose parents were not willing to participate in the study or follow up, and uncooperative children were also excluded from the study. RESULTS 52.5 % were non-compliant to occlusion therapy, 31.1 % were partially compliant and only 16.4 % were compliant. 38.5 % had final visual acuity in the range of 6 / 60 - 6 / 24 and 6 / 18 – 6 / 12, 20 % had 6 / 9 - 6 / 6. Different variables were assessed against compliance to check for any association. Significant association was found between compliance to occlusion and socioeconomic status (p = .006), visual acuity at presentation (p = .026), type of amblyopia (p = .038) and final visual acuity (p < .01) and association with educational status were found to be borderline (p = .059). CONCLUSIONS Occlusion therapy for amblyopia is a long drawn process which needs strict compliance and regular follow up. Compliance is a major factor affecting final visual outcome. Poor compliance leads to unsuccessful amblyopia therapy which in turn can have negative impact on child’s learning ability and psychosocial wellbeing. For this reason it is critical that care givers leave the clinic with clear knowledge of how and why patching is being recommended and its importance in improving child’s vision. KEYWORDS Amblyopia, Occlusion, Compliance


2018 ◽  
Vol 20 (3) ◽  
pp. 51-54
Author(s):  
M I Komarov ◽  
V B Matveev ◽  
M I Volkova ◽  
I G Komarov ◽  
V A Ridin

The aim of the study is to assess the positive and negative prognostic factors of survival in patients with bilateral synchronous renal cancer (BRC). Materials and methods. The study was conducted on the basis of N.N.Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation. Cohort of patients with the synchronous BRC consisted of 160 patients between 1996 and 2014. All patients after finishing treatment were observed on an ambulatory basis during the period from 11 months to 12 years (median follow-up 81.05±46.7 months). We studied factors affecting 5-year survival rate, both positive and negative. Statistical analysis of the obtained results carried out using generally accepted statistical methods such as SPSS 23.0 - block of programs for Windows. Results. In case of synchronous BRC in 2/3 (65%) of patients the first kidney was operated on using organ-preserving surgery, in 1/4 of patients (n=21, 26.2%) both kidneys were operated on using organ-preserving surgery. In case of synchronous renal cancer the best results of survival, but without statistical significance (p=0.112) had patients with bilateral renal cancer who operated on using organ-preserving surgery. The 10-year overall survival in this group of patients was 90.5% in comparison with 62.5% - when nephrectomy was performed on the first stage and 76.4% in patients who had nephrectomy performed because of the renal cancer in the second kidney. Conclusions. The main factors affecting the 5-year survival rate of patients with synchronous BRC were: smoking, primary tumor size, age and type of surgery.


2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e19542-e19542
Author(s):  
Anna Rodriguez-Morera ◽  
Joaquin T. Limonero ◽  
Sonia del Barco ◽  
Rut Porta

e19542 Background: To describe perceptions of children and adolescents on advanced or terminal oncological disease of their parents, and some factors affecting these perceptions. Methods: Sample of 30 children and adolescents, aged between 5 to 18 years old, whose parents were in treatment or follow-up for advanced oncological disease. We used a semi-structured interview, reflecting the perceptions of ill parents, healthy parents and children. Also, parents were asked for the information they thought their children had about the disease. All participants older than 12 years old, gave Informed Consent to participate in the study. Results: Children and adolescents, described the disease of their parents mixing objetivable data (88.9%) and subjective perceptions (66.7%) with the expression of wishes (44.4%). Up to 76.7 % of ill parents and 82.6% of healthy parents, tended to minimize the capacity of understanding of the disease by their children. The perception that the patient and the healthy parent had of the information of the children correlates positively and significantly (r=0.59; p<0.01) and (r=0.53, p<0.01) respectively with the minimization or maximization of the capabilities of coping that the parents had of their children. There was a significant correlation (r=0.50, p<0.05), between the perceptions from the patient and his partner regarding the information and knowledge that their children have from the disease. Mothers, were the ones usually to decide the type, quality and quantity of information to provide to their children. Conclusions: Most parents and patients tend to underestimate the capacity of understanding of the children and teenagers, being mothers the ones to decide, in most cases, the amount and quality/quantity of the information given to their children about the illness. It would be necessary to attend from the beginning of the disease, the needs of parents with minor children, as well as the needs of their children, in order to help the adaptation to the serious illness from one of their parents, and detect and treat if necessary, cases of psychological vulnerability that can develop psychopathology symptoms.


2017 ◽  
Vol 06 (03) ◽  
pp. 176-183
Author(s):  
Amit Padwal ◽  
Jagath Gangadharan ◽  
Dwarakanath Srinivas ◽  
Sampath Somanna

Introduction Management of functioning pituitary adenomas is challenging as they can present with features of an intracranial mass, systemic effects, or a combination of both. In this series, one of the largest in available literature from our country, we have analyzed our experience with surgical management of growth hormone (GH)-secreting pituitary adenomas and factors influencing their hormonal remission. Materials and Methods The data of all functional pituitary adenomas operated at our institute from January 2002 to December 2011 were obtained from the case files of these patients. This was studied for various clinical-radiologic features, management stratagems, and clinical and hormonal outcomes. Results Ninety-three patients of GH-secreting pituitary adenomas with a mean age of 32.7 years were included in the study. Fifty-three (57%) patients had headache at presentation; 46 (49%) had visual complaints, whereas menstrual irregularity was seen in majority of females. Mean GH level was 52.05 ng/mL. Fifty (53%) patients had invasive adenoma; 32 had cavernous sinus extension. Among 80 patients with hormonal follow-up, 43 (53.75%) achieved remission of GH level < 5 ng/mL. Conclusion In this series, one of the largest of its kind, the main factors influencing unfavorable outcome include macroadenomas, invasiveness, high basal GH > 45 ng/mL levels, and mixed adenomas.


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