scholarly journals Assessment of Physical Functioning: A Conceptual Model Encompassing Environmental Factors and Individual Compensation Strategies

2009 ◽  
Vol 89 (7) ◽  
pp. 705-714 ◽  
Author(s):  
Kristin M. Tomey ◽  
MaryFran R. Sowers

Commonly studied physical functions include activities such as walking and climbing stairs. Despite the acknowledged role of environmental factors and behavioral strategies to compensate for reduced performance capacity or environmental barriers in characterizing physical functioning, most assessments do not take these factors into account. This article presents a new conceptual model for assessment of relevant physical functioning while accounting for habitual environmental factors and compensation strategies.

Author(s):  
Leilan Santos Soares ◽  
Élida Rayanne Viana Pinheiro Galvão ◽  
Isabelle Ribeiro Barbosa ◽  
Haryelle Náryma Confessor Ferreira ◽  
Rafaela da Silva Cruz ◽  
...  

Introduction. Children and adolescents with physical disabilities (PD) still do not have the same opportunities as their non-disabled peers, which may be due to environmental factors and their effect on participation. Objective: The aim of this study was to evaluate the prevalence of environmental barriers in children and adolescents with PD and their associated factors in two states of Northeastern Brazil. Method. The parents or caregivers of 71 children and adolescents aged 18 years and younger with PD were interviewed, using a sociodemographic questionnaire and the Craig Hospital Inventory of Environmental Factors (CHIEF), which assesses the frequency and extent of environmental barriers. Results. The greatest environmental barriers were for Service and Assistance. In the Service and Assistance and Physical/Structural domains, the frequency of barriers was monthly, while Attitude and Support and Policies barriers were less frequent. In all the domains, the parents reported that the problems were serious. Children and adolescents with PD who walked faced barriers more frequently than those who used a wheelchair or were carried and those living in Rio Grande do Norte had more perceived barriers in the Policies domain. Conclusion. These results lead to a reflection on the role of the environment and how each state conducts national public policies aimed at children with disabilities. This can be a step towards improving the lives of children with disabilities in Northeastern Brazil, transforming environmental barriers into environmental facilitators.


2020 ◽  
Vol 37 (3) ◽  
pp. 130-150
Author(s):  
Sepideh Jahandideh ◽  
Elizabeth Kendall ◽  
Samantha Low-Choy ◽  
Kenneth Donald ◽  
Rohan Jayasinghe ◽  
...  

AbstractCardiac rehabilitation (CR) is a multi-disciplinary intervention designed to stabilise, slow, or reverse CVD, restore health following a cardiac event and facilitate the prevention of further events. The Model of Therapeutic Engagement (MTE) is a comprehensive conceptual model for explaining the process of engagement in rehabilitation. Of concern is that the role of socio-environmental factors is absent from explaining individual engagement in the MTE. There is also a lack of prospective studies investigating the impact of socio-environmental barriers on engagement in CR programs over time. This study aimed to expand the MTE, by illuminating the role of socio-environmental barriers in a three-stage process of engagement in CR programs. A prospective study was conducted, with 217 individuals recruited from the Cardiology Ward in the Gold Coast University Hospital (GCUH) and the Robina Cardiac Rehabilitation Centre. The collected data were examined using a structural equation model that added socio-environmental factors into the MTE, using multi-group analyses. In this study, we found that socio-environmental factors were not associated with intention to engage in the CR program, but were related to actual attendance and maintenance of participation in CR programs. Knowing how these socio-environmental barriers affect the process of engagement at different stages may help to tailor more accessible CR programs for the population.


2019 ◽  
Author(s):  
Ambrogio Volonté ◽  
Peter A. Clark ◽  
Suzanne L. Gray

Abstract. Idealised simulations of Shapiro-Keyser cyclones developing a sting jet (SJ) are presented. Thanks to an improved and accurate implementation of thermal wind balance in the initial state, it has been possible to use more realistic environments than in previous idealised studies. As a consequence, this study provides further insight in SJ evolution and dynamics and explores SJ robustness to different environmental conditions, assessed via a wide and different range of sensitivity experiments. The control simulation contains a cyclone that fits the Shapiro-Keyser conceptual model and develops a SJ whose dynamics are associated with the evolution of mesoscale instabilities including symmetric instability (SI) along the airstream. The SJ undergoes a strong descent while leaving the cloud-head banded tip and markedly accelerating towards the frontal-fracture region, revealed as an area of buckling of the already-sloped moist isentropes. A substantial amount of SI, generated by slantwise frontal motions in the cloud head, is released along the SJ during its descent. This supports the role of SI in the airstream’s dynamics proposed in a conceptual model outlined in a previous study. Sensitivity experiments illustrate that the SJ is a robust feature of intense Shapiro-Keyser cyclones, highlighting a range of different environmental conditions in which SI contributes to the evolution of this airstream, conditional on the model having adequate resolution. The results reveal that several environmental factors can modulate the strength of the SJ. However, a positive relationship between the strength of the SJ, both in terms of peak speed and amount of descent, and the amount of instability occurring along it can still be identified. In summary, the idealised simulations presented in this study show the robustness of SJ occurrence in intense Shapiro-Keyser cyclones and support and clarify the role of dry instabilities in SJ dynamics.


2004 ◽  
Author(s):  
V. I. Lioudyno ◽  
A. G. Pshenichnaya ◽  
I. N. Abdurasulova ◽  
S. G. Tsikunov ◽  
V. M. Klimenko

2020 ◽  
Vol 99 (4) ◽  
pp. 379-383
Author(s):  
Vasily N. Afonyushkin ◽  
N. A. Donchenko ◽  
Ju. N. Kozlova ◽  
N. A. Davidova ◽  
V. Yu. Koptev ◽  
...  

Pseudomonas aeruginosa is a widely represented species of bacteria possessing of a pathogenic potential. This infectious agent is causing wound infections, fibrotic cystitis, fibrosing pneumonia, bacterial sepsis, etc. The microorganism is highly resistant to antiseptics, disinfectants, immune system responses of the body. The responses of a quorum sense of this kind of bacteria ensure the inclusion of many pathogenicity factors. The analysis of the scientific literature made it possible to formulate four questions concerning the role of biofilms for the adaptation of P. aeruginosa to adverse environmental factors: Is another person appears to be predominantly of a source an etiological agent or the source of P. aeruginosa infection in the environment? Does the formation of biofilms influence on the antibiotic resistance? How the antagonistic activity of microorganisms is realized in biofilm form? What is the main function of biofilms in the functioning of bacteria? A hypothesis has been put forward the effect of biofilms on the increase of antibiotic resistance of bacteria and, in particular, P. aeruginosa to be secondary in charcter. It is more likely a biofilmboth to fulfill the function of storing nutrients and provide topical competition in the face of food scarcity. In connection with the incompatibility of the molecular radii of most antibiotics and pores in biofilm, biofilm is doubtful to be capable of performing a barrier function for protecting against antibiotics. However, with respect to antibodies and immunocompetent cells, the barrier function is beyond doubt. The biofilm is more likely to fulfill the function of storing nutrients and providing topical competition in conditions of scarcity of food resources.


2010 ◽  
Vol 151 (28) ◽  
pp. 1132-1136 ◽  
Author(s):  
István Tornai

A krónikus vírushepatitisek jelentik ma a legismertebb okokat a hepatocellularis carcinoma (HCC) kialakulásában. A krónikus B- és C-vírus-hepatitis a májrákok körülbelül 40-50%-át okozza. A nyugati típusú társadalmakban a HCC előfordulása folyamatosan növekvő tendenciát mutat. Az alkohol számít a környezeti tényezők közül a legfontosabbnak, bár az alkoholfogyasztás a legtöbb országban csökken. Ez aláhúzza az egyéb környezeti tényezők fontosságát is. Az elfogyasztott alkoholmennyiséggel egyenes arányban növekszik a cirrhosis és a következményes HCC gyakorisága nőkben és férfiakban egyaránt. A kémiai anyagok közül a legismertebb a Kínában és Afrikában elterjedt aflatoxin, amely a gabonaféléket szennyező mycotoxin. Hasonló területeken endémiás, mint a hepatitis B-vírus, együtt szinergista hatást fejtenek ki. A dohányzás is egyértelműen bizonyított hepatocarcinogen hatással rendelkezik. Ez is jelentősen fokozódik, ha alkoholfogyasztással vagy vírushepatitisszel társul. Társadalmilag talán a legfontosabb az elhízás, a következményes nem alkoholos zsírmáj, illetve steatohepatitis és a 2-es típusú cukorbetegség, amelyek prevalenciája egyre fokozódik. Feltehetően ezek állnak a növekvő HCC-gyakoriság hátterében. Az inzulinrezisztencia és az oxidatív stressz képezik a legfontosabb patogenetikai lépéseket a májsejtkárosodásban. További fontos rizikótényező az orális fogamzásgátlók elterjedt használata. Egyes foglalkozások esetén a tartós szervesoldószer-expozíció is növeli a HCC rizikóját. Védelmet jelenthetnek az antioxidánsok, a szelén, a gyógyszerek közül a statinok és a feketekávé-fogyasztás.


Plants ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 90
Author(s):  
Alessio Valletta ◽  
Lorenzo Maria Iozia ◽  
Francesca Leonelli

Stilbenes are a small family of polyphenolic secondary metabolites that can be found in several distantly related plant species. These compounds act as phytoalexins, playing a crucial role in plant defense against phytopathogens, as well as being involved in the adaptation of plants to abiotic environmental factors. Among stilbenes, trans-resveratrol is certainly the most popular and extensively studied for its health properties. In recent years, an increasing number of stilbene compounds were subjected to investigations concerning their bioactivity. This review presents the most updated knowledge of the stilbene biosynthetic pathway, also focusing on the role of several environmental factors in eliciting stilbenes biosynthesis. The effects of ultraviolet radiation, visible light, ultrasonication, mechanical stress, salt stress, drought, temperature, ozone, and biotic stress are reviewed in the context of enhancing stilbene biosynthesis, both in planta and in plant cell and organ cultures. This knowledge may shed some light on stilbene biological roles and represents a useful tool to increase the accumulation of these valuable compounds.


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