The Perceptions and knowledge of Physiotherapist regarding exercise and joint health in India

BACKGROUND: A physiotherapist plays a key role in assessing, monitoring, educating and prescribing exercise for RA. A few previous surveys across the goble emphasized on the lack of evidence to guide physiotherapist recognizing the early signs of RA, in knowledge of disease course, and in evidence-based interventions and therefore the ability to manage an individual with RA over the course of the disease. The study aims to investigate physiotherapists’ current practice in specific disease-related Knowledge and clinical skills required managing people with RA and extent to which they promote physical activity and exercise. METHOD: A cross-sectional national e-survey was sent to physiotherapists regarding their confidence in managing RA patients. Questionnaire Data developed from previous literatures included the following details: years of clinical experience, current RA clinical caseload, and professional qualifications, primary clinical area of practice, relevant treatment options in established or newly diagnosed cases and management goals. RESULT: A total of 478 physiotherapist responses were received.84% agreed to the fact that exercises does play an important role in joint health promotion. Almost 70% strongly agreed to factor that FIIT principal has to be taken in consideration while prescribing exercises. Approximately 48% were familiar with Index that measures disease activity and ACR-preferred tools for functional status assessment in RA. Moreover, 98% were having a clear perspective of different guidelines of management in RA and Osteoarthritis (OA).While considering the choice of treatment physical activity and educational advice were more preferred as compared to the modalities or manual therapy. CONCLUSION: The present practices are in lines with the current guidelines for RA management, but still most of them never prescribed high-intensity exercise and lacked knowledge of when to advice appropriate splints/orthoses. Even the recommendations regarding splints were not clear. So, there's a requirement to develop education and training for constantly upgrading physiotherapists within for the promotion of physical activity in rheumatoid arthritis patients.

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Community Readiness for the Promotion of Physical Activity in Older Adults—A Cross-Sectional Comparison of Rural and Urban Communities

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15030453 ◽

2018 ◽

Vol 15 (3) ◽

pp. 453 ◽

Cited By ~ 5

Author(s):

Dirk Gansefort ◽

Tilman Brand ◽

Christina Princk ◽

Hajo Zeeb

Keyword(s):

Physical Activity ◽

Older Adults ◽

Urban Communities ◽

Community Readiness ◽

Cross Sectional ◽

Rural And Urban ◽

Promotion Of Physical Activity

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Evidence-based decision making and promotion of physical activity among directors of local health departments

Revista de Saúde Pública ◽

10.11606/s1518-8787.2018052000379 ◽

2018 ◽

Vol 52 ◽

pp. 90

Author(s):

Leonardo Augusto Becker ◽

Cassiano Ricardo Rech ◽

Adriano Akira Ferreira Hino ◽

Rodrigo Siqueira Reis

Keyword(s):

Physical Activity ◽

Decision Making ◽

The State ◽

Evidence Based ◽

Local Health ◽

Cross Sectional ◽

Promotion Of Physical Activity ◽

Municipal Administrators ◽

Decision Making Model ◽

Evidence Based Decision Making

OBJECTIVE: To describe the steps involved in evidence-based decision making for the implementation of programs aimed at the promotion of physical activity. METHODS: It is a descriptive, cross-sectional study with quali-quantitative approach, held with municipal health secretaries chosen deliberately by regional health representatives of the state of Paraná. A total of 27 secretaries participated in a telephone interview consisting of 17 open questions. Content analysis was conducted according to the categories of an evidencebased decision-making model consisting of seven steps. RESULTS: None of the participants employed every step of the evidence-based decision-making model. The steps that were most often mentioned included: evaluation of the program (33.3%), use of evidence from the literature (22.2%) and identification of the problem (22.2%). The steps that were reported the least included: quantification of the problem (14.8%), development and prioritization of actions (14.8%), development of the plan of action (14.8%) and evaluation of the community (3.7%). CONCLUSIONS: The use of evidence-based decision making in the context of the promotion of physical activity was shown to be incipient among the health secretaries of the state of Paraná. We suggest widening dissemination and training on the use of evidence-based decision making among municipal administrators to increase the effectiveness of actions for promotion of physical activity.

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Healthcare Professionals Promotion of Physical Activity with Older Adults: A Survey of Knowledge and Routine Practice

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18116064 ◽

2021 ◽

Vol 18 (11) ◽

pp. 6064

Author(s):

Conor Cunningham ◽

Roger O’Sullivan

Keyword(s):

Physical Activity ◽

Older Adults ◽

Healthcare Professionals ◽

Physical Activity Promotion ◽

Routine Practice ◽

National Guidelines ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Activity Promotion ◽

Promotion Of Physical Activity

Healthcare professionals have a key role in promoting physical activity, particularly among populations at greatest risk of poor health due to physical inactivity. This research aimed to develop our understanding of healthcare professionals knowledge, decision making and routine practice of physical activity promotion with older adults. A cross-sectional survey was conducted with practicing healthcare professionals in general practice, physiotherapy, occupational therapy and nursing in Ireland and Northern Ireland. We received 347 eligible responses, with 70.3% of all respondents agreeing that discussing physical activity is their job and 30.0% agreeing that they have received suitable training to initiate conversations with patients about physical activity. Awareness of the content and objectives of national guidelines for physical activity varied considerably across the health professions surveyed. Less than a third of respondents had a clear plan on how to initiate discussions about physical activity in routine practice with older adults. Assessment of physical activity was not routine, neither was signposting to physical activity supports. Considering the COVID-19 pandemic and its implications, 81.6% of all respondents agreed that healthcare professionals can play an increased role in promoting physical activity to older adults as part of routine practice. Appropriate education, training and access to resources are essential for supporting healthcare professionals promotion of physical activity in routine practice. Effective physical activity promotion in healthcare settings has the potential for health benefits at a population level, particularly in older adult populations.

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Relação da atividade física e percentual de gordura de escolares

Revista de Enfermagem UFPE on line ◽

10.5205/1981-8963-v12i2a24104p481-488-2018 ◽

2018 ◽

Vol 12 (2) ◽

pp. 481

Author(s):

Hilbert Silva Julio ◽

Roberto Tauil Paladino ◽

Andreia Beatriz Machado ◽

Lucas Prado Siqueira ◽

Lucas Reis Hausen ◽

...

Keyword(s):

Physical Activity ◽

Body Fat ◽

Activity Level ◽

Fat Percentage ◽

Cross Sectional ◽

Physically Active ◽

Percentage Of Body Fat ◽

Grasa Corporal ◽

Children Obesity ◽

And Training

RESUMOObjetivo: identificar o Nível de Atividade Física e Percentual de Gordura Corporal de escolares. Método: estudo quantitativo, transversal, por amostragem composta de 640 escolares (Idade: 10±1 anos; Massa Corporal, 37,25±13,90kg; Estatura, 1,45±0,08m; IMC, 17,50±5,04kg/m²). O NAF por meio PAQ-C, %GC pelo método de dobras cutâneas e o IMC. Resultados: há diferenças significativas (p < 0,01, d = 0,37) no escore do PAQ-C entre os sexos, com superioridade nos valores masculinos; foram encontradas diferenças significativas na distribuição dos níveis de atividade física divididos pelo sexo (p < 0,0001, d = 6,7) e na distribuição do %CG pelo sexo (p < 0,0001, d=0,28). Conclusão: foram identificados índices de obesidade dentre os escolares (43% e 53,10%, populações feminina e masculina, respectivamente) ao mesmo tempo em que essa população apresenta que é ativa ou moderadamente ativa fisicamente (67,07% e 67,56%, masculino e feminino, respectivamente); contudo, não foi identificada associação entre Nível de Atividade Física e Percentual de Gordura Corporal. Estes resultados corroboram os achados gerais da literatura que demonstram que o NAF não é fator determinante para o valor Percentual de Gordura Corporal. Descritores: Escolares; Obesidade Infantil; Promoção da Saúde; Saúde Pública; Educação Física e Treinamento; Educação em Saúde.ABSTRACT Objective: to identify the level of Physical Activity and Percentage of Body Fat of schoolchildren. Method: cross-sectional quantitative study of 640 schoolchildren (Age: 10 ± 1 years; Body Mass, 37.25 ± 13.90 kg; Stature, 1.45 ± 0.08 m; BMI, 17.50 ± 5.04 kg / m²). The NAF by PAQ-C,% GC by the skinfold method and the BMI. Results: there were significant differences (p <0.01, d = 0.37) in the PAQ-C score between the sexes, with superiority in the male values; (p <0.0001, d = 6.7) and in the CG distribution by gender (p <0.0001, d = 0.28). Conclusion: obesity rates among schoolchildren (43% and 53.10%, female and male, respectively) were identified at the same time as this population shows that they are active or moderately physically active (67.07% and 67.56 %, male and female, respectively); however, no association was identified between Physical Activity Level and Body Fat Percentage. These results corroborate the general findings of the literature that demonstrate that PAL is not a determinant factor for the Percentage of Body Fat. Decriptors: School Children; Obesity; Health Promotion; Public Health; Physical Education and Training; Health Education.RESUMENObjetivo: identificar el Nivel de Actividad Física y Porcentaje de Grasa Corporal de escolares. Método: estudio cuantitativo transversal, por muestreo compuesto de 640 escolares (Edad: 10 ± 1 años; Masa Corporal, 37,25 ± 13,90kg; Estatura, 1,45 ± 0,08m; IMC, 17,50 ± 5,04kg / m²). El NAF por PAQ-C,% GC por el método de pliegues cutáneos y el IMC. Resultados: hay diferencias significativas (p <0,01, d = 0,37) en la puntuación del PAQ-C entre los sexos, con superioridad en los valores masculinos; se encontraron diferencias significativas en la distribución de los niveles de actividad física divididos por el sexo (p <0,0001, d = 6,7) y en la distribución del %CG por el sexo (p <0,0001, d = 0,28). Conclusión: se identificaron índices de obesidad entre los escolares (43% y 53,10%, poblaciones femenina y masculina, respectivamente) al mismo tiempo que esa población presenta que es activa o moderadamente activa físicamente (67,07% y 67,56% masculino y femenino respectivamente); sin embargo, no se identificó, asociación entre Nivel de Actividad Física y Porcentaje de Grasa Corporal. Estos resultados corroboran los hallazgos generales de la literatura que demuestran que el NAF no es factor determinante para los valores Porcentaje de Grasa Corporal. Descriptores: Escolares; Obesidad Infantil; Promoción de la Salud, Salud Pública; Educación y Entrenamiento Físico; Educación en Salud.

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Factors Influencing Compliance in Intravenous Practice for Infection Prevention among Nurses in Small and Medium Hospitals

Journal of Korean Academy of Fundamentals of Nursing ◽

10.7739/jkafn.2020.27.4.344 ◽

2020 ◽

Vol 27 (4) ◽

pp. 344-355

Author(s):

Sung Ae Choi ◽

Sun Young Jeong

Keyword(s):

Organizational Culture ◽

Infection Control ◽

Infection Prevention ◽

Stepwise Multiple Regression ◽

Cross Sectional ◽

Factors Influencing ◽

Descriptive Survey ◽

Pearson Correlations ◽

Current Guidelines ◽

And Training

Purpose: This study was done to investigate knowledge of intravenous practice for infection prevention and compliance, empowerment, and organizational culture awareness regarding infection control, and to identify influencing effects regarding compliance with intravenous practice for infection prevention among nurses working in small and medium-sized hospitals.Methods: A cross-sectional descriptive survey was conducted with a sample of 136 nurses working in small and medium-sized hospitals. Data were collected using self-administered questionnaires. For data analysis, descriptive statistics, independent t-tests, one-way ANOVA, Pearson correlations and a stepwise multiple regression were performed using IBM SPSS 23.0.Results: There was a significant correlation between compliance with intravenous practice for infection prevention and knowledge (r=.34, p<.001), and between compliance with intravenous practice for infection prevention and organizational culture awareness of infection control (r=.41, p<.001). Moreover, the factors influencing compliance with intravenous practice for infection prevention were organizational culture awareness of infection control (β=.35, p<.001) and knowledge of intravenous practice for infection prevention (β=.27, p=.001). These variables explained 22.7% of compliance with intravenous practice for infection prevention.Conclusion: It is necessary to an organizational culture that emphasizes infection prevention through regular monitoring and feedback and to develop regular education and training programs based on current guidelines.

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Updated Perspectives on the Management of Relapsed and Refractory Multiple Myeloma

Oncology Research and Treatment ◽

10.1159/000520364 ◽

2021 ◽

Vol 44 (12) ◽

pp. 682-689

Author(s):

Linda Heimberg ◽

Stefan Knop

Keyword(s):

Treatment Options ◽

Next Generation ◽

First Line Therapy ◽

Line Therapy ◽

Early Phase Trials ◽

Choice Of Treatment ◽

Immunomodulatory Drug ◽

To Come ◽

Third Line ◽

Current Guidelines

Background: With the availability of T-cell-directed therapy and next-generation compounds of established classes of drugs, the treatment of relapsed/refractory (r/r) myeloma is getting more complex. However, treatment options in practice are limited by availability, approval, and patient comorbidity. The aim of this article is to provide a practical approach toward the choice of treatment for r/r myeloma patients. Summary: Regarding market authorization and current guidelines, at least in Germany, most patients nowadays will have received a doublet or triplet combination as first-line therapy containing a proteasome inhibitor and an immunomodulatory drug, mostly lenalidomide. We focus on the treatment options for patients that are ineligible for (another) stem cell transplantation. We will review treatment options for relapse after first- or second-line therapy and beyond third-line. Key Messages: There is promising data supporting the efficacy and safety of triplet combinations containing anti-CD38-monoclonal antibodies (anti-CD38 mAbs) at first or second relapse in combination with next-generation compounds. For the treatment beyond third-line, comparative studies are scarce but some promising compounds are available via conditional authorization, and there is more to come in the future. We will present some early phase trials featuring promising results.

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Physical activity levels and suggestions for its promotion among university students

Rehman Journal of Health Sciences ◽

10.52442/rjhs.v3i1.92 ◽

2021 ◽

Vol 3 (1) ◽

pp. 32-37

Author(s):

Fatima Maqbool ◽

Mehnaz Arif ◽

Muhammad Kashif ◽

Rida Asghar

Keyword(s):

Physical Activity ◽

University Students ◽

P Value ◽

Activity Levels ◽

Social Environments ◽

Cross Sectional ◽

Physically Active ◽

Physical Strength ◽

Positive Effects ◽

Promotion Of Physical Activity

Introduction: Physical activity not only has positive effects on health, but is also linked to various aspects of life. Physical activity is considered one of the main components that contribute to a healthy lifestyle and general improvement in health including physical strength, muscle endurance and flexibility. A variety of evidences show that regular physical activity is beneficial to health and strong scientific research exists that reported decreased mortality rate with an optimal level of physical activity. This study was designed to evaluate the physical activity status of university students and their suggestions to promote physical activity. Material & Methods: From January to October 2019, a cross-sectional study was conducted among 2,916 university students, studying at different universities in Faisalabad. The aim was to measure the levels of physical activity according to the pre-defined inclusion/exclusion criteria. Participants were enrolled in the study using convenient sampling. The questionnaire used in this study consisted of three sections, with the first part recording the demographics of the participants, the second part an International Physical Activity Questionnaire and the third part containing several suggestions for promoting physical activity. Logistic regression analysis was used for factors influencing physical activity behaviour. Confidence interval (CI=95%) and odds ratio (OR) were calculated and P-value <0.05 was considered significant. Results: The findings of our study revealed that 2469 (84.6%) of the students out of 2916 were physically active. Of 2916, 1541 (52.8%) participants were moderately active, while 928 (31.8%) participants were highly active. Overall 92.20% male were physically active compared to females 81.70%. Moreover, our study found that the most preferred suggestion for the promotion of physical activity proposed by the students (n=1011, 34.7%) was a provision of physical and social environments that encourage and allow safe and pleasurable physical activity. The least preferred suggestion by the students (n=735, 25.2%) was the addition of at least thirty minutes of exercise as part of the curriculum. Conclusion: This study found that the physical activity profile of most students was between moderate and high. The top-ranked suggestion for the promotion of physical activity among the students was a provision of physical and social environments that encourage and allow safe and pleasurable physical activity.

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