Effects of a Home-Based Exercise Program on Perception of Illness and Adaptation in Heart Failure Patients

Patients experience decreased functional capacity from chronic symptoms associated with heart failure. Exercise increases activity tolerance and quality of life in heart failure patients. Physiologic responses to exercise in heart failure patients have been well-documented. In contrast, the effects of exercise on an individual’s perception of degree of disability due to chronic illness and their adaptive responses to heart failure have not been studied. The purpose of this randomized controlled trial was to examine the effects of a 12-week home-based combined aerobic and resistance training exercise intervention on an individual’s perception of degree of disability and adaptive responses to chronic illness. Seventy-one participants were randomized to receive the combined aerobic and resistance training exercise intervention or usual heart failure care. Repeated measures ANOVA and nonparametric tests were used to test the hypotheses that participants in the 12-week home-based low intensity combined aerobic and resistance training intervention would have decreased perception of illness disability, improved physiologic and psychosocial adaptation to chronic illness, and have fewer hospitalizations than the control group. Findings showed participants who received the exercise intervention had increased distance walked on the 6-Minute Walk Test (p = .03), they increased their Average Daily Pedometer Steps (p = .02), and they had fewer hospitalizations than the control group. NYHA Functional Class III participants in the intervention group showed the most improvement in NYHA Functional Class (41.2%, p =.03), and had decreased perception of illness disability with lower scores on the Illness Perception Questionnaire-Revised. Both the intervention and control groups showed improvement in psychosocial adaptation with lower scores on the Sickness Impact Profile. No exercise-related adverse events occurred. Thus, a home-based low intensity combined aerobic and resistance training exercise program is safe for NYHA Functional Class II and III heart failure patients and improves physiologic and psychosocial adaptation to chronic illness and supports the adaptation to chronic illness theory

Implementing a Structured Walking Program for PreK through 8th Grade Teachers

Physical inactivity has become a significant health concern not only in the United States but worldwide. Adults are becoming sedentary due to sitting at work and school, computer use, and motorized transportation. During the COVID-19 pandemic, teachers experienced increased workloads, increased sedentary work time for virtual classes, and longer work hours. A PreK-8th grade school system in the southeastern United States had health promotion and prevention programs for students but no health and wellness programs for teachers. Wellness programs can promote physical health and less worker absenteeism. At the completion of a 12-week walking program, the teacher\u27s weekly time and distance walked increased. Additionally, there was a statistically significant increase in perceptions of activity levels (Mdn = 1) when participants participated in the structured walking program (Mdn = 2.76) compared to prior non-structured exercise activities (Mdn = 2.31), z = -3.15, p = .002. Participants in this 12-week structured walking program were more physically active and had increased perception of activity levels

Development and the G20

This publication examines what role the G20 can play in international development. Key findings: Development is a key component of the G20, but there are concerns over the effectiveness of the current development agenda. The criticism includes that the development agenda is too diffuse and mostly distant to the G20’s main activities. But the G20 development agenda has made progress in some important areas, including increasing the resources of the international financial institutions, infrastructure, food security, financial inclusion and reducing the cost of remittances. However development and global economic issues cannot be treated in isolation; development must be ‘mainstreamed’ and clearly seen as part of the G20’s core agenda. To the extent that Australia can help strengthen the G20 when it assumes the chair in 2014, and make tangible progress in such areas as - economic growth, financial regulation, trade, financial inclusion, infrastructure and climate change financing – it can make a significant contribution to promoting development and reducing poverty. Authored by Mike Callaghan AM, Annmaree O’Keeffe AM, Robin Davies, Susan Harris Rimmer , Steve Price-Thomas, Sabina Curatolo, Julia Newton-Howes and Michelle Lettie

Gaia

A review of the Gaia mission and its science performance after one year of operations will be presented, and the contribution to reconstructing the history of the Milky Way will be outlined.Comment: 6 pages, 4 figures. To appear in Astronomische Nachrichten, special issue "Reconstructing the Milky Way's History: Spectroscopic Surveys, Asteroseismology and Chemodynamical Models", Guest Editors C. Chiappini, J. Montalban, and M. Steffen, AN 2016 (in press

Rural Teachers in Project Launch

The success of Project Launch, a teacher induction program sponsored by a regional teacher center and a consortium of universities, is compared for rural and non-rural participants. Indicators of success include teacher accomplishment of action plan goals, teacher self and mentor assessment of teaching strengths related to action plan goals, profiles of teaching strengths, and retention in teaching. Measures of teaching strength are related to INTASC standards. Rural participants differed significantly from non-rural participants in their lower self-perceived accomplishment of action plan goals. Rural participants were significantly more likely to move from their 1st positions after 1 year, but their attrition was not significantly different in later years. Ways to structure induction programs more effectively for rural participants are proposed

Adherence to Nutrition and Physical Activity Cancer Prevention Guidelines and Development of Colorectal Adenoma.

Adherence to the American Cancer Society's (ACS) Nutrition and Physical Activity Cancer Prevention Guidelines is associated with reductions in overall cancer incidence and mortality, including site-specific cancers such as colorectal cancer. We examined the relationship between baseline adherence to the ACS guidelines and (1) baseline adenoma characteristics and (2) odds of recurrent colorectal adenomas over 3 years of follow-up. Cross-sectional and prospective analyses with a pooled sample of participants from the Wheat Bran Fiber (n = 503) and Ursodeoxycholic Acid (n = 854) trials were performed. A cumulative adherence score was constructed using baseline self-reported data regarding body size, diet, physical activity and alcohol consumption. Multivariable logistic regression demonstrated significantly reduced odds of having three or more adenomas at baseline for moderately adherent (odds ratio [OR] = 0.67, 95% confidence intervals [CI]: 0.46⁻0.99) and highly adherent (OR = 0.50, 95% CI: 0.31⁻0.81) participants compared to low adherers (p-trend = 0.005). Conversely, guideline adherence was not associated with development of recurrent colorectal adenoma (moderate adherence OR = 1.16, 95% CI: 0.85⁻1.59, high adherence OR = 1.23, 95% CI: 0.85⁻1.79)

Exploring Faculty Mindsets in Equity-Oriented Assessment

The COVID-19 pandemic and the resultant move to remote learning in 2020-2021 paved the way for deeper conversations about assessment practices in higher education. Over the last two years, there have been an increasing number of discussions about alternative assessments and about equity in assessment. This study examined the impact of a course (entitled “Equity in Assessment”) delivered by the authors on the participants’ understandings of equity and assessment. We used semi-structured interviews to collect data from the participants. Data collected from six interviews were systematically and thematically analysed in line with Braun and Clarke’s (2006) six stages of conducting thematic analyses. The data analysis resulted in three main emergent themes: flexibility, academic rigour, and wellness. The implications of the findings of this project are important for educational developers, institutional leadership, and researchers