Comparing visual skills in sedentary and active work environments

A comparative study was conducted between training recruits (n = 138) and undergraduate university (n = 169) students to assess whether physical activity enhances visual skills. The results indicated that recruits, who lead an active lifestyle, possess superior skills in eye-hand coordination and reaction time. However, students possess superior skills in tracking and sequencing.This paper was initially delivered at the Annual Congress of the Biological Sciences Division of the South African Academy for Science and Art, ARC-Plant Protection Research Institute, Roodeplaat, Pretoria, South Africa on 01 October 2010.http://www.satnt.ac.zaam2014ay201

The influence of sedentary and active work environments on wellness

Die begrip welstand het oor die afgelope dekades verander na gelang die lewenstyl van die samelewing met tegnologiese vooruitgang tred gehou het. Die hedendaagse siening is dat welstand in die eerste plek die verantwoordelikheid van die individu self is en bepaal word deur die beoefening van gedrag wat gesondheid bevorder. Daar is verskeie faktore wat bydra tot gesondheid in die sin van ’n individu se gevoel van algehele welstand op die lang termyn. Een van die belangrikstes daarvan is fisieke aktiwiteit, en daar is aansienlike navorsing gedoen om die voordele van ’n fisiek aktiewe lewenstyl te ondersoek. Hierdie navorsingsoorsig gaan van die veronderstelling uit dat die mees akkurate metode om dié voordele te peil, is om ’n aktiewe met ’n sedentêre lewenstyl te vergelyk. Die doel van die oorsig is om die begrip ‘algehele welstand’ te verduidelik en om die voordele van ’n werkomgewing wat fisieke aktiwiteit toelaat en die nadele van ’n omgewing waarin daar hoofsaaklik gesit word uit te lig wanneer dit op die bereiking van algehele welstand aankom.The concept of wellness has changed over the decades with the ever-changing lifestyle of society as it adapts to technological advances. The contemporary view is that wellness is the primary responsibility of the individual and is accomplished by practising health-promoting behaviour. There are various factors that contribute to wellness in the sense of an individual’s long-term sense of overall well-being. One of the most essential factors is physical activity, and there is a large body of research that explores the benefits of a physically active lifestyle. This article is based on the assumption that the most accurate way to measure these benefits are to compare an active with a sedentary lifestyle. The purpose of this review is to clarify the concept of wellness and highlight the benefits of a physically active working environment as opposed to the disadvantages of a sedentary environment in attaining overall wellbeing.http://www.satnt.ac.zahj2013ay201

Determining a physical wellness indicator

Met die toenemende klem op leefstylverwante gesondheid het die fokus vanaf die behandeling en genesing van siekte verskuif na voorkoming en gesondheidsbevordering. Alhoewel individuele welstandskomponente uitvoerig bestudeer is, het gebreke ontstaan vanweë teenstrydighede en ’n gebrek aan bewyse dat hierdie faktore kollektief op die verbetering van algehele welstand uitloop. Die huidige studie het hom op die terrein van algehele fisieke welstand toegespits en die komponente daarvan, asook die invloed van ’n aktiewe werksomgewing op die komponente nagevors. Vir die studie is ’n kwantitatiewe eksperimentele deursnee-ontwerp aanvaar. Verskille tussen die twee groepe deelnemers is met behulp van die onafhanklike steekproef t-toets gedoen. Voorgraadse universiteitstudente (n = 165) en 234 rekrute wat besig was met ’n fisieke oefenprogram tesame met wetstoepassingswerknemers is aan verskeie welstandassesserings onderwerp in ’n poging om die algehele welstand in sedentêre en aktiewe werksomgewings met mekaar te vergelyk. Die individuele resultate is vergelyk en tellings vir risiko-areas bepaal wat uiteindelik saamgestel is om ’n algehelewelstandaanwyser te formuleer. Daar is bevind dat die studente beter vertoon het op sommige welstandsterreine; die rekrute het egter beter algehele fisieke welstand gehad. Dit dui daarop dat fisieke aktiwiteit wel beduidend bydra tot die bereiking van algehele fisieke welstand en dus die risiko vir die ontwikkeling van chroniese leefstylverwante toestande verminder. Die oorkoepelende bevindings gee te kenne dat die handhawing van ’n gesonde leefstyl, deur middel van fisieke aktiwiteit en gedrag wat gesondheid bevorder, tot ’n beter stand van gesondheid sal lei. Hierdie navorsingsterrein het moontlikhede vir toekomstige navorsing blootgelê, veral met betrekking tot die algehelewelstandaanwyser.With the increasing prevalence of emphasis on lifestyle-related wellness, the focus has been diverted from treatment and cure of disease to prevention and health promotion. Therefore, the area of wellness has received much attention and has been promoted with much enthusiasm, especially in the corporate industry. The present study delved into the area of overall physical wellness and explored its components and the influence of an active work environment on these components. This study adopted a cross-sectional, quantitative experimental design Undergraduate university students (n = 165) and 234 training recruits and law enforcement employees underwent several wellness assessments in a bid to compare overall physical wellness in sedentary and active work environments. The individual results were compared and scored into risk areas that were ultimately compounded to formulate an overall physical wellness indicator. It was found that the students were superior in some areas of wellness; the recruits, however, possessed a more pronounced state of overall physical wellness. This indicates that physical activity does contribute significantly to attaining a state of overall physical wellness and so reduces the risk of developing lifestylerelated chronic conditions. The overall findings suggest that maintaining a healthy lifestyle through physical activity and health-promoting behaviour will result in a greater state of wellness. In this area of research a host of possibilities for future research are unfolding especially the overall wellness indicator.http://www.satnt.ac.zaam2014ay201

Comparison of the performances of male and female armed services recruits undergoing sports vision testing

Research has shown that a strong correlation exists between vision and performance. In the sporting environment, it is believed that athletes perform better than non-athletes and males perform better than females. In this study we used sports vision to compare performance between males and females. One hundred and thirty male and one hundred female armed service recruits were tested, using techniques of visualization, eye-hand coordination, focusing, sequencing, tracking and reflexes. Previous research has shown that the difference in performance in both males and females is the result of brain lateralization, test familiarity and nerve conduction velocity in the brain. This was, however, not reflected in the study. Results showed a significant difference in performance with regard to visualization (p=0.006), tracking (p=0.048), reflexes (p=0.0001) and sequencing (p=0.046). The increased performance might become more evident with repetition of tests. Future research should therefore investigate the exact physiological mechanisms and interrelation of variables thought to affect performance.http://www.ajol.info/journal_index.php?jid=153&ab=ajpher

Evaluation of visual skills in sedentary and active work environments

The two fundamental categories of vision include visual-perceptual and visual-motor skills. Visual-motor skills encompass three essential ocular motor skills, namely focusing, eye-hand coordination and tracking. The aspects of the visual perceptual process include visual memory and visualization. This study aims to determine whether there is a difference in the visual performance of individuals exposed to a sedentary work environment and those exposed to an active work environment. The participants consisted of military recruits, who underwent a 12 week intense training regimen, and second year university students, who were subjected to a battery of vision testing to determine their visual performance. It was hypothesized that training recruits will possess superior visual skills in comparison to university students. The results indicate that training recruits possess superior skills in eye-hand coordination and visualization, while students showed enhanced tracking and sequencing skills. Cardio stress indices and blood pressures were tested to determine the heart health of the subjects and whether these factors influence visual attributes. Although not significant, the results indicate a decrease in cardio stress index in training recruits although their blood pressures were higher than those of students. The results concur with previous studies, which have shown that individuals exposed to physical activity, even for a short period of time, tend to acquire superior visual skills. However, the skills are honed according to the field of expertise due to the transfer effect that occurs in the brain. The findings of the study support as well as contradict evidence regarding sports vision testing and training, thus further investigation is required to elucidate the controversy regarding vision testing.http://www.ajol.info/journal_index.php?jid=153&ab=ajpher

An evaluation of the state of wellness amongst medical aid company employees in South Africa

Huidige navorsing op die gebied van welstand in die werkplek is gefragmenteer en vereis ’n holistiese, geïntegreerde en stelselmatige begrip van werknemerwelstand sodat gesondheiden welstandsorg doeltreffend bestuur kan word. Die toenemende las van nie-oordraagbare toestande in Suid-Afrika beklemtoon die noodsaaklikheid van voorkomingstrategieë soos welstandprogramme. Die werkomgewing bied ’n ideale plek, aangesien ’n groot deel van die bevolking geteiken word, insluitende diegene wie se lewenstyl verbeter moet word. Hierdie studie is dus daarop gemik om verskeie gesondheid- en welstandkomponente onder werknemers van ’n mediesefondsmaatskappy te evalueer in ’n poging om risikogebiede te identifiseer wat verdere ingryping vereis. Die deelnemers het bestaan uit 140 werknemers van ’n mediesefondsmaatskappy wat ten minste 40 h per week werk. Hulle is onderwerp aan ’n welstandassesseringsbattery bestaande uit antropometrieke, gesondheidverwante en fisieke kapasiteitmetings. Die resultate toon dat ingryping nodig is betreffende alkohol- en dwelmgebruik, dieetgewoontes, hartgesondheid, liggaamsamestelling, spieruithouvermoë, kardiorespiratoriese uithouvermoë en individuele persepsies van die maatskappy. Dié studie het resultate opgelewer wat die bevindings van baie vorige navorsing op hierdie gebied staaf. Die trefwydte van welstandprogramme op die Suid-Afrikaanse bevolking is egter beperk. Die sukses van welstandprogramme wat fisieke aktiwiteit beklemtoon, is goed gedokumenteer in hoë-inkomstelande, met bewys van die ekonomiese voordele en opbrengs op belegging. Gevolglik word daar aangevoer dat die toepassing van welstandprogramme ’n positiewe uitwerking op die Suid-Afrikaanse werkmag sal hê.Current research in the area of wellness in the workplace is fragmented and requires a holistic, integrated and systemic understanding of employee wellness in order for health and wellness care to be effectively managed. The growing burden of noncommunicable conditions in South Africa highlights the necessity for prevention strategies such as wellness programmes to be implemented. The workplace provides an ideal setting as a large proportion of the population will be targeted, including those who require lifestyle improvement. Therefore this study sought to evaluate various health and wellness components among employees of a medical aid company in an attempt to identify risk areas which require further intervention. Participants were 140 employees of a medical aid company who work a minimum of 40 h per week and who were subjected to a wellness assessment battery, consisting of anthropometrical, health-related and physical capacity measurements. The results indicate that intervention is required in terms of alcohol and drug usage, dietary habits, heart health, body composition, muscular endurance, cardiorespiratory endurance, and individual perceptions towards the company. This study produced results which corroborate the findings of a great deal of previous research in this field. However, the scope for applying wellness programmes to the South African population is limited. The success of wellness programmes which emphasise physical activity has been well documented in high-income countries, with evidence of economic benefits and return on investment. And so it is proposed that implementation of wellness programmes will have a positive effect on the South African workforce.http://www.satnt.ac.zaam201

Albiglutide and cardiovascular outcomes in patients with type 2 diabetes and cardiovascular disease (Harmony Outcomes): a double-blind, randomised placebo-controlled trial

Background: Glucagon-like peptide 1 receptor agonists differ in chemical structure, duration of action, and in their effects on clinical outcomes. The cardiovascular effects of once-weekly albiglutide in type 2 diabetes are unknown. We aimed to determine the safety and efficacy of albiglutide in preventing cardiovascular death, myocardial infarction, or stroke. Methods: We did a double-blind, randomised, placebo-controlled trial in 610 sites across 28 countries. We randomly assigned patients aged 40 years and older with type 2 diabetes and cardiovascular disease (at a 1:1 ratio) to groups that either received a subcutaneous injection of albiglutide (30–50 mg, based on glycaemic response and tolerability) or of a matched volume of placebo once a week, in addition to their standard care. Investigators used an interactive voice or web response system to obtain treatment assignment, and patients and all study investigators were masked to their treatment allocation. We hypothesised that albiglutide would be non-inferior to placebo for the primary outcome of the first occurrence of cardiovascular death, myocardial infarction, or stroke, which was assessed in the intention-to-treat population. If non-inferiority was confirmed by an upper limit of the 95% CI for a hazard ratio of less than 1·30, closed testing for superiority was prespecified. This study is registered with ClinicalTrials.gov, number NCT02465515. Findings: Patients were screened between July 1, 2015, and Nov 24, 2016. 10 793 patients were screened and 9463 participants were enrolled and randomly assigned to groups: 4731 patients were assigned to receive albiglutide and 4732 patients to receive placebo. On Nov 8, 2017, it was determined that 611 primary endpoints and a median follow-up of at least 1·5 years had accrued, and participants returned for a final visit and discontinuation from study treatment; the last patient visit was on March 12, 2018. These 9463 patients, the intention-to-treat population, were evaluated for a median duration of 1·6 years and were assessed for the primary outcome. The primary composite outcome occurred in 338 (7%) of 4731 patients at an incidence rate of 4·6 events per 100 person-years in the albiglutide group and in 428 (9%) of 4732 patients at an incidence rate of 5·9 events per 100 person-years in the placebo group (hazard ratio 0·78, 95% CI 0·68–0·90), which indicated that albiglutide was superior to placebo (p<0·0001 for non-inferiority; p=0·0006 for superiority). The incidence of acute pancreatitis (ten patients in the albiglutide group and seven patients in the placebo group), pancreatic cancer (six patients in the albiglutide group and five patients in the placebo group), medullary thyroid carcinoma (zero patients in both groups), and other serious adverse events did not differ between the two groups. There were three (<1%) deaths in the placebo group that were assessed by investigators, who were masked to study drug assignment, to be treatment-related and two (<1%) deaths in the albiglutide group. Interpretation: In patients with type 2 diabetes and cardiovascular disease, albiglutide was superior to placebo with respect to major adverse cardiovascular events. Evidence-based glucagon-like peptide 1 receptor agonists should therefore be considered as part of a comprehensive strategy to reduce the risk of cardiovascular events in patients with type 2 diabetes. Funding: GlaxoSmithKline

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Comparing physical wellness in sedentary and active work environments

The concept of wellness has transformed over the decades with the ever-adapting lifestyle of society and thus can be broadly defined as the responsibility of the individual through practicing health-promoting lifestyle behaviour. There are various factors that contribute to an individual's sense of overall physical wellbeing which can be categorised into skill-related and health-related components which have been extensively investigated. However, there is a considerable lack of evidence regarding the integration of these components. This study thus sought to determine a means of integrating the various components of physical wellness to provide an indication of wellness state. This was approached from two avenues: the first (Study 1) explored a component of wellness to ascertain whether it can be used as a measure in determining overall physical wellness and the second (Study 2) assessed the influence of physical activity on various wellness parameters and utilised these wellness parameters in the derivation of an overall physical wellness indicator to determine an individual's state of overall wellbeing. Study 1 involved comparing Sports vision between sedentary and active work environments in a sample of 158 university students and 230 training recruits. The participants were subjected to various visual skill assessments to determine if an active environment transfers to visual proficiency. The results indicate that while the recruits were more proficient in some skills, students displayed a greater aptitude in other areas. The findings obtained in this study are in concert with previous research, indicating that individuals exposed to physical activity, even for a short period of time, tend to acquire superior visual skills. However, the skills are honed according to the field of expertise due to the transfer effect that occurs in the brain. Comparing physical wellness in sedentary and active work environments July 2013 ix The concept of Sports vision that was explored in this study provided insight into its role in wellness and it was suggested that these assessments can be utilised in assessing overall physical wellness. Study 2 delved into the area of overall physical wellness and explored the components and influence of an active work environment on these components. 165 undergraduate university students and 234 training recruits and law enforcement employees underwent several wellness assessments in a bid to compare overall physical wellness in sedentary and active work environments. The individual results were compared, and scored into risk areas that were ultimately compounded to formulate an overall physical wellness indicator. It was found that the students were superior in some areas of wellness; however the recruits possessed a greater state of overall physical wellness. This indicates that physical activity does contribute significantly to attaining a state of overall physical wellness and thus reduces the risk of developing lifestyle-related chronic conditions. The overall findings suggest that maintaining a healthy lifestyle through physical activity and health-promoting behaviour will result in a greater state of wellness. This area of research has unfolded a host of possibilities for future research, especially into the overall wellness indicator and the integration of the health and skill-related components of overall physical wellness.Dissertation (MSc)--University of Pretoria, 2013.gm2014Physiologyunrestricte

Thigh-length compression stockings and DVT after stroke

Controversy exists as to whether neoadjuvant chemotherapy improves survival in patients with invasive bladder cancer, despite randomised controlled trials of more than 3000 patients. We undertook a systematic review and meta-analysis to assess the effect of such treatment on survival in patients with this disease