Parents\u27 Goals: An Analysis of Therapist Reasoning

Purpose: Illustrate the use of DDDM to develop parent-identified goals for occupational therapy and to identify underlying sensory integration factors hypothesized to be impacting participation

The courses of objective physical activity and the association with sleepiness during a 2-week-on/2-week-off offshore shift rotation:an observational repeated-measures study

BACKGROUND: Offshore workers are assumed to have poor health behaviours, but no studies have yet examined physical activity (PA) during a full offshore shift rotation period, including both work and at home periods. Furthermore, the relationship of PA with sleepiness, a prevalent safety hazard offshore, is not known. This study aimed to examine (1) the courses of objectively measured PA in offshore workers during pre-, offshore and post-offshore periods, and (2) the association between PA and self-reported sleepiness. METHODS: An observational repeated measures study was conducted among 36 offshore workers during a full 2-week on/2-week off offshore shift rotation. Objective PA was assessed using Daytime Activity Averages (DAA) from actigraph recordings. Sleepiness was assessed using next-morning Karolinska Sleepiness Scale (KSS) scores. The courses of PA over time were analysed with Linear Mixed Models (LMM). Parallel LMM were used to assess the longitudinal relationship between PA and sleepiness, both on a between-person and within-person level. RESULTS: The courses of PA were not significantly different between the pre-, offshore, and post-offshore periods. In addition, between-person trends of PA and sleepiness were not associated (p ranges between 0.08─0.99) and PA did not affect next-morning sleepiness on a within-person level (p = 0.15). CONCLUSIONS: PA levels during the offshore working period were not different from PA levels at home. Furthermore, PA was not associated with next-morning sleepiness. Further research should focus on different levels of PA including its intensity level

Reading or Listening to a Gain- or Loss-Framed Health Message:Effects of Message Framing and Communication Mode in the Context of Fruit and Vegetable Intake

Gain-framed health messages are found to be more effective when targeting prevention behaviors. However, framing research has only minimally investigated the role of communication mode, another important factor in health communication. This study explored the role of communication mode in interaction with message framing, and the influence of two individual differences related to involvement as conditions under which gain framing can lead to health behavior change. Participants (N = 258) were exposed to either an auditory or written health message concerning fruit and vegetable intake, with either gain- or loss-framed arguments. In addition, the online experiment consisted of baseline and posttest measures, among which intention to consume sufficient fruit and vegetables. Moderating effects of perceived baseline fruit and vegetable consumption and baseline intention were assessed. A significant interaction between message framing and communication mode was observed: In case of a gain-framed message, an auditory message resulted in a higher intention than a written message. This pattern was most explicitly found among those with a lower perceived fruit and vegetable intake at baseline. Although further research is warranted in health persuasion research, the findings can possibly be used to target health interventions better at specific groups of people who behave less healthy

ST. GEORGE'S RESPIRATORY QUESTIONNAIRE (SGRQ) IN THE LIFE QUALITY EVALUATION OF PATIENTS CURED OF PULMONARY TUBERCULOSIS

Goal: to evaluate the life quality of patients cured of pulmonary tuberculosis. All patients had spirometry done. The life quality was assessed with the help of St. George's Respiratory Questionnaire (SGRQ) for respiratory function evaluation. Average values for all questions of St. George's Respiratory Questionnaire was lower compared to those healthy even in the patients with normal respiratory function. Data of St. George's Respiratory Questionnaire had statistically confident correlation with spirometry rates, high co-efficient of test-retest correlation and agreement. Therefore St. George's Respiratory Questionnaire is a true and reliable tool for life quality evaluation of patients cured of pulmonary tuberculosis. The main factors providing impact on life quality were respiratory function disorders and severity of dyspnea

Influence of changing working conditions on exit from paid employment among workers with a chronic disease

Objectives: To investigate the relation between changes in working conditions and exit from paid employment among workers with a chronic disease. Methods: Six waves from the longitudinal Study on Transitions in Employment, Ability and Motivation (2010-2016), enriched with tax-based employment information from Statistics Netherlands (2011-2017), were available for 4820 chronically ill workers aged 45-63 years (mean 55.3 years, SD 5.1). A change in working conditions (physical workload, psychological job demands, job autonomy, emotional job demands and social support) was defined as an increase or decrease between two consecutive waves of at least one SD. Discrete-time survival models with repeated measurements were used to estimate

Simulating secondary organic aerosol from missing diesel-related intermediate-volatility organic compound emissions during the Clean Air for London (ClearfLo) campaign

We present high-resolution (5g kmg × g 5g km) atmospheric chemical transport model (ACTM) simulations of the impact of newly estimated traffic-related emissions on secondary organic aerosol (SOA) formation over the UK for 2012. Our simulations include additional diesel-related intermediate-volatility organic compound (IVOC) emissions derived directly from comprehensive field measurements at an urban background site in London during the 2012 Clean Air for London (ClearfLo) campaign. Our IVOC emissions are added proportionally to VOC emissions, as opposed to proportionally to primary organic aerosol (POA) as has been done by previous ACTM studies seeking to simulate the effects of these missing emissions. Modelled concentrations are evaluated against hourly and daily measurements of organic aerosol (OA) components derived from aerosol mass spectrometer (AMS) measurements also made during the ClearfLo campaign at three sites in the London area. According to the model simulations, diesel-related IVOCs can explain on average ∼30g % of the annual SOA in and around London. Furthermore, the 90th percentile of modelled daily SOA concentrations for the whole year is 3.8g μg-3, constituting a notable addition to total particulate matter. More measurements of these precursors (currently not included in official emissions inventories) is recommended. During the period of concurrent measurements, SOA concentrations at the Detling rural background location east of London were greater than at the central London location. The model shows that this was caused by an intense pollution plume with a strong gradient of imported SOA passing over the rural location. This demonstrates the value of modelling for supporting the interpretation of measurements taken at different sites or for short durations

Нарушения респираторной функции легких у больных с посттуберкулезными изменениями

In most case, lung lesions of different character and extent remain after successful treatment of pulmonary tuberculosis. High tuberculosis morbidity contributes to increasing numbers of patients with post-tuberculosis abnormalities. Pulmonary tuberculosis or its consequences could cause consistent changes of the lung function. Lung function abnormalities in patients survived pulmonary tuberculosis have been reviewed In this article. A high prevalence of such cases provides the need in spirometric testing. Routine identification of patients with post-tuberculosis pulmonary impairment requires revision of recommendations for spirometry use in tuberculosis patients.При клиническом излечении у большинства больных туберкулезом в легких остаются различные по характеру и протяженности остаточные изменения. Высокая заболеваемость туберкулезом способствует увеличению числа лиц с посттуберкулезными изменениями. У части больных туберкулезный процесс или его последствия вызывают стойкие нарушения функции внешнего дыхания (ФВД). В данном обзоре представлены работы, посвященные нарушениям ФВД у пациентов, излеченных от туберкулеза легких. Показано, что необходимость выполнения спирометрии обусловлена высокой частотой нарушений ФВД у больных, излеченных от туберкулеза. Продемонстрирована объективная взаимосвязь между нарушениями респираторной функции легких и развитием туберкулеза органов дыхания, однако механизм возникновения бронхиальной обструкции при туберкулезе остается неясным. Вероятно, эта взаимосвязь не зависит от курения и воздействия дыма от органического топлива. Важность данной проблемы обусловлена высокой заболеваемостью туберкулезом и глобальным увеличением распространенности хронической обструктивной болезни легких

The potential of trading activity income to fund third sector organisations operating in deprived areas

In the United Kingdom, as in other countries, Third Sector Organisations (TSOs) have been drawn towards income sources associated with trading activities (Teasdale, 2010), but many remain reliant on grant funding to support such activities (Chell, 2007). Using a multivariate analysis approach and data from the National Survey of Charities and Social Enterprises (NSCSE), it is found that trading activities are used relatively commonly in deprived areas. These organisations are also more likely to attempt to access public sector funds. This suggests policy-makers need to consider the impact of funding cuts on TSOs in the most deprived areas as TSOs are unlikely achieve their objectives without continuing support

An overview of the Jordanian oil shale: its chemical and geologic characteristics, exploration, reserves and feasibility for oil and cement production

Abstract Oil shale is the most abundant fossil energy resource discovered in Jordan, ranking third after the USA and Brazil in terms of oil shale reserves. This asset is considered to be Jordan's most extensive domestic fossil-fuel source. The identified reserves of this oil shale are huge and sufficient to satisfy the national energy needs for hundreds of years. Numerous geologic studies have shown that the country contains several oil shale deposits. These deposits are regarded as the richest in organic bituminous marl and limestone that occur at shallow depth. Jordanian oil shale is generally of a good quality, with relatively low ash and moisture contents, a gross calorific value of 7.5 MJ/kg, and an oil yield of 8 to 12%. The spent shale has residual carbon content that may be burned to produce further energy, and ash that can be used for cement and building materials. The current study summarizes the results of the former feasibility studies and discuses the scope of future usage of Jordanian oil shale. The value of this oil shale and its associated products is highlighted herein