Activity Domains Research Articles

Developing a common metric using current scales for assessing functioning in patients with knee osteoarthritis.

Various scales exist to assess different domains of functioning in knee osteoarthritis (OA). This study aimed to explore whether it is possible to develop a common metric (CM) from the frequently used scales to assess functioning in knee OA. The methodological study evaluated 411 patients (81 males, 330 females; mean age: 61.8±10.5 years; range, 41 to 88 years) with knee OA. Data from the Health Assessment Questionnaire, Oxford Knee Score, Medical Outcomes Study Short Form 36, Knee Injury and Osteoarthritis Outcome Score, Western Ontario and McMaster Universities Arthritis Index, and the Nottingham Health Profile were used, and the items focusing on self-care, mobility, and domestic activity domains based on the activities and participation component of the International Classification of Functioning, Disability, and Health were included. Concurrent calibration was performed to combine the items of the scales. The CM parameters were estimated using the Rasch measurement model. Reliability was assessed using the person separation index. The CM was utilized to generate a transformation table to convert the scale scores to each other based on the reference metric score. Each scale fitted the Rasch model. Item invariance was achieved for the CM (p=0.775). The CM had a person separation index of 0.827. Age, sex, and disease duration did not cause difference in item functions. The CM satisfied the assumptions of unidimensionality and local independence. A reliable CM was created from the commonly used scales to measure functioning in individuals with knee OA. Thus, clinicians and researchers can refer to the transformation table to directly compare scores of those scales and use them interchangeably.

Physical Activity and Sitting Time Patterns and Sociodemographic Correlates Among 155,790 South American Adults.

To estimate the prevalence of different physical activity (PA) domains and sitting time (ST), and to analyze the association with sociodemographic indicators. Data from the most recent nationally representative survey from each of the South American countries, comprising 155,790 adults (18-64y), were used. Data on leisure-time, transport, and occupational PA (all 3 domains as nonzero), total PA (≥150min/wk), and ST (≥8h/d) were assessed by specific questionnaires in each survey. Gender, age group (18-34, 35-49, and 50-64y), and education (quintiles) were used as sociodemographic factors. Random effect meta-analysis of the association between sociodemographic factors and PA and ST were conducted. The prevalence of PA guidelines compliance and elevated ST in South America was 70.3% and 14.1%, respectively. Women were less likely to achieve the recommended levels of total and domain-based PA. Participants in the highest quintile of education were more likely for elevated ST (2.80, 2.08-3.77), lower occupational PA (0.65, 0.44-0.95), but higher leisure-time PA (3.13, 2.31-4.27), in comparison with lowest quintile. Older adults were less likely to participate in total and leisure-time PA. Our findings highlight the urge to tackle the inequalities in PA practice in South America, especially gender and education inequalities, for leisure-time PA.

Dot1l cooperates with Npm1 to repress endogenous retrovirus MERVL in embryonic stem cells.

Dot1l is a histone methyltransferase without a SET domain and is responsible for H3K79 methylation, which marks active transcription. In contradiction, Dot1l also participates in silencing gene expression. The target regions and mechanism of Dot1l in repressing transcription remain enigmatic. Here, we show that Dot1l represses endogenous retroviruses in embryonic stem cells (ESCs). Specifically, the absence of Dot1l led to the activation of MERVL, which is a marker of 2-cell-like cells. In addition, Dot1l deletion activated the 2-cell-like state and predisposed ESCs to differentiate into trophectoderm lineage. Transcriptome analysis revealed activation of 2-cell genes and meiotic genes by Dot1l deletion. Mechanistically, Dot1l interacted with and co-localized with Npm1 on MERVL, and depletion of Npm1 similarly augmented MERVL expression. The catalytic activity and AT-hook domain of Dot1l are important to suppress MERVL. Notably, Dot1l-Npm1 restricts MERVL by regulating protein level and deposition of histone H1. Furthermore, Dot1l is critical for Npm1 to efficiently interact with histone H1 and inhibit ubiquitination of H1 whereas Npm1 is essential for Dot1l to interact with MERVL. Altogether, we discover that Dot1l represses MERVL through chaperoning H1 by collaborating with Npm1. Importantly, our findings shed light on the non-canonical transcriptional repressive role of Dot1l in ESCs.

Odd couples: reconciling academic and operational cultures for whole-institution sustainability governance at universities

PurposeThis study aims to explore barriers and pathways to a whole-institution governance of sustainability within the working structures of universities.Design/methodology/approachThis paper draws on multi-year interviews and hierarchical structure analysis of ten universities in Canada, the USA, Australia, Hong Kong, South Africa, Brazil, the UK and The Netherlands. The paper addresses existing literature that championed further integration between the two organizational sides of universities (academic and operations) and suggests approaches for better embedding sustainability into four primary domains of activity (education, research, campus operations and community engagement).FindingsThis research found that effective sustainability governance needs to recognise and reconcile distinct cultures, diverging accountability structures and contrasting manifestations of central-coordination and distributed-agency approaches characteristic of the university’s operational and academic activities. The positionality of actors appointed to lead institution-wide embedding influenced which domain received most attention. The paper concludes that a whole-institution approach would require significant tailoring and adjustments on both the operational and academic sides to be successful.Originality/valueBased on a review of sustainability activities at ten universities around the world, this paper provides a detailed analysis of the governance implications of integrating sustainability into the four domains of university activity. It discusses how best to work across the operational/academic divide and suggests principles for adopting a whole institution approach to sustainability.

Social Affinity Flow Theory (SAFT) and New Insights into the Systems Archetypes of Escalation and Tragedy of the Commons

Social Affinity Flow Theory (SAFT) is a new theoretical framework based upon Constructal Law (Bejan & Zane, 2012) and explains how this law uniquely operates within human social systems, whether within small groups, non-profits, multinational corporations, or societies. We investigate the relationship between SAFT, systems thinking, and the two archetypes of Tragedy of the Commons and Escalation, two frameworks that have proven useful to leaders and decision-makers. SAFT expands the applicability of the two archetypes and uncovers new insights with implications for multiple domains of human activity, including the practice of management.

Study Habits of Undergraduate Medical Students in Bangladesh

The study habits of students are the most important factors that influence the performance of students. Poor study habits are considered one of the main causes of students’ academic failure and can have an important impact on their education and their occupational prospect. Currently, no time bound and elaborative research is found to identify the study habits of undergraduate medical students in Bangladesh. This descriptive-type of cross-sectional study was conducted in different medical colleges with the objective to find out the study habits of undergraduate medical students of Bangladesh. It also aimed to find out if there is any difference in study habits between the students with high, average and below-average grade achievers in professional examinations. Data were collected from 586 conveniently selected students from 10 government and 9 private medical colleges of Bangladesh within the period of one year. A pretested semi-structured, self-administered questionnaire was used for data collection. Study habits were assessed in seven domains namely textbook reading, note-taking, memorizing lessons, paying concentration, exam /test preparation, time management, and classroom-related activities. With regards to study habits, it was revealed that undergraduate medical students have an average study habit score in textbook reading (3.54±1.14), note taking (3.33±1.17), memorizing lessons (3.35±1.17), preparation for the test (3.53±1.18), time management (3.40±1.18) and classroom related activities (3.22±1.2) domains. There is a significant difference in study habit score of high grades and below-average grade achievers in professional examinations. This average score of study habits was below our expectations. This study recommended that teachers should make an effort to develop or improve the study habits of medical students by acquainting them with good and poor/ bad study habits. So that students can identify their poor study habits and can take the appropriate remedial measure. Teachers can guide weak students to develop effective study habits so that students’ learning can be enhanced. Bangladesh Journal of Medical Education Vol.14(2) July 2023: 45-55

Regulatory sites in the Mon1–Ccz1 complex control Rab5 to Rab7 transition and endosome maturation

Maturation from early to late endosomes depends on the exchange of their marker proteins Rab5 to Rab7. This requires Rab7 activation by its specific guanine nucleotide exchange factor (GEF) Mon1-Ccz1. Efficient GEF activity of this complex on membranes depends on Rab5, thus driving Rab-GTPase exchange on endosomes. However, molecular details on the role of Rab5 in Mon1-Ccz1 activation are unclear. Here, we identify key features in Mon1 involved in GEF regulation. We show that the intrinsically disordered N-terminal domain of Mon1 autoinhibits Rab5-dependent GEF activity on membranes. Consequently, Mon1 truncations result in higher GEF activity in vitro and alterations in early endosomal structures in Drosophila nephrocytes. A shift from Rab5 to more Rab7-positive structures in yeast suggests faster endosomal maturation. Using modeling, we further identify a conserved Rab5-binding site in Mon1. Mutations impairing Rab5 interaction result in poor GEF activity on membranes and growth defects in vivo. Our analysis provides a framework to understand the mechanism of Ras-related in brain (Rab) conversion and organelle maturation along the endomembrane system.

Comparison of multidisciplinary use of the International Classification of Functioning (ICF) in paper and electronic forms for patients with acute stroke

The aim of the study was to assess how the use of the International Classification of Functioning, Disability and Health (ICF) affects the formulation of a rehabilitation diagnosis.Materials and methods. Three patient groups were formed: the first group (n=130) did not use the ICF, the second (n=130) used the paper-based ICF, and the third (n=54) used the ICFreader software.Results. The use of ICF leads to more rehabilitative problems in the diagnosis that can be solved within the rehabilitation course. The highest number of clinically insignificant function domains was found in group 1. The number of activity and participation domains and environmental factor domains was significantly higher in groups two and three compared to group one. In group two the team spent between 8 and 15 minutes for the initial discussion per patient and between 2 and 5 minutes for repeated discussions.Conclusion. Applying the ICF in paper form and using the ICF-reader software leads to more rehabilitative problems in the rehabilitation diagnosis, which can be solved within the rehabilitation course.

Evaluación de los dominios de la actividad física y los componentes de la condición física en niños de 4-5 años en un centro de salud

Introduction: lack of physical activity and sedentary lifestyles in children are associated with increased adiposity, low cardiovascular fitness, and risk of cardiovascular disease. On the other hand, adherence to physical activity recommendations is associated with improvements in mental health, decreased anxiety and depression, and healthier habits. Objectives: to assess the relationship between different domains of physical activity and sedentary behaviour, measured objectively, and components of physical fitness in Spanish children aged 4 and 5 years. Population and methods: cross-sectional study within the project “Observatory and intervention programme on physical exercise and lifestyles in families for children aged 4 to 5 years in primary care” (https://observatorioactividadfisica.es). Physical fitness was assessed with the PREFIT battery. To measure the amount and intensity of physical activity, participants wore a GENEActiv triaxial accelerometer on the non-dominant hand for 7 consecutive days, 24 hours a day. Results: the study sample included 70 children (38 boys and 32 girls) with a mean age of 4.83 years (95% confidence interval [CI]). There were no significant differences in physical fitness between boys and girls, but we found differences in physical activity. Boys were physically active for longer durations and with higher intensity than girls. We also found a significant and strong association between the components of physical fitness and physical activity domains in children aged 4 and 5 years. Conclusions: these findings highlight the importance of promoting active lifestyles from an early age and the need for structured training programs to reduce sedentary behaviour and improve physical fitness in this population.

A Life of Leisure? Investigating the Differential Impact of Retirement on Leisure Activity.

Remaining active in older adulthood is widely endorsed by governments and policy-makers as a way of promoting public health and curbing welfare spending. Despite links between greater leisure activity in older adulthood and better health, cognitive function, and subjective well-being, there is a dearth of research investigating the impact of retirement on leisure activity engagement. Therefore, the primary goal of this study is to address this knowledge gap and investigate the impact of retirement on leisure activity engagement. Using panel data from 2 waves of a large-scale longitudinal survey of Dutch older workers (N = 4,927), we investigated the impact of retirement on hours spent engaging in physical, social, and self-development activities. We further investigated the differential impact of retirement on leisure activity in retirement based on various sociodemographic characteristics. Although leisure activity increased across all 3 activity domains, conditional change ordinal least square regression models revealed that retirement resulted in significantly greater increases in activity relative to nonretirees. Additional analyses including interaction terms revealed that the impact of retirement on self-development and social activity differed significantly based on gender and education. Our study demonstrates that while time in leisure activity largely increases in response to retirement the nature and magnitude of the impact of retirement on leisure activity is not uniform. From a policy perspective, findings that certain groups, namely men and lower--educated individuals, may be at greater risk of lower activity levels may help guide interventions promoting active aging and retirement.

Health related quality of life in the domain of physical activity predicts confirmed disability progression in people with relapsing remitting multiple sclerosis.

The diagnosis of the progression phase of Multiple Sclerosis (MS) is still retrospective and based on the objectivation of clinical disability accumulation. To assess whether the Patient Reported Outcomes Measures (PROMs) scores predict the occurrence of disease progression within three years of follow-up. Observational prospective multicenter study. Stable Relapsing-Remitting MS (RRMS) patients were enrolled. At enrollment, patients completed the following PROMs: Beck Depression Inventory- II, The Treatment Satisfaction Questionnaire for Medications, Medical Outcomes Study Short Form 36- Item (SF36), Fatigue Severity Scale. EDSS was assessed at enrollment and three years later. The outcome measure was defined as the occurrence of confirmed disability progression (CDP) within three years of follow-up. Univariable and multivariable logistic regression models were performed to study the association between the final score of each test and the outcome. SF36-Physical Functioning (SF36-PF) was the only independent variable associated with the outcome. The ROC curve analysis determined a score of 77.5 at SF36-PF as the cut-off point identifying patients experiencing CDP within three years of follow-up [AUC: 0.66 (95% CI: 0.56-0.75)]. RRMS patients scoring higher (>77.5) at SF36-PF subscale have a higher likelihood to experience CDP within the next three years.

Classifying and counting the Dalits in the late colonial period: The conundrum of the Jatavs

The Jatavs of the United Provinces were not legally recognised as a separate caste until 1942; and then only as a consequence of an exceptional revision of legislation. Yet, for some considerable time before, the provincial authorities had routinely treated Jatavs as if they had already been granted the status of an officially recognised distinct caste grouping. This was despite a ruling in 1933, endorsed jointly by the India Office, the Government of India, and the provincial government, that the Jatavs were not a separate caste. The case of the Jatavs is examined here in the context of the contradictions and confusion in the policies of the colonial authorities, first towards the Depressed Classes, and later in the construction of the category that eventually became the Scheduled Castes. In addition, it is argued that those contradictions also created interstices of ambiguity that many Dalit representatives explored, interrogated, and exploited as they generated the space in which to assert their agency. The history of the Jatavs is an important instance of subaltern politics participating in the procedures of the colonial regime rather than operating in some separate autonomous domain of activity. By engaging with the existing power structures and processes, Jatav leaders created the opportunity to expose and take advantage of the contradictions generated by the confusion in the exercises of classifying and counting conducted by the colonial state.

Associations between pre-stroke physical activity levels and health-related quality of life 3 months after stroke: A registry-based study (part of PAPSIGOT).

Whether pre-stroke physical activity is associated with health-related quality of life after stroke has been sparsely investigated. To explore associations between pre-stroke physical activity and health-related quality of life 3 months after stroke onset. A consecutively collected cohort study with data from registries. Included were adult patients with first stroke in the period 2014-2018 who were hospitalized at any one of the three stroke units in Gothenburg, Sweden. Pre-stroke physical activity was assessed with the Saltin-Grimby Physical Activity Level Scale (SGPALS) after hospital admission for acute stroke. Health-related quality of life was assessed with the EuroQoL 5 Dimensions 5 Level Version (EQ-5D-5L) 3 months after stroke. Data were analyzed with the Kruskal-Wallis test and binary logistic regression. Data were included from 2044 patients; 91% had ischemic stroke, 46% were female, and mean age was 73 years, with mild stroke severity median National Institute of Health Stroke Scale (NIHSS) of 2. Patients who were pre-stroke physically active reported better overall health-related quality of life by the EQ-5D-5L index value, all the domains in EQ-5D-5L, and the EuroQoL-Visual Analogue Scale (EQ-VAS) compared with pre-stroke physically inactive patients (all p < 0.001). Better health-related quality of life 3 months after stroke was associated with pre-stroke light and moderate physical activity: adjusted odds ratio (95% confidence interval), 1.9 (1.5-2.3) and 2.3 (1.5-3.4), respectively. Pre-stroke physical activity is associated with better health-related quality of life 3 months after stroke. For the domains of mobility, self-care, and pain/discomfort, physical activity with higher intensity is even more beneficial.

Physical activity and sports science in Italian scientific research products

Purpose. This study aims to measure the number of scientific production of Italian researchers, as framed on academic disciplines of Physical training and methodology (code M-EDF/01) and Sports science and methodology (code M-EDF/02), afferents to the academic recruitment field of Exercise and sports science (code 06/N2) and Didactics, special education and educational research (code 11/D2).&#x0D; Material and Methods. The sample consisted of the entire population of full professors (n=30) belonging to the two academic disciplines of Physical training and methodology and Sports science and methodology, plus a proportional representation of the two academic recruitment fields with at least one associate professor per university, for a total of 124 researchers. The titles of the first ten scientific products in terms of more citations from the Google Scholar database were analysed for each researcher. The full consistency of the title with the scientific statement of the two academic disciplines was assessed, identifying the number of articles afferent to sports and physical activity, biomedical and Psycho-pedagogical domains. One-way ANOVA was used to compare the two academic disciplines of the two academic recruitment fields with the three domains.&#x0D; Results. The aggregate data showed a prevalence of the biomedical domain over the sport and physical activity ones in both the academic disciplines, in the academic recruitment field of Exercise and sports science. On the other hand, in the academic recruitment of Didactics, special education and educational research, there was a prevalence of the sport and physical activity domain over the biomedical ones. In addition, modest Psycho-pedagogical and biomedical scientific production were found in the academic recruitment fields of Exercise and sports science and Didactics, special education and educational research, respectively. &#x0D; Conclusions. The problem of the different coherence of the scientific profiles of the researchers concerning the relevant academic recruitment field and possibly also to the two academic disciplines was confirmed.

Self-care and Quality of Life in Patients with Chronic Renal Failure Undergoing Hemodialysis at Sulaimaniyah Province, Kurdistan Region of Iraq

Background: Chronic renal failure (CRF) is a significant and growing public health issue globally with a negative impact on self-care and quality of life (QoL). Self-care and QoL are essential aspects of controlling the adverse effects of the illness.&#x0D; &#x0D; Objectives: To assess self-care and QoL of patients with CRF who undergo hemodialysis (HD).&#x0D; &#x0D; Patients and Methods: A descriptive-analytical design was carried out in Sulaimani Province Hemodialysis Centers/Unit from March to September 2022. About 150 patients with CRF undergoing hemodialysis consented to participate in the study. Non-probability convince sample technique was used to select the participants. The data were collected through a questionnaire by direct interview.&#x0D; &#x0D; Results: Most patients were ≥60 years, males, married, illiterate, lived in an urban area and had barely sufficient economic status with 4-6 family members. The study's findings revealed inadequate self-care in &gt;50% of patients. A significant correlation between self-care and QoL in limitation of activities was found for CRF patients who underwent Hemodialysis with no correlation for general health, physical and emotional, and energy and emotion. Also, there was a significant difference between QoL and age (for the general health domain), gender, and level of education (for the limitations of the activities domain). Mean self-care measurement was significantly associated between previous occupation and duration of Hemodialysis.&#x0D; &#x0D; Conclusions: Most patients had inadequate self-care and poor QoL, which means that higher self-care performance was associated with better QoL in the limitation of activities only and no other QoL domains.

COMBINING EXPLORATION/EXPLOITATION WITH DOMAIN THEORY: A TWO-DIMENSIONAL CATEGORIZATION OF DESIGN RESEARCH AND PRODUCT DEVELOPMENT

AbstractThis viewpoint paper uses two established classifications – March's distinction between exploration and exploitation and Andreasen's Domain Theory – to develop a classification matrix to map industrial challenges and design research topics. Exploration/exploitation and the organ, part and activity domains of Domain Theory are respectively the two dimensions of this classification matrix. Examples are given of the fit of design research and industrial innovation topics into each cell of this matrix, and the need for change in industrial emphasis towards exploration across the range of domains to meet current challenges is discussed. We show how design research covers all categories in the matrix, and argue that using a simple classification may assist the research community in explaining its activities to a wider world, and in organising and directing these activities. We conclude by making suggestions for topics for debate in the design research community.

Utility of the Shortness of Breath in Daily Activities Questionnaire (SOBDA-Q) to Detect Sedentary Behavior in Patients with Chronic Obstructive Pulmonary Disease (COPD).

Sedentary behavior has been shown to be an independent predictor of mortality in patients with chronic obstructive pulmonary disease (COPD). However, physicians have difficulty ascertaining patients' activity levels because they tend to avoid shortness of breath. The reformed shortness of breath (SOB) in the daily activities questionnaire (SOBDA-Q) specifies the degree of SOB by measuring low-intensity activity behavior in everyday living. Therefore, we aimed to explore the utility of the SOBDA-Q in detecting sedentary COPD. We compared the modified Medical Research Council dyspnea scale (mMRC), COPD assessment test (CAT), and SOBDA-Q with physical activity levels (PAL) in 17 healthy patients, 32 non-sedentary COPD patients (PAL ≥ 1.5 METs·h), and 15 sedentary COPD patients (PAL < 1.5 METs·h) in this cross-sectional study. CAT and all domains of the SOBDA-Q in all patients are significantly correlated with PAL, even after adjusting for age. The dietary domain has the highest specificity, and the outdoor activity domain has the highest sensitivity for detecting sedentary COPD. Combining these domains helped determine patients with sedentary COPD (AUC = 0.829, sensitivity = 1.00, specificity = 0.55). The SOBDA-Q is associated with PAL and could be a useful tool for determining patients with sedentary COPD. Moreover, eating and outing inactivity claims reflect sedentary behavior in patients with COPD.

Geriatric assessment measures are predictive of outcomes in chronic lymphocytic leukemia

IntroductionChronic lymphocytic leukemia (CLL) commonly affects older adults. However, few studies have examined the relationship between baseline geriatric domains and clinical outcomes in this population. Here, we aim to evaluate the use of a comprehensive geriatric assessment in older (>65 years) untreated patients with CLL to predict outcomes. Materials and MethodsWe conducted a planned analysis of 369 patients with CLL age 65 or older treated in a phase 3 randomized trial of bendamustine plus rituximab versus ibrutinib plus rituximab versus ibrutinib alone (A041202). Patients underwent evaluations of geriatric domains including functional status, psychological status, social activity, cognition, social support, and nutritional status. We examined associations among baseline geriatric domains with grade 3+ adverse events using multivariable logistic regression and overall survival (OS) and progression-free survival (PFS) using multivariable Cox regression models. ResultsIn this study, the median age was 71 years (range: 65–87). In the combined multivariable model, the following geriatric domains were significantly associated with PFS: Medical Outcomes Study (MOS) - social activities survey score (hazard ratio [HR] [95% confidence interval (CI)] 0.974(0.961, 0.988), p = 0.0002) and nutritional status (≥5% weight loss in the preceding six months: (HR [95% CI] 2.717[1.696, 4.354], p < 0.001). MOS - social activities score [HR (95% CI) 0.978(0.958, 0.999), p = 0.038] was associated with OS. No geriatric domains were significantly associated with toxicity. There were no statistically significant interactions between geriatric domains and treatment. DiscussionGeriatric domains of social activity and nutritional status were associated with OS and/or PFS in older adults with CLL. These findings highlight the importance of assessing geriatric domains to identify high-risk patients with CLL who may benefit from additional support during treatment.

A-24 Behavioral Regulation is Associated With De creased Post-Concussion State Anxiety and Depression

Abstract Purpose To examine the effects of self-reported behavioral regulation on post-concussion anxiety and depression in individuals with sport-related concussion (SRC) Methods A retrospective chart review of patients (ages 15–25yrs) seeking care for a SRC within 1-7 days following injury were included in this study. Participants completed a self-report, 4-point Likert scale (0-Never, 3-Most of the Time) questionnaire that assessed the previous week’s frequency of Sleep, Physical Activity (PA), Diet, Hydration, and Stress Management behavioral regulation domains. Scores were divided into HIGH (Most of the Time) and LOW (Some of the Time – Never) regulation groups for each domain. A series of independent samples t-tests and analyses of covariance (ANCOVA) were used to compare these groups on state anxiety (STAI) and depression (PHQ-9) scores. Results One hundred thirty-two participants (M=16.42, SD=1.95 yrs, 45% female) completed the study measures at 3.85 days post injury (SD=1.40). Participants in the HIGH behavioral regulation groups for Sleep (F(1,129)=4.67, p=.03), PA (F(1,128)=8.88, p=.003), and Stress (t(130)=1.89, p=.03) demonstrated significantly lower state anxiety scores than the LOW groups. Depression scores were significantly lower for the HIGH behavioral regulation in Sleep (F(1,129)=8.70, p=.004), Diet (F(1,125)=10.22, p=.002), and PA (F(1,128)=5.09, p=.03) domains than the LOW groups. Conclusions Behavioral regulation affects post-concussion state anxiety and depression. This low cost, non-pharmacological strategy should be the first step for the management of SRC.

The impact of work–leisure facilitation on employees’ turnover intentions: the perspective of positive emotions

PurposeWork and leisure, as important activity domains, play important roles in the lives of individuals. However, most previous studies focused on only the interference and negative effects of work on leisure, with little focus on the facilitation of work and the positive effects of work on leisure. In view of the shortcomings of previous studies, this study focuses on the facilitation effect of work on leisure and its impact on individual psychology. This study aims to explore the relationship between work–leisure facilitation (WLF) and turnover intention and the role of positive emotions and perceived supervisor support in this relationship.Design/methodology/approachIn this study, the method of multipoint data collection was adopted to measure the subjects; 180 employees were sampled for 5 consecutive working days, and a multilevel structural equation model was established for analysis.FindingsThe results show that WLF is negatively related to turnover intention, and positive emotions play a mediating role in this relationship. Perceived supervisor support significantly positively moderates not only the relationship between WLF and positive emotions but also the indirect effect of WLF on turnover intention through positive emotions.Originality/valueBased on affective events theory, this study explored the relationship between WLF and turnover intention and its mechanism by using the daily diary sampling method for the first time, to the best of the authors’ knowledge. The results not only deepen the understanding of affective events theory but also provide management suggestions for reducing employees’ turnover intentions.