Future Exercise Research Articles

The forms of societal interaction in the social sciences, humanities and arts: Below the tip of the iceberg

Abstract Science policymakers are devoting increasing attention to enhancing the social valorization of scientific knowledge. Since 2010, several international evaluation initiatives have been implemented to assess knowledge transfer and exchange practices and the societal impacts of research. Analysis of these initiatives would allow investigation of the different knowledge transfer and exchange channels and their effects on society and how their effects could be evaluated and boosted. The present study analyses the transfer sexenio programme, which is a first (pilot) assessment that was conducted in Spain to evaluate the engagement of individual researchers in knowledge transfer to and knowledge exchange with non-academic stakeholders, including professionals and society at large. The breadth of the information and supporting documentation available (more than 16,000 applications and 81,000 contributions) allows an exploration of knowledge valorization practices in terms of the transfer forms used and the researchers involved—distinguishing between the Science, Technology, Engineering and Mathematics (STEM) and Social Sciences, Humanities and Arts (SSHA) areas. By focusing on SSHA fields, we explore knowledge dissemination via enlightenment or professional outputs. We conduct quantitative and qualitative analysis which provide a more comprehensive overview of knowledge transfer practices in Spain in the SSHA field, in particular, and has implications for future assessment exercises.

Associations between exercise training characteristics and change in peak oxygen consumption in patients with chronic ischaemic heart disease and type 2 diabetes

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Innovationsfonds des Gemeinsamen Bundesausschusses. Introduction Exercise interventions are well established in the treatment of chronic ischaemic heart disease (CIHD) and type 2 diabetes mellitus (T2DM). Yet, there remains a significant research gap when it comes to patients which suffer from both diseases. Purpose The aim of this study was to investigate the associations of training characteristics (average minutes of endurance training per week, average endurance training sessions per week and mean intensity) and change in peak V̇O2 following 6 months of a telemedicine supported exercise intervention in patients with CIHD and T2DM. Methods Among 251 intervention group patients of a randomised controlled trial that evaluated the effects of an individual home-based lifestyle intervention compared to usual care (N=502 patients), those who completed the 6-month follow-up (N=201) were included in this analysis. All patients received an individual exercise training plan via a smartphone application, which recorded training duration and heart rates (HR, utilizing a connected heart rate sensor, Polar H7, Polar, Finland). Patients also had the possibility to perform additional sessions without prescribed intensity zones. All recorded sessions were evaluated with a customized software and manually checked for plausibility. Intensities were calculated as the average % heart rate reserve (HRR) of all endurance exercise sessions. If HR measurements were classified as invalid/unreliable (e.g. very strong fluctuations), these sessions were excluded from the average HRR calculation but still included in the average minutes and sessions of endurance training per week. Associations between training characteristics and change in peak V̇O2 were evaluated via univariate regression analysis. Results Of the 201 patients (16% female, 68±8 years), 81 (40%) were classified as adherent to the exercise intervention (defined as having performed the prescribed training duration in ≥ 50% of the weeks and ≥ 66.7% of the recommended duration). On average, patients performed 78±94 minutes of endurance training per week across 3.26±3.13 sessions at an average of 51.6±18.2% HRR. Peak V̇O2 improved by a mean (SD) of 0.94±2.74 ml/kg/min. Change in peak V̇O2 was significantly associated with the average duration and number of sessions per week (p < 0.01), but not with mean intensity (p = 0.10) (Fig. 1). Conclusions Mean changes in peak V̇O2 were low, likely due to low overall adherence. Accordingly, we found a significant positive association between the average minutes as well as the average sessions of endurance training per week and change in peak V̇O2, whereas change in peak V̇O2 was not significantly associated with mean exercise training intensity. Therefore, future telemedical exercise interventions need to find ways to improve adherence of patients towards the provided exercise recommendations.

Association between skeletal muscle mitochondrial dysfunction and insulin resistance in patients with rheumatoid arthritis: a case–control study

BackgroundInsulin resistance affects a substantial proportion of patients with rheumatoid arthritis (RA). Skeletal muscle mitochondrial dysfunction results in the accumulation of lipid intermediates that interfere with insulin signaling. We therefore sought to determine if lower oxidative phosphorylation and muscle mitochondrial content are associated with insulin resistance in patients with RA.MethodsThis was a cross-sectional prospective study of RA patients. Matsuda index from the glucose tolerance test was used to estimate insulin sensitivity. Mitochondrial content was measured by citrate synthase (CS) activity in snap-frozen muscle samples. Mitochondrial function was measured by using high-resolution respirometry of permeabilized muscle fibers and electron transport chain complex IV enzyme kinetics in isolated mitochondrial subpopulations.ResultsRA participants demonstrated lower insulin sensitivity as measured by the Matsuda index compared to controls [median 3.95 IQR (2.33, 5.64) vs. 7.17 (5.83, 7.75), p = 0.02]. There was lower muscle mitochondrial content among RA vs. controls [median 60 mU/mg IQR (45, 80) vs. 79 mU/mg (65, 97), p = 0.03]. Notably, OxPhos normalized to mitochondrial content was higher among RA vs. controls [mean difference (95% CI) = 0.14 (0.02, 0.26), p = 0.03], indicating a possible compensatory mechanism for lower mitochondrial content or lipid overload. Among RA participants, the activity of muscle CS activity was not correlated with the Matsuda index (ρ = − 0.05, p = 0.84), but it was positively correlated with self-reported (IPAQ) total MET-minutes/week (ρ = 0.44, p = 0.03) and Actigraph-measured time on physical activity (MET rate) (ρ = 0.47, p = 0.03).ConclusionsMitochondrial content and function were not associated with insulin sensitivity among participants with RA. However, our study demonstrates a significant association between muscle mitochondrial content and physical activity level, highlighting the potential for future exercise interventions that enhance mitochondrial efficiency in RA patients.

TikTok Addiction: An Examination in the Technical Aspects

In recent years, TikTok has gone viral as a social media that provides an infinite number of short videos. It has not only become the second most popular social media application but has also taken up a considerable amount of time from its users. Thus, the purpose of this paper is to analyze and discuss the technical aspects of TikTok addiction through the psychological and social lens. Specifically, after reviewing existing literature, this in-depth study evaluates algorithmic recommendation, hashtags, scrolling, and the interactive features in the addiction perspective and offers coping measures for each addictive function. The current study identifies the significant dopaminergic activities TikTok generates with its addictive functions and the strong social needs these functions meet. Furthermore, these functions combined can attract users to a great extent through synergy. The findings in this paper contribute to a deeper understanding of the mechanism of TikTok addiction and bring about new coping insights for future exercise and studies.

Semantic Segmentation with Multispectral Satellite Images of Waterfowl Habitat


 
 
 Migratory waterfowl (i.e., ducks, geese, and swans) management relies on landscape bioenergetic models to inform on-the-ground habitat conditions and conservation practices. Therefore, conservation planners rely on accurate predictions of wetland habitats for waterfowl at regional scales. Unharvested flooded corn is a popular management tool on public and private lands that greatly increases landscape-level energy compared to other wetlands; thus, landscape bioenergetic models are particularly sensitive to these habitat features. Despite their importance to conservation planning and implementation, the abundance and distribution of unharvested flooded corn fields across North America is unknown. Furthermore, training data is difficult to collect and accurate predictions are challenging given their unique attributes and discreteness at landscape-level lens. Advances in multispectral imagery and deep learning algorithms may enable continuous and autonomous detection of these habitat features. Therefore, we conducted modeling experiments using training data of unharvested flooded corn fields in West Tennessee and multispectral imagery collected from Sentinel-2 satellite missions. We performed several experiments using individual band combination composites and/or vegetation indices to identify optimal bands using MRUNET architectures. We subsequently used 3 ensemble models of important individual networks. We found the use of multispectral bands was necessary and although the CIR composite and OSAVI index improved precision, the 12-band composite increased recall, the metric we were most interested in. Moreover, all ensembles exhibited poor performance. Here, we present results of our initial modeling experiments and suggest future modeling exercises including temporal image and vegetation index stacking using multi-modal and/or recurrent neural network architectures.
 
 

Correlates and participation in community-based exercise programming for cancer patients before and during COVID-19.

COVID-19 pandemic restrictions ceased the opportunity for face-to-face group exercise classes with at risk populations, such as cancer patients, forcing an adaptation to online exercise programming. The purpose of this study was to compare the attendance rates and correlates of face-to-face exercise programming pre-COVID-19 to online programming delivered during the first year of pandemic restrictions. The sample was comprised from 1189 patient records between 2018 and 2021. Data analysis was based around the three primary research questions: (i) whether the volume of attendance in online exercise programming differed from the previous face-to-face programming; (ii) whether there were any differences in attendee demographics between online and face-to-face classes; and (iii) whether there were specific correlates of online attendance that can inform future exercise programming. Class attendance increased significantly when online exercise classes were introduced during the first year of the pandemic when compared to face-to-face attendance the prior years (p < .01). Multiple demographic findings were also observed including age, gender, and geographic differences. While COVID-19 has effected the ability to deliver face-to-face exercise programs for cancer patients, online programming has proved a promising delivery model with greater geographical reach. The approach, however, has gender and age differences in program attendance so targeted programming to reach specific cancer patient demographics may need attention. These results add to the continuing research in the area of online exercise and online programming strategies offering an effective option for cancer patients to achieve targeted exercise prescription.

Lessons Learned from an OB / Newborn / Neonatal Intensive Care Full-Scale Exercise

Introduction:Children are frequently victims of disasters. However, gaps remain in disaster planning for pediatric patients. The New York City Pediatric Disaster Coalition (NYCPDC) is funded by the NYC Department of Health and Mental Hygiene (DOHMH) to prepare NYC for mass casualty incidents that involve large numbers of children.On April 26, 2018, the NYC PDC conducted a first in NY, full-scale exercise with the NYC Fire Department (FDNY) testing evacuation, patient tracking, communications, and emergency response of the Obstetrics, Newborn and Neonatal units at a NYC based hospital. The goal of the exercise was to evaluate current Ob/Newborn/Neonatal plans and assess the hospital’s ability to evacuate patients.Method:The exercise planning process included a review of existing OB / Newborn / Neonatal plans, four group planning meetings, as well as, targeted specific area meetings and plan revisions. The exercise incorporated scenario-driven, operations-based activities, which challenged participants to employ the facility's existing evacuation plans during an emergency.Results:The Exercise assessed the following: Communication, Emergency Operation Plans, Evacuation, Patient Tracking, Supplies and Staffing. Internal and external evaluators rated exercise performance on a scale from 1-4. Evaluators completed an exercise evaluation guide based on the Master Scenario Event List.An After Action Report was written based on the information from the exercise evaluation guides, participant feedback forms, hot-wash session, and after action review meeting. Strengths included the meaningful improvement of plans before the exercise (including the fire department) and the overall meeting of exercise objectives.Conclusion:Lessons learned included: addressing gaps in effective internal and external communications, adequate supplies of space, staff, equipment needed for vertical evacuations; providing staging and alternate care sites with sufficient patient care and electrical-power resources. The lessons learned are being utilized to improve existing hospital plans to prepare for future full-scale exercise and or real-time events.

Lessons Learned from 28 Hospitals and City Agencies: Pediatric Disaster Exercise

Introduction:Children are frequently victims of disasters. However, gaps remain in pediatric disaster preparedness. The New York City Pediatric Disaster Coalition (NYCPDC) is funded by the NYC Department of Health and Mental Hygiene (DOHMH) to prepare NYC for mass casualty events that involve large numbers of children. The NYC PDC conducted a functional exercise testing surge, communications, and secondary transport. Participants included 28 NYC hospitals, the NYC Fire Department-Emergency Medical Services (FDNY-EMS), NYC Emergency Management (NYCEM), NYC DOHMH and the NYC Medical Reserve Corps (MRC).Method:The hospitals and agencies participated in group and individual planning meetings. Scenario-driven, operations-based activities challenged participants to employ their facility's existing pediatric surge and secondary transport plans during an event. The exercise assessed: Communications, Emergency Operation Plans, Surge, Patient Tracking, Patient Transfer, Supplies, and Staffing. Internal and external evaluators assessed the exercise performance.Results:An After-Action Report was written based on information from evaluation data, site-specific and group hot-washes, and an after-action conference. Strengths included meaningful improvement of plans before/after the exercise and doubling pediatric critical care capacity through the implementation of the exercise objectives. Challenges included: gaps in communication/patient tracking, lack of sufficient sub-specialty support, the need for "babysitters” and inadequate supplies of blood products and ventilators.Conclusion:Conducting a multi-hospital and agency pediatric specific exercise demonstrated current planning and produced lessons learned to address planning and training gaps that can improve citywide planning and capabilities during future full-scale exercise and real-time events.

Fast optimism, slow realism? Causal evidence for a two-step model of future thinking

Many researchers report that people have an optimistic bias when making predictions, but sometimes cautious realism is found. One resolution is that future thinking has two steps: The desired outcome is imagined first, followed by a sobering reflection on potential difficulty of getting there. Five experiments supported this two-step model (USA and Norway; N = 3213; 10,433 judgments), showing that intuitive predictions are more optimistic than reflective predictions. Participants were randomly assigned to rely on fast intuition under time-pressure or slow reflection after time-delay. In Experiment 1, participants in both conditions thought positive events were more likely to happen to them than to other people and that negative events were less likely, replicating the classic finding of “unrealistic optimism”. Crucially, this optimistic tendency was significantly stronger in the intuitive condition. Participants in the intuitive condition also relied more on heuristic problem-solving (CRT). Experiments 2–3 found that participants in the intuitive condition thought they were at lower health risk than participants in the reflective condition. Experiment 4 provided a direct replication, with the additional finding that intuitive predictions were more optimistic only for oneself (and not about the average person). Experiment 5 failed to identify any intuitive difference in perceived reasons for success versus failure, but observed intuitive optimism in binary prediction of a future exercise habit. Experiment 5 also found suggestive evidence for a moderating role of social knowledge: Reflective predictions about oneself became more realistic than intuitive predictions only when the person's base-rate beliefs about other people were fairly accurate.

Privacy-Preserving Personalized Fitness Recommender System P 3 FitRec : A Multi-level Deep Learning Approach

Recommender systems have been successfully used in many domains with the help of machine learning algorithms. However, such applications tend to use multi-dimensional user data, which has raised widespread concerns about the breach of users’ privacy. Meanwhile, wearable technologies have enabled users to collect fitness-related data through embedded sensors to monitor their conditions or achieve personalized fitness goals. In this article, we propose a novel privacy-aware personalized fitness recommender system. We introduce a multi-level deep learning framework that learns important features from a large-scale real fitness dataset that is collected from wearable Internet of Things (IoT) devices to derive intelligent fitness recommendations. Unlike most existing approaches, our approach achieves personalization by inferring the fitness characteristics of users from sensory data, minimizing the need for explicitly collecting user identity or biometric information, such as name, age, height, and weight. Our proposed models and algorithms predict (a) personalized exercise distance recommendations to help users to achieve target calories, (b) personalized speed sequence recommendations to adjust exercise speed given the nature of the exercise and the chosen route, and (c) personalized heart rate sequence to guide the user of the potential health status for future exercises. Our experimental evaluation on a real-world Fitbit dataset demonstrated high accuracy in predicting exercise distance, speed sequence, and heart rate sequence compared with similar studies. 1 Furthermore, our approach is novel compared with existing studies, as it does not require collecting and using users’ sensitive information. Thus, it preserves the users’ privacy.

Patients' Perceptions of Exercise-Based Cardiac Telerehabilitation after a Myocardial Infarction-A Qualitative Study.

To be able to design telerehabilitation programs targeting the needs and preferences of end-users, patients' in-depth perspectives are needed. To date, such studies are lacking and, therefore, the aim of the present study was to describe patients' perceptions of performing exercise-based cardiac telerehabilitation after a myocardial infarction (MI). Individual semi-structured interviews were performed with 15 patients (3 women, median age 69 years) after an MI who had participated in exercise-based cardiac telerehabilitation for three months. The interviews were transcribed verbatim and analyzed with inductive content analysis. An overall theme was defined as "Cardiac telerehabilitation-a new alternative for exercising that is easily accessible and up to date". Four categories, including "The important role of a physical therapist with expert knowledge", "Prerequisites playing an important role in the willingness to participate", "Making exercise accessible and adjustable" and "Inspiring future exercise", and 15 subcategories were identified. Understanding the patient's perspective is an important key to further improving and successfully implementing exercise-based cardiac telerehabilitation, as an alternative or adjunct to traditional, centre-based programs. The findings can serve to improve patient-physiotherapist interactions and to inform important aspects related to exercise, technology and a sense of security from an exercise-based cardiac telerehabilitation program.

형사절차상 통지 대상자와 권리행사자의 범위에 대한 문제점과 개선방안

In the case of voluntary accompanying or arrest by an investigative agency, certain facts or rights are required to be notified so that the accompanying person does not interfere with the safety, condition, or future exercise of defense rights, and the notified person is prescribed at each stage of criminal proceedings. In this way, notifying a person who has a certain relationship with the companion is to secure the principle of disclosure of criminal proceedings and the legitimacy of criminal proceedings.&#x0D; However, in the case of voluntary accompanying, it is not reasonable to stipulate that only the police officer's job execution law is notified and not stipulated in other laws. Therefore, even in the case of voluntary accompanying, the freedom of the companion's body is limited, so in order to guarantee the right to defend, it must be revised to notify the subject such as personal arrest. The person who has received the notification must be able to claim various rights, etc. for the parties. However, it is unreasonable because the subject of the notification and the claimant do not currently match. The subjects of the current notification are “lawyers, legal representatives, spouses, immediate relatives, siblings,” and “family members, cohabitants, and employers” can only request arrest, binding pride, or bail. This should be viewed as an inconsistent problem of the subject of notification or the claimant. The subject of the notification is to guarantee the party's right to defend, so it is necessary to expand the scope.&#x0D; If there is a lawyer, the scope of the subject should be notified to the lawyer, and in the case of minors, etc., the legal representative should be notified, and in the case of marriage, the spouse should be notified. Next, relatives should also be revised to be the subject of notification. In addition, since there is no person to notify, the person behind the fact-marriage or foreign worker must notify the cohabitant, and it is reasonable to revise it to notify the employer in case there is no cohabitant. It is considered that the subject of the notification is reasonable to amend to 'lawyers, legal representatives, spouses, relatives, cohabitants, and employers'.

Prognostic factors of adherence to home-based exercise therapy in patients with chronic diseases: A systematic review and meta-analysis.

Patients with a chronic disease may have an increased risk of non-adherence to prescribed home-based exercise therapy. We performed a systematic review with the aim to identify variables associated with adherence to home-based exercise therapy in patients with chronic diseases and to grade the quality of evidence for the association between these prognostic factors and adherence. Cohort studies, cross-sectional studies and the experimental arm of randomized trials were identified using a search strategy applied to PubMed, Embase, PsychINFO and CINAHL from inception until August 1, 2022. We included studies with participants ≥18 years with a chronic disease as an indication for home-based exercise therapy and providing data on prognostic factors of adherence to home-based exercise. To structure the data, we categorized the identified prognostic factors into the five WHO-domains; (1) Patient-related, (2) Social/economic, (3) Therapy-related, (4) Condition-related, and (5) Health system factors. Risk of bias was assessed using the Quality in Prognostic Studies (QUIPS) tool. Prognostic factors of adherence were identified and the quality of the evidence between the prognostic factors and adherence were graded using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework for predictor studies. We performed a meta-analysis of the obtained information. A total of 57 studies were included. Within patient-related factors moderate- and high-quality evidence suggested that more self-efficacy, exercise history, motivation and perceived behavioral control predicted higher adherence. Within social-economic factors moderate-quality evidence suggested more education and physical health to be predictive of higher adherence and within condition-related factors moderate- and low-quality evidence suggested that less comorbidities, depression and fatigue predicted higher adherence. For the domains therapy-related and health-system factors there was not enough information to determine the quality evidence of the prognostic factors. These findings might aid the development of future home-based exercise programs as well as the identification of individuals who may require extra support to benefit from prescribed home-based exercise therapy. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=277003, identifier PROSPERO CRD42021277003.

Exercise Training to Improve Brain Health in Older People Living With HIV: Study Protocol for a Randomized Controlled Trial.

With the advent of antiretrovirals, people living with HIV are living near-normal lifespans. However, people living with HIV are at greater risk of experiencing cognitive impairment and reduced brain integrity despite well-controlled viremia. A robust literature supports exercise interventions as a method of improving cognition and structural brain integrity in older individuals without HIV. The effects of exercise on cardiometabolic, neurocognitive, and neural structures in middle-aged to older people living with HIV are less well known, with few prospective studies examining these measures. This prospective randomized clinical trial will examine the effects of a 6-month exercise training intervention compared to a 6-month stretching intervention (control) on cardiorespiratory fitness, physical function and strength, cognition, and neuroimaging measures of brain volumes and cerebral blood flow in people living with HIV. Sedentary middle-aged to older people living with HIV (ages≥40; n=150) with undetectable HIV viral load (<20 copies/mL) will be enrolled in the study. At the baseline and final visit, fasting plasma lipid, insulin, glucose, and brain neurotrophic factor concentrations; cardiorespiratory fitness; cognitive performance; brain volumes; and cerebral blood flow via a magnetic resonance imaging scan will be measured. Participants will be randomized in a 2:1 ratio to either the exercise or control stretching intervention. All participants will complete their assigned programs at a community fitness center 3 times a week for 6 months. A professional fitness trainer will provide personal training guidance at all sessions for individuals enrolled in both arms. Individuals randomized to the exercise intervention will perform endurance and strength training exercises, while those randomized to the control intervention will perform stretches to increase flexibility. A midpoint visit (at 3 months) will assess cognitive performance, and at the end point visit, subjects will undergo cardiorespiratory fitness and cognition testing, and a magnetic resonance imaging scan. Physical activity throughout the duration of the trial will be recorded using an actigraph. Recruitment and data collection are complete as of December 2020. Data processing, cleaning, and organization are complete as of December 2021. Data analysis began in January 2022, with the publication of study results for primary aims 1 and 2 expected by early 2023. This study will investigate the effects of a 6-month aerobic and resistance exercise training intervention to improve cardiometabolic risk factors, cognitive performance, cerebral structure, and blood flow in sedentary people living with HIV. Results will inform clinicians and patients of the potential benefits of a structured aerobic exercise training program on the cognitive, functional, and cardiometabolic health status of older people living with HIV. Assessment of compliance will inform the development and implementation of future exercise programs for people living with HIV. ClinicalTrials.gov NCT02663934; https://clinicaltrials.gov/ct2/show/NCT02663934. DERR1-10.2196/41421.

Examining neurobehavioral differences that support success in recovery from alcohol and other substance use disorders

ObjectiveSubstance use disorders (SUDs) are brain disorders associated with impairments resulting from the recurrent use of alcohol, drugs, or both. Though recovery is possible, SUDs are chronic, relapsing-remitting disorders, with estimates of SUD relapse at 40–60%. Currently, we know little about the mechanisms underlying successful recovery processes and whether substance-specific mechanisms exist. The current study sought to examine delay discounting (a measure of future valuation), executive skills, abstinence duration, and health behaviors in a population of individuals in recovery from alcohol, stimulants, opioids, and other substances. MethodsIn this observational study, we utilized a cohort of individuals (n = 238) from the International Quit and Recovery Registry, an online registry for those in recovery from SUDs around the world. We assessed delay discounting through a neurobehavioral task, and assessed abstinence duration, executive skills, and engagement in positive health behaviors through self-report measures. ResultsWe found that delay discounting, executive skills, and engagement in positive health behaviors were similar among individuals in recovery from different substances. Abstinence duration was associated with delay discounting and engagement in health behaviors. Additionally, executive skills and engagement in health behaviors were positively associated. ConclusionThese findings suggest that common behavioral mechanisms support recovery from misuse of various substances. As both delay discounting and executive skills are dependent upon executive brain centers, such as the prefrontal cortex, strategies that target executive functioning, such as episodic future thinking, meditation, or exercise, may be efficient strategies for optimizing recovery from SUDs.

The zero-leverage policy and family firms

PurposeThe purpose of the study is to examine the zero-leverage (ZL) phenomenon in family and non-family firms.Design/methodology/approachThe authors consider three hypotheses and empirically test them using a sample of the largest US firms over the 2001–2016 period.FindingsThe authors find that, on average, 19.20% of family firms have zero debt vs 10.42% for non-family firms. The authors also find that family firms strategically choose to be ZL to maintain financial flexibility for future investments and exercise control over the decision-making process, consistent with the hypotheses of financial flexibility and control considerations. However, non-family firms are more likely to have zero debt if they have financial constraints and the credit market does not lend them money at affordable credit rates, consistent with the financial constraint hypothesis.Originality/valueThis paper contributes to different strands of literature. First, the authors contribute to the literature examining family firms' financial decisions. Second, the authors complement previous studies by exploring the reasons for the ZL behavior of family firms compared to non-family firms. The authors also examine the previously unexplored impact of ownership concentration on the ZL question.

Climate Change: An Opportunity for INDOPACOM

US Indo-Pacific Command should actively plan for operations to respond to and combat climate change because it will grow US influence in the region and provide a compelling alternative to China’s influence. Combating climate change supports the primary objective of countering China, operationalizes climate change response for US commanders, and offers a less threatening means to develop partnerships. Through qualitative analysis of threats to US security, current policy analysis, and select case studies of humanitarian assistance and disaster-relief missions to operationalize climate change as a US military mission, this article will assist US military and policy practitioners in planning for climate change in Southeast Asia and future exercises in the region.

Analysis of the Relationship between Physical or Mental Problems and Health Maintenance Methods by Personal Differences

PURPOSE: This study aimed to investigate the differences in the association between physical or mental problems and health maintenance methods.METHODS: This study used data from the 2019 Korea National Sports Participation Survey, conducted by the Ministry of Culture, Sports, and Tourism, as a nationally representative cross-sectional survey. This study included 7,863 participants (3,918 men, 3,945 women). A generalized linear model analysis was conducted and adjusted for sex, education, marital status, number of family members, children, monthly income, employment status, city type, residential type, and age. Additionally, we conducted a stratified analysis according to sex, monthly income, employment status, and city type.RESULTS: For the “regular sports activities” item, only women had a statistically positive result regardless of monthly income. For the “stop drinking and smoking” item, men had a statistically significant positive result regardless of monthly income and employment status.CONCLUSIONS: This study aimed to determine the differences in the relationship between physical or mental problems and health maintenance methods. The results confirm that the health maintenance method differs between men and women. Monthly income, employment status, and city type could also influence simultaneously. The health maintenance methods with differences between men and women were regular sports activities for monthly income and cessation of drinking and smoking for monthly income and employment status. Therefore, in future exercise physiology studies, the differences between men and women must be considered when selecting a method for maintaining health.

Exploring participants' perspectives on adverse events due to resistance training: a qualitative study.

The objective of this study was to explore the experiences and perspectives of individuals with chronic health conditions who had an adverse event (AE) as a result of resistance training (RT). We conducted web conference or telephone-based one-on-one semi-structured interviews with 12 participants with chronic health conditions who had an AE as a result of RT. Interview data were analyzed using the thematic framework method. Six themes were identified: (1) personal experiences with aging influence perceptions of RT; (2) physical and emotional consequences of AEs limit activities and define future RT participation; (3) injury recovery defines the severity of AE; (4) health conditions influence the perceived risks and benefits of participating in RT; (5) RT setting and trained supervisioninfluence exercise behaviors and risk perceptions; and (6) experiencing a previous AE influences future exercise behavior. Despite participant awareness of the value and benefits of RT in both the context of aging and chronic health conditions, there is concern about experiencing exercise-related AEs. The perceived risks of RT influenced the participants' decision to engage or return to RT. Consequently, to promote RT participation, the risks, not just the benefits, should be properly reported in future studies, translated, and disseminated to the public. Novelty: -To increase the quality of published research with respect to AE reporting in RT studies. -Health care providers and people with common health conditions will be able to make evidence-based decisions as to whether the benefits of RT truly outweigh the risks.

Badminton Improves Executive Function in Adults Living with Mild Intellectual Disability.

Adults with intellectual disability have limited executive function-which includes working memory, cognitive flexibility, and inhibitory control subcomponents-making their ability to live independently challenging. The present study explored whether a badminton intervention program could improve the executive function of adults living with a mild intellectual disability, but with no physical disability. This randomized controlled study randomly assigned 30 adults with mild intellectual disabilities recruited from Shanghai Sunshine bases in Shanghai (20 males and 10 females; mean age, 35.80 (3.93) years) to a badminton intervention program (n = 15, training for 12 weeks, 3 times/week, 60 min each time) or the control group (n = 15), which received a typical physical education course consisting primarily of gymnastics. Correct response rates and response times on the Stroop test, n-back task, and task switching were analyzed using two-way analyses of variance, followed by simple effects tests to evaluate inhibitory control, working memory, and cognitive flexibility, respectively, before and after the badminton intervention. No significant difference was detected between the badminton group and the control group (p > 0.05) for their pre-test scores on any subcomponent of executive function. A 2 × 2 repeated-measures analysis of variance showed a significant increase in accuracy in the inhibitory control task for the badminton group after the intervention (p < 0.05). In addition, the accuracy rate and reaction time in a working memory task were significantly improved in the badminton group after the intervention (p < 0.05). Although some improvement in cognitive flexibility was observed for this group after the intervention, it was not statistically significant (p > 0.05). In the control group, there was no significant difference in any executive function subcomponents after the intervention (p > 0.05). These results suggest that badminton may be used as an effective intervention to improve the executive function of adults with a mild intellectual disability and that our protocol may inform future badminton exercise intervention programs.