Poor Physical Condition Research Articles

Prevalence and related influencing factors of depression symptoms among empty-nest older adults in China

BackgroundThe phenomenon of empty-nest older adults has raised growing concerns in contemporary Chinese society. In this study, we examined the prevalence and related influencing factors of depression symptoms among empty-nest older adults in China at a national level. MethodsThe database of the 2015 China Health and Retirement Longitudinal Study (N = 8549, aged ≥ 60) was used. The 10-item version of the Centre for Epidemiologic Studies Depression Scale was employed to measure depression symptoms. ResultsThe prevalence of depression symptoms was 34.7 % for empty-nest respondents, 32.2 % for respondents living with a spouse only and 43.4 % for those living alone. Multivariable logistic regression indicated that, compared with the non-empty-nest respondents, older adults living alone were more susceptible to depression symptoms (OR 1.194, 95 %CI 1.016–1.405) whereas older adults living with a spouse only were not exposed to an elevated probability of being depressed (OR 0.945, 95 %CI 0.847–1.055). Multivariable logistic regression also suggested that empty nesters who were female, lived in rural areas, had a lower frequency of children’s visits, had lower socioeconomic status and had worse physical health conditions were more vulnerable to depression symptoms. ConclusionsThe association between empty-nest status and later-life depression is mixed. More concerns should be raised about the mental health of empty nesters living alone. Increased attention should also be paid to empty nesters who are female, rural residents and have low contact frequency with their children, disadvantaged socioeconomic status and poor physical health conditions.

Importance of doctor-initiated management of the balance between work and treatment for lung cancer patients: Results of a nationwide survey by the Japan Lung Cancer Society.

BackgroundsSince the recent development of molecular targeted drugs and immune checkpoint inhibitors has improved lung cancer treatment options and outcomes, supporting patients in balancing work and pharmacotherapy have become even more important in the field of lung cancer treatment. This study sought to identify the current status and roles of doctors in balancing work and treatment for lung cancer patients.MethodsPatients and doctors were recruited to complete a web‐based questionnaire survey by the Japan Lung Cancer Society.ResultsAbout 287 lung cancer patients and 381 doctors were included in the analysis. About 42.9% of patients responded that “there was no discussion” about their working conditions or work before the initiation of pharmacotherapy, while 22.6% responded that “there was an inquiry from a doctor/health care provider and a discussion that included the doctor was held.” About 45.3% of patients took leave or resigned from work at the time of diagnosis. The most common reasons for patients to resign before or during pharmacotherapy were “poor physical condition due to side effects of treatment or illness” and “concern about causing problems in the workplace.” To assist in balancing work and pharmacotherapy, patients desired “increased opportunities to consult about work” (36.9%) and “provision of treatment options with few adverse events” (28.9%).ConclusionThis study highlights the importance of doctor‐initiated management of the balance between work and treatment for lung cancer patients. An important first step is for doctors themselves to take an interest in their patients' professions and initiate discussions of work‐related topics with their patients.

A research on acoustical comfort for hearing-impaired individuals in inclusive education places

The inclusive education method has substantial contributions to hearing-impaired individuals’ education and socialization. However, the poor physical environment and acoustic comfort conditions negatively affect speech intelligibility at such places and therefore, the quality of education. Upon determining that there are very few subjective evaluation studies, we conducted a study regarding the impact of acoustic comfort conditions on speech intelligibility at inclusive education places. Within the scope of the study, first, a classroom was determined, and the current acoustic conditions of the class were evaluated objectively by field acoustic measurements. A calibrated model was created in the simulation software of the relevant class and then two more models with optimum reverberation time values of 0.4 s and 0.8 s as suggested in the literature, and auralizations were performed for the models. For subjective evaluation, a subject group of hearing-impaired and normal hearing individuals fulfilling equal conditions were tested by speech discrimination test in real-time in the classroom and from auralization recordings in a laboratory setting. Regarding the results obtained, it was observed that speech intelligibility percentage of normal hearing individuals increased as expected while in hearing-impaired individuals, contrary to the expectations, percentage differed from one another, and there was no increase. Following the discussions with experts, it was concluded that different hearing aids used by hearing-impaired individuals might lead to this situation. Accordingly, it occurs that the possibility to achieve a good speech intelligibility for hearing-impaired individuals even if optimum acoustic values suggested are fulfilled in education places remains unclear.

Patient-reported Outcomes of Patients With Breast Cancer During the COVID-19 Outbreak in the Epicenter of China: A Cross-sectional Survey Study

IntroductionWe aimed to analyze the psychological status in patients with breast cancer (BC) in the epicenter of the coronavirus disease 2019 (COVID-19) pandemic. Patients and MethodsA total of 658 individuals were recruited from multiple BC centers in Hubei Province. Online questionnaires were conducted, and these included demographic information, clinical features, and 4 patient-reported outcome scales (Generalized Anxiety Disorder Questionnaire [GAD-7], Patient Health Questionnaire [PHQ-9], Insomnia Severity Index [ISI], and Impact of Events Scale-Revised [IES-R]). Multivariable logistic regression analysis was designed to identify potential factors on mental health outcomes. ResultsQuestionnaires were collected from February 16, 2020 to February 19, 2020, the peak time point of the COVID-19 outbreak in China. Of patients with BC, 46.2% had to modify planned necessary anti-cancer treatment during the outbreak. Severe anxiety and severe depression were reported by 8.9% and 9.3% of patients, respectively. Severe distress and insomnia were reported by 20.8% and 4.0% of patients, respectively. Multivariable logistic regression analysis demonstrated poor general condition, shorter duration after BC diagnosis, aggressive BC molecular subtypes, and close contact with patients with COVID-19 as independent factors associated with anxiety. Poor general condition and central venous catheter flushing delay were factors that were independently associated with depression. In terms of insomnia, poor generation condition was the only associated independent factor. Poor physical condition and treatment discontinuation were underlying risk factors for distress based on multivariable analysis. ConclusionHigh rates of anxiety, depression, distress, and insomnia were observed in patients with BC during the COVID-19 outbreak. Special attention should be paid to the psychological status of patients with BC, especially those with poor general condition, treatment discontinuation, aggressive molecular subtypes, and metastatic BC.

P0961PHYSICAL REHABILITATION OF PATIENTS WITH CHRONIC KIDNEY DISEASE OF PRE -DIALYSIS STAGES

Abstract Background and Aims Chronic kidney disease is a global public health problem. Poor physical condition and skeletal muscle depletion are associated with the combined effects of uremic acidosis, protein-energy deficiency and inflammatory depletion, which leads to further exacerbation of a sedentary lifestyle. The aim of the determination of physical performance and the effectiveness of physical training during the 12-week program in patients with CKD of pre-dialysis stages. Method We examined 130 patients with CKD 2-4 stages. Clinical parameters (BP, BMI, mid-thigh circumference, mid-shoulder circumference, mid-calf circumference), laboratory data (serum creatinine, serum cholesterol, serum albumin, serum phosphorus, serum calcium) were evaluated in all patients according to the formula CKD-EPI 2011. Physical performance was determined by the results of cardiopulmonary stress test. In accordance with the initial data of the patients, a 12-week physical rehabilitation program was individually selected, which included morning exercises, physiotherapy exercises and dosed walking . The data obtained were subjected to statistical processing. Results The average age of patients was 54.8 years. Of these, 52 women (40%) and 78 (60%) men. The estimated glomerular filtration rate varied from 30 to 60 ml / min / 1.73 m2, which corresponded to the indicators of the pre-dialysis stages of CKD. After a 12-week rehabilitation program, the maximal oxygen consumption (V O2peak) increased in 70% of regularly engaged patients by 1.2 times (22.31 ml / min / kg and 27.05 ml / min / kg, respectively), and in 30% of those who did not pass the course Exercise therapy, the indicator of maximum oxygen consumption after 12 weeks was 21.7 ml / min / kg (with an initial 23.7 ml / min / kg) The average blood pressure decreased slightly (from 111 ± 5 initially to 106 ± 5 mm Hg after 12 weeks, p<0.05) When measuring anthropometric parameters, it was found that the circle the mid-thigh increased from 46.5 ± 6.0 cm to 0.6 cm, the circumference of the middle of the shoulder increased from 31.1 ± 4.0 cm to 0.4 cm. The circumference of the middle part of the lower leg was initially 356.7 ± 3.8 cm, and after 12 weeks of training it increased 0.3 cm. In 9 patients, these parameters did not change after a 12-week program. Conclusion Regular physical training led to an increase in the maximum oxygen consumption by 1.2 times. It was noted that regular training contributes to a slight increase in muscle mass in patients with CKD. The importance of regularity of physical therapy classes was also revealed.

S216. CASE REPORT OF TREATMENT OF NEUROLEPTIC MALIGNANT SYNDROME IN CHILD ADOLESCENT

BackgroundNeuroleptic Malignant Syndrome is a rare clinical syndrome occurring due to idiosyncratic reaction after use of neuroleptics. We report a case of neuroleptic malignant syndrome in an adolescent patient with schizophrenia after treatment with antipsychotics.MethodsCase report.ResultsA 15-year-old male Schizophrenic patient was admitted to the psychiatric closed ward due to worsening of psychotic symptoms on July of 2017. Pineal cystoma and pituitary microadenoma were detected incidentally on MRI, and consultation with the department of pediatrics recommended close observation.After treatment with 6mg of risperidone in combination with 300 mg of quetiapine, psychotic symptoms improved enough to be discharged.Since March 25th of 2019, due to manifestation of paralytic ileus from worsening of underlying constipation, all the oral medications were stopped along with NPO for treatment; in addition, IM injection of haloperidol was only allowed for the symptom control. The day before the onset of neuroleptic malignant syndrome, IM injection of 15 mg of haloperidol and 10 mg of lorazepam resulted in vomiting, headache, fever of 39℃, systemic tremor and stiffness, confusion in consciousness, tachycardia and sweating. On April 1st of 2019, with suspicion of neuroleptic malignant syndrome, the patient was transferred to ICU at our institution. Blood work-up performed on day of admission at ICU indicated CPK 2836 IU/L and myoglobulin 337.2 ng/ml, and CPK, after peaking at 4493 IU/L, continuously decreased and was normalized by the 18th day at ICU. Diazepam (IV), dantrolene, domperidone, L-Dopa/benserazideand and cold blanket were applied because the patient continuously screamed due to fever, stiffness, tremor, and psychotic symptoms. Even though confusion improved after 3 days, nausea and vomiting persisted for 8 days. Tremor, stiffness, and fever were stabilized after 3 days. Tachycardia improved after 17 days. Recovery of hematologic abnormalities such as increased CPK and myoglobulin and leukocytosis were followed by stabilization of tremor, stiffness, and high fever on the 18th day.The patient was transferred out of ICU after 18 days, and symptoms were all stabilized after treatment with clozapine.DiscussionEvaluation of risk factors of NMS in patients requiring neuroleptics is most critical in order for prompt differentials and early intervention.Known risk factors are 1) male, 2) combination of more than two antipsychotic, 3) history of previous EPS symptoms or NMS, 4) psychiatric disorders such as severe agitation, mood disorder, or delirium, 5) recent initiation or increasing dose of antipsychotics, 6) IM injection of antipsychotics, 7) poor physical conditions like dehydration, infection, malnutrition, brain tumor, encephalitis, or AIDS, 8) use of zuclopenthixol acetat (clopixol acuphase), and 9) substance abuse.In this case, because the patient had 6 of the risk factors described above, which are biological vulnerabilities due to pineal cystoma and pituitary micro adenoma, dehydration and malnutrition caused by paralytic ileus, and sudden change in IM antipsychotics and dosage, it was critical to consider more carefully in medication injection and changes in dosage.Once diagnosed with NMS, immediate hydration and efforts to lower body temperature are critical to prevent complications like acute renal failure, and use of dantrolene, bromocriptine, and benzodiazepine is helpful in shortening the treatment period.In cases of NMS in patients who cannot terminate use of neuroleptics due to underlying mental disorders, ECT is an effective method to treat both NMS and mental disorders. Safety and efficacy of ECT have been already proven, and it is highly recommended when needed.

Os efeitos do exercício físico em pacientes submetidos à hemodiálise: uma revisão sistemática

INTRODUÇÃO: Pacientes portadores de doença renal crônica submetidos à hemodiálise são sedentários devido a dor, fadiga muscular e baixo condicionamento físico. Estudos recentes demonstram os efeitos benéficos de programas de exercícios físicos para estes pacientes durante a hemodiálise resultando em melhor controle da hipertensão arterial, da capacidade funcional, da função cardíaca, da força muscular e, assim, da qualidade de vida. OBJETIVOS: Analisar pesquisas que mostram se o exercício físico produz ou não desfechos clínicos benéficos para indivíduos em hemodiálise. METODOLOGIA: Este artigo constitui-se de uma revisão sistemática composta por ensaios clínicos randomizados publicados entre 2014 e 2019 que relacionassem hemodiálise, exercício físico e qualidade de vida e que apresentassem escore de PEDro superior a 5. Foram excluídos os estudos que estavam em desconformidade com o tema proposto, artigos duplicados entre as bases de dados e intenções de pesquisa. As palavras-chave utilizadas para a busca seguiram a descrição dos termos DECS e MESH, sendo elas: Hemodiálise, exercício físico e qualidade de vida. Essas palavras estavam presentes em qualquer seção do artigo. RESULTADOS: Foram selecionados 15 estudos segundo os critérios de elegibilidade. Os artigos analisados obtiveram um total de 1057 participantes de ambos os sexos com idades entre 18 e 80 anos. Esses foram submetidos a exercícios aeróbicos, anaeróbicos e respiratórios, apresentaram desfechos clínicos benéficos nas três modalidades de exercício físico. CONCLUSÃO: Programas de exercício físico durante a hemodiálise otimizam o ganho da massa, força e resistência muscular, aptidão física, qualidade do sono, autopercepção de saúde, capacidade funcional e consequentemente a qualidade de vida.

The Willingness to Pay for Beach Scenery and Its Preservation in Italy

In order to understand the multiple values of landscape, this paper suggests an evaluative methodology that takes into account a quantitative approach, public opinion, and an economic estimation. This study analyzes the coastal scenery of 40 Italian beaches using a fuzzy logic and a Contingent Valuation (CV). Each site was classified into five categories: Class I beaches were littorals with high natural settings; Class II sites were natural and semiurban beaches having low influences by anthropic structures; Classes III, IV, and V had lower evaluations due to poor physical and human condition. A questionnaire survey analyzed beach users’ preferences, judgment, and Willingness to Pay (WTP). Results suggest that landscape judgment is directly correlated to scenery assessment; therefore, beaches of Class I and II were judged beautiful while beaches of Class IV and V had poor judgments. Similarly, the importance given to the landscape was highest in Class I and II than in the others. WTP for the conservation of the selected beaches was about €16 per season. Our findings suggest that people are disposed to pay more for a beach with the top-grade of scenery (Class I and II) and low grade of urbanization. Moreover, WTP would rise for females and for nonresident users with an academic degree, which appreciated the coastal landscape.

ReadySteady intervention to promote physical activity in older adults with Parkinson's disease: Study design and methods

The main motor impairments of gait and balance experienced by people with Parkinson's disease (PD) contribute to a sedentary lifestyle, resulting in poor physical conditioning, loss of functional independence, and reduced quality of life. Despite the known benefits of physical activity in PD, the majority of older adults with PD are insufficiently active. Few studies incorporate behavioral change approaches to promoting physical activity in PD. The main goal of this research is to foster community mobility in older adults with PD by promoting physical activity and improving gait patterns using a theory-based behavioral change intervention. The ReadySteady intervention combines wellness motivation theory with polestriding physical activity, which has been shown to be beneficial for people with PD. The intervention will be tested using a randomized controlled design, including inactive older adults diagnosed with PD. Participants will be randomly assigned the 12-week ReadySteady intervention, 12-week polestriding, and education intervention, or 12-week education intervention. Thirty-six older adults with PD will participate in each of the interventions. Level of physical activity, clinical scores, quantitative measures of gait and balance control, and motivational variables for each intervention will be measured at three time points: pre-intervention, post-intervention (12 weeks), and follow-up (24 weeks). If the intervention is beneficial, it may serve as a sustainable addition to current practice in health promotion efforts serving the PD population.

Analysis of Environmental Risk Factors on the Leptospirosis Disease in Klaten, Central Java, Indonesia

Background: The number of cases and mortality rates of Leptospirosis incidences in Klaten Regency is increasing from year to year. The study aims to analyze the environmental risk factors toward Leptospirosis incidences in Klaten Regency, Central Java, Indonesia. Subjects and Method: This was a case-control study conducted in Klaten Regency, Central Java. The study sample was all Lepto­spirosis patients who were recorded in Klaten Health Office. The case population was a total of 39 people and the control population was a total of 171 people. The dependent variable was: Leptospirosis incidences and the independent variables were physical condition of the house, environmental condition of the settlement, the presence of mice, the presence of cattle, adja­cent to a river, flooding area, age, sex category, and occupation. The study instruments used were questionnaires and checklist. The data were analyzed by path analysis. Results: The risk of Leptospirosis was directly increased by the presence of mice (b= 7.34; 95% CI= 4.44 to 10.24; p<0.001) and flooding area (b= 8.99; 95% CI= 5.02 to 12.96; p <0.001). The risk of Leptospirosis was directly decreased by age ≥20 to <60 years (b= -1.45; 95% CI= -3.68 to 0.79; p=0.205) and female sex (b= -2.97; 95% CI= -5.52 to -0.42; p= 0.022). The risk of Leptospirosis was indirectly affected by the presence of mice, presence of cattle, flooding area, poor settlement condition, and poor house physical condition through area adjacent to a river, and poor physical condition of the house, working in the wet area. Conclusion: The risk of Leptospirosis is directly increased by the presence of mice and flooding area. The risk of Leptospirosis is directly decreased by age ≥20 to <60 years and female sex. The risk of Leptospirosis is indirect­ly affected by the presence of mice, presence of cattle, flooding area, poor settlement condition, and poor house physical condition through area adjacent to a river, and poor physical condition of the house, working in the wet area Keyword s : Leptospirosis, environmental risk factors, path analysis Correspondence: Patria Sari Dewi. Public Health Office (Balkes­mas) of Klaten, Central Java. Email: patria­klaten@gmail.com. Phone: 085643157125. Journal of Epidemiology and Public Health (2020), 05(02): 158-167 https://doi.org/10.26911/jepublichealth.2020.05.02.04

Effect of host and environment-related factors on fleas of the pichi, an armadillo from Argentina.

The pichi (Zaedyus pichiy; Cingulata: Chlamyphoridae) is an armadillo whose ectoparasite fauna is composed of ticks and fleas. Fleas were collected from 218 pichis in southern Mendoza, Argentina, in summer and winter of 2015 and 2016. Prevalences were analyzed and differences in the intensities of the total number of fleas related to host (age, sex, weight, size and physical condition) and environment-related (seasonality and year) factors evaluated. Phthiropsylla agenoris was the only species found. Intensities of fleas were higher in 2015, in juveniles, and in males. Individuals with poor physical condition were more parasitized than those with good or normal body condition. The main explanatory variable was sampling year. This factor was directly associated with precipitation. The extreme conditions and heavy rains during the El Niño event in 2015/2016 led to environmental changes that seem to have severely affected the life cycle of fleas.

Comparison of selected indices of internal environment and condition of laying hens kept in furnished cages and in aviaries.

Biochemical and hematological examination of blood and individual assessment of the birds were performed in Lohman Brown laying hens at 45weeks of age housed in different systems. The biochemical examination revealed higher (p<.01) corticosterone levels, creatine kinase, and aspartate aminotransferase activity and lower (p<.01) levels of lactate, triglycerides, albumin, calcium, and phosphorus in aviary hens compared to hens housed in furnished cages. Hematological examination of hens housed in aviaries revealed higher (p<.05) hematocrit, leukocytes, heterophils, eosinophils, basophils, monocytes, and H/L ratio. Furthermore, hens housed in aviaries had lower (p<.01) body weight than hens in furnished cages, they were worse feathered (p<.001), had more damaged combs (p<.05), and poorer physical condition (p<.01). In contrast, caged hens showed worse (p<.01) feather condition of the wings due to abrasion and claws due to overgrowth. The results have shown that the housing system has a significant impact on the internal environment and condition of birds and that housing in aviaries without taking into account the specifics of such housing may lead to significant stress and disturbance to the welfare of laying hens.

Is Unfavorable Environmental Quality Will Result Poor Human Quality As Well, Case Study At Trimulyo Village, Genuk District, Semarang - Indonesia

About 20 years ago, in the Trimulyo village, Genuk District, the community still feels comfortable to live in, a river that flows in the region can still be used for washing, and as a playground for children (pool and bath), the well is still clean. But after Genuk District started many emerging industrial area, then begin a wide range of environmental issues toward this region. Currently in the Trimulyo village at Genuk District, shallow wells can not be utilized as a source of clean water, as well as river conditions ranging turbid, have a dark color of water, foul odor, especially when the dry season arrives. Settlements in Trimulyo village is one of the victims of the land use change from fishery and agricultural (rural) to industrial (urban). Many farmers and fishermen, who then turned as a laborers, or they have to moved after the land was purchased for industry. For those who stayed, their work changed as industrial workers, or open food stalls, or rent out his house to the settlers. Environmental quality are positively correlated with the quality of human life, if the quality of the environment ugly then so did the quality of its human[1]. This study examines to prove that there is a correlation between environmental quality and the human quality of life, especially in the neighborhoods settlements in Trimulyo village. The quality of the environment detected by the condition of the buildings, facilities and infrastructure, location and accessibility, as well as the comfort of the physical environment. While quality of life is detected through health, economic, educational, and social relationships. The results showed that not all regions with poor environmental physical conditions certainly people have a poor quality of life as well, because it turns out that the poor environmental can still grow social kinship attitudes that is able to raise the degree quality of life. In addition, the quality of public education is relatively good, will improve the quality of life as well. So in this Trimulyo village, although the quality of the environment is ugly, but the quality of life is in good category.

A Case Report of Monomorphic Epithelial Intestinal T-Cell Lymphoma and Literature Review

Background: Monomorphic epithelial intestinal T-cell lymphoma (MEITL), previously known as type II Enteropathy-associated T-cell lymphoma (EATL), is a rare intestinal tumor with strong invasiveness, poor prognosis, atypical clinical manifestations, and is difficult to diagnose. Aim: The clinical manifestations, imaging, histopathology, and immunohistochemical characteristics, treatment and prognosis of this case of MEITL were analyzed retrospectively, and combined with literatures learning to provide the experiences and lessons for diagnosis and treatment. Case Presentation: Here, we present a 68-year-old Asian woman with unexplained intestinal perforation and lung imaging changes as the first manifestation, and gradually appearing refractory diarrhea and pulmonary cavities. During the period, due to the unknown diagnosis, all treatments were mainly based on anti-infection and antidiarrhea, but her symptoms had no improvement after therapy, even died of poor basic physical conditions. Colonoscopy biopsy showed atypical lymphocyte infiltration-like growth and the formation of local superficial ulcers. Immunohistochemical tests showed that T-lymphocyte hyperplasia was predominant and led to a diagnosis of MEITL. Conclusion: MEITL is mainly manifested by gastrointestinal symptoms and lacks specific symptoms. The diagnosis of MEITL should be based on comprehensive judgment of clinical manifestations, pathological features and immunohistochemical detection results. Positive biopsy confirmed and timely chemotherapy may be conductive to a better prognosis.

The Contribution of Orthodox Christianity in the Development of Social Work Programs for Abandoned Children

Social work is the totality of measures taken by the state, the Church and other bodies have the role of supporting people in special situations, who do not have human resources due to poor mental or physical condition, due to factors with negative influences, in this work I will present the contribution of the Orthodox Church to the development of social assistance programs.

Maintenance of patient motivation leading to successful treatment of severe periodontitis despite interruption of treatment due to poor physical condition: A case report

Maintenance of patient motivation leading to successful treatment of severe periodontitis despite interruption of treatment due to poor physical condition: A case report

Adaptation and validation of a scale of self-efficacy and social support for physical activity in Spanish patients with severe mental disorders.

BackgroundPeople with severe mental disorders (SMDs) suffer problems of obesity, a sedentary life, and poor physical condition, mainly due to low levels of physical activity. Self‐efficacy (SE) and social support (SS) are important components that influence participation in physical activity.MethodsThis study adapted a scale to assess SE and SS in promoting physical activity in Spanish people with SMDs, as well as provide preliminary evidence of its validity. One hundred Spanish patients (23% female) with SMDs, between 26 and 61 years old, completed the SE/SS assessment for SMD (SE/SS‐ASMD).ResultsThe instrument seemed to capture a four‐factor structure in people with SMDs. Due to the lack of a gold standard, the scale was related to other instruments with which it might be expected to show a correlation, such as those for physical activity and its quality; however, the levels of correlation found were low (≈0.3). The Internal consistency (Cronbach's α) for the SE‐ASMD, SS‐ASMD staff, SS‐ASMD peers, and SS‐ASMD family scales were 0.76, 0.76, 0.80, and 0.80, respectively.ConclusionsThe psychometric analysis of the SE/SS‐ASMD supported its suitability as a new tool for researchers in the area of physical activity among people with SMDs.

Kajian Analisi Hubungan Kondisi Fisik Rumah Resiko Peceraian Terhadap Penderita TB Paru Di Rungan Perawatan TB Paru Rsud Arifin Achmad Pekanbaru

Pulmonary tuberculosis (pulmonary tuberculosis) is the third cause of death after cardiovascular and respiratory tract diseases. The factors that cause pulmonary tuberculosis include low income, economically low nutritional quality of the community, poor physical condition of the house (including air quality in the house), as well as the risk of divorce from pulmonary tuberculosis patients. This study aims to determine the relationship of physical risk conditions of the house. Pulmonary TB patients Population and sample of this study 80 respondents in June 3 to August 2018 with the sample ascentental method. As a result of this study there is a relationship between the physical condition of the house with Pulmonary TB that there is a significant relationship between Physical House with Patients with Pulmonary TB. This is evidenced by the value of P - value&gt; 0.05 which is 1.120 with OR: 0.346 and 85% CI: 0.075 - 1.409. And for the risk of divorce with pulmonary tuberculosis there is no meaningful relationship between divorce and patients with pulmonary TB. This is evidenced by the P value - value&gt; 0.05 which is 0.120 with OR: 0.326 and 95% CI: 0.075 - 1.409. Conclusion This paper is a physical home code such as occupancy density, ventilation and kitchen room temperature can be the occurrence of pulmonary Tb so recommended to improve the condition of the house and treatment of patients as early as possible until the patient is cured and for the risk of divorce there is no relationship with pulmonary tuberculosis the couple accept the state of being, but the need for promotional measures to provide a picture of a healthy home condition and divorce is not a solution for TB sufferers Lungs. Keywords: pulmonary tuberculosis, state of the home condition, risk of divorce

A Training Program to Enhance Disaster Preparedness of Group Companies in the Tokyo Metropolitan Area.

Many business continuity (BC) plans do not mention food and water for BC personnel. Moreover, the BC relies on the assumption that, during an emergency or crisis, employees’ basic needs and personal hygiene are satisfied. Although no one can engage in BC without these supplies, literature regarding companies’ disaster stocks for their employees is limited. We evaluated the current situation of companies’ stockpiles of food and other supplies and what their employees thought about them after participating in a newly-developed overnight training program that allows the participants to experience situations that they would encounter in a disaster. Thirty-three employees from eight companies in Tokyo participated in the program. Seventy-five percent of the participants’ companies had food stocks for three days as instructed by the Tokyo Metropolitan Government but, after eating four stock meals, 81.3% of the participants thought it would be better if this provision were improved. The stock rate for bedding was 62.5% but less than 30% of companies stocked both blankets and mats, as suggested by the Sphere Standards. There were several people who complained of sleeplessness and a poor physical condition the next morning and this could be an obstacle in the BC.

Woodchat Shrike Lanius senator Predation on Migrating Songbirds during a Trans-Saharan Stopover

The Woodchat Shrike Lanius senator migrates alongside other trans-Saharan passerines but, unlike other shrikes, it is not known to frequently prey on birds. We describe predation, hunting and scavenging of migratory passerines by Woodchat Shrikes at a spring stopover site in the Sahara Desert. Shrikes preyed on six passerine species. Most predated birds were in poorer physical condition than their conspecifics mist-netted at the same site. We suggest Woodchat Shrikes may be more successful at hunting migratory songbirds following a debilitating barrier crossing, which may render prey more susceptible to capture by avian predators.—Aispuro, A.A., Machowetz, C., Illa, M., Gargallo, G. & Maggini, I. (2020). Woodchat Shrike Lanius senator predation on migrating songbirds during a trans-Saharan stopover.