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1.
Work ; 77(4): 1341-1357, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38552129

RESUMO

BACKGROUND: While effective apprehensions of non-compliant suspects are central to public safety, the minimal force needed to transition a suspect from standing to the ground, vital for apprehension success, has not been established. OBJECTIVE: To examine the technical-tactical behaviors of general duty police officers during simulated apprehensions and quantify the minimum force required to destabilize non-compliant suspects. METHODS: Task simulations conducted with 91 officers were analyzed to identify common grappling movements, strikes, control tactics, and changes in body posture. A separate assessment of 55 male officers aimed to determine the minimum force required for destabilization in five body regions (wrist, forearm, shoulder, mid-chest, and mid-back). Data are presented as mean±standard deviation. RESULTS: On average, apprehensions took 7.3±3.2 seconds. While all officers used grappling movements (100%) and the majority employed control tactics (75%), strikes were seldom used (4%). Apprehensions typically began with a two-handed pull (97%; Contact Phase), 55% then attempted an arm bar takedown, followed by a two-handed cross-body pull (68%; Transition/Control Phase), and a two-handed push to the ground (19%; Ground Phase). All officers began in the upright posture, with most shifting to squat (75%), kneel (58%), or bent (45%) postures to complete the apprehension. The minimum force required to disrupt balance differed across body regions (wrist: 54±12 kg; forearm: 49±12 kg; shoulder: 42±10 kg; mid-chest: 44±11 kg; mid-back: 30±7 kg, all P < 0.05), except between the shoulder and chest (P = 0.19). CONCLUSION: These findings provide insights that can enhance the design and accuracy of future apprehension evaluations and inform the optimization of law enforcement physical employment standards.


Assuntos
Aplicação da Lei , Polícia , Humanos , Masculino , Punho , Mãos
2.
Motor Control ; : 1-14, 2024 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-38460507

RESUMO

The aim of the present study was to compare the differences in joint coordination patterns and variability in the lower extremity between the first and second landing phases of the drop jump. Eighteen resistance-trained men (age: 22.8 ± 1.8 years) performed drop jumps from a height of 0.40 m. An eight-camera motion capture system was utilized to record kinematic trajectories. Modified vector coding technique and circular statistics were used to determine the coordination pattern and variability of the following joint couples during the first and second landings: hip frontal-knee frontal (HfKf), hip sagittal-knee frontal (HsKf), hip sagittal-knee sagittal (HsKs), knee frontal-ankle frontal (KfAf), knee sagittal-ankle frontal (KsAf), and knee sagittal-ankle sagittal (KsAs). Statistical differences in the distribution frequencies of coupling angles and variability between the dominant and nondominant limbs across the two landing phases were compared using two-way repeated analysis of variance and Wilcoxon rank-sum tests. During the second landing phase, the proportion of HsKs, KfAf, and KsAs showing in-phase coordination was reduced but the proportion of KfAf and KsAs showing proximal joint (knee) coordination was increased (p < .05). Significant differences in bilateral asymmetry were observed only for the HfKf and KfAf patients (p < .05). HsKs, KfAf, and KsAf varied considerably during the second landing phase (p < .05). Joint coordination patterns during the second landing phase of the drop jump differed considerably from those during the first landing phase, thereby increasing the risk of knee and ankle injuries.

3.
Disabil Rehabil Assist Technol ; : 1-7, 2024 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-38164068

RESUMO

PURPOSE: Wheelchair users and people with disabilities have limited access to physical exercise due to various factors, including medical follow-up and training facilities. Although tele-exercise guided by experts has become a viable option, there is limited knowledge about the acute performance decrement (APD) resulting from remote training methods. The current cross-sectional study aimed to: (1) assess the APD of muscle resistance strength after three synchronous tele-exercise training methods in wheelchair users and (2) compare the training loads associated with each training method. MATERIALS AND METHODS: Eighteen male and female wheelchair users who participated in tele-exercise strength practices were recruited. The participants performed a maximum resistance strength test by synchronous tele-assessment (push-up test, PUT) at baseline and immediately after three training methods: high-intensity interval training (HIIT), moderate-intensity continuous training (MICT) and sprint interval training (SIT). The primary outcome was the APD, which was measured by the percentage decrease in the number of repetitions of the PUT immediately after the training methods. RESULTS: APD was observed for all three training methods, with no significant differences between them (-34.8%, -29.9% and -38.0% for MICT, SIT and HII, respectively), and presented a non-significant correlation with the training loads. HIIT had a significantly higher training load than MICT and SIT. CONCLUSIONS: APD occurred in all training sessions, but did not correlate with training load, indicating that it is not an appropriate metric for comparison. Findings provide insight into APD response and highlight the need to consider multiple metrics when comparing training protocols.


Synchronous moderate-intensity continuous training (MICT), sprint interval training (SIT) and high-intensity interval training tele-exercises provided similar acute performance decrement in wheelchair users and people with disabilities.High-intensity interval training showed a higher training load compared to MICT and SIT performed remotely.Acute performance decrement did not correlate with the training load.

4.
J Hand Ther ; 37(1): 101-109, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-37580200

RESUMO

BACKGROUND: Handgrip strength is a common, simple, and inexpensive method to measure muscle strength. On the other hand, the functional performance measurement involves a usual task which implies repeating elements between the individuals' interaction and the environment. This is fundamental for projecting their results to daily life situation. PURPOSE: To explore the relationship between grip strength and measures of functional performance of the upper limbs (ULs) in people over 18 years of age, and to determine the influence of sociodemographic and anthropometric variables on the relationship. STUDY DESIGN: A cross-sectional study was conducted under the analytical empirical approach, using linear associations between handgrip strength and functional performance measurement tests (correspondence analysis). METHODS: Three hundred sixty-two male and female individuals between 18 and 91 years of age from 4 Colombian cities participated. The grip strength of both ULs measured with a digital dynamometry was associated with the Box and Block Test (BBT, manual dexterity), Nine-Hole Peg Test (NHPT, daily living tasks), and Jebsen-Taylor Hand Function Test (JJT, ability to grasp, pick up, and place). Multiple linear regression analyzes were performed to assess possible explanatory factors of a sociodemographic and anthropometric order. RESULTS: A significant association was found between the grip strength of dominant and non-dominant ULs with all functional performance tests (ρ > 0.27 and p < .001), except for the writing and simulated feeding subtests of the JJT (ρ ≤ 0.16). An interactive effect of age was found in the relationship between grip strength and the 3 functional performance tests. CONCLUSIONS: These results support the association between grip strength with the NHPT, JJT, and BBT measures and the interactive effect of age on the performance of all tests.


Assuntos
Força da Mão , Extremidade Superior , Humanos , Masculino , Feminino , Adolescente , Adulto , Força da Mão/fisiologia , Estudos Transversais , Força Muscular/fisiologia , Desempenho Físico Funcional
5.
Aust Occup Ther J ; 71(1): 35-51, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-37799014

RESUMO

INTRODUCTION: Individuals with traumatic brain injury (TBI) frequently need assistance to manage complex everyday activities. However, little is known about the types of cognitive assistance that can be used to facilitate optimal independence. A conversion mixed method study using video analysis was conducted to describe assistance provided by trained occupational therapists during three everyday tasks carried out in the participants' homes and surrounding environments. METHODS: Forty-five people with moderate and severe TBI were tested by three occupational therapists using the Instrumental Activities of Daily Living Profile, an observation-based assessment that documents independence in complex everyday activities and the minimal assistance required to attain task goals. Using video analysis, difficulties experienced by the people with TBI during a meal preparation and grocery shopping task, and the cognitive assistance provided by the occupational therapists in response to these difficulties, were documented. Statistical analyses were also completed to identify the main difficulties and types of cognitive assistance provided during the evaluation, for the whole group and depending on their level of independence. RESULTS: Nine types of cognitive assistance were used by occupational therapists, including implicit (stimulating thought processes), and more explicit assistance (cueing), to facilitate task performance. When needed, motivational assistance, which consisted of encouraging participants to think for themselves, was also used. Stimulating thought processes was mostly used to support goal formulation and planning, whereas cueing was used in numerous instances. Participants with lower levels of independence received more assistance of almost all types to support them. CONCLUSION: Using these findings, training could be developed for caregivers and occupational therapists to support them in providing minimal and personalised cognitive assistance. Further research is needed to examine the extent to which all types of cognitive assistance are effective in helping various cognitive profiles of people with TBI attain optimal independence.


Assuntos
Lesões Encefálicas Traumáticas , Terapia Ocupacional , Humanos , Atividades Cotidianas , Terapia Ocupacional/métodos , Lesões Encefálicas Traumáticas/psicologia , Cuidadores , Cognição
6.
Front Robot AI ; 10: 1286282, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38077453

RESUMO

Introduction: This study was to examine whether inter-user haptic feedback would have a differential impact on skill acquisition based on the nature of the surgical task involved. Specifically, we hypothesized that haptic feedback would facilitate target orientation more than cutting tasks in the context of laparoscopic surgery. Methods: Ten novice participants were recruited and assigned to one of two training groups. Each group underwent six half-hour training sessions dedicated to laparoscopic pattern-cutting tasks. In the haptic group, five participants received expert guidance during the training sessions, whereas the remaining five participants in the control group engaged in self-practice. All trials were recorded on video, enabling a comparative analysis of task performance between the participants' left hand (target manipulation) and right hand (cutting task). Additionally, the number of haptic feedback instances provided to the trainees in the haptic group was recorded. Results: Practice led to a reduction in total task time, grasping time, and cutting errors. However, no significant differences were observed between the two training groups, except for the grasping time, where haptic feedback significantly reduced the grasping time compared to the control group. Moreover, the frequency of haptic feedback instances provided to the trainees was notably higher for the grasping than for the cutting task. Discussion: Our study suggests that haptic feedback has a more substantial impact on orientation tasks than on cutting tasks in laparoscopic surgery training. However, we acknowledge that a larger sample size would provide a more robust evaluation of this effect.

7.
J Korean Soc Radiol ; 84(6): 1290-1308, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38107688

RESUMO

Purpose: To compare the diagnostic performance of rectal CT with that of high-resolution rectal MRI and histopathology in assessing rectal cancer. Materials and Methods: Sixty-seven patients with rectal cancer who underwent rectal CT with rectal distension using sonographic gel and high-resolution MRI were enrolled in this study. The distance from the anal verge/anorectal junction, distance to the mesorectal fascia (MRF), extramural depth (EMD), extramesorectal lymph node (LN) involvement, extramural venous invasion (EMVI), and T/N stages in rectal CT/MRI were analyzed by two gastrointestinal radiologists. The CT findings of 20 patients who underwent radical surgery without concurrent chemoradiotherapy were compared using histopathology. Interclass correlations and kappa statistics were used. Results: The distance from the anal verge/anorectal junction showed an excellent intraclass correlation between CT and MRI for both reviewers. For EMD, the distance to the MRF, presence of LNs, extramesorectal LN metastasis, EMVI, T stage, and intermodality kappa or weighted kappa values between CT and MRI showed excellent agreement. Among the 20 patients who underwent radical surgery, T staging, circumferential resection margin involvement, EMVI, and LN metastasis on rectal CT showed acceptable concordance rates with histopathology. Conclusion: Dedicated rectal CT may be on par with rectal MRI in providing critical information to patients with rectal cancer.

8.
J Chiropr Educ ; 37(2): 157-161, 2023 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-37655808

RESUMO

OBJECTIVE: The purpose of this project was to determine if there was any relationship between the sex of the clinician grader and the sex of the chiropractic student intern on student spinal manipulation assessment grades. METHODS: Twelve thousand six hundred and thirty-one supervised patient adjustments by student interns were analyzed over a 3-year data collection window. Student interns were assessed by multiple male and female clinicians in a teaching clinic using a modified Dreyfus model scoring system on a 1-4 scale (1 = novice, 4 = proficient). A Mann-Whitney U test was used to compare the relationship between grader sex and student grade as well as student sex and student grade. RESULTS: Sex of the grader had a statistically significant effect on spinal manipulation assessment grade, p < .001, with male clinician graders assigning average scores of 2.81 ± 0.39 (mean ± SD) and female clinician graders scores of 3.01 ± 0.52, r = .18. Sex of the student had a statistically significant but negligible (r = .08) effect on spinal manipulation assessment grade, p < .001, with male students averaging slightly higher scores (2.93 ± 0.47) than females (2.86 ± 0.44) on the modified Dreyfus scale. CONCLUSION: Male clinicians tended to assign lower grades on spinal manipulation assessments than female clinicians. Male students on average received slightly higher scores than female students on spinal manipulation assessments.

9.
Knee Surg Sports Traumatol Arthrosc ; 31(12): 5332-5345, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37743389

RESUMO

PURPOSE: Virtual arthroscopic training has become increasingly popular. However, there is a lack of efficiency-based tracking of the trainee, which may be critical for determining the specifics of training programs and adapting them for the needs of each trainee. This study aims to evaluate and compare the measures obtained with a non-invasive neurophysiological method with The Diagnostic Arthroscopy Skill Score (DASS), a commonly used assessment tool for evaluating arthroscopic skills. METHODS: The study collected simulator performance scores, consisting of "Triangulation Right Hand", "Triangulation Left Hand", "Catch the Stars" and "Three Rings" and DASS scores from 22 participants (11 novices, 11 experts). These scores were obtained while participants underwent a structured program of exercises for the fundamentals of arthroscopic surgery training (FAST) and knee module using a simulator-based arthroscopy device. During the evaluation, data on oxy-hemoglobin and deoxy-hemoglobin levels in the prefrontal cortex were collected using the Functional Near-Infrared Spectroscopy (fNIRS) imaging system. Performance scores, DASS scores, and fNIRS data were subsequently analyzed to determine any correlation between performance and cortex activity. RESULTS: The simulator performance scores and the DASSPart2 scores were significantly higher in the expert group compared to the novice group (200.1 ± 28.5 vs 172.5 ± 48.9, p = 0.04 and 9.4 ± 5.6 vs. 5.4 ± 5.6 p = 0.02). In the expert group, fNIRS data showed a significantly lower prefrontal cortex activation during fundamental tasks in the FAST module, indicating significantly more efficient mental resource use. CONCLUSION: The analysis of cognitive workload changes during simulation-based arthroscopy training revealed a significant correlation between the trainees' DASS scores and fNIRS data. This correlation suggests the potential use of fNIRS data and DASS scores as additional metrics to create adaptive training protocols for each participant. By incorporating these metrics, the training process can be optimized, leading to more efficient arthroscopic training and better preparedness for clinical operations. LEVEL OF EVIDENCE: III.


Assuntos
Internato e Residência , Treinamento por Simulação , Humanos , Artroscopia/educação , Competência Clínica , Treinamento por Simulação/métodos , Hemoglobinas , Simulação por Computador
10.
Horiz. sanitario (en linea) ; 22(2): 353-364, may.-ago. 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1534546

RESUMO

Abstract Objective: The purpose of this paper is to analyze the differences in the perception of ethical decision making, organizational ethical climate, and organizational performance, before and during the COVID-19 pandemic by some health professionals in public and private hospitals in urban areas in Mexico. Materials and Method: 68 health professionals answered a survey using the snowball sampling technique. This digital structured survey evaluated the demographic characteristics of respondents and 3 dimensions (constructs) divided in 53 items: ethical decision making, organizational ethical climate, and organizational performance, before the COVID-19 pandemic (year 2019) and during the pandemic (year 2020-2021). To compare the differences of the dimensions before and during COVID-19, the t-test was carried out for dependent samples. Results: In the ethical decision making and organizational ethical climate dimensions, there were no statistically significant differences in the averages before and during the pandemic. In relation to the organizational performance there is a statistically significant difference in the averages before and during the pandemic, with a decrease in performance. Conclusions: This research contributes to literature on healthcare service management suggesting to acknowledge that, in an adverse environment, the decision making process based on ethics and an ethical climate should be maintained in the organizations to avoid a more dramatic fall in performance.


Resumen Objetivo: El propósito de este artículo es analizar las diferencias en la percepción de la toma de decisiones éticas, clima ético organizacional y desempeño organizacional, antes y durante la pandemia por COVID-19, en algunos profesionales de la salud de hospitales públicos y privados del área urbana de México. Materiales y Métodos: 68 profesionales de la salud respondieron una encuesta utilizando la técnica de muestreo de bola de nieve. Esta encuesta estructurada digital evaluó las características demográficas de los encuestados y 3 dimensiones (constructos) divididas en 53 ítems: toma de decisiones éticas, clima ético organizacional y desempeño organizacional, antes de la pandemia de COVID-19 (año 2019) y durante la pandemia (año 2020-2021). Para comparar las diferencias de las dimensiones antes y durante el COVID-19, se realizó la prueba t para muestras dependientes. Resultados: En las dimensiones toma de decisiones éticas y clima ético organizacional, no se presentaron diferencias estadísticamente significativas en los promedios antes y durante la pandemia. En relación al desempeño organizacional existe una diferencia estadísticamente significativa en los promedios antes y durante la pandemia, con una disminución en el desempeño. Conclusiones: Esta investigación contribuye a la literatura acerca de la gestión de servicios de salud sugiriendo que, en un entorno adverso, la toma de decisiones basada en la ética y un clima ético deben mantenerse en las organizaciones para evitar una caída más dramática en el desempeño.

11.
Healthcare (Basel) ; 11(13)2023 Jul 06.
Artigo em Inglês | MEDLINE | ID: mdl-37444787

RESUMO

This is a cross-sectional descriptive study that investigates the mediating effect of humanism on the relationship between task performance and holistic nursing competence among clinical nurses. The participants were nurses with more than one year of work experience in general hospitals in South Korea, recruited using convenience sampling. A total of 227 data samples were collected. A self-reported questionnaire including the task performance competence scale, holistic nursing competence scale, and humanism scale was used for the survey. Data were analyzed using the t-test, analysis of variance, Pearson's correlation coefficients, and hierarchical multiple regression after checking for normal distribution. The results showed that task performance competence, holistic nursing competence, and humanism differed according to characteristics such as gender, age, educational level, marital status, position, length of career, and job and salary satisfaction. Task performance competence was positively correlated with holistic nursing competence and humanism. A positive correlation was also observed between holistic nursing competence and humanism. A partial mediating effect of humanism in the relationship between task performance competence and holistic nursing competence was confirmed. Thus, to increase nurses' holistic nursing competence, it is necessary to improve task performance competence and formulate a continuous and repetitive education program that includes humanism.

12.
J Tradit Chin Med ; 43(4): 801-808, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37454266

RESUMO

OBJECTIVE: To investigate the correlation between changes in brain activity associated with working memory and assessment scales of memory scores in amnestic mild cognitive impairment (aMCI) before and after moxibustion therapy. METHODS: aMCI patients were randomized into the moxibustion treatment (MT) group and the placebo moxibustion (PM) group. Each group received either moxibustion therapy or a placebo moxibustion for eight weeks. Neuropsychological performance and functional brain responses to a working memory task were assessed at baseline and at the end of treatment. Memory function was evaluated individually by the Rivermead behavioral memory test (RBMT), and working memory was assessed by the N-back task. RESULTS: Compared with the PM group, RBMT score changes were significant ( < 0.05). In the MT group, the accuracy of the N-back texts increased compared with those before the intervention. After moxibustion intervention, the right insula, postcentral gyrus, precentral gyrus, superior temporal gyrus, thalamus, lingual gyrus, calcarine sulcus, posterior cingulate gyrus, middle frontal gyrus and anterior frontal gyrus were significantly activated (= 0.01, Cluster-level Family-Wise Error = 0.05). Pearson correlation analysis showed that the insula, lingual gyrus and posterior cingulate gyrus were associated with changes in N-back score. Spearman correlation analysis showed that the postcentral gyrus, superior temporal gyrus, thalamus, lingual gyrus, and posterior cingulate gyrus were correlated with RBMT score changes. CONCLUSION: Moxibustion treatment improved memory in aMCI patients and was associated with the activation of the brain region of the insula, lingual gyrus, posterior cingulate gyrus, postcentral gyrus, superior temporal gyrus, and thalamus, which may be an important mechanism by which moxibustion improves the memory function.


Assuntos
Disfunção Cognitiva , Moxibustão , Humanos , Memória de Curto Prazo , Disfunção Cognitiva/terapia , Encéfalo , Imageamento por Ressonância Magnética/métodos
14.
Front Psychol ; 14: 1048642, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36860781

RESUMO

Coaches and psychologists can use time-motion analysis to elaborate specific interventions for female BJJ athletes, increasing specific training context and reducing unnecessary psychological and physical demands and injuries. Therefore, the present study aimed to analyze high-level BJJ female athletes in the 2020 Pan-American Games by comparing the weight categories on the time-motion analysis. The time-motion analysis (i.e., approach, gripping, attack, defensive actions, transition, mounting, guard, side control, and submissions) of 422 high-level female BJJ combats was divided and compared by weight category as follows: Rooster (n = 8), Light Feather (n = 18), Feather (n = 122), Light (n = 84), Middle (n = 74), Medium Heavy (n = 44), Heavy (n = 36), Super Heavy (n = 36), using p ≤ 0.05. The main results indicated that the Super heavyweight category [3.1 (5.8;119.9) s] had a shorter gripping time than other weight categories, p ≤ 0.05. In contrast, roosters [7.2 (3.5;64.6) s] had longer gripping, transition [14.0 (4.8;29.6) s], and attack time [76.2 (27.7, 93.2)] than the light feather, middlers, and heavier weight categories, p ≤ 0.05. These findings should be considered for the psychological interventions and training prescription.

15.
Disabil Rehabil ; 45(14): 2336-2345, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-35764527

RESUMO

PURPOSE: To develop a new assessment form that is assessed by therapists for the performance of public transportation use for stroke survivors through content validation. MATERIALS AND METHODS: The items for the tentative assessment form were selected using hierarchical clustering analysis on previous records of 76 field-based training sessions for public transportation use for stroke survivors. After the modification of the tentative form based on 6 months of clinical use, the final form was developed through content validation using the Delphi method by 71 therapists who had been working at the hospital for more than 2 years and had experience with training for public transportation use. RESULTS: The Public Transportation use Assessment Form (PTAF) for stroke was successfully developed through three validation processes. It consists of four categories (plan for going out, mobility, using trains, and using buses) including 15 items that cover various tasks of public transportation use. The scoring for each was as follows: 3, independent; 2, requires supervision of verbal assistance; 1, requires assistance; and N, not applicable. CONCLUSION: The PTAF, developed through content validation, could assess the ability of public transportation use, and identify specific problems for each stroke survivor in clinical setting.IMPLICATIONS FOR REHABILITATIONWe developed the Public Transportation use Assessment Form (PTAF) to assess the ability of stroke survivors to use public transportation.The PTAF could identify specific problems related to public transportation use for stroke survivors and aid in planning rehabilitation programs based on the results.The PTAF could share information about which task need support in public transportation use and could augment the hospital discharge plan.


Assuntos
Acidente Vascular Cerebral , Inquéritos e Questionários , Meios de Transporte , Humanos , Acidente Vascular Cerebral/epidemiologia , Reabilitação do Acidente Vascular Cerebral , Sobreviventes , Reprodutibilidade dos Testes
16.
Unfallchirurgie (Heidelb) ; 126(4): 257-261, 2023 Apr.
Artigo em Alemão | MEDLINE | ID: mdl-36534364

RESUMO

BACKGROUND: In addition to the content of orthopedic and trauma surgery training, which is recorded in the logbook in black and white, there seems to be more content for being a good physician. The so-called soft skills are currently discussed regularly but the perspective of the younger generation is rarely presented. OBJECTIVE: Do soft skills and communication techniques support us in the continuing education and development to a good leader? RESULTS AND CONCLUSION: Competence is defined as the combination of cognitive abilities and skills required to perform a specific task or role. These are modifiable and, more importantly, learnable. Successful leadership competence consists of motivating members of the team to achieve common goals and giving them the space to evolve and develop themselves. This requires well thought out, respectful and structured teamwork. A good error culture, open and appreciative communication within the team and in this respect the requirement to be informed about various social, societal and political issues are important. In addition, creativity and independence as well as critical questioning should already be trained during the medical studies through participatory teaching; however, intergenerational dialogue is particularly important in order to share perspectives and competencies and to jointly develop effective future perspectives and plans. The substantive values and competencies attributed to a leader are not static but dynamic and should therefore be redefined taking into account political, societal, social, infrastructural aspects and current developments.


Assuntos
Liderança , Médicos , Humanos , Educação Continuada , Comunicação
17.
Rev. bras. cineantropom. desempenho hum ; 25: e87135, 2023. tab, graf
Artigo em Inglês | LILACS-Express | LILACS | ID: biblio-1423062

RESUMO

ABSTRACT The present study related to boxing athletes' mental toughness and physical fitness performances with Big Five Factors. For this, the sample was composed of eleven recreational boxers who competed at the state level and were regularly training (technical and tactical) 4 times a week during the evaluation period. The 44-item Big Five Inventory (BFI) measures the Big Five dimensions of Conscientiousness, Agreeableness, Neuroticism, Openness, and Extraversion and the 14-item Sports Mental Toughness Questionnaire (SMTQ) were applied with Strength, Power, and Endurance Tests, Pearson and Spearman's correlations were used to verify the association between BFI, physical and mental tests, respectively, p≤.05. Our results demonstrated that significant and strong correlation between agreeableness factor and sit-ups test, with 40.85±12.36 freq./min (r=.72, p=.02) and, in SMTQ, a strong correlation between Neuroticism and Control [10(9;12) score, r=.76, p≤0.01], Constancy [10(9;12) score, r=.84, p≤0.01] and Total SMQT [37(34;37) score, r=.84, p≤0.01]. In conclusion, these results suggest that Neuroticism factors are associated with mental toughness, while the agreeableness factor is related to muscular endurance capability. Mental toughness and endurance results are associated with boxers' personalities whose drive motivates them relentlessly towards success and promotes thriving in boxing training environments or during championships.


RESUMO O presente estudo relacionou a resistência mental e o desempenho da aptidão física de atletas de boxe com os cinco grandes fatores. Para isso, compuseram o presente estudo onze boxeadores recreativos que competiram em nível estadual e estavam treinando regularmente (técnico e tático) 4 vezes por semana durante o período de avaliação. O Big Five Inventory (BFI) de 44 itens mede as dimensões de Conscienciosidade, Amabilidade, Neuroticismo, Abertura e Extroversão e o Questionário de Resistência Mental Esportiva (SMTQ) de 14 itens foram aplicados com Testes de Força, Potência e Resistência, Pearson e as correlações de Spearman foram utilizadas para verificar a associação entre IMC, testes físicos e mentais, respectivamente, p≤0.05. Nossos resultados demonstraram correlação significativa e forte entre o fator de amabilidade e o teste de abdominais, com 40,9±12,4 freq./min (r=0,72, p=0,02) e, no SMTQ, uma forte correlação entre Neuroticismo e Controle [10 (9;12) pontuação, r=0.76, p≤0,01], Constância [10(9;12) pontuação, r=0.84, p≤0,001] e total SMQT [37(34;37) pontuação, r= 0.84, p≤0,001]. Em conclusão, esses resultados sugerem que os fatores de neuroticismo estão associados à resistência mental, enquanto o fator de amabilidade está associado à capacidade de resistência muscular. Os resultados de resistência mental e resistência estão associados à personalidade dos boxeadores, cuja motivação os impulsiona implacavelmente para o sucesso e promove o sucesso em ambientes de treinamento de boxe ou durante campeonatos.

18.
Cad. Bras. Ter. Ocup ; 31: e3346, 2023. tab, graf
Artigo em Espanhol | LILACS-Express | LILACS, Index Psicologia - Periódicos | ID: biblio-1430055

RESUMO

Resumen Introducción Los cambios o deficiencias estructurales y/o funcionales que presentan las personas con discapacidad pueden limitar o comprometer su interacción, para la realización o el cumplimiento de actividades personales o sociales, convirtiéndolas entonces en personas vulnerables. Para la evaluación, el terapeuta ocupacional debe valorar varios factores que pueden ser considerados como riesgo de mayor vulnerabilidad como: edad, género, nivel educacional, condiciones económicas, ocupación, condición física o mental y presencia de comorbilidades entre otras. Objetivo Evaluar nivel de independencia para la realización de actividades instrumentales de la vida diaria (AIVD) en individuos pertenecientes a una comunidad de personas vulnerables. Método Se aplicó el Índice de Lawton y Brody en adultos y adultos mayores, que tenían o referían algún tipo de discapacidad, recolectando además una serie de datos que fueron procesados y analizados en la plantilla de cálculo en Microsoft Excel 2020®. Resultados El 74,2% mostró un elevado nivel de dependencia para desarrollar las AIVD, con predominio en adultos. El 70,7% poseían carné o certificado de discapacidad, con una correlación negativa moderada entre el porcentaje de gravedad y el nivel de independencia. La artritis reumatoidea fue la enfermedad que con mayor frecuencia estuvo vinculada a la perdida de la independencia. Conclusión Resulta posible detectar tempranamente el nivel de dependencia y la presencia de discapacidad, mediante la aplicación del Índice de Lawton y Brody, determinando limitaciones funcionales para realizar AIVD en una comunidad de personas vulnerables.


Resumo Introdução As mudanças estruturais e/ou funcionais que as pessoas com deficiências apresentam podem limitar ou comprometer sua interação para o desempenho ou realização de atividades pessoais ou sociais, tornando-as assim vulneráveis. Para avaliação, o terapeuta ocupacional deve avaliar vários fatores que podem ser considerados como um risco de maior vulnerabilidade, tais como: idade, sexo, nível educacional, condições econômicas, ocupação, condição física ou mental e presença de comorbidades, entre outros. Objetivo Avaliar o nível de independência na realização de atividades instrumentais de vida diária (IADLs) em indivíduos pertencentes a uma comunidade de pessoas vulneráveis. Método O Lawton e Brody Index foi aplicado a adultos e pessoas mais velhas que tinham ou relataram algum tipo de deficiência, coletando uma série de dados que foram processados e analisados no modelo de cálculo Microsoft Excel 2020®. Resultados 74,2% mostraram um alto nível de dependência para realizar IADLs, com predomínio de adultos. 70,7% tinham um cartão ou certificado de deficiência, com uma correlação negativa moderada entre a porcentagem de gravidade e o nível de independência. A artrite reumatoide foi a doença mais frequentemente ligada à perda de independência. Conclusão É possível detectar precocemente o nível de dependência e a presença de deficiência, aplicando o Lawton e Brody Index, determinando limitações funcionais para realizar IADLs em uma comunidade de pessoas vulneráveis.


Abstract Introduction The structural and/or functional changes or impairments presented by people with disabilities can limit or compromise their interaction, for the performance or fulfillment of personal or social activities, making them then vulnerable people. For evaluation, the occupational therapist must assess several factors that can be considered as a risk of increased vulnerability such as: age, gender, educational level, economic conditions, occupation, physical or mental condition, and presence of comorbidities among others. Objective To evaluate the level of independence in the performance of instrumental activities of daily living (IADL) in individuals belonging to a community of vulnerable people. Method The Lawton and Brody Index was applied to adults and older adults who had or reported some type of disability, collecting a series of data that were processed and analyzed in the Microsoft Excel 2020® calculation template. Results 74.2% showed a high level of dependence to develop IADLs, with a predominance in adults. 70.7% had a disability card or certificate, with a moderate negative correlation between the percentage of severity and the level of independence. Rheumatoid arthritis was the disease most frequently associated with loss of independence. Conclusion It is possible to detect early the level of dependence and the presence of disability, through the application of the Lawton and Brody Index, determining functional limitations to perform IADLs in a community of vulnerable people.

19.
CoDAS ; 35(6): e20220003, 2023. tab, graf
Artigo em Português | LILACS-Express | LILACS | ID: biblio-1514020

RESUMO

RESUMO Objetivo Avaliar o desempenho nos testes de Fluência Verbal Semântica e Fonêmica em relação aos componentes cognitivos de clustering e switching e explorar as mudanças no desenvolvimento no ensino fundamental. Método Participaram 68 crianças do 2º ao 5º ano do ensino fundamental I de uma escola pública do município de Santo André, divididas em dois grupos, Dificuldade de Aprendizagem (DA) e Desenvolvimento Típico (DT). Resultados Os testes de Fluência Verbal foram comparados para o número de clusters, tamanho médio dos clusters e número de switches. Todas as variáveis comparadas mostraram uma pontuação estatisticamente significante maior para o teste de Fluência Verbal Semântica. Foram realizadas as médias e desvios-padrão das mesmas variáveis para efeito de ano e grupo em ambos os testes. Foi observada diferença estatisticamente significante apenas para o número total de clusters no teste de Fluência Verbal Semântica para efeito de grupo, com o melhor desempenho do grupo DT. Observou-se correlação alta no total de acertos em ambos os testes de Fluência Verbal com o número total de clusters e número de switches. Além disso, foi observada correlação entre o total de acertos com a média de tamanho dos clusters apenas no teste de Fluência Verbal Fonêmica. A análise de regressão linear apresentou maior variância para o número total de clusters, o tornando mais preditivo para o desempenho em ambos testes de Fluência Verbal. Conclusão Os testes de Fluência Verbal podem ser sensíveis e preditivos para a identificação de possíveis diferenças no desempenho escolar associados à leitura.


ABSTRACT Purpose Evaluate the performance in the Semantic and Phonemic Verbal Fluency tests in relation to the cognitive components of clustering and switching and explore the changes in development in elementary school. Methods Participants were 68 children from the 2nd to 5th grade of elementary school of a public school in the municipality of Santo André, divided into two groups, Learning Difficulty (LD) and Typical Development (TD). Results The Verbal Fluency tests were compared for the number of clusters, mean size of the clusters, and number of switches. All variables compared showed a statistically significant higher score for Semantic Verbal Fluency. Means and standard deviations of the same variables for year and group effect were realized in both Verbal Fluency tests. A statistically significant difference was observed only for the total number of clusters in the Semantic Verbal Fluency test for group effect, with the best performance of the TD group. A high correlation was observed between the total number of correct answers with the total number of clusters and number of switches in both Verbal Fluency tests. In addition, a correlation was observed between the total number of correct answers and the mean size of the clusters only in the Phonemic Verbal Fluency. Linear regression analysis showed greater variance for the total number of clusters, making it more predictable for performance in both verbal fluency tests. Conclusion Verbal Fluency tests may be sensitive and predictive for the identification of possible differences in school performance associated with reading.

20.
Front Psychol ; 13: 1012517, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36544454

RESUMO

This study compared the time of female judo combat phases in international competitions between two Olympic cycles (2016; 2020) according to weight divisions (48 kg = 132; 52 kg = 72; 57 kg = 109; 63 kg = 96; 70 kg = 69; 78 kg = 106; >78 kg = 82; total = 666 combats/cycle). The behaviors of 1,332 high-level female judo combats were randomly observed over two Olympic cycles (2016 = 666; 2020 = 666) from the top 20 athletes in the world ranking by weight division. We performed time-motion analysis according to the combat phase and sequential judo actions (approach, gripping, attack, defense, groundwork, pause, and effort: pause ratio) considering the moment when the combat ended (Regular time = RT; Golden score = GS). The weight division groups were compared between Olympic cycles (2016; 2020), and p < 0.05 was defined as significant. The main results showed that 2020 athletes spent less time in the gripping (p = 0.005), attack (p < 0.001), defense (p < 0.001), groundwork (p<0.001) and pause (p = 0.002) phases than 2016 athletes. However, compared by the end-of-combat, 2020 female athletes spent less time in all combat phases for RT combats (p < 0.001), and more time in the approach phase for GS combats (p < 0.05) than in 2016. The 2016 weight divisions showed a higher diversity in the effort: pause ratio (2.5:1-3.4:1), whereas the 2020 weight divisions had values closer to each other (2.8,1-3:1). Analyzing each weight division separately and by the end-of-combat, the main results showed that (p < 0.05): 48, 63, 70, and 78 kg reduced the time in almost every phase of RT combat (except for: 63 kg = gripping and attack; 70 kg = approach and groundwork; 78 kg = approach); 48 and 57 kg increased the groundwork time in GS combats whereas 78 kg decreased; 52 kg and 78 kg increased the GS approach time. The temporal behavior of the combats changed between the Olympic cycles with different rules. These data must be considered to understand the characteristics of each group and to prescribe specialized training in female judo.

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