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1.
Lancet ; 402 Suppl 1: S41, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-37997083

RESUMEN

BACKGROUND: Theories from anthropology, evolutionary psychology, and sociology have focused on the potential adaptive benefits of hobby engagement for mental health in older adults. However, previous studies have used data from single countries, potentially biased by specific measurement and methodological approaches, cohort effects, or cultural specificities. Whether there are genuine benefits for mental health in older adults cross-culturally remains unknown. This study explored the consistency of this association across 16 different nations. METHODS: For this epidemiological study, we used data from adults aged 65 years or older across 16 countries in the USA, Europe, and Asia, represented in five longitudinal studies (ELSA, JAGES, HRS, SHARE and CHARLS; N=93 263, 45-62% female, mean age 72-76 years, data collected 2008-20). We harmonised measures of self-reported engagement in hobbies and past-times, depressive symptoms (validated scales), and Likert scale responses for self-reported health, happiness, and life satisfaction. We conducted fixed-effects models and longitudinal regression models of hobbies and mental health for each country and then pooled in multinational meta-analyses. We accounted for all time-constant factors including those unobserved (eg, genetics, past leisure behaviour, medical history, psychological traits) and identified time-varying factors (eg, sociodemographic background, clinical conditions, daily functioning). We tested the potential moderating effects of country-level determinants of health in meta-regressions and multilevel models. FINDINGS: Meta-analytic fixed-effects findings showed that having a hobby was associated with fewer depressive symptoms (pooled coefficient -0·10, 95% CI -0·13 to -0·07, I2=69·5%, H2=3·28), and higher levels of self-reported health (0·06, 0·03 to 0·08, I2=48·1%, H2=1·93), happiness (0·09, 0·06 to 0·13, I2=67·0%, H2=3·03), and life satisfaction (0·10, 0·08 to 0·12, I2=33·6%, H2=1·51). Results were consistent in meta-analyses of longitudinal regression models testing directionality of findings. Macro-level factors such as life expectancy, world happiness index, country wealth, and income inequality predicted prevalence of hobby engagement, but they showed only marginal moderating effects on the association between hobbies and mental health. INTERPRETATION: Despite some heterogeneity in measurement between the cohorts, the apparent universality of the health benefits of hobbies internationally suggests that facilitating greater opportunities for engagement across demographic groups and between countries could be an important part of multidisciplinary care. Findings have implications for social prescribing schemes (currently in trial in many countries) and multidisciplinary work on origins and human behavioural patterns of hobby engagement. FUNDING: National Endowment for the Arts, Wellcome Trust, Belgian Nnational Scientific Fund (FNRS).


Asunto(s)
Pasatiempos , Salud Mental , Anciano , Femenino , Humanos , Masculino , Europa (Continente)/epidemiología , Estado de Salud , Estudios Longitudinales
2.
Development ; 147(3)2020 02 03.
Artículo en Inglés | MEDLINE | ID: mdl-32014864

RESUMEN

Roberto Mayor is Professor of Developmental and Cellular Neurobiology at University College London. Elected an EMBO member in 2019 and a former International Scholar of the Howard Hughes Medical Institute, his lab works on the development of the neural crest, in particular its induction and migration. We met Roberto in Buenos Aires at the tenth biennial meeting of the Latin American Society for Developmental Biology (LASDB, the society he founded in 2001), and discussed the role serendipity has played in his career, why we need a more holistic view of the cell during development, and the challenges and potential of science in Latin America.


Asunto(s)
Biología Evolutiva , Neurobiología , Animales , Movimiento Celular , Pasatiempos , Humanos , Londres , Personal de Laboratorio Clínico/psicología , Cresta Neural/citología , Cresta Neural/crecimiento & desarrollo
3.
J Sleep Res ; 32(2): e13674, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-35712825

RESUMEN

As dreams reflect waking life, the so-called continuity hypothesis of dreaming, the literature showing that work-related stress affects dreams negatively is very plausible. As in waking life, hobbies are an important component in the work-life balance. In the present study, the work-life balance in dreams was studied. Overall, 1695 persons (960 women, 735 men; mean age: 53.84 ± 13.99 years) participated in an online survey entitled "Everyday life and dreams". The data collected refer to the pre-pandemic period. The findings indicate that hobby-related dreams are more frequent in persons who often engage in their hobbies, supporting the notion of a thematic continuity. As expected, the emotional tone of hobby-related dreams was more positive compared with dreams in general and work-related dreams in particular. Interestingly, the emotional valence of hobby-related dreams was related to the valence of general emotionality towards work in waking life, supporting the idea of an emotional continuity between waking and dreaming. The work-life balance in dreams could be defined as the difference of the percentages of work-related and hobby-related dreams; it is linked to work-related stress and the hobby frequency, factors similar to those that shift the work-life balance in waking life toward the "work" end of the spectrum.


Asunto(s)
Sueños , Pasatiempos , Masculino , Humanos , Femenino , Adulto , Persona de Mediana Edad , Anciano , Sueños/psicología , Equilibrio entre Vida Personal y Laboral , Emociones , Encuestas y Cuestionarios
4.
EMBO Rep ; 22(11): e54024, 2021 11 04.
Artículo en Inglés | MEDLINE | ID: mdl-34605599

RESUMEN

Many people have discovered new hobbies and pastimes during the COVID crisis. David Smith describes how he developed an obsession with rescuing old microscopes.


Asunto(s)
Pasatiempos , Microscopía , COVID-19 , Pandemias , SARS-CoV-2
5.
J Epidemiol ; 33(9): 456-463, 2023 09 05.
Artículo en Inglés | MEDLINE | ID: mdl-35569953

RESUMEN

BACKGROUND: The association between hobby engagement and risk of dementia reported from a short-term follow-up study for individuals aged ≥65 years may be susceptible to reverse causation. We examined the association between hobby engagement in age of 40-69 years and risk of dementia in a long-term follow-up study among Japanese, including individuals in mid-life, when the majority of individuals have normal cognitive function. METHODS: A total of 22,377 individuals aged 40-69 years completed a self-administered questionnaire in 1993-1994. The participants answered whether they had hobbies according to the three following responses: having no hobbies, having a hobby, and having many hobbies. Follow-up for incident disabling dementia was conducted with long-term care insurance data from 2006 to 2016. RESULTS: During a median of 11.0 years of follow-up, 3,095 participants developed disabling dementia. Adjusting for the demographic, behavioral, and psychosocial factors, the multivariable hazard ratios of incident disabling dementia compared with "having no hobbies" were 0.82 (95% confidence interval [CI], 0.75-0.89) for "having a hobby" and 0.78 (95% CI, 0.67-0.91) for "having many hobbies". The inverse association was similarly observed in both middle (40-64 years) and older ages (65-69 years). For disabling dementia subtypes, hobby engagement was inversely associated with the risk of dementia without a history of stroke (probably non-vascular type dementia), but not with that of post-stroke dementia (probably vascular type dementia). CONCLUSION: Hobby engagement in both mid-life and late life was associated with a lower risk of disabling dementia without a history of stroke.


Asunto(s)
Demencia , Accidente Cerebrovascular , Humanos , Demencia/epidemiología , Estudios de Seguimiento , Pasatiempos , Japón/epidemiología , Accidente Cerebrovascular/epidemiología , Factores de Riesgo
6.
Proc Natl Acad Sci U S A ; 116(22): 10868-10873, 2019 05 28.
Artículo en Inglés | MEDLINE | ID: mdl-30988189

RESUMEN

Efforts to mitigate the current biodiversity crisis require a better understanding of how and why humans value other species. We use Internet query data and citizen science data to characterize public interest in 621 bird species across the United States. We estimate the relative popularity of different birds by quantifying how frequently people use Google to search for species, relative to the rates at which they are encountered in the environment. In intraspecific analyses, we also quantify the degree to which Google searches are limited to, or extend beyond, the places in which people encounter each species. The resulting metrics of popularity and geographic specificity of interest allow us to define aspects of relationships between people and birds within a cultural niche space. We then estimate the influence of species traits and socially constructed labels on niche positions to assess the importance of observations and ideas in shaping public interest in birds. Our analyses show clear effects of migratory strategy, color, degree of association with bird feeders, and, especially, body size on niche position. They also indicate that cultural labels, including "endangered," "introduced," and, especially, "team mascot," are strongly associated with the magnitude and geographic specificity of public interest in birds. Our results provide a framework for exploring complex relationships between humans and other species and enable more informed decision-making across diverse bird conservation strategies and goals.


Asunto(s)
Aves , Ciencia Ciudadana/estadística & datos numéricos , Ecosistema , Animales , Pasatiempos , Humanos , Densidad de Población , Motor de Búsqueda/estadística & datos numéricos , Estados Unidos/etnología
7.
Proc Natl Acad Sci U S A ; 116(29): 14671-14676, 2019 07 16.
Artículo en Inglés | MEDLINE | ID: mdl-31235586

RESUMEN

The annual migration of the monarch butterfly Danaus plexippus is in peril. In an effort to aid population recovery, monarch enthusiasts across North America participate in a variety of conservation efforts, including captive rearing and release of monarch butterflies throughout the summer and autumn. However, the impact of captive breeding on monarchs remains an open question. Here, we show that captive breeding, both commercially and by summertime hobbyists, causes migratory behavior to be lost. Monarchs acquired commercially failed to orient south when reared outdoors in the autumn, unlike wild-caught North American monarchs, yet they did enter reproductive diapause. The commercial population was genetically highly divergent from wild-caught North American monarchs and had rounder forewings, similar to monarchs from nonmigratory populations. Furthermore, rearing wild-caught monarchs in an indoor environment mimicking natural migration-inducing conditions failed to elicit southward flight orientation. In fact, merely eclosing indoors after an otherwise complete lifecycle outdoors was enough to disrupt southern orientation. Our results provide a window into the complexity-and remarkable fragility-of migration.


Asunto(s)
Migración Animal/fisiología , Cruzamiento/métodos , Mariposas Diurnas/fisiología , Conservación de los Recursos Naturales/métodos , Pasatiempos , Animales , Niño , Femenino , Humanos , Estadios del Ciclo de Vida/fisiología , Masculino , Instituciones Académicas , Estaciones del Año , Estudiantes , Estados Unidos
8.
Occup Med (Lond) ; 72(8): 515-521, 2022 12 07.
Artículo en Inglés | MEDLINE | ID: mdl-36001495

RESUMEN

BACKGROUND: Line management tends to be associated with increased responsibility and accountability in the workplace and can be a challenging and high-pressured role. More resilient line managers are more likely to continue to perform despite work stressors. AIMS: This study aimed to assess the association of various coping strategies and resources on resilience levels amongst line managers working within a corporate office-based environment. METHODS: A questionnaire-based cross-sectional study was carried out over 4 weeks in 2020. The questionnaire probed demographic factors and the use of strategies and resources which may enhance resilience. Resilience was assessed using the Connor-Davidson Resilience Scale. RESULTS: On regression analysis, resilience tended to increase with increasing years of line management. When each strategy/resource was considered separately and adjusted for the number of years of line management, exercise outside of work (B, 0.302; 95% confidence intervals [CIs], 0.109 to 0.495), hobbies/interests (B, 0.252; 95% CIs, 0.095 to 0.410) and socializing (B, 0.204; 95% CIs, 0.042 to 0.367) were all significant predictors of resilience. CONCLUSIONS: The key coping strategies and resources that had the strongest association with resilience amongst office-based line managers were those that related to their personal lives, with exercise being of particular importance. This study highlights the importance of emphasizing work-life balance and lifestyle factors within workplace manager training and resilience programmes, as well as in the occupational health clinic. Additional support and health promotion for managers in their first few years of management responsibility may also be beneficial.


Asunto(s)
Ejercicio Físico , Promoción de la Salud , Humanos , Estudios Transversales , Pasatiempos , Equilibrio entre Vida Personal y Laboral
9.
Nihon Koshu Eisei Zasshi ; 69(6): 435-446, 2022 Jun 15.
Artículo en Japonés | MEDLINE | ID: mdl-35400722

RESUMEN

Objective Social activities play an important role in the maintenance of health and well-being of the older adults. The aim of this study was to identify characteristics of the rural older adults who do not participate by type of social activities.Methods This survey examined 1,537 older adults randomly selected at a sampling rate of 0.5% from among those living in Toyama prefecture of Japan, in 2014. Of the total, 947 ambulatory older adults living in their own homes were analyzed using Poisson regression. Results were presented as prevalence ratio (PR). The level of statistical significance was set at P<0.05 (two-sided test).Results The participants included 426 men (mean age 73.9 ± 6.5 years) and 521 women (mean age 74.8 ± 7.0 years). In terms of work, both men and women did not work at an older age (men PR 1.15 over 75 years old, women PR 1.11 over 70 years old). Men did not work during outpatient treatment (PR 1.09) and the Revised Hasegawa Dementia Scale (HDS-R) 21-25 points (PR 1.09) and 20 points or below. Women who did not drink alcohol did not work (PR 0.93). Both men and women did not participate in residential activities at older ages (men PR 1.12 over 70 years old, women PR 1.11 over 80 years old). Men with 20 points or below on HDS-R (PR 1.16) and with work history of only physical labor (PR 1.12), and women living with family (PR 0.92) were less likely to participate in residential activities. In the hobby group, both men and women with work history of only physical labor were less likely to participate (men PR 1.05, women PR 1.08). Men with education of 9 years or below (PR 1.05) and women living alone (PR 1.07) were less likely to participate. Hobby groups did not relate with age and cognitive decline. In the senior citizens' club, men and women who did not drink alcohol were less likely to participate (men PR 0.91, women PR 0.89). Men who smoked (PR 1.06), men with psychological symptoms (PR 1.09), and women with 20 points or below on HDS-R (PR 1.13) were less likely to participate.Conclusion Factors related to non-participation of older adults in rural cities depended on the type of social activities. In order to promote social activity among the older adults in rural cities, it is important to consider specific measures taking into account the type of social activities.


Asunto(s)
Demencia , Participación Social , Anciano , Anciano de 80 o más Años , Femenino , Pasatiempos , Humanos , Japón/epidemiología , Masculino , Conducta Social , Participación Social/psicología , Encuestas y Cuestionarios
10.
Stud Hist Philos Sci ; 93: 192-202, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35550930

RESUMEN

Studies of communities that produce knowledge about the natural world have largely focused on groups working with or for academic scientists and conforming to the epistemic values of academic knowledge production. This paper details a community that produces natural knowledge outside of those parameters. The reef hobbyist community, a group that works with aquariums as a form of non-professional leisure, has developed historical narratives, publishing standards, and recognized forms of expertise that are not shared by academic scientists. However, their goal is to produce knowledge about coral systems and their hobby has resulted in a wealth of knowledge about coral husbandry. In this paper, I identify the structure of this community, highlight several prominent groups that make up the network of reef hobbyists, and trace the ways that they produce knowledge about the marine environment through their actions. This paper contributes to discussions about diverse ways of knowing and differing forms of knowledge production in the history and philosophy of science. By examining the history and practices of a well-developed knowledge community outside of academic science, I hope to call attention to the ways that philosophers and historians have centered academic science and its structure and use of knowledge, even in conversations about non-professional knowledge producers. This paper pushes scholars to think more deeply about the way knowledge is developed in non-academic groups.


Asunto(s)
Antozoos , Pasatiempos , Animales , Conocimiento , Filosofía/historia , Edición
11.
J Hist Dent ; 70(3): 178-190, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36480322

RESUMEN

Many successful dentists and doctors enjoy a wide variety of hobbies, including music. Some are avid listeners; others play instruments as amateurs or even professionals; sometimes they sing. A few are recording artists. Their interests might be classical or modern, including jazz. This paper examines the musical lives of a few general practitioners, hospital dentists and academics in the United Kingdom. Clearly striving for success in one's profession leaves room for other activities.


Asunto(s)
Odontólogos , Pasatiempos , Reino Unido , Música
12.
BMC Public Health ; 20(1): 1783, 2020 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-33238925

RESUMEN

BACKGROUND: Screen media is among the most common recreational activities engaged in by children. The displacement hypothesis predicts that increased time spent on screen media activity (SMA) may be at the expense of engagement with other recreational activities, such as sport, music, and art. This study examined associations between non-educational SMA and recreational activity endorsement in 9-10-year-olds, when accounting for other individual (i.e., cognition, psychopathology), interpersonal (i.e., social environment), and sociodemographic characteristics. METHODS: Participants were 9254 youth from the Adolescent Brain Cognitive Development Study®. Latent factors reflecting SMA, cognition, psychopathology, and social environment were entered as independent variables into logistic mixed models. Sociodemographic covariates included age, sex, race/ethnicity, education, marital status, and household income. Outcome variables included any recreational activity endorsement (of 19 assessed), and specific sport (swimming, soccer, baseball) and hobby (music, art) endorsements. RESULTS: In unadjusted groupwise comparisons, youth who spent more time engaging with SMA were less likely to engage with other recreational activities (ps < .001). However, when variance in cognition, psychopathology, social environment, and sociodemographic covariates were accounted for, most forms of SMA were no longer significantly associated with recreational activity engagement (p > .05). Some marginal effects were observed: for every one SD increase in time spent on games and movies over more social forms of media, youth were at lower odds of engaging in recreational activities (adjusted odds ratio = 0·83, 95% CI 0·76-0·89). Likewise, greater general SMA was associated with lower odds of endorsing group-based sports, including soccer (0·93, 0·88-0·98) and baseball (0·92, 0·86-0·98). Model fit comparisons indicated that sociodemographic characteristics, particularly socio-economic status, explained more variance in rates of recreational activity engagement than SMA and other latent factors. Notably, youth from higher socio-economic families were up to 5·63 (3·83-8·29) times more likely to engage in recreational activities than youth from lower socio-economic backgrounds. CONCLUSIONS: Results did not suggest that SMA largely displaces engagement in other recreational activities among 9-10-year-olds. Instead, socio-economic factors greatly contribute to rates of engagement. These findings are important considering recent shifts in time spent on SMA in childhood.


Asunto(s)
Recreación , Tiempo de Pantalla , Niño , Estudios Transversales , Femenino , Pasatiempos/estadística & datos numéricos , Humanos , Masculino , Factores Socioeconómicos , Deportes/estadística & datos numéricos
13.
Wilderness Environ Med ; 31(3): 259-265, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32416959

RESUMEN

INTRODUCTION: Speleology/Caving is a recreational outdoor activity that has drawn an increasing number of participants in recent years, but there is little information on the physiological and psychological demands of this outdoor activity. This research aimed to analyze the psychophysiological response of novice cavers to a caving route. METHODS: Modifications in autonomic modulation, ratings of perceived exertion, and perceived stress were evaluated in physically active participants before, during, and after a caving route of 3-h duration. RESULTS: Eighteen participants were assessed. We found an anticipatory anxiety response in the participants before starting the route and significant increases in the ratings of perceived exertion, stress perception, autonomous sympathetic modulation as evaluated by heart rate variability while on the route, and sympathetic modulation 30 min after finishing the caving route. CONCLUSIONS: A speleology route produced an anticipatory anxiety response, an increase in the sympathetic stress response, fatigue symptoms at the autonomic nervous system level, and low perception of stress and effort compared with the autonomic stress response. This information could help to better prepare participants for this demanding event, potentially avoiding accidents and injuries and increasing safety for cavers.


Asunto(s)
Ansiedad , Sistema Nervioso Autónomo/fisiología , Cuevas , Frecuencia Cardíaca/fisiología , Estrés Fisiológico , Estrés Psicológico , Ansiedad/psicología , Fatiga , Pasatiempos , Humanos , Deportes , Estrés Psicológico/psicología
14.
Nihon Koshu Eisei Zasshi ; 67(11): 800-810, 2020.
Artículo en Japonés | MEDLINE | ID: mdl-33361687

RESUMEN

Objectives Dementia prevention is an important issue in the current super-aging society. Previous studies have shown a low risk of dementia in older adults who have hobbies, especially gardening, tourism, and those that are sports-based. However, it is unclear whether the effect of dementia prevention differs according to the specific type and number of hobbies. This study aims to clarify the relationship of dementia onset with the type and number of hobbies practiced by a person.Methods This prospective cohort study conducted between 2010 and 2016 by the Japan Gerontological Evaluation Study surveyed 56,624 functionally independent individuals aged 65 years and over who had non-missing information on age and gender. A total of 49,705 participants who provided valid answers to the question regarding hobbies, and were followed for 365 days or more, were analyzed. The primary outcome of this study was dementia, which was assessed by the nationally standardized dementia scale proposed by the Ministry of Health, Labour, and Welfare of Japan. Explanatory variables were specific types of hobbies practiced by 5% or more of older adults (males: 14 types and females: 11 types) and the number of hobbies an individual engaged in (0~5 types or more). The covariates were basic characteristics, diseases, health behavior, social support, psychology/cognition, and instrumental activities of daily living. Hazard ratios (HRs) were calculated using the Cox proportional hazards model adjusted for a total of 22 variables.Results In total, 4,758 patients (9.6%) developed dementia during the follow-up period. The following hobbies were related to a lower risk of developing incident dementia: a) both in males and females, ground golf (HR: males, 0.80; females, 0.80) and travel (males, 0.80; females, 0.76); b) only in males, golf (0.61), use of a personal computer (0.65), fishing (0.81), and photo shooting (0.83); and c) only in females, handicrafts (0.73), and gardening (0.85). A significant trend was observed indicating that the risk of dementia was lower as the number of hobbies increased for both males and females (males, 0.84; females, 0.78).Conclusion The results of this study suggest that both male and female older adults who engaged in ground golf and travel as a hobby had a lower risk of developing dementia, and the risk decreased as the number of hobbies increased. Providing an environment in which older adults can engage in various hobbies that are associated with less risk of developing dementia, may be an effective measure for preventing dementia.


Asunto(s)
Demencia/epidemiología , Demencia/prevención & control , Geriatría , Pasatiempos/estadística & datos numéricos , Anciano , Anciano de 80 o más Años , Envejecimiento , Femenino , Estudios de Seguimiento , Humanos , Incidencia , Japón/epidemiología , Estudios Longitudinales , Masculino , Modelos de Riesgos Proporcionales , Riesgo , Factores de Tiempo
16.
Ann Vasc Surg ; 57: 275.e13-275.e15, 2019 May.
Artículo en Inglés | MEDLINE | ID: mdl-30711504

RESUMEN

BACKGROUND: Hypothenar hammer syndrome (HHS) is an uncommon vascular syndrome of upper extremity. HHS should be considered in patients who are presented with digital ischemia. Distal ulnar artery compression at the level of Guyon's canal with trauma results in thrombus or aneurysm. It may be observed after repetitive chronic trauma or acute blunt trauma to hypothenar eminence. Middle-aged male laborers, smokers, and dominant hands are affected frequently. Hand pain, discoloration or ulceration of digits, cold intolerance, hypothenar pulsatile mass, hypothenar weakness, and numbness are significant clinical findings. CASE CHARACTERISTICS: In this report, we presented a 37-year-old woman complaining with intermittent hand pain, paleness, and cyanosis at third, fourth, and fifth fingers of the right hand. She had no blunt trauma to her hand but intense amount of needle lace with her hands. Doppler ultrasonography revealed ulnar arterial thrombus at right Guyon's canal level. CONCLUSIONS: She was diagnosed as HHS secondary to intense needlework. A calcium channel blocker and low-dose aspirin were prescribed to her, and avoidance of hand traumas was suggested. These interventions relieved digital ischemia symptoms on her hand.


Asunto(s)
Arteriopatías Oclusivas/etiología , Pasatiempos , Isquemia/etiología , Enfermedad de Raynaud/etiología , Trombosis/etiología , Arteria Cubital , Adulto , Arteriopatías Oclusivas/diagnóstico por imagen , Arteriopatías Oclusivas/tratamiento farmacológico , Arteriopatías Oclusivas/fisiopatología , Bloqueadores de los Canales de Calcio/uso terapéutico , Femenino , Fibrinolíticos/uso terapéutico , Humanos , Isquemia/diagnóstico por imagen , Isquemia/tratamiento farmacológico , Isquemia/fisiopatología , Enfermedad de Raynaud/diagnóstico por imagen , Enfermedad de Raynaud/tratamiento farmacológico , Enfermedad de Raynaud/fisiopatología , Flujo Sanguíneo Regional , Síndrome , Trombosis/diagnóstico por imagen , Trombosis/tratamiento farmacológico , Trombosis/fisiopatología , Factores de Tiempo , Resultado del Tratamiento , Arteria Cubital/diagnóstico por imagen , Arteria Cubital/efectos de los fármacos , Arteria Cubital/fisiopatología , Ultrasonografía Doppler en Color
17.
Occup Med (Lond) ; 69(6): 428-435, 2019 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-31247109

RESUMEN

BACKGROUND: Occupational and environmental exposures during the prenatal period may be associated with adverse pregnancy outcomes and lifelong health effects. Yet, identification and evaluation of these potential hazards is lacking in routine obstetric care. AIMS: To assess the feasibility of incorporating a self-administered occupational and environmental exposure questionnaire into obstetric clinics. METHODS: A cross-sectional survey assessed prenatal clinic patients at a public hospital who were currently employed and <20 weeks gestation. Questionnaires evaluated job characteristics, workplace and hobby exposures, protective equipment use and symptoms during pregnancy. RESULTS: Of 69 participants (96% response rate), 46% were predominantly Spanish-speaking. Primary occupations were caregiver (16%), cleaner (14%) and administrative assistant (14%). Overall, 93% were exposed to a workplace hazard, with most participants reporting physical stressors (82%) or organic solvent exposure (78%). Most women (74%) used some personal protective equipment. Nearly half (54%) reported at least one non-pregnancy symptom, and 52% were referred for follow-up with an occupational medicine practitioner. Household and hobby-related chemical exposures were common in our sample (91%). We observed moderate consistency between job task and chemical use responses: 67-99% of intentionally redundant questions were fully or partially matched. Closed- compared to open-ended activity questions identified a higher proportion of physical stressors (82% versus 12%) and cleaning product (76% versus 30%) exposures. CONCLUSIONS: A self-administered questionnaire is an effective screening tool for identifying women with occupational and hobby-related exposures during pregnancy. Consistent incorporation of exposure assessment into prenatal care can improve clinical communications and early interventions for at-risk pregnant women.


Asunto(s)
Contaminantes Ambientales/efectos adversos , Pasatiempos , Tamizaje Masivo/métodos , Exposición Materna/prevención & control , Exposición Profesional/prevención & control , Encuestas y Cuestionarios/normas , Adulto , Estudios Transversales , Femenino , Humanos , Embarazo
18.
J Community Psychol ; 47(2): 385-397, 2019 03.
Artículo en Inglés | MEDLINE | ID: mdl-30203843

RESUMEN

Youth mentoring practitioners and researchers have shown a growing interest in determining the ways in which mentor-youth matching practices might influence the duration and effectiveness of mentoring relationships. The current project tested whether mentor-youth similarities at baseline, in terms of demographic variables and interests in certain activities (e.g., sports, art), predicted a longer duration of mentoring relationships. Analyses used baseline and follow-up data from over 9,000 youth who participated in community-based mentoring programs in the northeastern United States, as well as their volunteer mentors. Racial and ethnic similarity between mentor and youth was predictive of longer match duration. Moreover, a shared dislike of activities was associated with longer matches than either shared interests or discordant interests in activities. Findings have important implications for determining the ways in which mentor-youth matching practices influence the length and effectiveness of mentoring relationships.


Asunto(s)
Redes Comunitarias , Pasatiempos , Relaciones Interpersonales , Tutoría , Mentores , Adolescente , Adulto , Anciano , Niño , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , New England , Factores de Tiempo , Adulto Joven
19.
Dermatol Online J ; 25(2)2019 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-30865411

RESUMEN

Mycobacterium marinum is a nontuberculous mycobacteria with worldwide distribution that lives in fresh or salt water and is responsible for infections in fish, and sometimes in humans. Human disease consists mainly of cutaneous nodules, but deep structure involvement may also occur. Diagnosis of M. marinum infection remains a challenge, with a considerable time delay between onset of symptoms and diagnosis. We present a 33-year-old man with no immunosuppressive history who was seen in our department with skin nodules over his hand and forearm, distributed in a sporotrichoid pattern. His hobbies included maintaining an aquarium of tropical fish. Histological examination of the patient's skin biopsy was compatible with the diagnosis of mycobacterial infection, and the Ziehl-Neelsen staining revealed acid-fast bacilli. Molecular techniques confirmed the suspicion of M. marinum infection. A necropsy was performed on one of the patient's fish, more specifically, a Poecilia reticulata, and resulted in identification of M. marinum from its gut. The patient was treated with clarithromycin, ethambutol, and rifampicin for 9 months, with clearance of infection.


Asunto(s)
Dermatosis de la Mano/diagnóstico , Infecciones por Mycobacterium no Tuberculosas/diagnóstico , Mycobacterium marinum , Úlcera Cutánea/microbiología , Adulto , Antebrazo , Dermatosis de la Mano/microbiología , Pasatiempos , Humanos , Linfadenopatía/microbiología , Masculino , Infecciones por Mycobacterium no Tuberculosas/complicaciones , Infecciones por Mycobacterium no Tuberculosas/patología
20.
BMC Musculoskelet Disord ; 19(1): 56, 2018 02 14.
Artículo en Inglés | MEDLINE | ID: mdl-29444664

RESUMEN

BACKGROUND: The prevalence of hand osteoarthritis (HOA) has been reported to be higher amongst women over 50 years old (66%) compared to men of the same age (34%). Although exercise therapy has been shown effective in reducing symptoms and disability associated with HOA, adherence to treatment programs remains low. The primary objective of this RCT is to examine the effectiveness of a 12-week knitting program for morning stiffness (primary outcome) and pain relief (secondary outcome) 2 h post-wakening in females (aged 50 to 85 years old) with mild to moderate hand osteoarthritis (HOA). METHODS/DESIGN: A single-blind, two-arm randomized controlled trial (RCT) with a parallel group design will be used to reach this objective and compare results to a control group receiving an educational pamphlet on osteoarththritis (OA) designed by the Arthritis Society. The premise behind the knitting program is to use a meaningful occupation as the main component of an exercise program. The knitting program will include two components: 1) bi-weekly 20-min knitting sessions at a senior's club and 2) 20-min home daily knitting sessions for the five remaining weekdays. Participants assigned to the control group will be encouraged to read the educational pamphlet and continue with usual routine. Pain, morning stiffness, hand function, self-efficacy and quality of life will be measured at baseline, six weeks, 12 weeks (end of program) with standardized tools. We hypothesize that participants in the knitting program will have significant improvements in all clinical outcomes compared to the control group. A published case study as well as the preliminary results of a feasibility study as examined through a 6-week pre-post study (n = 5 women with HOA) involving 20-min daily knitting morning sessions led to this proposed randomized controlled trial research protocol. This article describes the intervention, the empirical evidence to support it. DISCUSSION: This knitting RCT has the potential to enhance our understanding of the daily HOA symptoms control and exercise adherence, refine functional exercise recommendations in this prevalent disease, and reduce the burden of disability in older women. TRIAL REGISTRATION: (ACTRN12617000843358) registered on 7/06/2017.


Asunto(s)
Terapia por Ejercicio/métodos , Mano/patología , Pasatiempos , Vida Independiente , Osteoartritis/rehabilitación , Manejo del Dolor/métodos , Anciano , Anciano de 80 o más Años , Terapia por Ejercicio/psicología , Terapia por Ejercicio/tendencias , Femenino , Pasatiempos/psicología , Pasatiempos/tendencias , Humanos , Vida Independiente/psicología , Vida Independiente/tendencias , Persona de Mediana Edad , Osteoartritis/diagnóstico , Osteoartritis/psicología , Calidad de Vida/psicología , Autoeficacia , Método Simple Ciego
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