Validation of the Attitude-Older Adult and Aging-Visual Analogue Scales (At-O-A)

ABSTRACT

Occupational therapy programs have been developed in order to promote health in older adults. However, no published studies have yet been identified for the Spanish population. This study explores the benefits of an occupational therapy health promotion program called EnvejeHaciendo (AgeDoing). The study was conducted with 15 elderly Spanish adults, examining health perception and meaningful occupational participation using the Model of Human Occupation, as well as the pedagogical methodology See, Judge, Act. The results showed an increase in the perception of health with reference to social functioning and the number of roles in which the participants wanted to get involved in the future. The participants changed their own negative perception of elderly people, they adapted to the changes provoked by aging, and they got involved in meaningful activities such as physical exercise or social activities. This program allowed participants to engage in meaningful occupations with other people and to increase perceived health status through raising awareness of difficulties.     

Factors Contributing to Readmission of Seniors into Acute Care Hospitals

Medicare spending is expected to increase by 79% between the years 2010 and 2020, caused, in-part, by hospital readmissions within 30 days of discharge. This study identified factors contributing to hospital readmissions in a midwest heath service area (HSA), using Coleman's Transition Care Model as the theoretical framework. The researchers analyzed data from the Centers for Medicaid and Medicare Services and findings from a survey of seniors and a focus group of health professionals. The targeted HSA had a lower overall readmission rate than the national average, yet higher for surgical discharges in particular. Analysis of survey and focus data showed that factors centered around the area of patient-provider and provider-provider communication processes, patient adherence, and health literacy. The study's convenience sample limits its generalizability. However, findings are consistent with the theoretical framework and past research, demonstrating that the solution to the rising health care costs may be less high tech or pharmaceutical interventions per se but more fundamental communication among providers as well as with patients and caregivers.     

Sexuality education in New Zealand: a policy for social justice?

In 2015, the New Zealand Ministry of Education released a new curriculum policy document for sexuality education in all schools – Sexuality Education: A Guide for Boards of Trustees, Principals and Teachers. This policy is a rare international example of a curriculum document that explicitly values diversity, promotes inclusive school environments, and approaches sexuality education as an area of study (rather than a health promotion intervention). Since its release, the document has, however, gained little attention either of a scholarly nature or in terms of dedicated implementation in schools. One exception is a recent article in this journal by Sarah Garland-Levett, which raises some interesting and important concerns about the possibilities of such policy documents. I follow her lead here and continue the discussion about the place and potential of progressive sexuality education policy, and offer some thoughts about the content and intentions of this text.     

Are there any questions? one teacher’s view of students and their questions in a fourth-grade classroom

While many teachers agree that the questions students ask are valuable, researchers have found that student questions are notably absent from most classrooms. We know almost nothing about the exceptions to this—classrooms where teachers manage to elicit and use student questions effectively in instruction. One fourth grade teacher, known for her use of student questions, was selected for this study. Classroom observations and interviews were used to gather data; qualitative methods were utilized to analyze the teacher interviews and the interactions surrounding 260 questions students asked during observations. This paper highlights the teacher’s stance toward her students and their questions. 1) The teacher viewed her students as learners who asked questions to increase their understanding. 2) The teacher viewed the assumptions revealed by student questions, as ‘steps’ to the curriculum. 3) The teacher viewed her students’ questions through the lens of potential; that is, she responded to questions based on how they might promote the understanding of her students.     

Prevention and Intervention Programming: Lessons from an After-School Program

Given that thoughtfully developed formal after-school programs can make a difference in the academic performance of schoolchildren, and that some public schools are implementing their own on-site after-school curricula, this study sought to identify programmatic features that appear to be associated with successful after-school programming. Qualitative methods were used and the study site was the Manchester Youth Development Center, which has a twenty-five-year record of effective service. The six elements found as salient were that both structure and autonomous space are provided; academic achievement is supported; the program is culturally consistent (in the present case, African-American cultural patterns are evidenced); there is a core of committed authoritative adults; the leadership is child-centered; and the environment is safe.     

A Good Death – Can the Concept Be Applied to Anatomy?

The importance of patient-centered decisions is embedded throughout clinical practice. The principle that the patient is at the center of all decisions has helped form the contemporary approach to death and dying. The concept of a “good death” will naturally mean different things to different individuals, but is based on the foundation of being pain free, comfortable, and able to make informed decisions. Potential donors are faced with many personal, ethical, and often spiritual considerations when they come to think about their wishes after death. One consideration is that of a “good death.” This article explores how the concept of a “good death” may be applied to anatomy. Where first-person consent is in place, the motivating factors frequently include the wish for others to learn from the donation, and this notion may form part of the “good death” for the donor. Such motivations may impact positively on how students feel about dissecting and may provide comfort, assuaging feelings of discomfort, and allowing students to focus on anatomical learning. For donors where second-person consent is in place, the concept of a “good death” must depend on whether the individual wanted to donate their body in the first instance. The notion of a “bad death” may also be considered with body donation where no consent for donation is in place. This article proposes that there is ultimately a place for the concept that a “good death” may involve an individual donating their body to medical education.     

Effects of pomegranate extract on blood flow and vessel diameter after high-intensity exercise in young,healthy adults

The effects of pomegranate extract (PE) supplementation were evaluated on high-intensity exercise performance, blood flow, vessel diameter, oxygen saturation (SPO₂), heart rate (HR), and blood pressure (BP). In a randomized, crossover design, nineteen recreationally resistance-trained participants were randomly assigned to PE (1000?mg) or placebo (PL), which were consumed 30?min prior to a repeated sprint ability (RSA) test and repetitions to fatigue (RTF) on bench and leg press. The RSA consisted of ten six-second sprints on a friction-loaded cycle ergometer with 30?s recovery. Brachial artery blood flow and vessel diameter were assessed by ultrasound. Blood flow, vessel diameter, SPO₂, HR, and BP were assessed at baseline, 30?min post ingestion, immediately post exercise (IPost), and 30?min post exercise (30minPost). With PE, blood flow significantly increased IPost RSA (mean difference?=?18.49?mL?min^?1; P?<?.05), and IPost and 30minPost RTF (P?<?.05) according to confidence intervals (CI). Vessel diameter increased significantly 30minPost RSA according to CI and resulted in a significant interaction IPost and 30minPost RTF (P?<?.05). With PE, according to CI, average and peak power output increased significantly in sprint 5 of the RSA (P?<?.05). There was no significant difference between PE and PL for bench (P?=?.25) or leg press (P?=?.15) repetitions. Acute PE supplementation enhanced vessel diameter and blood flow, suggesting possible exercise performance enhancement from increased delivery of substrates and oxygen. The acute timing and capsule form of PE may be advantageous to athletic populations due to ergogenic effects, taste, and convenience.