Psychosocial characteristics of patients with bronchial asthma and coronary disease: similarities and differences

The authors compare two groups of subjects: patients with bronchial asthma and those with coronary disease, with regard to some social characteristics, abilities and perception of factors which they conceive are important in the etiology of their disease. Data were obtained by means of a questionnaire based on a known calibrated scale. A group of 100 patients with bronchial asthma and a group of 102 patients with coronary disease were examined. The significance of the difference was tested by chi 2, t-test, Wilcoxon's test and multivariate discriminative analysis. The results showed statistically significant differences between the patients with bronchial asthma and those with coronary disease in some social and psychological characteristics and also with regard to perception of potential etiological factors of their disease. However, no difference was found in life style and habits between the coronary and asthmatic patients.     

Genes, diet and public health

Common chronic diseases such as coronary heart disease (CHD), diabetes, cancer, hypertension and obesity are significantly influenced by dietary and other behavioural habits. There is increasing scientific evidence that genetic factors (SNPs), conferring either protection or risk, also contribute importantly to the incidence of these diseases. SNPs are of particular interest because they influence disease in a complex but largely unknown manner by interacting with environmental and lifestyle factors. Because genetic factors also affect a person's response to dietary habits, SNPs likely will be useful in helping to determine and understand why individuals differ in their response to diets. Therefore, the discovery of SNPs will likely revolutionize not only the diagnosis of disease but also the practice of preventative medicine. Other developments, like new biomarkers and noninvasive imaging techniques, might turn out to be highly sensitive and specific in order to identify patients at risk, especially in cases with asymptomatic coronary heart disease. Thus, further knowledge of such new risk factors and their interaction with nutrition, has the potential to provide a more precise and personalized approach to prevent and treat chronic diseases like coronary artery disease, myocardial infarction and stroke.     

湿地自然保护区旅游者环境教育感知研究——以盐城丹顶鹤、麋鹿国家自然保护区为例

环境教育是当前生态旅游研究中的热点论题。基于生态旅游动机、环境教育途径、环境教育感知及环境教育效果4个结构变量,以生态旅游发展处于起步阶段的盐城丹顶鹤保护区和处于稳定发展阶段的盐城麋鹿保护区为例,构建湿地自然保护区旅游者环境教育感知影响结构关系模型,深入分析不同生命周期阶段生态旅游地旅游者环境教育感知分异及其影响因素。结果表明:(1)生态旅游动机、环境教育途径、环境教育感知均对环境教育效果产生正向影响。丹顶鹤保护区生态旅游动机对环境教育效果产生显著正向影响,环境教育途径、环境教育感知对环境教育效果均产生正向影响;麋鹿保护区生态旅游动机、环境教育途径均对环境教育效果产生正向影响,环境教育感知对环境教育效果产生显著正向影响。(2)在生态旅游动机、环境教育途径、环境教育感知3个分维度上,丹顶鹤保护区分别以一般生态旅游动机、常规环境教育途径、表层环境教育感知为主,麋鹿保护区则分别以严格生态旅游动机、专门环境教育途径、深度环境教育感知为主。(3)不同生命周期阶段生态旅游地游客环境教育效果存在差异。丹顶鹤保护区游客环境教育效果主要集中在态度、行为效果上,意识效果为辅,知识、技能效果作用较小;麋鹿保护区游客环境教育效果则以知识、态度效果为主,行为、技能、意识效果均起辅助作用。     

Long-term effects of physical training programme on risk factors for coronary heart disease in otherwise sedentary men.

Three hundred and seventy sedentary men aged 20-65 years enrolled in a physical training programme after a medical and fitness examination that included measurements of "classical" risk factors for coronary heart disease. Five years later re-examination showed (a) that on average the subjects had not changed significantly in weight, blood pressure, serum lipid concentrations, smoking habits, and physical working capacity; (b) that men who had remained active and therefore had a higher degree of fitness did not differ in risk factors from men who had returned to sedentary habits; and (c) that men who had improved substantially in fitness did not differ in risk factors from men whose fitness had not changed or had declined. Five years after the initial programme one-third of the men were continuing with regular vigorous exercise. These results do not support the view that classical risk factors for coronary heart disease improve with increased physical activity and fitness.     

Anthropoaesthetics as an aspect of anthropoecology

The source of activity of every individual or group is to a great extent determined by the necessity of interaction with other individuals or groups (Afanasiev, 1990), i.e. with the diversity of anthropological surroundings. This manifests itself in the participation of individuals in the organization of their ecosystems, including the ethnocultural and physical conditions of life (Sukharev, 1998). Therefore it is possible to single out certain ecological aspects of perception of anthropological specificity of the surrounding population by an individual (group), leaning upon the definition of anthropoecology as a discipline, studying the laws of interaction between human communities and the system of natural, social and other factors, (Anthropological dictionary, 2004) as well as the coevolution of humans with their environment, in the process of adaptation (Lisseyev, 2001). At the same time it is usually emphasized that the ecological approach is best of all realized on the base of the principle of reciprocity of development of an individual and the surrounding reality, on the perception of the objects of this reality (including other people) with due regard to the reasons for the preference and corresponding values orientation. This represents the subject of ecological psychology (Sergeyenko, 2002; Pavlenko, 2002). In this context the relations between the individual and the environment (autoecology) as well as between the individual and a group (sinecology) are considered (Lisseyev, 2001).The study of the aesthetic perception of anthropological types by individuals belonging to different ethnoterritorial and age groups is the subject matter of a special branch of physical anthropology-anthropoaesthetics, which studies the peculiarities of the aesthetic preference of human facial features in modern populations, analyzing the dependence of human perception on the anthropological environment (Haldeyeva, 2004).     

Risk factors in asthmatic patients in Croatia

The aim of this case-control study was to investigate whether some factors, that are associated with development of asthma, are significantly more present in the observed group of asthmatic patients, in comparison to the control group. Participants included 111 cases with asthma, and 108 controls with no asthma. Data obtained from cases and controls were compared according the sex. The study was performed using a specially developed questionnaire and data were collected from medical documentation of cases. Results showed that a significantly high proportion of cases had lower socio-economic status, higher proportion of atopic diseases, and were more exposed to dampness in working environment, and passive smoking, both at home and at work. Cases also exhibited poorer sustainment of physical strains and psychological stresses, and considered their life quality was greatly reduced by asthma. Among asthmatic participants, there were fewer current smokers and non-smokers, and more ex-smokers.     

Impact of Dental Atmosphere and Behaviour of the Dentist on Children’s Cooperation

During dental treatment children are usually under psychological pressure. With the Sarnat Behaviour Score five different types of patients can be distinguished. There is no method that measures the impact of dental atmosphere and dentist's behaviour on the young patients' readiness to cooperate. The objective of the present study was the implementation and evaluation of a questionnaire on this subject. Eighty-eight patients participated in this study. In the first part of the new questionnaire personal information was collected. The second part consists of 43 items and investigates the relationship between dentist and patient and reflects the atmosphere of the environment. Statistical analysis was performed using the Chi-square test. There were statistically significant differences between the cooperative and non-cooperative group, as regards the perceived honesty of the dentist, the ability to explain and wish to help. Uncooperative children are significantly more often afraid of the dental environment. Sympathy alone has only a minor effect on children's cooperation. Children should be treated with empathy. Especially younger patients appreciate detailed explanations by the dentist. Children's non-cooperative behaviour results often from their aroused interest in the unknown environment, which causes an unpleasant perception of the whole setting.     

Care Giver Perception of Children's Obesity‐Related Health Risk: A Study of African American Families

Objective: To examine care giver perception of children's weight‐related health risk in African American families. Research Methods and Procedures: One‐hundred and eleven families (representing 48 boys and 63 girls) screened for participation in a diabetes prevention study participated. Care givers completed a health awareness questionnaire that assessed their perception of the child's weight, eating habits, appearance, exercise habits, and health risk. The care givers also reported each subject's family history of obesity, diabetes, and other chronic diseases. After a physical examination, height and weight were used to compute an age‐ and sex‐adjusted body mass index for each child. Results: Despite the fact that a substantial number of children were obese (57%) and super‐obese (12%), only 44% of the care givers perceived the child's weight to be a potential health problem. Regression analysis showed that 21% of the variance in parental perception of obesity‐related health risk could be predicted by child age, body mass index, perception of frame size, and perception of exercise habits. Discussion: A number of reasons for the apparent minimization of child health risk are discussed, including cultural differences in the acceptance of a large body habitus, lack of knowledge about the connection between childhood obesity and future health risk, and an optimistic bias in the perception of personal health risk.     

The representation of self reported affect in body posture and body posture simulation

It is taken for granted that the non-verbal information we acquire from a person's body posture and position affects our perception of others. However, to date human postures have never been described on an empirical level. This study is the first approach to tackle the unexplored topic of human postures. We combined two approaches: traditional behavior observation and modern anthropometric analysis. Photographs of 100 participants were taken, their body postures were transferred to a three dimensional virtual environment and the occurring body angles were measured. The participants were asked to fill in a questionnaire about their current affective state. A principal component analysis with the items of the affect questionnaire (Positive Negative Affect Scales, PANAS) revealed five main factors: aversion, openness, irritation, happiness, and self-confidence. The body angles were then regressed on these factors and the respective postures were reconstructed within a virtual environment. 50 different subjects rated the reconstructed postures from the positive and negative end of the regression. We found the ratings to be valid and accurate in respect to the five factors.     

Prediction of Leisure‐time Physical Activity Among Obese Individuals

The aims of this study were to identify (i) what cognitions predict leisure‐time physical activity and (ii) the moderators of cognition‐behavior relationships among obese individuals. A sample of 91 adults (BMI ≥30 kg/m²) completed a baseline questionnaire assessing variables of the theory of planned behavior (TPB). Biological measures and socio‐demographic variables were also obtained. Behavior was assessed 3 months later. Multiple hierarchical regression analyses indicated that significant variables predicting behavior were past behavior (β = 0.39; P = 0.0001), intention (β = 0.27; P = 0.03), and the interaction term “perceived behavioral control (PBC) × perceived built environment” (β = 0.17; P = 0.05). The PBC‐behavior relation was better when the built environment was perceived as favorable to physical activity. The model explained 41% of variance in behavior. The determinants explaining intention were PBC (β = 0.55; P < 0.0001), anticipated regret (β = 0.26; P = 0.0007), and past behavior (β = 0.22; P = 0.005), accounting for 59% of variance. Participation in leisure‐time physical activity is explained primarily by a person's intentions to perform this behavior. The results also suggest that people are more able to translate their perception of control into action if they perceive the built environment as favorable, although this additional gain in prediction is small relative to intention. Nonetheless, both cognitions and aspects of the built environment should be given consideration in the promotion of leisure‐time physical activity among obese individuals.     

慢性阻塞性肺疾病患者疾病认知水平调查及其影响因素分析

摘要 目的：调查慢性阻塞性肺疾病（COPD）患者疾病认知水平,分析COPD患者疾病认知水平的影响因素。方法：选择2018年10月至2020年11月我院收治的162例COPD患者,采用自行设计的一般资料调查问卷和COPD疾病认知问卷（BCKQ）收集患者信息和评估COPD疾病认知水平。采用单因素及多因素Logistic回归分析COPD患者疾病认知水平的影响因素。结果：共发放162份问卷,有效回收160份,有效回收率98.77%（160/162）。COPD患者BCKQ总分为（31.01±2.16）分,单因素分析结果显示不同年龄、职业、文化教育程度、居住地、家庭月收入、健康信息获得途径、每年急性发作次数、每年医疗支出的COPD患者BCKQ总分差异显著（P＜0.05）。进一步多因素Logistic回归分析结果显示职业、文化教育程度、家庭月收入、健康信息获得途径、每年急性发作次数是COPD患者疾病认知水平的影响因素（P＜0.05）。结论：COPD患者对疾病认知水平偏低,且受多种因素影响,临床工作者应结合相关因素进行针对性健康宣教,以提供患者对疾病的认知水平。     

Controlling matrix stiffness and topography for the study of tumor cell migration

Cellular studies have long been performed on the bench top, within Petri dishes and flasks that expose cells to surroundings that differ greatly from their native environment. The complexity of a human tissue is such that to truly replicate a cell’s physiologic microenvironment in vitro is currently impossible. It is nevertheless important to determine how various factors of the microenvironment interact to drive cell behavior, particularly with regard to disease states, such as cancer. Here we focus on two key elements of the cellular microenvironment, matrix stiffness and architecture, in the context of tumor cell behavior. We discuss recent work focusing on the effects of these individual properties on cancer cell migration and describe one technique developed by our lab that could be applied to dissect the effects of specific structural and mechanical cues, and which may lead to useful insights into the potentially synergistic effects of these properties on tumor cell behavior.     

Low job control and risk of coronary heart disease in Whitehall II (prospective cohort) study.

OBJECTIVE: To determine the association between adverse psychosocial characteristics at work and risk of coronary heart disease among male and female civil servants. DESIGN: Prospective cohort study (Whitehall II study). At the baseline examination (1985-8) and twice during follow up a self report questionnaire provided information on psychosocial factors of the work environment and coronary heart disease. Independent assessments of the work environment were obtained from personnel managers at baseline. Mean length of follow up was 5.3 years. SETTING: London based office staff in 20 civil service departments. SUBJECTS: 10,308 civil servants aged 35-55 were examined-6895 men (67%) and 3413 women (33%). MAIN OUTCOME MEASURES: New cases of angina (Rose questionnaire), severe pain across the chest, diagnosed ischaemic heart disease, and any coronary event. RESULTS: Men and women with low job control, either self reported or independently assessed, had a higher risk of newly reported coronary heart disease during follow up. Job control assessed on two occasions three years apart, although intercorrelated, had cumulative effects on newly reported disease. Subjects with low job control on both occasions had an odds ratio for any subsequent coronary event of 1.93 (95% confidence interval 1.34 to 2.77) compared with subjects with high job control at both occasions. This association could not be explained by employment grade, negative affectivity, or classic coronary risk factors. Job demands and social support at work were not related to the risk of coronary heart disease. CONCLUSIONS: Low control in the work environment is associated with an increased risk of future coronary heart disease among men and women employed in government offices. The cumulative effect of low job control assessed on two occasions indicates that giving employees more variety in tasks and a stronger say in decisions about work may decrease the risk of coronary heart disease.     

Childhood Obesity: Do Parents Recognize This Health Risk?

Objective: This study examined parents’ understanding of excess weight as a health risk, knowledge of healthy eating habits, and recognition of obesity in their children. Research Methods and Procedures: An anonymous questionnaire was distributed during well‐care visits involving children 4 to 8 years of age at a pediatric faculty practice. Parents indicated their level of concern about excess weight and other familiar health risks using a four‐point Likert scale, answered multiple‐choice questions concerning healthy eating patterns, and communicated their perceptions about their child's weight using a visual analog scale. A parent's perception was considered “accurate” if it deviated from the child's growth chart percentile by <30 points. Results: Of the 83 parents surveyed, 23% (19/83) had overweight children (≥95th percentile of age‐ and gender‐specific BMI growth charts). These parents did not differ from other parents in their level of concern about excess weight as a health risk or in their knowledge of healthy eating patterns, but the two groups of parents did differ in the accuracy of their perceptions about their children's weight. Only 10.5% of parents of overweight children (2/19) perceived their child's weight accurately compared with 59.4% of other parents (38/64; p < 0.001). Parents of overweight children invariably underestimated their children's weight. The median difference between their perception and the growth chart percentile was ?45 points. Discussion: Given that most parents of overweight children fail to recognize that their child has a weight problem, pediatricians should develop strategies to help these parents correct their misperceptions.     

Acculturation process and its effects on dietary habits, nutritional behavior and body-image in adolescents

Previous studies have indicated that the acculturation process may contribute to psychosocial and health problems among immigrants through the mediation of acculturation stress. This study focuses on adolescents with immigrant background permanently settled in the Croatian region of Dalmatia and the influences of the acculturation process on their dietary habits, nutritional behavior and perceived body-image. The survey was conducted on the total sample of 510 adolescents (aged 14-19) including 52 first generation and 248 second generation immigrants. The analysis included dietary habits and questions of restrictive diet as indicators of unhealthy influence on physical health. Psychological factors (stress and self-esteem) have been found to be associated with dietary habits, diet behavior and dissatisfaction with body-image among adolescents with significant differences by immigrant status. Immigrant status is viewed as a risk factor for psychological distress and unhealthy dieting behavior. Research stresses the need to study the interaction between acculturation and health not only from an individual perspective, but also from the broader socio-ecological context of population subgroups.     

Oral health-related quality of life--associations with oral health and conditions in Swedish 70-year-old individuals

doi: 10.1111/j.1741‐2358.2011.00495.x Oral health–related quality of life – associations with oral health and conditions in Swedish 70‐year‐old individuals Objective: The aim of this study was to evaluate oral health–related quality of life (OHRQoL) in relation to different chronic oral conditions and perception of oral health among elderly individuals. Background: Health‐related quality of life is important to assess and understand the impact of different diseases and conditions on individuals’ well‐being. Material and methods: Randomly selected 70‐year‐old individuals (N = 561) were included in this analysis. They were clinically examined and answered a questionnaire. Variables used were perceived oral health, satisfaction with appearance of teeth, problems with chewing and dry mouth, burning mouth syndrome, dental anxiety and dental visiting habits. To measure the participants′ perception of the impact of oral conditions on their well‐being, the Oral Health Impact Profile (OHIP‐14) was used. Results: The OHIP‐14 distribution of sum of scores showed a floor effect but revealed acceptable psychometric properties with regard to reliability and validity. Multivariable logistic regression revealed three highly predictive variables for individuals with high OHIP‐14 scores: using dentures, having chewing problems and being dissatisfied with appearance of teeth. Conclusion: Use of dentures, having chewing problems and being dissatisfied with appearance of teeth are associated with high OHIP‐14 sums, indicating strong influence on OHRQoL.     

Local Community Perceptions of Mine Site Restoration Using Phytoremediation in Abitibi-Temiscamingue (Quebec)

This work explores factors supporting people perception about mine site restoration and phytoremediation. Phytoremediation is one of the most eco-friendly restoration strategy emerged since the last two decades but studies on local people perception on this restoration strategy are scarce. To fill in this gap, data were collected from mining stakeholders using a structured questionnaire administered through snowball sampling method. We used Multiple Correspondence Analysis as implemented in the software XLSTAT to visualize relationship between participants’ characteristics, their view on mine site restoration and phytoremediation. Results clearly show out that people perception on mine site restoration is influenced by mining activities effects on health and region attractiveness. Phytoremediation (65.21%) was rated positively with regard to its environment potential, aesthetic and consideration for future generation followed by fillings and excavating. Restoration strategy costs have no effect on people choice and participants prefer use of shrubs as vegetation component of phytoremediation to reach their restoration objective.     

Violence, Teenage Pregnancy, and Life History

Guided by principles of life history strategy development, this study tested the hypothesis that sexual precocity and violence are influenced by sensitivities to local environmental conditions. Two models of strategy development were compared: The first is based on indirect perception of ecological cues through family disruption and the second is based on both direct and indirect perception of ecological stressors. Results showed a moderate correlation between rates of violence and sexual precocity (r?=?0.59). Although a model incorporating direct and indirect effects provided a better fit than one based on family mediation alone, significant improvements were made by linking some ecological factors directly to behavior independently of strategy development. The models support the contention that violence and teenage pregnancy are part of an ecologically determined pattern of strategy development and suggest that while the family unit is critical in affecting behavior, individuals’ direct experiences of the environment are also important.     

遗产旅游地居民对生态移民影响感知的历时性研究——以武陵源风景名胜区为例

安置区居民的生态移民感知状况对于把握生态移民实施效果、实现遗产旅游地可持续发展意义重大.以湖南武陵源3个不同移民安置方式的社区居民为调研对象,通过对比分析2010和2016年两次系统性调研数据,分析不同时段安置区居民对生态移民影响感知的历时性变化和促成感知差异的主要影响因素.结果表明: 2010、2016年,研究区居民对“就业机会增多”、“科教培训机会增多”、“景区环境卫生得到改善”和“认同移民后的‘农转非’身份”等指标反应消极;强烈赞同“传统价值观受到冲击”、“政策实施过程中缺乏监督”等指标选项. 2016年,不同性别、年龄、月均收入水平的安置区居民对生态移民经济和心理影响感知差异较为显著;不同文化程度和收入水平的居民对移民政策的感知分异明显;投资兴业安置方式的居民对生态移民经济影响感知相对积极.经济影响感知和移民政策感知成为影响居民对生态移民整体感知的主要因素;就业问题、子女教育问题和移民保障体系等问题是居民持续关注的重点.     

The Association between Weight Perception and BMI among High School Students

Objective: To assess the association between weight perception and BMI among a large, diverse sample of adolescents. This study used both measured and self‐reported height and weight to calculate BMI. Research Methods and Procedures: A convenience sample of students (n = 2032) in grades 9 through 12 completed a questionnaire assessing demographic characteristics, self‐reported height and weight, and body weight perception. These students were then weighed and had their height measured using a standard protocol. Results: Using BMI calculated from measured height and weight, 1.5% of students were classified as underweight or at risk for underweight, 51.2% of students were normal weight, and 47.4% were overweight or at risk for overweight. Among this same sample of students, however, 34.8% perceived themselves as underweight, 42.9% perceived themselves as about the right weight, and 22.3% perceived themselves as overweight. Even when using BMI calculated from self‐reported height and weight, >20% of students who were overweight or at risk for overweight perceived themselves as underweight. Discussion: Because perception of overweight is a key determinant of adolescent nutritional habits and weight management, many students who are overweight or at risk for overweight but who do not perceive themselves as such are unlikely to engage in weight control practices. Increasing awareness of medical definitions of overweight might improve accuracy of weight perceptions and lead to healthier eating and increased physical activity.