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PubMed2006

Slaughter of poultry during the epidemic of avian influenza in the Netherlands in 2003.

During an outbreak of avian influenza in the Netherlands in spring 2003, the disease was controlled by destroying all the poultry on the infected farms and on all the farms within a radius of 3 km. In total, 30 million birds were killed on 1242 farms and in more than 8000 hobby flocks, by using mobile containers filled with carbon dioxide, mobile electrocution lines and by gassing whole poultry houses with carbon monoxide or carbon dioxide. Observations of these methods were used to compare their effectiveness and capacity, and their effects on the welfare of the birds. Gassing whole poultry houses had a much greater capacity than mobile equipment, and catching live birds to bring them to a mobile killing device caused extra stress and could cause pain due to injuries inflicted when catching and handling them. Gassing whole poultry houses with carbon monoxide requires strict safety regulations and, therefore, gassing with carbon dioxide was considered preferable. However, this method is not suited to all types of housing, and in these circumstances mobile killing devices were a useful alternative.

Animal Husbandry↗
PubMedDate not supplied

Delayed diaphragmatic herniation masquerading as a complicated parapneumonic effusion.

Injury to the diaphragm following blunt or penetrating thoracoabdominal trauma is not uncommon. Recognition of this important complication of trauma continues to be a challenge because of the lack of specific clinical and plain radiographic features, the frequent presence of other serious injuries and the potential for delayed presentation. Delayed diaphragmatic herniation often presents with catastrophic bowel obstruction or strangulation. Early recognition of diaphragmatic injury is required to avoid this potentially lethal complication. The case of a 35-year-old man with a history of a knife wound to the left flank 15 years previously, who presented with unexplained acute hypoxemic respiratory failure and a unilateral exudative pleural effusion that was refractory to tube thoracostomy drainage, is reported. After admission to hospital, he developed gross dilation of his colon; emergency laparotomy revealed an incarcerated colonic herniation into the left hemithorax. Interesting clinical features of this patient's case included the patient's hobby of weightlifting, a persistently deviated mediastinum despite drainage of the pleural effusion and deceptive pleural fluid biochemical indices.

Adult↗
PubMed1997

Clinical findings, status of care, comprehensive quality of life, daily life therapy and treatment at home in patients with Parkinson's disease.

We analyzed patients with Parkinson's disease from various aspects such as clinical findings, the degree of independence in daily life, care environment, quality of life (QOL) and treatment at home. The subjects were 104 in- and outpatients (47 males and 57 females) seen at our hospital. The mean age was 69.85 years in the males and 70.35 years in the females. The disease most frequently developed at the age of 60-69 years and the disease duration was 5 years or more in 52 patients. Rigidity was the most common symptom (91 patients), followed by gait disturbance (n = 87) and tremor (n = 86). Levodopa/carbidopa was the drug most frequently used (77 patients). The number of patients treated by combination drug therapy increased with the duration of disease. Concerning the degree of independence in daily life, assistance was often necessary in bathing, dressing and undressing, toileting and walking. In particular, total assistance was necessary in patients with Hoehn-Yahr stage-IV and V disease. The comprehensive QOL was the lowest in terms of social activities, hobbies and leisure activities, followed in order by work and subjective QOL. QOL decreased in each item with the severity of the disease. Treatment at home was performed for 19 patients, of whom 11 are still being treated by our staff. Treatment at home combined with persons who care for the patient and in cooperation with other welfare resources may improve the patient's QOL. In diseases that require long-term care such as Parkinson's disease, a comprehensive care management system should be established from the aspect of the patient's QOL.

Activities of Daily Living↗
PubMed1994

Hippocratic medicine and nephrology.

The history of nephrology is a part of culture in general and should be treated not as a hobby or an isolated specialty of medical science, but as closely connected with medical education and everyday clinical practice. In the age of the apotheosis of renal biotechnology, medicine more than ever needs to combine Hippocratic messages with renal technologic achievements, in order both to restore quality of life in patients with renal disease and to bring harmony and balance to individuals impaired in body and soul. Indeed, Hippocratic medicine lies at the root of the development of clinical nephrology. Hippocratic writings have not lost their nephrologic interest, despite the enormous recent advances in renal technology. Today's practising nephrologist can still learn not only from Hippocratic clinical observations, but also from the prognostic thoughts, the ethical principles, the philosophic concepts and the humane messages of the 'father of clinical nephrology'.

Codes of Ethics↗
PubMed1990

Chronic myeloid leukaemia in Yorkshire: a case control study.

The results of a case-control study of chronic myeloid leukaemia in adults are reported. 122 cases and 241 controls were interviewed. Excess risks associates with heart disease and related drugs were revealed. In addition a weak association with occupational and/or hobby exposure to irradiation emerged.

Case-Control Studies↗
PubMed1979

Analysis of the cores of asbestos bodies from members of the general population: patients with probable low-degree exposure to asbestos.

Asbestos bodies were isolated from the lungs of 21 patients who had 300 to 9,000 of such bodies/g of lung tissue, a concentration frequently found in manual laborers in the general population who are not primary asbestos workers. All of the 123 bodies examined by electron diffraction produced diffraction patterns consistent with amphibole varieties of asbestos. Electron microprobe analysis (energy dispersive x-ray spectroscopy) of 46 bodies revealed that 38 of the cores were composed of the commercial amphiboles, amosite and crocidolite, whereas only 8 were composed of the noncommercial amphiboles, anthophyllite and tremolite. Review of the occupations of these patients revealed that all but one had blue-collar jobs. For many of these persons, putative sources of asbestos exposure such as construction work could be defined, but for some, the source could not be determined. One woman was apparently exposed to asbestos in the practice of her hobby of ceramics, in which she used anthophyllite-contaminated clay. We concluded that commercial amosite/crocidolite asbestos forms the cores of most asbestos bodies in manual laborers in the general population and that the source is usually occupational.

Adult↗
PubMed2006

Common-sense descriptions of depression as social representations.

BACKGROUND: Major depression is such a prevalent illness worldwide that practically everyone has either direct or indirect experience of it. It is important, then, from both practical and theoretical points of view, to examine this particular experience and related conceptions. AIM: Drawing on the theory of social representations, this research set out to examine the ways in which people define depression in terms of the symptoms they attribute to people they know personally and consider to suffer from depression. METHOD: A group of adult participants (n = 117) were instructed to think of an individual whom they knew personally and considered to suffer from depression, to indicate the age and gender of the person, and to describe his/her symptoms. RESULTS: A great majority of the female participants thought of a female, while the male participants thought of male and female target persons quite evenly. The symptoms attributed to depression with fair unanimity included fatigue and decreased capacity to work, to concentrate, to make decisions and to take part in hobbies. The descriptions of the depressive person were quite unanimously distinguished from the signal symptoms attaching to schizophrenia. The descriptions varied according to the characteristics of the target individuals, and their gender and age in particular, rather than the characteristics of the participants. CONCLUSION: People have perceptive personal experiences of depression, which are guided by socially shared interpretative frameworks.

Adolescent↗
PubMedDate not supplied

Sex- and age-related differences in colour vocabulary.

Data were collected on the colour names used by 26 females and 24 males in naming 200 colour samples. Women used more elaborate colour names than men but, contrary to other findings, older subjects of both sexes used more elaborate names than younger subjects. Older men in our sample had a more elaborate vocabulary than younger women, showing that although sex differences were well established, vocabulary continued to increase with age. Colour related hobbies were significantly correlated with enhanced vocabulary for the male group, but not for the female group.

Adult↗
PubMedDate not supplied

Home temporal bone dissection: anatomic approaches to ear surgery.

The anatomy of the temporal bone can only be mastered by repeated surgical and anatomic dissections. For the otolaryngologist who does not have access to laboratory facilities, a technique for dissecting temporal bones at home using readily available and inexpensive equipment is described. The basic home dissecting kit consists of dry temporal bones, a high-speed hobby drill, dental burrs, loupes, and paints. The preparation of temporal bones for dissection and approaches to anatomic, transmastoid, transcanal, and neuro-otologic dissections are presented. The relative benefits of home dissection in learning temporal bone anatomy and developing new surgical approaches, such as a transcanal-transcochlear approach to the internal auditory canal, are discussed.

Dissection↗
PubMedDate not supplied

What palliative care volunteers would like to know about the patients they are being asked to support.

A study was conducted to determine the kind of information palliative care volunteers would like to know about the patients they are being asked to support before they actually meet with them for the first time. Thirty-one palliative care volunteers responded to a brief questionnaire, developed for this study. At least half of the volunteers indicated that their coordinator provided them with the following patient information: (1) the patient's support system/family circumstances (eg, if there is any family), (2) the patient's diagnosis/disease, (3) the patient's age, and (4) the patient's location (address/room number). Overall, the volunteers were very satisfied with the information their coordinators passed along to them. Volunteers rated medical information (eg, the patient's diagnosis) and relationship information (eg, the patient's marital status) as being more important to them than personal information (eg, the patient's interests and hobbies). The 3 most important sources of patient information, mentioned by at least half of the volunteers, were (1) their coordinator, (2) the patient's family members, and (3) the patient himself or herself. Only a few volunteers described issues around confidentiality that had arisen in their work (eg, being a volunteer in a small town, where people know what you are doing).

Adult↗
PubMed1986

Highlighting specific patient education needs in an aging cardiac population.

Given the utility of a multifactoral approach to cardiac rehabilitation and the importance of tailoring such an approach to the needs of the specific cardiac population being treated, early assessment of targeted risk factors and health-related practices is becoming increasingly indicated. The present article describes how, by using a paper-and-pencil multiple-risk-factor assessment instrument referred to as the Heart Health Assessment Questionnaire, the specific educational needs of an aging veteran population were more clearly identified. Among the health areas found in need of particular attention were patient smoking behavior, medication education, and reported tension and worry over health problems. In addition, given the large unemployment rate within this population, the need for the adoption of activities such as physical exercise and hobbies that could have a positive impact on self-esteem and quality of life was strongly indicated. These and other findings are discussed in relation to the pivotal role of the health education professional for older cardiac populations.

Alcohol Drinking↗
PubMed2006

Predictors of tanning salon use: behavioral alternatives for enhancing appearance, relaxing and socializing.

This study investigated cognitive predictors of tanning salon use, based on Jaccard's Theory of Alternative Behavior. A total of 164 undergraduates completed questionnaires that assessed tanning salon use, attitudes toward tanning salon use and attitudes toward behavioral alternatives for enhancing appearance, relaxing and socializing. Results indicated that attitudes toward alternatives for enhancing appearance were not significantly related to tanning salon use. However, favorable attitudes toward engaging in a hobby to relax and going to the gym to socialize were inversely related to frequency of tanning salon use. Findings suggest that interventions for reducing skin cancer risk should focus not only on decreasing favorable attitudes toward tanning, but also on increasing favorable attitudes toward healthier alternatives to tanning salon use.

Adolescent↗
PubMed1986

One-year incidence of home accidents in a rural Swedish municipality.

Since 1978 a continuous registration of acute in-patient and out-patient visits, has been conducted in a municipality in Skaraborg County in western Sweden as a part of the evaluation of an intervention programme. Such a comprehensive community oriented intervention programme has never been reported before. A special focus has been directed at accident cases divided up by environment: home, work, traffic, and other. A total of 20 440 inhabitants in the municipality were registered in health and medical care centres over a six-year period because of injuries. Since 23.5% of all accidents happen in the home, cases of home accidents have been mapped out in more detail with the help of standardized and structured surveys via telephone interviews. All of these were completed with a review of hospital records and death certificates. Because of the comprehensive registration we were able for the first time in Sweden to calculate the distribution of home accidents down to very small geographical areas. The thinly populated areas show significantly higher levels of home accidents when compared to the densely populated areas. In addition to geographical differences, there were incidence differences regarding sex, age group, and type of housing. The majority of home accidents (76.5%) occurred in connection with moving, play, and hobbies. Injuries from blows, cuts, and collisions are the most common type of accidents for men, while injuries from falls are the most dominant types for women. The dominating types of injuries are: contusions, fractures, and wounds. A significantly higher incidence of accident cases among the elderly exists in all of the old age homes/service houses in the study area.(ABSTRACT TRUNCATED AT 250 WORDS)

Accidents, Home↗
PubMed1991

The social consequences of insulin-treated diabetes mellitus in patients 20-50 years of age. An epidemiological case-control study.

In order to investigate the social consequences of diabetes we sent a questionnaire to all diabetic patients aged 20-50 years and 1.125 matched non-diabetic controls living in the county of Västerbotten in Northern Sweden. The response rate was 87% and 72%, respectively. Patients more often lived alone (18 vs 13% p less than 0.05) and had no children (39 vs 31% p less than 0.01). They were more often the only child of their parents (14 vs 8%, p less than 0.01). Thirty-seven percent of the patients and 22% of the controls (p less than 0.001) had been absent from work because of illness more than one month continuously during the last 3 years and had more often than controls prematurely retired from work (8 vs 2% p less than 0.001). Patients more often had hobbies (86 vs 76%, p less than 0.001) and were participating in social activities (52 vs 41%, p less than 0.001), but were less satisfied with their leisure time (71 vs 80%, p less than 0.001). Forty percent of the patients vs 31% of the controls (p less than 0.01) did not visit neighbours. Fifty-one percent of the patients vs 44% of the controls (p less than 0.05) never spent leisure time with their work mates. No significant differences were found in education, socioeconomic class, dwelling or household economy. The study shows that there are social differences between diabetic patients and non-diabetic people even though they are not overwhelming.

Adult↗
PubMed1991

Life events and coping patterns reported in HIV-infected hemophiliacs a year after diagnosis.

A nationwide study of the psychosocial situation of HIV-infected hemophiliacs was made in Sweden. Forty-three HIV-infected hemophiliacs aged between 12 and 72 years were compared with 30 age matched non-infected hemophiliacs. A group of 17 parents of HIV-infected boys was also studied. An unexpectedly high number of residential moves was found in the infected group during the period of diagnosis. The HIV infection diagnosis was rated the most disastrous event compared to all other studied events (including death of family member), particularly among parents of HIV-infected boys. With regard to coping, subjects were asked to record their "content of life" for the past, the present and the future. The most striking findings were the pessimistic ratings of expected number of activities with other people in the future. Such activities were assumed to decrease significantly in the infected, but not in the non-infected group. Furthermore, the ratings of possibility to influence activities were lower in the infected group compared to the non-infected. The content of activities, on the other hand, differed very little between the two groups, although non-infected men reported more hobbies and leisure activities and social activities than infected men.

Adaptation, Psychological↗
PubMed2003

Prevalence of pesticide exposure in young males (</= 50 years) with adenocarcinoma of the prostate.

Evidence implicating pesticides as causative agents of prostate cancer is controversial, and specifically, data in young adults is lacking. Hence, we performed a preliminary study evaluating the relationship between pesticide exposure and prostate cancer in young males. After approval from the University of North Dakota Institutional Review Board and Human Subjects Committee, a retrospective study was performed on all young males (</ = 50 years) with a biopsy-proven diagnosis of carcinoma of the prostate. The records of all patients aged less than/equal to 50 years, with a diagnosis of adenocarcinoma of the prostate, from January 1991 through December 2001 were reviewed. Pesticide risk assessment interviews were performed by a single member of the team, for consistency, via telephone on the basis of a pre-determined questionnaire investigating occupations and hobbies with special emphasis on: Duration of exposure. An exposure index was calculated for each interviewed subject according to the following formula: hours/day x days/year x years. Patients with an exposure index >2400 hours were considered as 'exposed.' The 2400 hour cut-off value was chosen on the basis of previous reports indicating that this figure represents heavy exposure to genotoxic agents. Statistical analysis was obtained using SPSS-10ledR;. Between 1991 and 2001, 61 young males with adenocarcinoma of the prostate were identified, of whom 56 patients with a mean age of 47 years (range: 40-49) had complete records of treatment and could be contacted for completion of the questionnaire. The most common stage at presentation was Stage III and the mean Gleason's score was 7.5 (range 5-9). Interestingly, almost a third (16/56, 28.6%) of patients had stage IV disease at presentation. 37/56 (66.1%) patients had 'significant' exposure in our study. In addition, interestingly, the mean survival in the subgroup of patients with pesticide exposure was 11.3 months (SD: +/- 2.3 months), while the mean survival in the patients without pesticide exposure (n = 19) was 20.1 months (SD: +/- 3.1 months), with p-value <0.01. Although our study is relatively small, it does reveal preliminary evidence linking pesticide exposure to the early development of, possibly aggressive, prostate adenocarcinoma. Future, larger, epidemiological studies are needed to confirm the findings of our study.

Journal Article↗
PubMed2003

Functional status of persons with chronic fatigue syndrome in the Wichita, Kansas, population.

BACKGROUND: Scant research has adequately addressed the impact of chronic fatigue syndrome on patients' daily activities and quality of life. Enumerating specific problems related to quality of life in chronic fatigue syndrome patients can help us to better understand and manage this illness. This study addresses issues of functional status in persons with chronic fatigue syndrome and other fatiguing illnesses in a population based sample, which can be generalized to all persons with chronic fatigue. METHODS: We conducted a random telephone survey in Wichita, Kansas to identify persons with chronic fatigue syndrome and other fatiguing illnesses. Respondents reporting severe fatigue of at least 1 month's duration and randomly selected non-fatigued respondents were asked to participate in a detailed telephone interview. Participants were asked about symptoms, medical and psychiatric illnesses, and about physical, social, and recreational functioning. Those meeting the 1994 chronic fatigue syndrome case definition, as determined on the basis of their telephone responses, were invited for clinical evaluation to confirm a diagnosis of chronic fatigue syndrome. For this analysis, we evaluated unemployment due to fatigue, number of hours per week spent on work, chores, and other activities (currently and prior to the onset of fatigue), and energy level. RESULTS: There was no difference between persons with chronic fatigue syndrome and persons with a chronic fatigue syndrome-like illness that could be explained by a medical or psychiatric condition for any of the outcomes we measured except for unemployment due to fatigue (15% vs. 40%, P <.01). Persons with chronic fatigue syndrome and other fatiguing illnesses had substantially less energy and spent less time on hobbies, schooling, or volunteer work than did non-fatigued controls (P <.01). CONCLUSIONS: Persons with chronic fatigue syndrome are as impaired as persons whose fatigue could be explained by a medical or psychiatric condition, and they have less energy than non-fatigued controls.

Activities of Daily Living↗
PubMed2003

A study of interventions and related outcomes in a randomized controlled trial of occupational therapy and leisure therapy for community stroke patients.

OBJECTIVE: To undertake a detailed analysis of therapy provided in a multicentred randomized controlled trial of activities of daily living (ADL) and leisure (TOTAL), testing the hypothesis that specific interventions given in the trial affected specific aspects of outcome. SUBJECTS: Three hundred and nine stroke patients who had been randomly allocated to receive either occupational therapy aimed at ADL activities (n = 156) or leisure (n = 153). MEASURES: Number, duration and type of activity undertaken per patient. Barthel Index, Extended Activities of Daily Living Scale (EADL) and Nottingham Leisure Questionnaire (NLQ) six months after entry to the study. METHOD: Activities that had been used in treatment were coded and categorized. Frequently used activities identified. These activities were matched to items from the six-month outcome measures. Patient independence in these outcome items was compared between the leisure and ADL groups. RESULTS: Three hundred and nine therapy record forms were returned. Patients received a median of ten sessions with a median duration of 55 minutes. The ADL group received significantly more, mobility training, transfer training, cleaning, dressing, cooking and bathing training (chi-squared, p < 0.05). Sport, creative activities, games, hobbies, gardening, entertainment and shopping were used significantly more in the leisure group (chi-squared, p < 0.05) than the ADL group. Fifteen items from the outcome measures were identified as specific to these interventions. There were no statistically significant differences in outcome on these 15 items between the ADL and leisure groups (chi-squared, p > 0.05). CONCLUSIONS: We found no evidence that specific ADL or leisure interventions led to improvements in specific relevant outcomes. We believe that these findings should prompt a review of the relationship between process and outcome of occupational therapy.

Activities of Daily Living↗