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At least 559 records · Page 31Linked to original sources
PubMed2001

Easy rider wheelchair biking. A nursing-recreation therapy clinical trial for the treatment of depression.

Depression is a common condition among long-term care residents with limited treatment options available. There are few nonpharmacological interventions available to this population. This study examined the use of a prescribed, therapeutic recreation-nursing intervention, wheelchair biking, for treatment of symptoms of depression in older adults in a long-term care setting. A classical experimental design was used and was guided by the Roy Adaptation Model. Forty residents were pretested for depression and randomly assigned to two groups. A 2-week trial of biking therapy was provided to the treatment group. All participants were posttested. Findings indicated there was a statistically significant improvement in depression scores for the treatment group and no significant change for the control group. This study contributes to the body of knowledge of nursing regarding options for the treatment of depression in older adults, and is an encouraging indicator that psychosocial interventions may be effective in reducing depression.

Aged↗
PubMedDate not supplied

The conspicuous absence of people with disabilities in public fitness and recreation facilities: lack of interest or lack of access?

Critical Issues and Trends More than 50 million Americans have a disability. These people face enormous physical, social, and attitudinal barriers toward their participation in physical and recreational activities that they need to maintain their health and wellness. Furthermore, the concept of being "healthy" and "disabled" or "physically active" and "disabled" is not a common visualization in the mainstream media. This paper calls for a more inclusive vision within public health messages that target physical activity participation among its citizens, especially those with disability who are at greater risk for developing health problems associated with sedentary living.

Persons with Disabilities↗
PubMedDate not supplied

Recreational injuries in children: incidence and prevention.

Participation in eight common types of recreational activities leads annually to more than 2 million medically treated musculoskeletal injuries in children aged 5 to 14 years. Many of these injuries could have been prevented if current safety guidelines and protective equipment had been used. Studies have demonstrated the value of safety education programs in preventing injuries. Parents consider their child's physician an important source of safety education, and orthopaedic surgeons have a unique opportunity to provide injury prevention counseling. The American Academy of Orthopaedic Surgeons recognizes the importance of injury prevention and has developed advocacy programs that are readily available to physicians and the public. Individual orthopaedists should be involved in injury prevention through patient education, research, community programs, and regulatory efforts that promote safe play for children.

Adolescent↗
PubMed1983

Exploring quality circles in the provision of therapeutic recreation services.

This article provides a discussion of the advantages of implementing a Quality Circles program into a therapeutic recreation setting. Quality Circles, a Japanese management concept, has received increased support in American industry and human service organizations. It is founded on the principle of employee involvement and concern for the improvement of the organization. Disadvantages of Quality Circles include: (1) lack of management support; (2) time required to implement; (3) failure to hire consultants; and (4) improper composition of Circles. Advantages of Quality Circles are (1) improved communication; (2) management awareness of employee job-related concerns; (3) personal growth and development; (4) enhanced decision making skills; (5) increased individual power; (5) improved motivation; and (6) opportunities for recognition of individual improvement.

Group Processes↗
PubMed1984

Marketing therapeutic recreation services.

The use of marketing strategies can enhance the delivery of therapeutic recreation services. This article discusses how agencies can adapt marketing techniques and use them to identify potential markets, improve image, evaluate external pressures, and maximize internal strengths. Four variables that can be controlled and manipulated in a proposed marketing plan are product, price, place and promotion.

Health Facilities↗
PubMed1985

Bioethical principles and the practice of therapeutic recreation in clinical settings.

The Therapeutic Recreation (TR) profession is obligated to articulate the ethics of its practice and to develop an ethical code to guide its conduct. The principles of bioethics and the rules of moral conduct derived from them are presented as a foundation for examining the ethical dimensions of TR practice in clinical settings. These principles and rules are illustrated in a discussion of two issues that may represent problems of moral choice for the TR specialist: distribution of resources and the clinician's role.

Ethics↗
PubMed1986

Community integration through therapeutic recreation: day-treatment patients compete in a softball league.

A team of male psychiatric patients drawn from two community mental-health day-treatment centers competed in a community-based softball league. Treatment objectives were twofold: therapeutic recreation and participation in a community activity apart from a traditional psychiatric setting. Points of success, while anecdotal, seem to suggest avenues through which further efforts toward community integration may be achieved.

Adult↗
PubMed1983

Facilitating "flow" through therapeutic recreation services.

The rationale and means for facilitating flow for disabled individuals in situational and community recreation settings is discussed. The flow model and arousal model are discussed and implications of leadership aimed at facilitating flow are delineated. Specific principles discussed are: attracting attention, arranging complexity to provide optimal challenge, narrowing the stimulus field, minimizing extrinsic rewards, arranging for immediate feedback, and minimizing the individual's awareness of and focusing on the outcomes of involvements.

Awareness↗
PubMed1983

An ecological assessment inventory to facilitate community recreation participation by severely disabled individuals.

Severely disabled individuals have long been systematically excluded from actively participating in normalized recreation/leisure activities in integrated community settings. Severely disabled individuals should be taught functional and age appropriate skills, based upon the performance characteristics of nonhandicapped peers. In order to present this position, typical assumptions of leisure skill instruction for severely disabled individuals are discussed and opposing points of view are presented. Finally, the article presents a concrete strategy, or inventory, that is divided into three interrelated areas including: skill selection and skill/facility description, component skills and adaptations for full/partial participation, and supportive skills. The inventory can be used by therapeutic recreation specialists and other educators to develop functional, age appropriate leisure skill instructional content. It is expected that this approach, coupled with longitudinal planning, will facilitate the provision of opportunities for severely disabled individuals to actively participate in normalized recreation/leisure skills in integrated community settings.

Community Health Services↗
PubMedDate not supplied

[Temporal and spatial variations of coliforms and Escherichia coli in fluvial recreational waters (Salado River, Santa Fe, Argentina). Relationship with the quality standards].

There are no standards accepted by all the countries to fix top concentrations of microbiological indicators in recreational waters. Even now there is still a considerable discussion either in USA as in Europe. The universal application of a bacteriological quality criterion is hard due to several environmental factors that affect the relation between the indicator, the exposition and the health risks. Our purpose was to present a case study as an example of the influence of the climatic conditions in the application of the most known standards (Environmental Protection Agency of USA, Council of European Communities, World Organization of Health, and others from Canada, South Africa and Hong Kong). The pluvial rainfall increased the number of E. coli, thermotolerant coliforms (C Te), and total coliforms (CT) 6-10 fold, in comparison to the number registered during the steady-state conditions of the system. However, not all the standards included that factor. In Summer, hourly, daily and weekly variations were proved, therefore the standards that suggest fortnightly sampling frequencies would not be convenient in that system. Although the main source of variation was time, spatial variability was also detected. The percentage of E. coli among the C Te was very variable, but the average resulted low (26%) compared to the levels in temperate regions of other countries (> 90%). According to the directives proposed by the Commission of European Communities, the parameter has been changed (C Te for E. coli), but the standard has remained (2000/100 ml). Thus, the directive would be more permissive.

Argentina↗
PubMed2001

The effect of recreational gunfire noise on hearing in workers exposed to occupational noise.

Hearing sensitivity for an experimental group of 278 industrial workers who engaged in recreational shooting was compared with that of an age-matched control group of 278 nonshooting industrial workers to examine the effect of gunfire exposure on auditory thresholds. The influence of age and the number of unprotected gunshot exposures per year also was examined. The subjects in the experimental group completed a questionnaire to define the types of firearms used, the number of years shooting, and the number of protected and unprotected gunshot exposures per year. Results revealed that hearing sensitivity for frequencies 3.0, 4.0, and 6.0 kHz for both ears in the experimental group was an average of approximately 5 to 10 dB poorer than that of the control subjects. Although both subject groups demonstrated poorer 3.0-to-6.0-kHz hearing sensitivity for left-ear compared with right-ear listening, the degree of asymmetry between ears was greater for the experimental subjects. Older shooters had more hearing loss and greater threshold asymmetry than younger shooters, but there was no significant relationship between hearing sensitivity and the number of unprotected exposures per year. This latter finding was attributed to a fourfold increase in the number of unprotected annual exposures that were reported by younger shooters, who had inherently better hearing than did the older shooters.

Adult↗
PubMedDate not supplied

Recreational activities of lower-limb amputees with prostheses.

Ninety-two (92) persons with lower-limb amputations who regularly used prostheses responded to a survey that included questions about preferred recreational activities. This article describes the variety of activities selected by these men and women aged 20 to 87 years. Of the activities that were of high importance, 74% to 88% could be performed. Those activities assigned moderate to low importance were less often reported as able to be performed. The activities that require high energy level were more problematic for performance. The diversity of identified activities (n= 166) underscores the value of learning about amputees' activity preferences when making prosthetic prescription decisions.

Adult↗
PubMed2001

Drinking and recreational boating fatalities: a population-based case-control study.

CONTEXT: Alcohol is increasingly recognized as a factor in many boating fatalities, but the association between alcohol consumption and mortality among boaters has not been well quantified. OBJECTIVES: To determine the association of alcohol use with passengers' and operators' estimated relative risk (RR) of dying while boating. DESIGN, SETTING, AND PARTICIPANTS: Case-control study of recreational boating deaths among persons aged 18 years or older from 1990-1998 in Maryland and North Carolina (n = 221), compared with control interviews obtained from a multistage probability sample of boaters in each state from 1997-1999 (n = 3943). MAIN OUTCOME MEASURE: Estimated RR of fatality associated with different levels of blood alcohol concentration (BAC) among boaters. RESULTS: Compared with the referent of a BAC of 0, the estimated RR of death increased even with a BAC of 10 mg/dL (odds ratio [OR], 1.3; 95% confidence interval [CI], 1.2-1.4). The OR was 52.4 (95% CI, 25.9-106.1) at a BAC of 250 mg/dL. The estimated RR associated with alcohol use was similar for passengers and operators and did not vary by boat type or whether the boat was moving or stationary. CONCLUSIONS: Drinking increases the RR of dying while boating, which becomes apparent at low levels of BAC and increases as BAC increases. Prevention efforts targeted only at those operating a boat are ignoring many boaters at high risk. Countermeasures that reduce drinking by all boat occupants are therefore more likely to effectively reduce boating fatalities.

Accidents↗
PubMed2002

Detection of Borrelia burgdorferi sensu lato in mosquitoes (Culicidae) in recreational areas of the city of Szczecin.

The mosquitoes were caught within the period of their highest activity, i.e. June August 2001, in recreational areas of the city of Szczecin. Spirochetes, Borrelia burgdorferi sensu lato were detected in mosquitoes with the aid of the method of indirect immunofluorescence (IFA) using rabbit anti-Borrelia burgdorferi antibodies and goat anti-rabbit IgG marked with fluorescein isothiocyanate (FITC). A total of 639 mosquito females representing genera Aëdes (99.1%) and Culex (0.9%) were collected. The mean value of the infection rate of mosquitoes from the area studied was 1.25%. The highest infection rate was recorded in June (3.2%), while the lowest -- in July (0.6%). All mosquitoes infected with Borrelia burgdorferi spirochetes belonged to the genus Aëdes. The results of the present study confirm a potential role of those arthropods in epidemiology of Lyme borreliosis

Aedes↗
PubMed2003

[Association between sea recreational water and gastroenteritis].

Gastrointestinal infections represent one of the main cause of morbidity both in developing and industrialized areas. Quality of coastal waters is particularly important for countries as Italy that has several regions on coasts. Public health and economy aspects could be hardly affected by poor quality of sea waters. Several studies have been addressed to the association between sea recreational water and development of gastrointestinal infection but in Italy only sporadic cases of infection have been reported especially in immunocompromised hosts. Results of this study, either in the case control or in the active surveillance study seem to confirm the absence of an association between sea exposure and intestinal infections. One of the main risk factors for the development of these infections is still represented by the seafood consumption especially shellfish.

Case-Control Studies↗
PubMed1992

[Construction hygiene in the area of bathing and recreation].

Construction hygiene in the bathing and recreation areas underwent many changes during the decades. In each case it was accomplished very intensively and defined by the actual needs of the population or by those responsible for the population. With regard to the development of bathing since the Romans, the bathing habits of the Roman times, during the Middle Ages, at the 18th century, at the beginning of the 19th century and of today are characterized broadly. The respective constructional as well as the hygienic measures are also shown and discussed in this context. Whereas the Roman thermals created prerequisites for physical activity as well as possibilities for spare time, and in the early Middle Ages, sexual excesses and the risk factors connected thereby led to the transfer of infectious diseases and consequently to the elimination of the public baths. At the beginning of the 18th century first the cleaning of the body and at the beginning of the 20th century physical activity became very important. With the help of the construction plans for baths and shower-baths and swimming pools of 1906 the aims and purposes of the baths are discussed and the respective constructional changes are shown the example of warm water baths (swimming pools) in Hamburg.(ABSTRACT TRUNCATED AT 250 WORDS)

Baths↗