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PubMedDate not supplied

Social relationships and physical activity in health club members.

The results of this study support the hypothesis that social variables are related to exercise behavior and satisfaction. Exercise frequency was related to having friends at the health club and socializing outside the club with people met at the club. Frequency of skipping workouts was negatively associated with having friends at the club. The results shown in Table 2 suggest that of the three social variables, socializing outside the club with people met at the club was the best predictor of exercise frequency, having friends at the club was the best predictor of frequency of skipping, and exercising with a friend was the best predictor of exercise satisfaction. The three social variables explained 11% of the variance in exercise frequency, 8% of the variance in skipping frequency, and 4% of the variance in satisfaction. These findings suggest that friendships that involve exercising together and the social contacts that result from exercising in public places such as health clubs may motivate exercise behavior. A large segment of the population may derive social, as well as physical, benefits from exercise, and these social benefits may encourage them to adhere to their exercise programs. The significant interaction of marital status and socialization with people met at the club in the prediction of exercise frequency suggests that social interaction may be a more important motivator of exercise behavior for single people than for people who are married or have significant others. Exercise programs involving social interaction may be especially effective for single, divorced, or widowed people.

Adult↗
PubMed1989

[The individual structure of self-image: an analysis of interrelations among WAI responses of university students].

The present study investigated the structure of self-image based upon interrelations among statements collected by means of T.S.T. or so-called the WAI (Who am I?) technique. The WAI is a technique for investigating self-attitude or self-image, in which each subject writes 20 statements responding to a question "Who am I?" After responding to the WAI, 50 university students participated in an experiment, in which each subject evaluated the strength of interrelations among statements by classification and paired-judgements, judged the meaning of each statement using 20 common items, and responded to questions about the results of the preceding sessions in the experiment. The structure of self-image of each subject was obtained by using cluster analysis and multidimensional scaling techniques. The structure common to all subjects was obtained by analysing the 20 common items with INDSCAL. The results revealed that the individual structures can be grasped by these methods and that the common structure has four dimensions, i.e., dimensions of General Evaluation, Physical Body, Internal versus External Issues, and Friendship.

Adult↗
PubMed1999

[The effects of marital communication and social activity on alienation in married women and men].

Effects of marital communication and friendship- and job-related social activities on emotional support and alienation among married women and men were examined. Causal analyses of questionnaire responses by 259 women and 185 men indicated that for both women and men, richness of marital communication made the spouse more important as the agent of emotional support, and at the same time decreased alienation. Job-related activities decreased women's alienation, while they tended to increase men's alienation. Men's social activities had a negative influence on their marital relation. In short, women and men appeared to seek different psychological functions in social activities, which in turn determined their levels of alienation.

Adult↗
PubMed2003

[A longitudinal study of the relationship between support reciprocity and mental health among elementary and high school students].

At both the beginning and the end of a school year, 124 sixth-year elementary school students and 242 first-year high school students completed questionnaires regarding mutual support in friendships and stress responses. For elementary school students, support reciprocity did not correlate significantly with stress responses at either the beginning or end of the school year. For high school students, support reciprocity related significantly to stress responses at the end of the year but not at the beginning. These results suggest that the relationship between support reciprocity and mental health is influenced by the developing relationship between two people as well as the state of each individual's development at the time of mutual support.

Adolescent↗
PubMed1981

Gaming technique: an assessment and training tool for individuals with learning deficits.

In this article the literature on gaming technique is reviewed as applied to life simulation experiences. The gaming technique is the use or the adaptation of existing games or the development of training games. Training games are useful educational tools to teach daily living skills to the mild to moderate mentally retarded population and other individuals with learning deficits. The author discusses the application of games to a variety of training situations in the occupational therapy clinic and summarizes techniques for making an adaptation of or for constructing games. Four games are included: a pegboard game, a friendship or socialization game, a money-calculator game, and a disaster game.

Activities of Daily Living↗
PubMedDate not supplied

Social network positions and smoking experimentation among Chinese adolescents.

OBJECTIVE: To explore the relationship between peer social network positions and smoking experimentation among Chinese adolescents. METHODS: Self-administered questionnaires were administered to 1040 adolescents in grades 6, 8, and 10. Paired-friendship linkages were used to assign participants into 3 mutually exclusive social network positions. RESULTS: Overall isolates were more likely to have experimented with cigarettes than were group members or liaisons. However, among male 10th graders, more group members or liaisons had smoked than isolates. CONCLUSIONS: Smoking experimentation differs by social position, particularly among older adolescents. The association of social position with smoking experimentation could not be explained completely by traditional peer-related variables.

Adolescent↗
PubMed1998

[Role of school lunch in primary school education: a trial analysis of school teachers' views using an open-ended questionnaire].

We tried to analyze synthetically teachers' view points associated with health education and roles of school lunch in primary education. For this purpose, a survey using an open-ended questionnaire consisting of eight items relating to health education in the school curriculum was carried out in 100 teachers of ten public primary schools. Subjects were asked to describe their view regarding the following eight items: 1) health and physical guidance education, 2) school lunch guidance education, 3) pupils' attitude toward their own health and nutrition, 4) health education, 5) role of school lunch in education, 6) future subjects of health education, 7) class room lesson related to school lunch, 8) guidance in case of pupil with unbalanced dieting and food avoidance. Subjects described their own opinions on an open-ended questionnaire response sheet. Keywords in individual descriptions were selected, rearranged and classified into categories according to their own meanings, and each of the selected keywords were used as the dummy variable. To assess individual opinions synthetically, a principal component analysis was then applied to the variables collected through the teachers' descriptions, and four factors were extracted. The results were as follows. 1) Four factors obtained from the repeated principal component analysis were summarized as; roles of health education and school lunch program (the first principal component), cooperation with nurse-teachers and those in charge of lunch service (the second principal component), time allocation for health education in home-room activity and lunch time (the third principal component) and contents of health education and school lunch guidance and their future plan (the fourth principal component). 2) Teachers regarded the role of school lunch in primary education as providing daily supply of nutrients, teaching of table manners and building up friendships with classmates, health education and food and nutrition education, and developing food preferences through eating lunch together with classmates. 3) Significant positive correlation was observed between "the teachers' opinion about the role of school lunch of providing opportunity to learn good behavior for food preferences through eating lunch together with classmates" and the first principal component "roles of health education and school lunch program" (r = 0.39, p < 0.01). The variable "the role of school lunch is health education and food and nutrition education" showed positive correlation with the principle component "cooperation with nurse-teachers and those in charge of lunch service" (r = 0.27, p < 0.01). Interesting relationships obtained were that teachers with longer educational experience tended to place importance in health education and food and nutrition education as the role of school lunch, and that male teachers regarded the roles of school lunch more importantly for future education in primary education than female teachers did.

Adult↗
PubMed1998

[Practice and research of forensic medicine learned from the dead].

Practice and Research of Forensic Medicine Learned from the Dead' is presented by looking back my 29 years' carrier as a forensic pathologist. After joining in Department of Forensic Medicine, Kumamoto University in 1969, I had spent several happy years with studying on postmortem corneal clouding. Soon I began to have doubts on a purpose of forensic autopsy in my department then, which seemed to be only to/under the police. I spent one year at Department of Forensic Medicine, Leeds University in England in 1979-1980 and experienced Forensic Medicine not only for the police but also for the society in general. Visiting several university departments in Europa at that time, I felt confident that Forensic Medicine is one special field of medical sciences and will be worth a subject to devote my life. Clinical Forensic Medicine is one field of forensic medicine. Its importance has been recognized in the society by increasing numbers of felonious crimes and campaigns of human rights throughout the world. In 1996, the 4th International Conference of World Police Medical Officers in Clinical Forensic Medicine was ended in a great success in Kumamoto, Japan. Now evaluation and development of Clinical Forensic Medicine are very essential for both forensic pathologists and clinicians to serve for the society. My own activities of teaching traffic safety and preventing child abuse and neglect were cited as examples of 'Practice of Forensic Medicine Learned from the Dead'. Studies on differentiation of postmortem discoloration and antemortem bleeding by glycophorin A or erythrocyte membranes and an international joint research project with Tanzania on neuropathology of AIDS were examples of 'Research of Forensic Medicine Learned from the Dead'. It is an important mission for a forensic pathologist to work for/with the police to solve crimes by hearing a voice of the dead on an autopsy table. Through friendship with foreign colleagues, however, I have learned much about what should be a forensic pathologist and have been inspired with a phrase, 'The information learned from studying the dead could be used to help the living.' by Dr. T.A. Gonzales of the Chief Medical Examiner's Office of New York. Because social activities of preventing crimes and accidents are very much important matters indeed, every forensic pathologist must devote his/her forensic practice and research to achieve a peaceful end of life for every citizen, I believe.

Accidents, Traffic↗
PubMed1990

Stop the world, they want to get on.

As life expectancy for many chronically ill children increases, new efforts are needed to make society more aware of the comprehensive needs of these children and their families. Chronically ill children must strive to succeed in two different worlds: the healthcare environment and the community. For the most part, there is a little networking between the two. And that is the problem. To develop their full potential, children with chronic health problems must be able to attend school, form friendships, and fulfill their desire to learn without being impeded by some uncontrollable factor such as a health problem. When significant people such as teachers and peers are misinformed about a child's illness, they may misinterpret what they observe about him or her, which can be a serious barrier to progress. The collective efforts of healthcare professionals, teachers, community groups, families, and the chronically ill children themselves are needed to improve the community's understanding of chronic illness. Educators can benefit from networking with healthcare professionals, who, in turn, can become better informed about the day-to-day concerns of school personnel when a pupil has a special health problem.

Adolescent↗
PubMed1992

Rekindling the spark. Five strategies to help healthcare administrators remain motivated when facing change.

Many healthcare administrators find it difficult to stay renewed in their careers as pressure mounts on an already stressful work environment. Five strategies can rekindle the spark that once made a healthcare career so attractive. Sharply focused goals are the infrastructure of a harmonious work environment. When people progress toward achieving goals, dissatisfaction with their work environment decreases. Healthcare administrators must also find solutions to problems that chip away at happiness, such as chronic understaffing or a personality conflict with a colleague. If supervisors develop positive problem-solving attitudes, employees tend to emulate them. Administrators need to personalize their leadership style. If subordinates sense their administrator is involved in their occupational struggles, their loyalty will increase and their stress will decrease. A manager needs to be surrounded by creative, energized people because upbeat people have a way of renewing one's spirits. Meaningful friendships can provide support and a fresh perspective on problems. Finally, healthcare administrators must remain steadfastly hopeful even when budgets cast red ink and the future direction of healthcare is uncharted.

Attitude of Health Personnel↗
PubMed1994

Congregation transfers its healthcare system. Franciscan Sisters of Little Falls list critical factors for a successful transfer of sponsorship.

In 1993 the Franciscan Sisters of Little Falls, MN, transferred ownership and sponsorship of their 12 healthcare facilities to Catholic Health Corporation of Omaha. The sisters had had two goals from the start of the process: To transfer the facilities to another Catholic system, and in such a way that both members of the religious institute and the facilities' personnel would "own" the decision To complete the transfer with minimal upheaval in facility operations The sisters accomplished both of these goals. They attribute their success to prayer and several critical factors. First, having pondered their healthcare ministry in light of their Franciscan tradition, the sisters decided that a larger system could better meet their facilities' needs. Second, they developed a set of criteria for the new sponsor, including the requirement that it be both Catholic and dedicated to rural healthcare. Third, the sisters became willing to take the risks a transfer involved for both their congregation and the 12 facilities. Fourth, the sisters clearly communicated their decision to everyone affected by it. Fifth, they sought the help of experts in making the transfer. Sixth, they worked hard to create trust, so that all involved--including those who would lose their jobs--took ownership of the transfer decision. After completion of the transfer, each of the facilities held a ritual celebrating the friendships and respect built over the long years the Franciscan Sisters were their sponsors. The sisters held their own ritual of commemoration. They continue their ministries in health, education, social services, and pastoral care.

Catholicism↗
PubMedDate not supplied

Much ado about mentors.

An international management firm conducted a study of executives that included questions regarding compensations, personal data, and current position. It was of special interest to determine the effect of mentor and protege relationships on business careers. Of the individuals surveyed, two-thirds reported a relationship with a senior person who took a special interest in their career, during the first five years of their professional development. In general, executives who had a mentor are better educated, earn more money at an earlier age, more apt to follow a career plan and report high job satisfaction. The majority of sponsors are older businessmen holding positions of authority and who feel that personnel development and management succession are key responsibilities. The following characteristics of a mentor are judged most important: willingness to share experiences, knowledge of the organization, organizational power and respect from peers. Mentor-protege relationships frequently develop into lengthy friendships which in turn encourage young executives to eventually sponsor their own proteges.

Administrative Personnel↗
PubMed1983

Social support networks of the elderly: racial differences and health care implications.

Interest in social support networks has increased in recent years. A configuration of family, friendships, neighbors, neighborhood groups, comprise the social support network of individuals and families. Other entities referred to in social network of individuals and families. Other entities referred to in social support literature include self-help and mutual help organizations. Interest in descriptive studies of social support networks includes both structural and interactional factors. In analyses of structural factors in social support networks, the focus is most frequently on size (number of persons), density (proportion of linkages) and centrality (extent of accessibility).

Black or African American↗
PubMedDate not supplied

Helicobacter pylori and gastroesophageal reflux disease: friends or foes?

Gastroesophageal reflux disease (GERD) is responsible for a high proportion of digestive symptoms attributable to the upper gastrointestinal tract. Helicobacter pylori (H. pylori) is the main etiologic factor in chronic gastritis and gastroduodenal ulcer disease, but its relation with GERD has not yet been established. The aim of this paper is to review the relationship between H. pylori and GERD, trying to answer the question whether a nexus of "friendship" or "hate" exists between them. Although H. pylori may, in theory, represent a cause for GERD, available data suggest that the infection is not a risk factor for the development of GERD, and the microorganism could even represent a protective factor against this disease. The antisecretory effect of proton pump inhibitors (PPIs) seems to depend on the presence of the infection and H. pylori eradication has, therefore, negative consequences on the efficacy of antisecretory drugs (although its possible clinical relevance, precisely in patients with GERD, remains unknown). Moreover, H. pylori eradication in patients with duodenal ulcer disease is associated in some studies, but not in others, with a higher incidence of GERD, although the reported reflux esophagitis is usually mild. It can be concluded, from these data, that investigating or treating H. pylori infection is not recommended in patients with GERD (when these patients do not need PPI maintenance therapy). Finally, it has recently been recommended to eradicate H. pylori infection in those patients with GERD needing long-term treatment with omeprazole, as some studies have reported that this drug induces, in presence of the microorganism, an atrophic gastritis, with the consequent theoretic risk of gastric cancer. However, several arguments against this attitude can be postulated, and noteworthy are the following: many studies suffer important methodological defects, several authors report contrary results, and the possibility that H. pylori could play, as previously mentioned, a protective role against GERD. It may be concluded, therefore, that the indication of eradicating H. pylori in patients with GERD and maintenance therapy with PPIs, although supported by several arguments, cannot be considered as definitively established. In conclusion, H. pylori and GERD seem to have, in any case, a "friendly" relationship, although it may be transformed into one of "hate" when PPIs enter the scene.

Anti-Ulcer Agents↗
PubMed1999

The North American Menopause Society 1998 Menopause Survey. Part I: Postmenopausal women's perceptions about menopause and midlife.

OBJECTIVE: To collect information relevant to the mission of The North American Menopause Society (NAMS)--i.e., increasing understanding of menopause--by assessing perceptions held by postmenopausal women in the United States aged 50 to 65 years regarding their menopause transition and early postmenopausal years. DESIGN: During the period from June to July 1998, The Gallup Organization conducted 752 telephone interviews with a randomly selected sample of postmenopausal women aged 50 to 65 years from across the United States, based on questions developed by NAMS. In Part I of this survey, women were asked about their personal experiences with menopause, their health-related lifestyle changes since premenopause, their frequency of discussing menopause, and their rating of preparedness for menopause. Part II of this survey, including use of hormone replacement therapy as well as use of healthcare services, will be reported in a future communication from NAMS. RESULTS: The majority (51%) of the postmenopausal women surveyed reported being happiest and most fulfilled between the ages of 50 to 65 years, compared with when they were in their 20s (10%), 30s (17%), or 40s (16%). Many areas of their lives had improved since menopause, including family/home life, sense of personal fulfillment, ability to focus on hobbies or other interests, relationship with spouse/partner, and friendships. A majority (51%) said their sexual relationships had remained unchanged. Approximately three-quarters of women surveyed reported making some type of health-related lifestyle change, such as stopping smoking, at menopause/midlife. Women who had undergone hysterectomy expressed more improvement than women with an intact uterus, especially in the areas of sexual relationships, spouse/partner relationships, personal fulfillment, and physical health; data are not available regarding the health state of these women before surgery or whether they experienced surgical menopause, but this improvement did not appear to be the result of hormone replacement therapy. Women tended to look to women from their own generation for menopause-related information and believed that they have prepared the younger generation for menopause better than they were prepared by their mothers' generation. Those surveyed advised younger women to engage in healthful activities and become knowledgeable so that they could make informed health decisions. CONCLUSIONS: Although the postmenopausal women surveyed had differing views of menopause as well as their perceptions of postmenopause compared with premenopause, the majority viewed menopause and midlife as the beginning of many positive changes in their lives and health. Hysterectomy was a factor associated with improved sexual relationships, spouse/partner relationships, sense of personal fulfillment, and physical health.

Adaptation, Physiological↗
PubMed1999

[Al-Biruni--a universal scientist].

Al-Biruni's was of Persian descent. He was born in Horesmiya and had studied mathematics, history and medicine. Acquiring knowledge from these sciences, he wrote an outstanding work on chronology of several nations and devoted it to Ziyarit ruler Kabus. He made a chronological overview of calendars from many nations, including Persians, Greeks, Egyptians, Jews, Melkitian and Nestorian Christians, Sabeyaans as well as the old Arabs. Data presented in the work, according to the later authors, were taken from very reliable sources. He was contemporary of Ibn-Sina, and thanks to their friendship, they have discussed very much miscellaneous topics. He belonged to the group of scholars, taken by Gaznevian Soultan Mahmud to a long journey to India. Afterwards Al-Biruni wrote and published detailed work "Description of India"--a work on cultural history of India. Due to excellent abilities of Al-Biruni as a philosopher and scholar, there are still significant and reliable notes about buddhistic philosophy, structure of castes and Brahmans' life style. In this Al-Biruni's masterpiece, there are many comparative analysis of Suffism and certain Indian philosophical methods. Al-Biruni's most important work is "Pharmacopoeia"--"Kitab al-saydala", which brilliantly describes all medicaments. This work has been published in many languages. He also wrote few works on astronomy and astrology. In those works he has explained some astrological events through scientific approach in a such peculiar way that nobody has ever explained before. He was also interested in sciences like geology, mineralology, geography, mathematics, psychology and many others.

Arabia↗
PubMed1997

Cancer: A Personal Journey. Notes from the Edge.The Diary of Peter J. Morgan, M.D.

It is a mistake to think that all personal experiences with cancer are the same. For certain, all cancer patients do confront the possibility of an early death and the prospect of pain and suffering due to the tumor and its treatment. But the specific emotional issues differ with each patient and each family, and the responses to these issues take many forms. In an eloquent and moving film, "Cancer: A Personal Journey. Notes from the Edge.," we are given the privilege of accompanying a remarkable young physician, Peter J. Morgan, on his journey with cancer, a two and one-half year journey that ended with his death at age 31. At age 29, Dr. Morgan, an internist-in-training who intended to pursue a career in hematology and oncology, noted a mass on his leg. Tragically, metastasis to the lungs had already taken place at the time of diagnosis of a synovial sarcoma. There followed the all-too-familiar story of chemotherapy and experimental treatments, pain, debilitation, and ultimately demise, and in itself this experience would move us with the sorrow of a precious life lost. What makes this particular story so remarkable are the insights of this young physician and the struggle for survival of a spirit that would not succumb to the "chaos" of cancer. In the two-year period of his life as a cancer patient, Peter Morgan kept a diary that records his thoughts, his emotional turmoil, and his reflections on life and an untimely death. In particular, we are able to understand the need for his spiritual self to remain alive and to grow despite the deterioration of his physical being. And we see that spiritual triumph in his compelling relationships with his family and his colleagues, in his reflections on art and music and nature, and most of all in his writings and his appreciation of the immense possibilities for joy in life. This is not an easy journey to watch, but the intense sadness of his experience is balanced by his friendships and the great satisfaction he derived from patient care until the end of his own illness. We hear accounts of his leaving his hospital bed in New York City, where he has received an infusion of chemotherapy, and driving across Long Island to volunteer at a university out-patient clinic in Stonybrook. During the last year of his life, he becomes a beloved teacher and attending physician in this clinic. One is left with the feeling that Peter Morgan has learned a great deal about what is important and beautiful in this life. The filmmaker, Ruth Yorkin Drazen, and the narrator, Matthew Broderick, have created a masterpiece. I can remember only one other movie, "Shadowland," the story of C.S. Lewis's marriage and the loss of his wife due to cancer, that speaks as eloquently to the confrontation with cancer. In that film, one is left with the overwhelming sorrow of the husband. The present film goes far beyond many of the personal narratives about cancer experiences that one finds so often in the media, simply because it allows a remarkable individual to speak to us about what was most precious in his life. For those of us in the medical profession, his message is particularly meaningful: his work as a physician was at the top of his list.

Journal Article↗
PubMed1999

The Janes Surgical Society.

The Janes Surgical Society was formed in 1953 by surgeons who had undertaken their surgical training during the tenure of Dr. Robert M. Janes, Professor of Surgery at the University of Toronto from 1947 to 1957. Over the next 35 years, this unique Canadian surgical society met annually at surgical centres on this continent and abroad as well as at certain resort areas from time to time. Members of the Janes Surgical Society could be found in major clinical and academic positions across the country from St. John's to Victoria. Their annual meetings served a dual purpose: they provided a forum for the exchange of scientific knowledge and ideas by the members; and they provided an opportunity for members and their wives to socialize and renew old friendships dating back to their residency days and to establish new relationships with surgeons and their wives from other countries, including the United States, United Kingdom, France and Sweden. Unfortunately, owing to death and retirements of its members, the Society can no longer hold scientific meetings and travel to distant centres. Its sole activity is now an annual dinner in Toronto, when members and their wives gather to recall the highlights and experiences in their lives that this unique surgical society provided.

Canada↗