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PubMed2004

Validity of the Assessment of Life Habits in older adults.

OBJECTIVE: To study the construct validity of a participation scale, the Assessment of Life Habits, with older adults having functional limitations. More specifically, the study aimed to verify the ability of the Assessment of Life Habits to discriminate between clienteles in 3 living environments, and to compare participation scores to functional independence scores obtained with the Functional Autonomy Measurement System (Système de mesure de l'autonomie fonctionnelle). DESIGN: Participants were evaluated once with the Assessment of Life Habits and the Functional Autonomy Measurement System. SUBJECTS: Eighty-seven older adults (mean age 78.0 years (8.2)) living in 3 types of environment: own home, private nursing home or long-term care centre. RESULTS: Results suggest that the Assessment of Life Habits scores discriminate between different levels of participation according to the living environments of the participants. The Assessment of Life Habits measures some similar aspects to the Functional Autonomy Measurement System scale but also additional concepts not included in the Functional Autonomy Measurement System. CONCLUSION: This study supports the validity of the Assessment of Life Habits as a participation measure. It suggests the importance of going beyond disability measures to evaluate the overall functioning of older adults correctly.

Activities of Daily Living↗
PubMed2002

Self-care in medical education: effectiveness of health-habits interventions for first-year medical students.

PURPOSE: To examine changes in health habits (sleep, alcohol, and exercise) and the effects of an educational intervention promoting self-care on the emotional and academic adjustment of first-year medical students. METHOD: Fifty-four medical students completed questionnaires that assessed various health habits, alcohol use, depression severity, and areas of life satisfaction at the beginning of the semester, at mid-term, and at finals. Approximately half of the students received written feedback or participated in an educational discussion group at mid-term. RESULTS: The students demonstrated significant changes in health habits, with increases in alcohol consumption and decreases in exercise and socialization. The changes in health habits were predictive of both emotional and academic adjustment, with students who decreased in positive health habits, particularly socialization, being more depressed at finals. The feedback and educational interventions influenced some sleep and exercise behaviors, but the groups did not differ in overall emotional or academic adjustment. CONCLUSIONS: First-year medical students show significant changes in health habits as they adjust to medical school. An educational intervention demonstrated promising effects in changing these patterns, but self-care needs to be further elaborated to address the specific challenges associated with acute adjustment as well as with long-term stressors.

Adult↗
PubMed1982

Treating hair pulling in a 7-year-old male: modified habit reversal for use in pediatric settings.

In pediatric office settings children with nervous habits, such as hair pulling, are often treated with drugs or referred for psychological treatment. The habit reversal technique, a behavior therapeutic approach to treating nervous habits, has proven cost-efficient in terms of maximal benefit from a minimal therapeutic intervention. However, this technique has not been considered practical to use in pediatric office settings because of the therapist-client contact time required. The present case study focused on treating hair pulling in a 7-year-old boy using a modified version of the habit reversal technique. Following a single 20-minute session, hair pulling was eliminated and did not recur throughout an 18-month follow-up. Although additional data are needed prior to advocating general use of this approach, the preliminary results suggest the feasibility of the modified habit reversal technique for treating nervous habits in children in pediatric office settings.

Behavior Therapy↗
PubMed1989

Oral habits in common between tension headache and non-headache populations.

Previous research has suggested a relationship between migraine pain and oral habits. The present study was designed as a replication of a prior study that found self-reported higher frequencies of certain oral habits in migraine as opposed to tension headache and non-headache groups. Three groups of subjects (common migraine, tension headache and non-headache) were given a single questionnaire in which five oral habits (i.e. teeth clenching, jaw jutting, cupping the chin in the hand, and resting the right and left side of the face on the hand) were rated on a 0 (not at all) to 10 (almost always) scale. Significant main effects were obtained for groups and oral habits in a 3 (groups) X5 (oral habits) ANOVA. Post hoc Tukey tests revealed the common migraine group reported significantly more frequent oral habits than did the tension headache group. The non-headache control group did not differ significantly from either headache group. Discussion focuses on the need for continued research in this area.

Adult↗
PubMed2006

Habit cough, tic cough, and psychogenic cough in adult and pediatric populations: ACCP evidence-based clinical practice guidelines.

OBJECTIVES: To review the literature on habit, tic, and psychogenic cough, and to make evidence-based recommendations regarding diagnosis and treatment. DESIGN/METHODOLOGY: For data on adults, an Ovid MEDLINE literature review (through February 2005) was performed for all studies published in the English language, including case series and case reports, since 1966 using the medical subject heading terms "habit cough," "psychogenic cough," "tic disorder," "vocal tic," "Tourette's syndrome," "honking cough," and "barking cough." For pediatric data, articles were identified dating from 1966 from searches of the Cochrane Library, PubMed, EMBASE, the list of references in relevant publications, and the authors' collection of references with the last search performed in February 2005. The search terms used were "children" and "vocal tics" or "habit cough," or "psychogenic cough" or "chronic cough." RESULTS/CONCLUSIONS: The methodologies used and rigor of the diagnostic and therapeutic interventions reported in the literature are inconsistent. The putative clinical characteristics of habit cough and psychogenic cough, for the most part, have not been prospectively or systematically studied. Therefore, on the basis of expert opinion, the diagnoses of habit cough or psychogenic cough can be made only after an extensive evaluation is performed that includes ruling out tic disorders and uncommon causes of chronic cough, and when cough improves with behavior modification or psychiatric therapy. In adult patients with chronic cough that remains persistently troublesome despite an extensive and thorough evidence-based evaluation, and after behavior modification and/or psychiatric therapy have failed, unexplained cough should be diagnosed rather than habit cough or psychogenic cough. In children, the depth of investigations to rule out uncommon causes must be individualized as some investigations and/or treatment may increase morbidity. In adult and pediatric patients with chronic cough that is associated with troublesome psychological manifestations, psychological counseling or psychiatric intervention should be encouraged after other causes have been ruled out.

Cough↗
PubMed1992

Hygiene habits and carriers in families with a child who has had typhoid fever.

The relationship between asymptomatic shedding of bacterial enteropathogens and the hygiene habits of families who have had a child with typhoid fever (TF) are investigated. The sample was made up of 80 families: 40 families in which one child had had TF (Group A) and 40 in which no children or either of the parents had had a history of TF (Group B). In each group 20 families belonged to a low socioeconomic status (SES) and 20 to a high SES. A structured interview was used to evaluate the SES and the hygiene habits of the child; observations were made to measure the hygiene habits of the family (toilet, kitchen and food preparation) and bacteriological studies (fecal samples and hand markers). Results show that carriers were more frequent in Group A than in Group B. The bacterial species found were significantly more numerous in Group A than in Group B (fecal samples: E. coli, the classic serotypes, Shigella ssp, and hand markers: E. coli). Families of Group A had higher carriage rates than those of Group B. Finally there exists a significantly higher association between inadequate hygiene habits and carrier families. These results show the need to teach specific habits of proper hygiene to the entire population, because the fact of belonging to the high SES does not in itself preclude inadequate hygiene habits.

Adolescent↗
PubMedDate not supplied

Waiting to get better: a dilemma regarding habits in daily occupations after stroke.

The purpose of this study was to explore and gain an understanding of how habits are experienced when performing daily occupations after a stroke. In-depth interviews were conducted with 7 participants and a constant comparative method was used for data analysis. Four men and three women with stroke between the ages of 42 and 82 years participated in the study. The interviews were conducted 1.5 to 7 months after the participants had been discharged from hospital to their home. The findings show that the participants experienced frustration when performing daily occupations because changes in their performance meant that former habits could not automatically be reestablished; daily occupations had to be re-organized and planned with greater deliberation than had been required prior to the stroke. In reestablishing their daily occupations, the participants experienced an ongoing conflict about whether or not to develop new habits. Although adaptation and change would be beneficial in the short-term, both also represented giving up possible improvements, and participants seemed to consider that their eventual recovery and independence would be compromised if they allowed themselves to alter their habits. This dilemma led to a sensation of waiting: waiting to get better, waiting for another solution and waiting for the treatment to make an impact. As a result, few new habits were established in daily occupations. The findings suggest that occupational therapists need to be aware of the dilemma clients may perceive regarding decisions about whether or not to adapt and develop new habits during poststroke recovery.

Adult↗
PubMed2001

[A study on improving tongue functions of open-bite children at the mixed dentition period--modifications of a removable habit-breaker appliance and their sonographic analysis].

In open-bite cases at developing dental stages, oral morphologies have been thought to have a close relationship to tongue movement. The aim of this study was to design a new type of removable habit-breaker, and to examine its effects on tongue movement compared with the conventional habit-breaker. The examinees in the mixed dentition period, who had anterior open bite with tongue thrust, consisted of two groups: 10 children who had been treated with conventional habit-breakers with tongue cribs (the upper group), and 10 children treated with the modified habit-breakers (the lower group). And 10 children with normal occlusion of the same age were added, as a control group. The tongue movements during swallowing, with and without the appliances, were analyzed twice: at the start of, and 6 months after, application of the appliances, by sonography. The results were as follows. 1. The design of a habit-breaker was decided according to the results of a preliminary experiment. The appliance had not only a resin-fence but also a tongue-lifting guide. 2. The upper group showed significant changes in the movement only at the lateral margin of the tongue after 6 months, with and without the appliance. 3. The lower group, however, showed significant changes in the movement at the wider area of the tongue, including the central groove formation, just after applying the appliance, and after 6 months, with and without the appliance. 4. The present results indicated that the modified appliance was more effective in improving tongue function than the conventional habit-breaker.

Child↗
PubMed1999

[Risk of death by health habit index from a cohort study among the residents of a rural area in Aichi, Japan].

To clarify the validity of the health habit index, we evaluated risk of death by health habit index in residents in Aichi Prefecture. Subjects were 7,662 residents aged 40-79 years living in a rural area of Aichi Prefecture who responded to a questionnaire in 1988, that included 12 health habit items on diet, physical activity, rest, mental health, smoking, drinking and regular health check. Data on death and migration in this cohort group was collected from 1990 to 1997. The risk ratios (RRs) of death for all causes, cancer and cardiovascular diseases were estimated by Cox's proportional hazard model. The number of all causes of death, cancer and cardiovascular diseases was 650, 240 and 197, respectively. Proper health habits of adequate but not over eating, regular physical activity, properly managing stress, non-smoking or smoking cessation for one year or more and regular health examinations in men and regular physical activity and non-smoking in women related to lower age-adjusted RR of death for all causes, while smoking cessation of less than one year in men with increased RR. Lower RR of cancer was observed for non-smoking men, and for women who occasionally have enough sleep. Proper health habits on adequate but not overeating, enjoying mealtime, regular physical activity, properly managing stress, moderate drinking (< 2 "go"/day) or occasional heavy drinking and regular health examinations related to lower RR of cardiovascular diseases in men, while regular physical activity related to lower RR in women. Multivariate analysis for the RR of death for all causes showed similar results, except higher RR in the men who avoided excess salt consumption, and decreased RR in the women who occasionally have enough sleep. In conclusion, the present study suggested that regular physical activity is associated with decreased risk from death for all causes, especially for cardiovascular diseases. Health habit index in the present study included various items with or without association to risk for death. It is important to apply this index to health promotion on the basis of its specific characteristic.

Adult↗
PubMedDate not supplied

[Effect of the early intervention of oral habits on the development of dental occlusion].

BACKGROUND: Sucking habits are related to malocclusion. AIM: To evaluate the effect of a counseling interview about inhibiting this oral habit and, its influence on dental occlusion and labial-lingual posture. METHOD: 40 children (mean age = three years), with a sucking habit and anterior open bite, received counseling aiming for the interruption of this habit. Measurements of the open bite were made, as well as a myofunctional evaluation, prior to counseling and, three and six months after it. RESULTS: 26 children stopped with the habit of sucking, with 25 children presenting a reduction of the open bite. No change was observed in labial-lingual posture. CONCLUSION: The counseling interview favored the interruption of the oral habit and the correction of the open bite.

Bottle Feeding↗
PubMed2006

Long-term variation in fruiting and the food habits of wild Japanese macaques on Kinkazan Island, northern Japan.

We studied the relationship between the food habits of Japanese macaques (Macaca fuscata) and the availability of nuts (Fagus crenata, Zelkova serrata, Carpinus spp., and Torreya nucifera) on Kinkazan Island, northern Japan, from 1997 to 2005 to examine the long-term variations in both food habits and availability. The food habits of the monkeys showed clear seasonal changes: the staple foods were woody leaves and flowers in spring (May and June), woody leaves and seeds or fruits other than nuts in summer (July and August), nuts and seeds or fruits other than nuts in fall (September-November), and herbaceous plants in winter (December-April). The availability of nuts, combinations of masting species, and energy production varied among years. Food habits varied among years, but the magnitude of variability of food habits differed among seasons, with large variability during summer and winter, and small variability in spring. Food availability was poor in summer and winter, but in several years the monkeys were able to consume nuts during those seasons. We emphasize the importance of conducting long-term studies on both food availability and the food habits of animals in the temperate zone.

Adaptation, Physiological↗
PubMed2005

Supercritical fluid crystallization of griseofulvin: crystal habit modification with a selective growth inhibitor.

Poly (sebacic anhydride) (PSA) was used as a growth inhibitor to selectively modify habit of griseofulvin crystals formed via the Precipitation with a compressed-fluid antisolvent (PCA) process. PSA and griseofulvin were coprecipitated within a PCA injector, which provided efficient mixing between the solution and compressed antisolvent process streams. Griseofulvin crystal habit was modified from acicular to bipyramidal when the mass ratio of PSA/griseofulvin in the solution feed stream was <or=1:1. The habit modification was attributed to the preferential adsorption of PSA to the fastest growing crystal face of the acicular crystal form, which inhibited growth. Scanning electron microscopy (SEM) was used to characterize the griseofulvin and PSA particles, and gave results consistent with a selective growth inhibition mechanism. SEM micrographs showed regions on griseofulvin crystals where PSA microparticles had preferentially adsorbed. X-ray powder diffraction (XRPD) and differential scanning calorimetry (DSC) analysis of the griseofulvin crystals indicated no changes in the crystalline form after the habit modification. Powder compressibility decreased from 49 +/- 3% to 28 +/- 7% with the modification in crystal habit. No change in the physical stability of the processed powder was observed after being stored at 25 degrees C/60% RH and 40 degrees C/70% RH for 23 days. Despite the change in crystal habit, griseofulvin crystals achieved 100% dissolution within 60 min in a simulated gastric fluid.

Anhydrides↗
PubMed2005

The effect of combat rations on bowel habits in a combat environment.

BACKGROUND: Combat rations have long been suspected to affect the bowel habits of deployed soldiers by causing significant constipation. This may create morbidity and result in decreased troop readiness. In a uniform population of deployed combat soldiers, we sought to determine the effect of combat rations on changes in bowel habits. METHODS: Over a 4-month period from December 2001 through March 2002, 118 soldiers were followed prospectively using a bowel habit diary. Soldiers were evaluated by age, race, gender, past medical history, ration intake, and medications including fiber use. Subjects were then screened for changes in diarrhea and constipation. We performed an analysis to determine predictors for changing habits. RESULTS: There were 108 males and 10 females. Mean follow-up was 42.6 +/- 23.1 days. Groups were comparable in demographics, time in the combat zone, and fluid/fiber intake (P = not significant [NS]). No change in habits were found in 58%, 19% had an increase in constipation, 13% had an increase in diarrhea, and 10% had increase in both diarrhea and constipation, while 8% had improvements. CONCLUSION: Combat rations and environment have variable effects on bowel habits, with no loss in workdays. Although 64% of subjects experienced either no change or improvement, and 36% had worsened symptoms, this appears unrelated to ration or fiber intake.

Adult↗
PubMed2004

A dissociation of dorso-lateral striatum and amygdala function on the same stimulus-response habit task.

This experiment tested the idea that the amygdala-based learning and memory system covertly acquires a stimulus-reward (stimulus-outcome) association during acquisition of a stimulus-response (S-R) habit task developed for the eight-arm radial maze. Groups of rats were given dorso-lateral striatal or amygdala lesions and then trained on the S-R habit task on the eight-arm radial maze. Rats with neurotoxic damage to the dorso-lateral striatum were severely impaired on the acquisition of the S-R habit task but showed a conditioned-cue preference for the stimulus reinforced during S-R habit training. Rats with neurotoxic damage to the amygdala were able to acquire the S-R habit task but did not show a conditioned-cue preference for the stimulus reinforced during S-R habit training. This pattern of results represents a dissociation of learning and memory functions of the dorsal striatum and amygdala on the same task.

Amygdala↗
PubMed2004

Food habits, physical activity and body mass index in relation to smoking status in 40-42 year old Norwegian women and men.

BACKGROUND: The aim of the study was to examine the associations between smoking habits, and dietary habits, physical activity and body mass index (BMI) in Norway in 1997-1999. METHODS: The study was cross-sectional. Data on smoking habits, consumption of selected foods and physical activity were collected by questionnaire while body height and weight were measured in 59,361 subjects 40-42 years in 11 Norwegian counties. RESULTS: In both genders, nearly twice as many never smokers than current smokers had fruit or vegetables at least twice a day; 25.5% versus 13.3% for women and 10.5% versus 4.6% for men. The proportion of non-smoking women with a high intake of fish and fruit/vegetables was considerably higher than that of non-smoking men. Mean BMI (95% confidence interval (CI)) was higher for never smokers than for current smokers; 25.2 (25.1-25.3) versus 24.7 (24.6-24.8) kg/m2 for women and 26.6 (26.5-26.7) versus 26.1 (26.0-26.2) kg/m2 for men. The prevalence of obesity (BMI > or =30 kg/m2) (mean and 95% CI) was 12.5% (11.9-13.1%) and 14.4% (13.7-15.1%) among never-smoking women and men, respectively, whereas in smokers, the prevalence of obesity was 10.3% (9.8-10.8%) in women and 12.3% (11.7-12.9%) in men. The prevalence of performing strenuous physical activity at least 1 h a week was approximately 10% lower among current smokers than among non-smokers for both men and women. CONCLUSION: We found that non-smokers had healthier eating habits and higher levels of physical activity than did smokers, whereas the prevalence of obesity was lower in smokers. On the other hand, there were considerable gender differences, and female smokers' eating habits were as healthy as non-smoking males' eating habits.

Adult↗
PubMedDate not supplied

[Smoking habits, exposure to environmental tobacco smoke, and respiratory symptoms in schoolchildren aged 14-15 years in Terrassa (Barcelona)].

OBJECTIVES: Assessment of the prevalence of smoking habits, environmental tobacco exposure, and asthma-related symptoms in a cross-sectional study in schoolchildren aged 14-15 years in Terrassa (Barcelona). METHODS: A sample of 793 students from 21 schools answered a self-administered questionnaire including information on smoking habits, environmental tobacco exposure and asthma-related symptoms. RESULTS: The prevalence of smoking daily was 16.3% (CI 13. 7-18.9); no difference between sexes were observed, while the proportion of occasional smokers was higher among girls. Age, maternal habit, friend's smoking habit and having older siblings were independently associated to the schoolchildren's smoking habits. Overall, 13% reported a positive history of wheezing and 20.3% of nocturnal cough during the previous year. Smoking daily and passive smoking were positively associated with the prevalence of asthma-related symptoms, but not with previous diagnosis of asthma. CONCLUSIONS: The prevalence of smoking among adolescents seems to have levelled off. There is some trend toward a higher prevalence among girls than among boys. The presence of smoking in the social environment is a strong predictor of the smoking habits among schoolchildren. Both active smoking and environmental exposure to tobacco smoke are associated to increased asthma-related symptoms.

Adolescent↗
PubMedDate not supplied

Breast-feeding and deleterious oral habits in mouth and nose breathers.

AIM: Breast-feeding promotes several benefits in childhood, among them favoring the nasal breathing. In the present study, the relationship between breathing pattern and the history of breast-feeding and of deleterious oral habits was determined. STUDY DESIGN: clinical with transversal cohort. MATERIAL AND METHOD: The study population consisted of 62 children ranging in age from 3 years and 3 months to 6 years and 11 months who were submitted to otorhinolaryngologic evaluation to determine nasal and mouth breathers and to a speech language pathologic interview. The otorhinolaryngologic evaluation involved the following exams: anterior rhinoscopy, oroscopy and radiologic examination. The parents of the children were questioned about the form of feeding (natural and/or artificial), the duration of breast-feeding and the presence of deleterious oral habits (suction and biting). The Fisher exact test was used to compare groups regarding the presence and absence of habits and the different periods of breast-feeding. RESULTS: The breast-feeding period was longer among nasal breathers and was concentrated in the period between 3 and 6 months of age. Regarding the use of bottle, the results showed that most of the children in both groups used this type of feeding during the first years of life, with no significant difference between groups (p=0.58). There was a marked presence of deleterious oral habits among mouth breathers, with a statistically significant difference between groups regarding suction (p=0.004) and biting habits (p=0.0002). CONCLUSION: Mouth breathing children were breast-fed for a shorter period of time and had a history of deleterious oral habits compared to nose breathers.

Breast Feeding↗
PubMed1999

Influence of crystal habit on trimethoprim suspension formulation.

PURPOSE: The role of crystal habit in influencing the physical stability and pharmacokinetics of trimethoprim suspensions was examined. METHODS: Different habits for trimethoprim (TMP) were obtained by recrystallizing the commercial sample (PD) utilizing solvent-change precipitation method. Four distinct habits (microscopic observation) belonging to the same polymorphic state (DSC studies) were selected for studies. Preformulation and formulation studies were carried out on suspension dosage forms containing these crystals. The freshly prepared suspensions were also evaluated for their pharmacokinetic behaviour on healthy human volunteers using a cross over study. RESULTS: Variation of crystallization conditions produces different habits of TMP. Among the different crystal habits exhibiting same polymorphic state, the most anisometric crystal showed best physical stability in terms of sedimentation volume and redispersibility. However, habit did not significantly affect the extent of TMP excreted in urine. CONCLUSIONS: Modification of surface morphology without significantly altering the polymorphic state can be utilized for improving physical stability of TMP suspensions. However, the pharmacokinetic profile remains unaltered.

Adult↗