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Moving Out of Shadows: Depression among the Elderly in Dehradun District of Uttarakhand, India. 走出阴影:印度北阿坎德邦德拉敦地区老年人的抑郁症。
Pub Date : 2020-07-31 DOI: 10.15280/jlm.2020.10.2.102
Kritika Tiwari, Pradeep Aggarwal, Rakesh Kakkar, Ashitabh Tiwari
Background Depression, a stigma swept under the rug, has morphed to be tabbed as the theme of World Health Day 2017 by the World Health Organization (WHO). Depression in old age is stereotypically tethered to the ageing process but it is a medical problem that has been under-researched. This study was conducted to estimate the point prevalence of depression among the elderly in Dehradun district of Uttarakhand and to identify its predictor variables. Methods It was a cross-sectional study conducted in Dehradun district of Uttarakhand (India) among 660 elderlies (≥60 years) from three strata (rural, urban and special groups). The Hindi version of long form of Geriatric Depression Scale (GDS-H) was used to identify mild and severe depression. All statistical analyses were carried out by SPSS software (version 22) at 5% level of significance. Results The arithmetic mean (±SD) of GDS scores was 10.62 (±6.1). 55% elderly were found to be suffering from depression (46.8% mild and 8.2% severe depression). Bivariate analysis showed significant association of depression with increasing age, female gender, place of residence, type of family, living without spouse, financial dependency, involvement in any kind of substance abuse and suffering from some chronic morbidities like osteoarthritis, chronic respiratory illness, skin diseases, visual impairment or hearing impairment. These predictor variables were further subjected to multivariate analysis. Conclusion The high prevalence of depression in old age and its multifactorial association tags it as a public health problem in this age group which should be recognized and managed before it becomes a health menace.
背景:抑郁症是一种被掩盖的耻辱,世界卫生组织(世卫组织)已将其列为2017年世界卫生日的主题。人们通常把老年抑郁症与衰老过程联系在一起,但这是一个尚未得到充分研究的医学问题。本研究旨在估计北阿坎德邦德拉敦地区老年人抑郁症的点患病率,并确定其预测变量。方法:在印度北阿坎德邦德拉敦地区对660名年龄≥60岁的老年人(农村、城市和特殊人群)进行横断面研究。使用印地语版老年抑郁量表(GDS-H)来识别轻度和重度抑郁症。所有统计分析均采用SPSS软件(版本22)进行,显著性水平为5%。结果:GDS评分的算术平均值(±SD)为10.62(±6.1)。55%的老年人患有抑郁症,其中轻度抑郁症占46.8%,重度抑郁症占8.2%。双变量分析显示,抑郁症与年龄增长、女性性别、居住地、家庭类型、无配偶生活、经济依赖、参与任何类型的药物滥用以及患有骨关节炎、慢性呼吸道疾病、皮肤病、视力障碍或听力障碍等慢性疾病有显著关联。这些预测变量进一步进行多变量分析。结论:老年抑郁症的高患病率及其多因素相关性标志着老年抑郁症是一个公共卫生问题,应在其成为健康威胁之前予以认识和管理。
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引用次数: 1
Prevalence of Musculoskeletal Disorders among Sewing Machine Workers in a Leather Industry. 皮革工业缝纫机工人肌肉骨骼疾病的患病率。
Pub Date : 2020-07-31 DOI: 10.15280/jlm.2020.10.2.121
Vadivelan Kanniappan, Vignesh Palani

Background: Musculoskeletal disorders are the group of disorders which affects the muscles, tendons, ligaments, joints, peripheral nerves and supporting blood vessels in the body. Sewing machine involves continuous, repetitive tasks like cutting, assembly, pressing and finishing. These works are performed in a sitting posture with upper back curved forwards and the head is bent towards the sewing machine. Working in this faulty posture for a long time increases the chance of developing work related musculoskeletal disorder among them. The objective of study is prevalence of musculoskeletal complaints among sewing machine workers in leather industry.

Methods: A non- experimental study with 100 subjects according to inclusion and exclusion criteria. Using the NORDIC QUESTIONNAIRE musculoskeletal pain have been analysed.

Results: The statistical analysis of this study show 88% of sewing machine workers had a lower back pain in the last 12 months, 82% sewing machine workers had a lower back and knee pain that has been prevented them over last 12 months during normal activity, 86% sewing machine workers had lower back pain in the last 7 days.

Conclusion: This study concluded that the 86% experienced low back pain, 84% experienced knee pain and 74% of experienced neck pain in past 7 days. 88% of experienced low back pain, 86% experienced knee pain, 76% experienced neck pain in past 12 months.82% experienced pain in lower back and knee pain and 72% experienced neck pain among sewing machine manual workers that has impacted over last 12 months during normal activity.

背景:肌肉骨骼疾病是一组影响身体肌肉、肌腱、韧带、关节、周围神经和支持血管的疾病。缝纫机包括连续的、重复的工作,如切割、装配、熨烫和整理。这些工作是在坐着的姿势下进行的,上背部向前弯曲,头朝着缝纫机。长时间以这种错误的姿势工作,会增加他们患上与工作相关的肌肉骨骼疾病的机会。摘要本研究旨在了解皮革业缝纫机工人肌肉骨骼疾患的发生率。方法:采用非实验研究,纳入排除标准100例。使用北欧问卷对肌肉骨骼疼痛进行了分析。结果:本研究的统计分析显示,88%的缝纫机工人在过去12个月内有过腰痛,82%的缝纫机工人在过去12个月的正常活动中有过腰痛和膝盖痛,86%的缝纫机工人在过去7天内有过腰痛。结论:本研究得出的结论是,86%的患者在过去7天内经历过腰痛,84%的患者经历过膝盖疼痛,74%的患者经历过颈部疼痛。88%的人经历过腰痛,86%的人经历过膝盖痛,76%的人经历过脖子痛。在过去12个月的正常活动中,缝纫机手工工人中有82%的人经历过腰痛和膝盖痛,72%的人经历过颈部痛。
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引用次数: 9
Back to Fine Work with Fine Surgery. 回到精细手术的精细工作。
Pub Date : 2020-07-31 DOI: 10.15280/jlm.2020.10.2.126
Ravitheja Jampani, Varun Takkallapally

Generation Z of this millennial period has a very active lifestyle. Generation Z is demographic cohort with date of birth between mid-1990s to late 2010. In recent times men and women are very active and they balance their work and recreation. They have focus in their occupation and same way they have passion towards biking, diving and sports. We present a case of software engineer who has sustained an injury while pursuing his passion of bike driving on a weekend holiday. He sustained a crush injury to fingers of dominant right-hand index and middle finger. We had a comprehensive preoperative and postoperative plan and executed the plan well so that he could go back to his occupation of software engineer where he has to use his fingers over keyboard and mouse so that he can earn his livelihood. Treating an injury has to include patient's occupation, his passion,his needs and demands. Crux of any management must include patient demands rather than surgeon's passion of doing a fancy procedure.

千禧一代的Z一代有着非常积极的生活方式。Z世代是指出生日期在20世纪90年代中期至2010年底之间的人口统计学群体。在最近的时代,男人和女人都非常活跃,他们平衡了工作和娱乐。他们专注于自己的职业,同样他们对骑自行车、潜水和体育运动充满热情。我们提出了一个案例的软件工程师谁已经持续受伤,而追求他的激情骑自行车在周末假期。他右手食指和中指的手指受到挤压伤。我们有一个全面的术前和术后计划,并执行得很好,这样他就可以回到他的软件工程师的职业,他必须用他的手指在键盘和鼠标上,他可以赚取他的生计。治疗一种伤害必须包括病人的职业,他的激情,他的需要和要求。任何管理的关键都必须包括病人的需求,而不是外科医生做花哨手术的激情。
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引用次数: 0
The Validity of the YMCA 3-Minute Step Test for Estimating Maximal Oxygen Uptake in Healthy Korean and Vietnamese Adults. YMCA 3分钟步法评估健康韩国和越南成人最大摄氧量的有效性。
Pub Date : 2020-01-31 DOI: 10.15280/jlm.2020.10.1.21
Nguyen Thi Van Kieu, Su-Jin Jung, Sang-Wook Shin, Han-Wool Jung, Eun-Soo Jung, Yu Hui Won, Young-Gon Kim, Soo-Wan Chae

Background: Cardiorespiratory fitness (CRF) is a fundamental component of physical fitness. While maximal oxygen uptake (VO2max) is the gold standard for quantifying CRF, standard maximal exercise tests using direct measurements VO2max are dependent on the availability of laboratory equipment, and thereby expensive and time consuming. Recently, an equation was formulated to indirectly estimate VO2max using the YMCA 3-minute step test.

Methods: The study included 15 Korean (KR) and 15 Vietnamese (VN) healthy adults aged 19-35 years. All subjects completed a YMCA 3-minute step test (YMCA 3MST) and a maximal exercise treadmill test to predict VO2max and VO2max measures, respectively.

Results: There was a significant relationship between VO2max predicted from the YMCA 3MST and actual VO2max measurements from the treadmill test (r = 0.80, p < 0.0001; KR group: r = 0.81, p < 0.0001; VN group: r = 0.93, p < 0.0001). Bland-Altman analysis revealed statistical agreement between tests, although there was a systematic overestimation of 3.36 mL/kg/min for the KR group.

Conclusion: The equation for predicting VO2max from the YMCA 3MST was validated among the study subjects. However, future research should explore the validity and reliability of the YMCA 3MST equation for estimating VO2max in other populations.

背景:心肺健康(CRF)是身体健康的基本组成部分。虽然最大摄氧量(VO2max)是量化CRF的黄金标准,但使用直接测量VO2max的标准最大运动测试依赖于实验室设备的可用性,因此昂贵且耗时。最近,制定了一个公式,间接估计VO2max使用YMCA 3分钟步测。方法:选取15名年龄在19-35岁的韩国(KR)和15名越南(VN)健康成人。所有受试者分别完成了YMCA 3分钟步行测试(YMCA 3MST)和最大运动跑步机测试,以预测VO2max和VO2max测量值。结果:YMCA 3MST预测的VO2max与跑步机试验的实际VO2max测量值之间存在显著相关性(r = 0.80, p < 0.0001;KR组:r = 0.81, p < 0.0001;VN组:r = 0.93, p < 0.0001)。Bland-Altman分析显示试验之间的统计一致,尽管KR组有3.36 mL/kg/min的系统高估。结论:YMCA 3MST预测VO2max的公式在研究对象中得到了验证。然而,未来的研究应该探索YMCA 3MST方程在其他人群中估计VO2max的有效性和可靠性。
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引用次数: 18
The Effectiveness of Mindfulness-Based Art Therapy (MBAT) on Healthy Lifestyle in Iranian Menopausal Women. 正念艺术疗法(MBAT)对伊朗更年期妇女健康生活方式的影响
Pub Date : 2020-01-31 DOI: 10.15280/jlm.2020.10.1.44
Zeinab Jalambadani

Background: The purpose of this study was to determine the effectiveness of mindfulness-based art therapy (MBAT) in promoting life style in Iranian menopausal women.

Methods: This study was a quasi experimental study that was conducted on 104 menopausal women in Neyshabur,Iran 2018. One hundred and four menopausal women completed both the pre- and post-study measurements. The MBAT group demonstrated a significant decrease in symptoms of distress and significant improvements in key aspects of the health-related style of life (as measured by HPLPII questionnaire).

Results: The MBAT interventions had a significant effect on improving lifestyle behaviors (p < 0.05). Among the dimensions of style of life, the highest mean score was for nutrition (35.14 ± 3.35), and the lowest score was achieved by the subdomains of physical activity (14.89 ± 3.55). The mean (standard deviation) scores of stress management, interpersonal relations and health responsibility were 21.54 ± 1.12, 26.00 ± 2.54 and 16.87 ± 4.10, respectively.

Conclusion: This investigation of MBAT provides initial encouraging data that support a possible future role for the intervention as a psychosocial option for decrease in symptoms of distress menopausal women and improve lifestyle.

背景:本研究的目的是确定正念艺术疗法(MBAT)在改善伊朗更年期妇女生活方式方面的有效性。方法:本研究是一项准实验研究,于2018年在伊朗Neyshabur对104名绝经妇女进行研究。104名更年期妇女完成了研究前和研究后的测量。MBAT组表现出痛苦症状的显著减少,在与健康相关的生活方式的关键方面有显著改善(通过HPLPII问卷测量)。结果:MBAT干预对改善生活方式行为有显著作用(p < 0.05)。生活方式维度中,营养得分最高(35.14±3.35),体育活动得分最低(14.89±3.55)。压力管理、人际关系和健康责任的平均(标准差)得分分别为21.54±1.12、26.00±2.54和16.87±4.10。结论:MBAT的调查提供了初步的令人鼓舞的数据,支持可能的未来作用的干预作为一种社会心理选择,以减少更年期妇女的痛苦症状和改善生活方式。
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引用次数: 7
Relation of Physical Activity with the Depression: A Short Review. 体育活动与抑郁症的关系:综述。
Pub Date : 2020-01-31 DOI: 10.15280/jlm.2020.10.1.1
Mohammad Abu Shaphe, Aksh Chahal

According to the studies, physical exercise can prove to be a viable tool for the treatment of depressed patients. In the present review, various research studies from the year 2017-2019 were analyzed. Various reviews also confirmed that exercise played important role in the treatment of depression. After study, it was confirmed that structured and adherence to the exercise played an important role in the success of exercise protocol towards the treatment of patients. Conventional methods such as pharmacotherapy and psychotherapy were also discussed. It was also studied that sedentary behavior of patients with mental disorder can affect the patient badly. Therefore, all the studies concluded that exercise can be considered as better tool for the treatment of depressed patients if exercise are structured and protocol are regularly performed.

根据这些研究,体育锻炼可以被证明是治疗抑郁症患者的可行工具。在本综述中,分析了2017-2019年的各种研究。各种评论也证实,运动在治疗抑郁症方面发挥了重要作用。经过研究,证实了运动的结构和坚持在运动方案对患者治疗的成功中起着重要作用。对药物治疗和心理治疗等常规方法也进行了讨论。也有研究表明,精神障碍患者的久坐行为会对患者造成严重影响。因此,所有的研究都得出结论,如果运动是有组织的,并且有规律地执行,运动可以被认为是治疗抑郁症患者的更好的工具。
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引用次数: 11
Rumple-Leede Phenomenon Associated with Leg Massager. 与腿部按摩器相关的皱褶现象。
Pub Date : 2020-01-31 DOI: 10.15280/jlm.2020.10.1.64
Sharad Mutalik, Vasudha Belgaumkar, Yashashree Rasal
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引用次数: 0
To Compare the Effect of Eccentric Exercises and Isometric Exercises for Achilles Tendinitis in Skaters. 比较偏心运动和等距运动对滑冰运动员跟腱炎的影响。
Pub Date : 2020-01-31 DOI: 10.15280/jlm.2020.10.1.49
Vadivelan Kanniappan, Abhijith M Sathosh

Background: Achilles tendinitis is one of the commonest injuries that happen to skaters. Roller skates traditionally have four wheels onto axles, one under the ball of the foot and one under the heel. Skaters have to maintain a closed kinematics chain which involves continuous trunk and hip flexion along with knee flexion and ankle dorsiflexion. It creates angular tension and strain in the muscles and tendons which can lead to different types of musculotendinous injuries. As not many studies has not been done on the prospect in India this study was done with a objective to compare the effect eccentric exercise and isometric exercise on Achilles tendinitis for skaters.

Methods: A Quasi-experimental study with 40 subjects of the age group between 15 and 25 was administered the VISA-A Questionnaire and VAS as outcome measures. A sample size of 40 was separated into two groups of 20 participants each into Group A (eccentric) and Group B (isometric). Pre-test and post-test were done using the VISA-A questionnaire and VAS Scale in the Study period- 4 weeks.

Results: There was a significant difference during the comparison between pre-test and post-test values (p < 0.005) of isometric exercise and eccentric exercise by VISA-A questionnaire and VAS scale but there was insignificance during the comparison of post-test values (p > 0.005) of the same.

Conclusion: The study concludes that there is a significant improvement in Achilles tendinitis when assessed with VISA-A questionnaire and VAS Scale for both the exercise; that is, eccentric and isometric, individually but it isn't statistically significant enough to choose one method of intervention over the other.

背景:跟腱炎是滑冰运动员最常见的损伤之一。传统的轮滑有四个轮子,一个在脚掌下面,一个在脚后跟下面。滑冰运动员必须保持一个闭合的运动学链,包括连续的躯干和髋关节屈曲以及膝关节屈曲和踝关节背屈。它会在肌肉和肌腱中产生角张力和拉伤,从而导致不同类型的肌肉肌腱损伤。由于在印度对这一前景的研究不多,本研究的目的是比较偏心运动和等距运动对滑冰运动员跟腱炎的影响。方法:采用准实验研究方法,对40名年龄在15 ~ 25岁的被试进行VISA-A问卷和VAS评分。40人的样本量被分为两组,每组20人被分为A组(偏心)和B组(等距)。研究期间- 4周采用VISA-A问卷和VAS量表进行前测和后测。结果:VISA-A问卷和VAS量表对等距运动和偏心运动的测前值与测后值比较差异有统计学意义(p < 0.005),而对等距运动和偏心运动的测后值比较差异无统计学意义(p > 0.005)。结论:采用VISA-A问卷和VAS量表对两种运动的跟腱炎进行评估,均有显著改善;也就是说,偏心和等距,但在统计上没有足够的意义来选择一种干预方法。
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引用次数: 7
Promoting Healthy Lifestyle in High School Students: Determination of the Lifestyle Status through the Healthy Lifestyle Screen (HLS) Assessment. 促进高中生健康生活方式:通过健康生活方式屏幕(HLS)评估确定生活方式状况。
Pub Date : 2020-01-31 DOI: 10.15280/jlm.2020.10.1.30
Jerre Mae Tamanal, Cheong Hoon Kim

Background: Healthy lifestyle behaviors have given emphasis as an important characteristic in health promotion and to prevent diseases. Individuals who practiced healthy lifestyle behaviors in the early stage of life can withstand health risks in later life. To this end, researchers conducted a healthy lifestyle assessment as the initial step in school-based programs promoting healthy lifestyle and wellness among high school students. The aim of this study was to determine the lifestyle status among students and further assess lifestyle components that could affect them.

Methods: Data were collected from 380 high school students from grades eighth (n = 192) and tenth (n = 188). The Healthy Lifestyle Screen (HLS) was utilized to assess the lifestyle condition of the subjects of this study and it has components consisting dietary behavior, exercise or physical activity, water intake, sunshine exposure, temperance or self-control, quality of air, quality of rest or sleep, trust of which the higher score denotes healthier lifestyle.

Results: The results showed that respondents of the study are in the unstable lifestyle status as they obtained low mean sub-scale scores on lifestyle components such as water, rest and exercise. Lifestyle components included in HLS showed significant differences comprising the physical/mental, behavioral and environmental aspects (p < 0.001) associated with the general characteristics of the high school students.

Conclusion: Findings of this study showed the necessity in assessing the lifestyle status as an initial step for promoting, maintaining and establishing a well-balanced life and preventing the increase of health-risk behaviors and thus, highlighted the need of transforming healthy lifestyle behaviors among students through school-based intervention programs.

背景:健康的生活方式行为作为促进健康和预防疾病的重要特征已受到重视。在生命早期养成健康生活方式行为的个人可以抵御晚年的健康风险。为此,研究人员进行了一项健康生活方式评估,作为在高中学生中促进健康生活方式和健康的学校项目的第一步。本研究的目的是确定学生的生活方式状况,并进一步评估可能影响他们的生活方式组成部分。方法:对高中八年级(192名)和十年级(188名)380名学生进行调查。采用健康生活方式量表(HLS)评估研究对象的生活方式状况,包括饮食行为、运动或体力活动、饮水量、阳光照射、节制或自我控制、空气质量、休息或睡眠质量,其中得分越高表示生活方式越健康。结果:调查对象在饮水、休息、运动等生活方式组成部分的平均分量表得分较低,处于生活方式不稳定状态。生活方式组成部分包括与高中生一般特征相关的身体/心理、行为和环境方面(p < 0.001)。结论:本研究结果表明,评估学生的生活方式状况是促进、维持和建立健康的生活方式,预防健康风险行为增加的第一步,因此,强调了通过校本干预项目转变学生健康生活方式行为的必要性。
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引用次数: 11
Prevalence of Work Related Psychological and Musculoskeletal Problems among Business Process Outsourcing Workers. 业务流程外包工作者中与工作相关的心理和肌肉骨骼问题的患病率。
Pub Date : 2020-01-31 DOI: 10.15280/jlm.2020.10.1.55
Vadivelan Kanniappan, Jeninitha Selvakumar

Background: Musculoskeletal disorders are mainly caused due to static work which includes sitting and standing for a prolonged time and sedentary unhealthy lifestyle lead to physical related health problems and may affect one's psychosocial, physical and mental health. The purpose of the study is find out the prevalence of work related psychological and musculoskeletal problems among business process outsourcing workers.

Methods: An observational study in which 100 participants were included according to the inclusion and exclusion criteria with 50 males and 50 females. Participants with age of 20-35 years and minimum 1 year of work experience with alternative working shifts were selected for the study. Stress and burnout questionnaire, Cornell musculoskeletal discomfort questionnaire and body mass index calculator were used as an outcome measure in the study.

Results: Musculoskeletal problem was higher in neck region and wrist region and 2% participants had burnout stress syndrome.

Conclusion: High prevalence of musculoskeletal disorder found over neck region, hip/buttocks, wrist and low back and 2% of the population had burnout stress syndrome and no significance correlating body mass index and musculoskeletal disorder.

背景:肌肉骨骼疾病主要是由于长时间坐着和站立的静态工作和久坐不健康的生活方式导致身体相关的健康问题,并可能影响一个人的社会心理、身体和精神健康。本研究的目的是了解业务流程外包工作者中与工作相关的心理和肌肉骨骼问题的患病率。方法:采用观察性研究,按纳入和排除标准纳入100例受试者,男50例,女50例。参与者年龄在20-35岁之间,至少有1年的工作经验,可选择轮班工作。采用压力与倦怠问卷、康奈尔肌肉骨骼不适问卷和体重指数计算器作为研究的结果测量。结果:肌肉骨骼问题在颈部和腕部较高,2%的参与者有倦怠压力综合征。结论:颈部、髋部/臀部、腕部和下背部肌肉骨骼疾病患病率较高,2%的人群存在倦怠应激综合征,体重指数与肌肉骨骼疾病无显著相关性。
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引用次数: 3
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Journal of lifestyle medicine
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