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Racial Disparities in Occupational Distribution Among Black and White Adults with Similar Educational Levels: Analysis of Middle-Aged and Older Individuals in the Health and Retirement Study. 教育水平相近的黑人和白人成年人在职业分布上的种族差异:健康与退休研究》中对中老年人的分析。
Pub Date : 2024-01-01 Epub Date: 2024-03-12 DOI: 10.29245/2767-5122/2024/1.1141
Shervin Assari, Hossein Zare, Amanda Sonnega
<p><strong>Background: </strong>Occupational classes play a significant role in influencing both individual and population health, serving as a vital conduit through which higher education can lead to better health outcomes. However, the pathway from education to corresponding occupational classes does not apply uniformly across different racial and ethnic groups, hindered by factors such as social stratification, labor market discrimination, and job segregation.</p><p><strong>Aims: </strong>This study seeks to investigate the relationship between educational attainment and occupational classes among Black, Latino, and White middle-aged and older adults, with a focus on their transition into retirement.</p><p><strong>Methods: </strong>Using cross-sectional data from the Health and Retirement Study (HRS), this research examines the impact of race/ethnicity, educational attainment, occupational classes, and timing of retirement among middle-aged and older adults. The analysis includes a sample of 7,096 individuals identified as White, Black, or Latino. Through logistic regression, we assess the additive and multiplicative effects of race/ethnicity and education on six defined occupational classes: 1. Managerial and specialty operations, 2. Professional Specialty, 3. Sales, 4. Clerical/administrative support, 5. Services, and 6. Manual labor.</p><p><strong>Results: </strong>Participants were Black (n = 1,143) or White (n =5,953). This included Latino (N =459) or non-Latino (n = 6,634). Our analysis reveals a skewed distribution of Black and Latino adults in manual and service occupations, in stark contrast to White adults who were more commonly found in clerical/administrative and managerial positions. Educational attainment did not equate to similar occupational outcomes across racial groups. Key findings include: Firstly, Black individuals with a college degree or higher were less likely to occupy clerical and administrative positions compared to their White counterparts. Secondly, holding a General Educational Development (GED) credential or some college education was generally linked to reduced likelihood of being in managerial roles; however, this inverse relationship was less evident among Black middle-aged and older adults than White ones. Thirdly, having a GED reduced the chances of working in sales roles, while having a college degree increased such chances. An interaction between race and some college education revealed that the impact of some college education on sales roles was more significant for Black adults than for White ones. We did not observe any interaction between ethnicity (Latino) and educational attainment on occupational classes. Given the stability of occupational classes, these findings could also apply to the last occupation held prior to retirement.</p><p><strong>Conclusion: </strong>This study highlights significant racial disparities in occupational classes among individuals with comparable levels of education, unders
背景:职业等级在影响个人和人群健康方面发挥着重要作用,是高等教育带来更好健康结果的重要渠道。目的:本研究旨在调查黑人、拉丁裔和白人中老年人的教育程度与职业等级之间的关系,重点关注他们向退休的过渡:本研究利用 "健康与退休研究"(HRS)的横截面数据,探讨了种族/族裔、教育程度、职业等级和退休时间对中老年人的影响。分析对象包括 7096 名被认定为白人、黑人或拉丁裔的样本。通过逻辑回归,我们评估了种族/族裔和教育程度对六个确定的职业类别的相加和相乘效应:1.管理和专业操作,2.专业特长,3.销售,4.文书/行政支持,5.服务和 6.体力劳动。体力劳动:参与者为黑人(n = 1,143 人)或白人(n = 5,953 人)。其中包括拉丁裔(人数=459)或非拉丁裔(人数=6634)。我们的分析表明,黑人和拉丁裔成年人偏向于从事体力和服务职业,这与白人成年人更多从事文秘/行政和管理职位形成鲜明对比。不同种族群体的教育程度并不等同于相似的职业结果。主要发现包括首先,与白人相比,拥有大学或更高学历的黑人不太可能担任办事员和行政职务。其次,持有普通教育发展(GED)证书或受过一些大学教育一般与担任管理职务的可能性降低有关;但这种反比关系在黑人中老年人中不如在白人中老年人中明显。第三,拥有普通教育文凭会减少从事销售工作的机会,而拥有大学学历则会增加这种机会。种族与一定程度的大学教育之间的交互作用表明,一定程度的大学教育对销售角色的影响在黑人成年人中比在白人成年人中更为显著。我们没有观察到种族(拉丁裔)和教育程度对职业类别的交互作用。鉴于职业类别的稳定性,这些发现也可能适用于退休前从事的最后一种职业:本研究凸显了教育水平相当的个人在职业类别上的显著种族差异,强调了对健康和福利差异的深远影响。未来的研究应探索缓解劳动力市场歧视和工作隔离的策略,以此来缩小这些职业差距。此外,社会分层、工作隔离和历史遗留问题(如吉姆-克罗时代的影响)对这些差距的影响也值得进一步研究。解决这些问题对于提高所有人群的健康和福祉至关重要。
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引用次数: 0
Unequal Effect of Educational Attainment on Reducing Poverty and Welfare; Diminished Returns of American Indian/Alaska Native Populations. 教育程度对减少贫困和福利的不平等影响;美国印第安人/阿拉斯加原住民的回报减少。
Pub Date : 2024-01-01 Epub Date: 2024-06-19 DOI: 10.29245/2767-5122/2024/2.1143
Shervin Assari, Hossein Zare

Background: American Indian and Alaska Native (AIAN) communities face pronounced economic and health disparities compared to White Americans, a situation rooted in long-standing historical injustices and segregation. The theory of Minorities' Diminished Returns (MDR) provides insight beyond the traditional focus on socioeconomic status (SES) disparities, such as educational attainment. It suggests that the beneficial outcomes of educational achievements on health and economic status are less substantial for marginalized and racially non-White groups compared to White Americans.

Aims: This study investigates the applicability of the MDR theory to AIAN populations by examining whether the positive effects of education on poverty reduction and the decreased risk of disability benefit dependency are weaker for AIAN adults relative to their White counterparts.

Methods: Utilizing data from the 2022 National Health Interview Survey (NHIS), this cross-sectional study analyzed a cohort of 20,743 adults, comprising 20,474 White and 269 AIAN individuals. We assessed the relationships between educational attainment, poverty level, and the likelihood of receiving disability benefits. A structural equation model was employed, with receipt of disability benefits as a latent factor influenced by racial background (AIAN) as a potential moderator, education as the main predictor, and poverty level and self-rated health as mediators. Gender, age, employment status, marital status, and Hispanic ethnicity served as additional covariates.

Results: Findings indicate that higher educational levels are generally associated with a lower likelihood of receiving disability benefits, mediated by improved health and economic status. Nonetheless, the interaction between race (AIAN) and education significantly influenced economic outcomes, subsequently affecting the risk of receiving disability benefits. This suggests that Whites benefit more economically from education than AIAN individuals do.

Conclusion: The study underscores the MDR theory's relevance to the disparities in educational outcomes related to poverty risk and receiving disability benefits among AIAN populations. The challenges AIAN individuals face in leveraging their educational achievements for economic gain relative to Whites may be attributed to pervasive racism and discrimination within various sectors, including employment and education. Addressing these disparities necessitates policy interventions that ensure educational returns are equitable across racial groups, with a focus on equal access to resources and opportunities.

背景:与美国白人相比,美国印第安人和阿拉斯加原住民(AIAN)社区面临着明显的经济和健康差距,这种情况源于历史上长期存在的不公正和种族隔离。少数群体收益递减理论(MDR)超越了传统上对社会经济地位(SES)差距(如教育程度)的关注。该理论认为,与美国白人相比,教育成就对边缘化群体和非白人群体的健康和经济状况的有益影响较小。研究目的:本研究通过考察教育对减少贫困和降低残疾津贴依赖风险的积极影响是否弱于白人,来研究 MDR 理论在亚裔美国人群体中的适用性:这项横断面研究利用 2022 年全国健康访谈调查 (NHIS) 的数据分析了 20743 名成年人,其中包括 20474 名白人和 269 名亚裔美国人。我们评估了受教育程度、贫困水平和领取残疾津贴的可能性之间的关系。我们采用了一个结构方程模型,将领取残疾津贴作为一个潜在因素,种族背景(亚裔美国人)作为潜在调节因素,教育程度作为主要预测因素,贫困程度和自评健康状况作为中介因素。性别、年龄、就业状况、婚姻状况和西班牙裔是额外的协变量:研究结果表明,在健康状况和经济状况改善的中介作用下,教育水平越高,领取残疾津贴的可能性越低。然而,种族(亚裔美国人)和教育之间的交互作用会显著影响经济结果,进而影响领取残疾津贴的风险。这表明,与亚裔美国人相比,白人从教育中获得的经济收益更大:本研究强调了 MDR 理论与亚裔美国人中与贫困风险和领取残疾津贴相关的教育结果差异的相关性。相对于白人而言,亚裔美国人在利用其教育成就获得经济收益方面所面临的挑战,可归因于包括就业和教育在内的各个领域中普遍存在的种族主义和歧视。要解决这些差距,就必须采取政策干预措施,确保不同种族群体的教育回报是公平的,重点是平等获得资源和机会。
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引用次数: 0
Psychoanalytic and Sociobiological Factors in Attitudes toward Persons with Disabilities: Discussion Focused on Rehabilitation Counseling Profession 心理分析与社会生物学因素对残疾人态度的影响:以康复咨询专业为中心的探讨
Pub Date : 2023-10-10 DOI: 10.29245/2767-5122/2023/2.1135
Kenneth Thomas, Jeong Han Kim
This study's goal was to examine, expand upon, and update a chapter that was first printed in a relatively small number of copies of the book titled Essays and Research on Disability1. Thomas was the sole author of the original chapter, which discussed how attitudes about disability develop from a psychoanalytic and sociobiological perspective. Kin, reciprocal, and induced altruism were the first three altruism principles in sociobiology that were covered in this study. Then, Karen Horney's neo-Freudian viewpoint (i.e., less emphasis on sex and focused more on the social environment and culture regarding personality development) and traditional Freudian theories (such as castration anxiety, loss of love, and loss of the object) were tied to sociobiology, and this relationship was further addressed in terms of the evolution of attitude toward handicap. Then, recommendations were offered across a broad range of rehabilitation counseling services and educational practices that might be improved by using these insights, both clinically and politically. Finally, the present study extends this discussion by addressing similar concerns in the areas of counseling service priorities, multicultural rehabilitation counseling, and identity politics.
这项研究的目的是检查、扩展和更新一章,这一章最初是在一本名为《关于残疾的论文和研究》的书中印刷的,印数相对较少。托马斯是原始章节的唯一作者,该章节从精神分析和社会生物学的角度讨论了对残疾的态度是如何发展的。亲缘、互惠和诱导利他是本研究涉及的社会生物学中利他主义的前三个原则。然后,Karen Horney的新弗洛伊德观点(即较少强调性别,更多地关注人格发展的社会环境和文化)和传统弗洛伊德理论(如阉割焦虑,失去爱,失去目标)与社会生物学联系在一起,这种关系在对残疾态度的演变方面得到了进一步的解决。然后,在广泛的康复咨询服务和教育实践中提出建议,这些建议可能会通过临床和政治上的这些见解得到改善。最后,本研究通过在咨询服务优先级、多元文化康复咨询和身份政治领域解决类似问题来扩展这一讨论。
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引用次数: 0
Association Between Multifidus Intramyocellular Lipids and Pain-Related Disorders, Lumbar Spine Dysfunction, Gait Disturbance in Patients with Chronic Low Back Pain: A Cross-Sectional Study Using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire 多裂肌细胞内脂质与慢性腰痛患者疼痛相关疾病、腰椎功能障碍、步态障碍之间的关系:一项使用日本骨科协会背痛评估问卷的横断面研究
Pub Date : 2023-04-04 DOI: 10.29245/2767-5122/2023/1.1133
I. Ogon, H. Takashima, T. Morita, M. Yoshimoto, Yasushi Fujita, T. Takebayashi, A. Teramoto
Background and aims: Fat degeneration in the multifidus muscle (Mm) was more common than in other trunk muscles. We hypothesised that the lipid contents of the Mm and patient-reported quality of life (QOL) are related. However, there are no papers examining the association between fatty degeneration of the Mm and patient-reported QOL using magnetic resonance spectroscopy (MRS). This cross-sectional study aimed to investigate the association between patient-reported QOL, evaluated with the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ), and the intramyocellular lipid (IMCL) and extramyocellular lipid (EMCL) contents of the Mm and psoas major (PM) by MRS in patients with chronic low back pain (CLBP). Materials and Methods: Forty-eight patients (mean age, 64.2 ± 13.2 years; age range, 41–79 years) with nonspecific CLBP underwent MRS for the quantification of IMCL and EMCL of the right Mm and PM in a volume of interest at L4/L5. All subjects underwent MRS and completed the JOABPEQ in the same day. We performed multiple linear regression analysis of the IMCL and EMCL contents of the Mm and PM with the five domains of the JOABPEQ adjusted for age, sex, and body mass index. Results: The IMCL content of the Mm was correlated with pain-related disorders (standardised partial regression coefficient (β)=−0.59, p<0.01), lumbar spine dysfunction (β=−0.64, p<0.01), and social life dysfunction (β=−0.31, p<0.01) which showed moderate negative correlation, but not with psychological disorders. The EMCL content of the Mm was not correlated with the five domains of the JOABPEQ. The IMCL and EMCL contents of the PM was not correlated with the five domains of the JOABPEQ. Conclusions: IMCL content of the Mm was significantly correlated with the pain-related disorders, lumbar spine dysfunction, gait disturbance, and social life dysfunction domain scores of the JOABPEQ. Future studies using magnetic resonance spectroscopy of the Mm in patients with CLBP may help optimize exercise strategies using IMCL as an index to enhance patient-reported quality of life.
背景与目的:脂肪变性在多裂肌(Mm)比其他躯干肌肉更常见。我们假设Mm的脂质含量与患者报告的生活质量(QOL)相关。然而,目前还没有使用磁共振波谱(MRS)检查Mm脂肪变性与患者报告的生活质量之间关系的论文。本横断面研究旨在探讨日本骨科协会背痛评估问卷(JOABPEQ)评估的患者报告的生活质量与MRS测量的慢性下腰痛(CLBP)患者Mm和psoas major (PM)的细胞内脂质(IMCL)和细胞外脂质(EMCL)含量之间的关系。材料与方法:48例患者(平均年龄64.2±13.2岁;年龄范围(41-79岁),非特异性CLBP患者行MRS,量化L4/L5感兴趣体积右侧Mm和PM的IMCL和EMCL。所有受试者均在同一天接受MRS检查并完成JOABPEQ。我们对Mm和PM的IMCL和EMCL含量进行了多元线性回归分析,并根据年龄、性别和体重指数调整了JOABPEQ的五个域。结果:Mm中IMCL含量与疼痛相关障碍(标准化偏回归系数(β)= - 0.59, p<0.01)、腰椎功能障碍(β= - 0.64, p<0.01)、社交生活障碍(β= - 0.31, p<0.01)呈中度负相关,与心理障碍无相关性。Mm的EMCL含量与JOABPEQ的5个结构域无关。PM的IMCL和EMCL含量与JOABPEQ的5个域不相关。结论:Mm中IMCL含量与疼痛相关障碍、腰椎功能障碍、步态障碍、JOABPEQ社交生活功能障碍域评分显著相关。未来对CLBP患者Mm的磁共振波谱研究可能有助于优化运动策略,并将IMCL作为提高患者报告的生活质量的指标。
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引用次数: 0
A Single Session of Spinal Decompression with Oscillation and Videofluoroscopy 单次震荡和视频透视下的脊柱减压
Pub Date : 2023-03-24 DOI: 10.29245/2767-5122/2023/1.1132
Richard E. Busch III, Prahlad G. Menon, Sergey Leo Sorin
Background: Computerized spinal decompression using the intervertebral differential dynamics (IDD) therapy protocol has achieved 86–92% positive results in reducing back pain. There are many causes of back pain, and one of the most common is a degenerative disc. The etiology of a degenerative disc is not completely understood, but it can be related to acute injuries, repetitive stress, nutrition, genetic factors, and oxidative stress1. Standard of care may include physical therapy or manipulation to introduce movement to the spinal vertebrae. IDD Therapy® uses a calculated, sinusoidal, logarithmic primary waveform to separate the spinal vertebrae. More recent studies have shown that the addition of a secondary waveform gives a significant increase in efficacy. We observed these effects on the spine during an IDD Therapy® session. Methods: Images of the intervertebral space were taken by videofluoroscopy during the IDD Therapy® session. Results: The expected separation of L5-S1 was achieved. We also noted the separation profile of the vertebrae was uniquely uniform despite the graduated pressures, particularly when the secondary oscillation waveform was introduced. L5-S1 separation was 1 mm in size, and the anterior–posterior correlation was significant (p<0.05). Conclusion: Active oscillatory signaling introduced during the high-tension period of treatment may lead to more compliant muscle re-education and thus enhanced uniform separation of the vertebrae. We believe that IDD Therapy® using Accu-Spina® may achieve 92% positive results because the secondary oscillatory signal induces mechanotransduction of mechanical stimuli into electrochemical activity at the cellular level. Further research will lead to greater confidence and further exploration of mechanotransduction in intradiscal cellular tissues.
背景:使用椎间盘微分动力学(IDD)治疗方案的计算机脊椎减压在减轻背痛方面取得了86–92%的积极效果。背痛的原因有很多,其中最常见的是椎间盘退行性变。退行性椎间盘的病因尚不完全清楚,但它可能与急性损伤、重复应激、营养、遗传因素和氧化应激有关1。标准护理可以包括物理治疗或操作以将运动引入脊椎。IDD Therapy®使用计算的正弦对数主波形来分离脊椎。最近的研究表明,添加二次波形可以显著提高疗效。我们在IDD治疗®疗程中观察到了这些对脊柱的影响。方法:在IDD Therapy®治疗期间,通过视频荧光镜拍摄椎间隙图像。结果:L5-S1达到了预期的分离效果。我们还注意到,尽管有分级压力,特别是当引入二次振荡波形时,椎骨的分离轮廓是唯一均匀的。L5-S1间距为1mm,前后相关性显著(p<0.05)。结论:在治疗的高紧张期引入主动振荡信号可能会导致更顺从的肌肉再教育,从而增强椎骨的均匀分离。我们相信,使用Accu-Spina®的IDD Therapy®可以获得92%的阳性结果,因为次级振荡信号诱导机械刺激在细胞水平上转化为电化学活性。进一步的研究将使人们对椎间盘内细胞组织的机械转导有更大的信心和进一步的探索。
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引用次数: 0
Object Relations Theory: A Primer for Rehabilitation Psychologists 客体关系理论:康复心理学家入门读物
Pub Date : 2023-03-16 DOI: 10.29245/2767-5122/2023/1.1131
K. Thomas, Kaiqi Zhou, D. Rosenthal
Object Relations (OR) has been identified as one of the four major schools of psychoanalysis. This article provides a comprehensive review of OR practice and theory in the context of rehabilitation psychology. Extensive data are presented on five of the most prominent pioneer object relations theorists, including Melanie Klein, W. R. D. Fairbairn, Michal Balint, Harry Guntrip, and D. W. Winnicott. All of these individuals have contributed significantly to object relations theory. Melanie Klein and W. R. D Fairbairn have been credited with founding the object relations perspective, Michael Balint has been touted as the leading object relations theorist, Harry Guntrip was analyzed by both Fairbairn and Winnicott, and D.W. Winnicott is probably the most creative and respected psychoanalytic theorist since Sigmund Freud. All five of these theorists brought a fresh, new perspective on psychoanalytic theory and practice, and their contributions may be used to better understand the personality development of persons with a disability and to inform the practice of rehabilitation psychology.
客体关系被认为是精神分析的四大流派之一。本文综述了康复心理学背景下手术室的实践和理论。广泛的数据提出了五个最突出的先驱对象关系理论家,包括梅兰妮克莱因,W. R. D.费尔贝恩,迈克尔巴林特,哈里冈特里普,和D. W.温尼科特。所有这些人都对客体关系理论做出了重大贡献。梅兰妮·克莱因和w·r·D·费尔贝恩被认为是客体关系理论的奠基人,迈克尔·巴林特被吹捧为客体关系理论的先驱,哈利·冈特里普被费尔贝恩和温尼科特都分析过,而D·w·温尼科特可能是自西格蒙德·弗洛伊德以来最具创造力和最受尊敬的精神分析理论家。这五位理论家都为精神分析理论和实践带来了全新的视角,他们的贡献可以用来更好地理解残疾人的人格发展,并为康复心理学的实践提供信息。
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引用次数: 0
Highly Educated Black Americans Report Higher than Expected Perceived Job Demands. 受过高等教育的美国黑人认为工作要求高于预期。
Pub Date : 2023-01-01 Epub Date: 2023-12-26 DOI: 10.29245/2767-5122/2024/2.1138
Tiffany Hogan, Amy Mancia, Kanah Ndiaye, Brenda Rodriguez, Babak Najand, Hossein Zare, Shervin Assari

Background: Educational attainment has well established and widely recognized the effects on employment conditions and job demands. However, the way in which educational attainment correlates with perceived job demands may be inconsistent across racial groups as suggested by Minorities' Diminished Returns (MDRs). The aim was to test the moderating effect of race on the association between educational attainment and perceived job demands, particularly for Black and White individuals.

Methods: This study was a cross-sectional analysis of MIDUS Refresher 1, including 1,232 Black and White adults over the age of 25 in the United States. Education attainment was the independent variable and perceived job demands was the dependent variable covariates. Linear regression was used for multivariate models.

Results-: We observed positive association between education and perceived job demands, however, statistical interaction between race and education suggested stronger positive associations for Black than White individuals.

Conclusion: Being a highly educated Black professional in the United States equals high demand such increase stress is a risk factor of being a middle class black American. Innovated and bold market policies are required to solve this unfair dilemma.

背景:教育程度对就业条件和工作要求的影响已得到公认和广泛认可。然而,正如 "少数族裔回报率降低"(MDRs)所表明的那样,不同种族群体的受教育程度与感知到的工作要求之间的相关性可能并不一致。本研究旨在检验种族对教育程度与感知到的工作要求之间关联的调节作用,尤其是对黑人和白人的影响:本研究是对 MIDUS Refresher 1 的横截面分析,包括美国 1,232 名 25 岁以上的黑人和白人成年人。教育程度是自变量,感知到的工作需求是因变量协变量。多变量模型采用线性回归法:我们观察到教育程度与感知到的工作要求之间存在正相关,然而,种族与教育程度之间的统计交互作用表明,黑人比白人的正相关性更强:结论:在美国,作为一名受过高等教育的黑人专业人士,工作要求高,压力增大是美国黑人中产阶级的一个风险因素。需要创新和大胆的市场政策来解决这一不公平的困境。
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引用次数: 0
Predictors for Developing Severe Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Following Infectious Mononucleosis 传染性单核细胞增多症并发严重肌痛性脑脊髓炎/慢性疲劳综合征的预测因素
Pub Date : 2022-02-21 DOI: 10.29245/2767-5122/2021/1.1129
L. Jason, J. Cotler, Mohammed F. Islam, Jacob Furst, Boris Katz
Background: About 10% of individuals who contract infectious mononucleosis (IM) have symptoms 6 months later that meet criteria for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Our study for the first time examined whether it is possible to predict who will develop ME/CFS following IM. Methods: We have reported on a prospectively recruited cohort of 4,501 college students, of which 238 (5.3%) developed IM. Those who developed IM were followed-up at six months to determine whether they recovered or met criteria for ME/CFS. The present study focuses on 48 students who after six months had a diagnosis of ME/CFS, and a matched control group of 58 students who had no further symptoms after their IM. All of these 106 students had data at baseline (at least 6 weeks prior to the development of IM), when experiencing IM, and 6 months following IM. Of those who did not recover from IM, there were two groups: 30 were classified as ME/CFS and 18 were classified as severe ME/CFS. We measured the results of 7 questionnaires, physical examination findings, the severity of mononucleosis and cytokine analyses at baseline (pre-illness) and at the time of IM. We examined predictors (e.g., pre-illness variables as well as variables at onset of IM) of those who developed ME/CFS and severe ME/CFS following IM. Results: From analyses using receiver operating characteristic statistics, the students who had had severe gastrointestinal symptoms of stomach pain, bloating, and an irritable bowel at baseline and who also had abnormally low levels of the immune markers IL-13 and/or IL-5 at baseline, as well as severe gastrointestinal symptoms when then contracted IM, were found to have a nearly 80% chance of having severe ME/CFS persisting six months following IM. Conclusions: Our findings are consistent with emerging literature that gastrointestinal distress and autonomic symptoms, along with several immune markers, may be implicated in the development of severe ME/CFS.
背景:大约10%的感染性单核细胞增多症(IM)患者在6个月后出现符合肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)标准的症状。我们的研究首次检验了是否有可能预测IM后谁会发展为脑脊髓炎/慢性疲劳综合征。方法:我们报告了一个前瞻性招募的4501名大学生队列,其中238人(5.3%)患有IM。对那些出现IM的患者进行了六个月的随访,以确定他们是否康复或符合脑脊髓炎/慢性疲劳综合征的标准。本研究的重点是48名六个月后被诊断为脑脊髓炎/慢性疲劳综合征的学生,以及58名IM后没有进一步症状的匹配对照组。所有这106名学生在基线(至少在IM发展前6周)、经历IM时和IM后6个月都有数据。在那些没有从IM中恢复的患者中,有两组:30组被归类为脑脊髓炎/慢性疲劳综合征,18组被归类于严重脑脊髓炎或慢性疲劳综合症。我们在基线(患病前)和IM时测量了7份问卷的结果、体检结果、单核细胞增多症的严重程度和细胞因子分析。我们检查了IM后发生脑脊髓炎/慢性疲劳综合征和严重脑脊髓炎/CFS的患者的预测因素(例如,患病前变量以及IM发作时的变量)。结果:根据使用受试者操作特征统计的分析,在基线时有胃痛、腹胀和肠易激综合征等严重胃肠道症状的学生,以及在基线时免疫标志物IL-13和/或IL-5水平异常低的学生,发现IM后持续6个月的严重脑脊髓炎/慢性疲劳综合征的几率接近80%。结论:我们的研究结果与新出现的文献一致,即胃肠道窘迫和自主神经症状以及几种免疫标志物可能与严重脑脊髓炎/慢性疲劳综合征的发展有关。
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引用次数: 6
The Effects of Caloric Restriction and/or Intermittent Fasting on Bone Health 热量限制和/或间歇性禁食对骨骼健康的影响
Pub Date : 2021-12-31 DOI: 10.29245/2767-5122/2021/2.1128
Connor A. Hernon, A. Elsayed, R. M. Vicente, A. Zamarioli, M. Kacena, J. Lowery
This mini-review summarizes the available information regarding the impact of caloric restriction (CR) and/or intermittent fasting (IF) on bone health. CR and IF are dietary interventions used in rehabilitative healthcare for augmenting weight loss and also proposed for recovery of conditions such as stroke and heart failure. CR restricts the total number of calories rather than different food groups or periods of eating. In contrast, IF severely restricts caloric intake for a period of time followed by a period of ad libitum intake. Here, we discuss the available information regarding the impact of these rehabilitation diets on bone metabolism, highlighting areas of consistency and discrepancy and suggesting future areas of study to advance the understanding of CR and/or IF on bone health.
这篇小型综述总结了关于热量限制(CR)和/或间歇性禁食(IF)对骨骼健康影响的现有信息。CR和IF是康复保健中用于增加体重减轻的饮食干预措施,也被建议用于中风和心力衰竭等疾病的恢复。CR限制的是卡路里的总量,而不是不同的食物组或进食时间。相反,IF在一段时间内严格限制热量摄入,然后是一段时间的随意摄入。在这里,我们讨论了关于这些康复饮食对骨代谢影响的现有信息,强调了一致性和差异的领域,并提出了未来的研究领域,以促进对CR和/或IF对骨骼健康的理解。
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引用次数: 0
Validation of the Comprehensive Arm Prosthesis and Rehabilitation Outcomes Questionnaire 综合假肢与康复结果问卷的验证
Pub Date : 2021-09-22 DOI: 10.29245/2767-5122/2021/1.1127
K. Baun, Nathan T. Kearns, J. Peterson, John M. Miguelez
Purpose: To develop and psychometrically evaluate the Comprehensive Arm Prosthesis and Rehabilitation Outcomes Questionnaire (CAPROQ), a 28-item, self-report measure of three key facets associated with successful rehabilitation (perceived function, satisfaction, and pain) designed specifically for the adult upper limb loss (ULL) population. Materials and Methods: Using a national sample of adult ULL patients (N=240), factor structure, internal consistency, convergent/concurrent validity, and known group validity of the total CAPROQ score and three subscale scores were evaluated. Results: Confirmatory factor analysis indicated adequate-to-strong factor loading on each subscale: satisfaction (.623-.913), perceived function (.572-.860) and pain (.422-.834). Internal consistencies for the total measure and measure subscales were good-to-excellent (.89-.95) and convergent validity indicated moderate-to-strong statistically significant associations between the CAPROQ subscales and relevant measures. Concurrent validity showed moderate associations between CAPROQ total score, prosthetic wear time, and psychosocial adjustment scores. Known group validity indicated significant differences on CAPROQ total score between initial and definitive fitting stages (p=.012). Conclusion: Psychometric evaluation indicated that the CAPROQ and CAPROQ subscales were structurally sound, internally consistent, and demonstrated convergent validity with currently used assessments of perceived functioning, satisfaction, and pain. CAPROQ is needed for guiding individual patient care, improving care models and future prosthesis selection and development.
目的:开发和心理测量学评估综合假肢和康复结果问卷(CAPROQ),这是一个28个项目的自我报告测量与成功康复相关的三个关键方面(感知功能,满意度和疼痛),专门为成人上肢丧失(ULL)人群设计。材料与方法:采用全国成人ULL患者样本(N=240),对CAPROQ总分和三个分量表得分的因子结构、内部一致性、收敛/并发效度和已知组效度进行评估。结果:验证性因子分析显示,满意度(.623-.913)、感知功能(.572-.860)和疼痛(.422-.834)在每个子量表上都有足够到足够的因子负荷。总测量量表和测量量表的内部一致性从良好到优秀(0.89 - 0.95),收敛效度表明CAPROQ量表和相关测量量表之间存在中等到强烈的统计学显著相关性。并发效度显示CAPROQ总分、假体佩戴时间和心理社会适应评分之间存在中度相关性。已知组效度表明初始拟合阶段和最终拟合阶段CAPROQ总分有显著差异(p= 0.012)。结论:心理测量评估表明,CAPROQ和CAPROQ子量表结构健全,内部一致,并且与目前使用的感知功能,满意度和疼痛评估显示出收敛效度。CAPROQ是指导个体患者护理、改进护理模式以及未来义肢选择和发展的必要条件。
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引用次数: 0
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Journal of rehabilitation therapy
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