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Housing Facilities (housing + facility)
Selected AbstractsDynamic Balance and Stepping Versus Tai Chi Training to Improve Balance and Stepping in At-Risk Older AdultsJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 12 2006Joseph O. Nnodim MD OBJECTIVES: To compare the effect of two 10-week balance training programs, Combined Balance and Step Training (CBST) versus tai chi (TC), on balance and stepping measures. DESIGN: Prospective intervention trial. SETTING: Local senior centers and congregate housing facilities. PARTICIPANTS: Aged 65 and older with at least mild impairment in the ability to perform unipedal stance and tandem walk. INTERVENTION: Participants were allocated to TC (n= 107, mean age 78) or CBST, an intervention focused on improving dynamic balance and stepping (n=106, mean age 78). MEASUREMENTS: At baseline and 10 weeks, participants were tested in their static balance (Unipedal Stance and Tandem Stance (TS)), stepping (Maximum Step Length, Rapid Step Test), and Timed Up and Go (TUG). RESULTS: Performance improved more with CBST than TC, ranging from 5% to 10% for the stepping tests (Maximum Step Length and Rapid Step Test) and 9% for TUG. The improvement in TUG represented an improvement of more than 1 second. Greater improvements were also seen in static balance ability (in TS) with CBST than TC. CONCLUSION: Of the two training programs, in which variants of each program have been proven to reduce falls, CBST results in modest improvements in balance, stepping, and functional mobility versus TC over a 10-week period. Future research should include a prospective comparison of fall rates in response to these two balance training programs. [source] People with intellectual disability as neighbours: Towards understanding the mundane aspects of social integrationJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 5 2010Laura M. van Alphen Abstract Although people with intellectual disabilities (ID) are increasingly expected to relocate from traditional institutional care to ,regular' neighbourhood housing facilities and socially integrate in these neighbourhoods, little is known about how they are perceived and appreciated as neighbours. This paper reports on interviews carried out with 30 neighbours without ID who were neighbours of small-scale care facilities for people with ID. Interviews addressed the neighbours' everyday experiences of neighbouring in general, and neighbouring people with ID in particular. Neighbouring, for these informants, called for a fine balance between friendliness without over-involvement. While they were generally positive about their interactions with their neighbours with ID, it emerged that the formal nature of the care facility and the interaction style of some of the neighbours with ID often contravened informants' assumptions about neighbouring. Informants expressed concern about a possible lack of appropriate distance, reciprocity and accountability among their neighbours with ID. The nature of the care facility, with paid staff, often group activities, formal means of achieving the everyday small tasks which neighbours sometimes do for each other, and a high turnover of residents, all undermined the possibility of a typical neighbourly relationship. In conclusion, we suggest that integration of people with ID into everyday neighbouring relationships raises complex challenges for care organizations that need to find a balance between supporting the needs of people with ID they care for, adequate support and mediation for other neighbours when necessary, and all the while avoid becoming overly involved in neighbouring as a formal partner. Copyright © 2010 John Wiley & Sons, Ltd. [source] Validity of the Kohlman Evaluation of Living Skills (KELS) with Israeli elderly individuals living in the communityOCCUPATIONAL THERAPY INTERNATIONAL, Issue 4 2002Tal Zimnavoda Faculty of Medicine Abstract The Kohlman Evaluation of Living Skills (KELS) was developed to evaluate Activities of Daily Living (ADL) and Instrumental ADL (IADL) in a psychiatric population. Later the KELS was assessed and adapted for a geriatric population. The purpose of this study was to determine the validity of the KELS with elderly individuals living in the community in Israel. The subjects included 92 elderly people living in the community, in protected housing facilities for the elderly, and those living in the community and attending day care. Instruments included the Mini-Mental State Examination (MMSE) to determine cognitive function, the Functional Independent Measure (FIM) to determine performance in ADL, and the Routine Task Inventory (RTI) as a measure of IADL to determine criterion validity. Results showed high correlations between the KELS and the RTI (r=0.895) and the FIM (r=0.70). The KELS was also found to be highly sensitive to the differences between all three groups, supporting construct validity. Furthermore, the KELS was found to be more sensitive to these differences than the other instruments used in the study. In conclusion, the results show the KELS to be valid and appropriate for use by occupational therapists with the Israeli elderly population, similar to the US population. The study's small sample size limits the generalizability of the findings. It is recommended that further research be done on the KELS with larger and more diverse elderly populations. Copyright © 2002 Whurr Publishers Ltd. [source] Impact of dietary crude protein and amino acids status on performance and some excreta characteristics of broiler chicks during 10,28 days of ageJOURNAL OF ANIMAL PHYSIOLOGY AND NUTRITION, Issue 3 2010N. F. Namroud Summary A study was conducted in a completely randomised design to evaluate the effects of providing almost all important essential amino acids (EAA) in low-crude protein (CP) diets equal to that of higher CP diets in broiler chickens. Also the effects of additional mixture of glycine (Gly) and glutamic acid (Glu) or supplementation of excess EAA to low-CP diets on the live performance and excreta characteristics including pH, moisture, nitrogen, uric acid and ammonia concentration were measured to ascertain the optimum CP concentration for the maximum performance and reduced excreta ammonia concentration. Male, broiler chickens growing from 10 to 28 days of age were fed eight experimental diets. Reducing dietary CP below 19% negatively affected performance. Adding the Gly and Glu mixtures to 17% CP diets improved live performance. Reducing CP to 19% with a normal amino acids status declined N, ammonia, uric acid, moisture and pH of excreta significantly. These findings suggest that diminishing dietary CP from 23% to 19% while maintaining adequate EAA levels during 10,28 days of age results in not only a significant decline in N emission, but also a probable reduction in the NH3 volatilisation because of reduction in pH and moisture. Contrary to expectations, reduction of dietary CP below the minimum level (19%) resulted in more ammonia. All these factors may improve on litter and air quality within the housing facility and reduce the ventilation rate required to emit the elevated ammonia gas concentrations. [source] A pilot study to determine the short-term effects of a low glycemic load diet on hormonal markers of acne: A nonrandomized, parallel, controlled feeding trialMOLECULAR NUTRITION & FOOD RESEARCH (FORMERLY NAHRUNG/FOOD), Issue 6 2008Robyn Smith Abstract Observational evidence suggests that dietary glycemic load may be one environmental factor contributing to the variation in acne prevalence worldwide. To investigate the effect of a low glycemic load (LGL) diet on endocrine aspects of acne vulgaris, 12 male acne sufferers (17.0 ± 0.4 years) completed a parallel, controlled feeding trial involving a 7-day admission to a housing facility. Subjects consumed either an LGL diet (n = 7; 25% energy from protein and 45% from carbohydrates) or a high glycemic load (HGL) diet (n = 5; 15% energy from protein, 55% energy from carbohydrate). Study outcomes included changes in the homeostasis model assessment of insulin resistance (HOMA-IR), sex hormone binding globulin (SHBG), free androgen index (FAI), insulin-like growth factor-I (IGF-I), and its binding proteins (IGFBP-I and IGFBP-3). Changes in HOMA-IR were significantly different between groups at day 7 (,0.57 for LGL vs. 0.14 for HGL, p = 0.03). SHBG levels decreased significantly from baseline in the HGL group (p = 0.03), while IGFBP-I and IGFBP-3 significantly increased (p = 0.03 and 0.03, respectively) in the LGL group. These results suggest that increases in dietary glycemic load may augment the biological activity of sex hormones and IGF-I, suggesting that these diets may aggravate potential factors involved in acne development. [source] | |||||||||||||