INTRODUCTION: The leading cause of injury and death among children in the United States is motor vehicle crashes. Even though laws have been amended and public awareness campaigns and education has increased, many children are still improperly restrained or not restrained at all. When correctly used, child restraints significantly reduce risk of injury or death in a motor vehicle crash. AIM: The purpose of the questions is to exhibit the baseline knowledge of participants before receiving car seat education from certified technicians. METHODS: Over an eight week period, Safe Kids Cobb County Car Seat Technicians distributed a 16-item survey, with 10 knowledge-based questions and 6 demographic questions to Inspection Station participants. Descriptive statistics were run and t-tests were calculated to determine if participant age, ethnicity, and gender were associated with overall knowledge scores. A simple linear regression test was run to determine the association between participant education level and total car seat safety knowledge. RESULTS: One-hundred and sixty nine surveys were completed. Participant knowledge of car seat safety ranged from 0% to 90% on all ten items. No significant correlation between participant knowledge and age was found. The relationship between total knowledge and education level was found to be slightly significant. However, ethnicity and gender were found to be significantly associated with total knowledge scores. DISCUSSION: The results from this study describe baseline knowledge among a sample of participants at Safe Inspection Station activities held in Cobb County, Georgia. These results can help inform tailoring of future programming so that the impact of enhanced health education / prevention messages for intended populations can be maximized.

Diss. (sammanfattning) Umeå : Umeå universitet, 2007. / Härtill 4 uppsatser.

Thesis (Ed.D.)--Teachers College, Columbia University, 1966. / Typescript; issued also on microfilm. Sponsor: Gladys Tipton. Dissertation Committee: Ernest Harris. Includes bibliographical references (leaves: 252-259).

Thesis (M.S.)--University of Wisconsin--Madison, 1969. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (M.Soc.Sc.)--University of Hong Kong, 1985. / Also available in print.

Thesis, PlanB (M.S.)--University of Wisconsin--Stout, 2005. / Includes bibliographical references.

Thesis (Ph. D.)--Bob Jones University, 1976. / Typescript. Includes bibliographical references (leaves 219-231).

Chronic obstructive pulmonary disease (COPD) patients are generally more sedentary and less physically active than healthy adults; putting them at increased risk of hospitalisation and death. For patients with mild-moderate COPD, physical activity appears to be reduced compared with apparently healthy adults but differences in time spent sedentary are less well established. Additionally, there is a need for a greater understanding of the correlates of behaviour in mild-moderate patients with much of the existing literature focusing on more severe or mixed stage patient samples and with many studies lacking objective behavioural monitoring, not adjusting for confounders and a paucity of data on correlates of sedentary time. Despite having mild-moderate airflow obstruction, these patients also report a range of symptom burdens with some individuals reporting severe symptoms. Subsequently, these patients represent a sub-set of individuals who may require lifestyle interventions. Therefore, factors associated with patients reporting more severe symptoms need to be identified to help understand how this phenomenon may manifest and be intervened upon. For patients with more advanced COPD who are admitted to hospital for an acute exacerbation behavioural intervention focussing on less intense movement may be a more suitable approach for reducing the risk of readmissions than more intense physical activity or exercise. To date no studies have specifically targeted reductions in sedentary behaviour in COPD. In addition, wearable self-monitoring technology may facilitate the provision of such interventions, removing important participation barriers such as travel and cost, but this has not been sufficiently examined in COPD. This thesis investigated: (i) objectively measured physical activity and sedentary time and the correlates of these behaviours for mild-moderate COPD patients and apparently healthy adults (Study One); (ii) factors associated with self-reported symptom severity and exacerbation history in mild-moderate COPD patients (Study Two) and (iii) the feasibility and acceptability of a home-based sedentary behaviour intervention using wearable self-monitoring technology for COPD patients following an acute exacerbation (Study Three). Methods: Study One: COPD patients were recruited from general practitioners and apparently healthy adults from community advertisements. Objectively measured moderate-to-vigorous physical activity (MVPA), light activity and sedentary time for 109 mild-moderate COPD patients and 135 apparently healthy adults were obtained by wrist-worn accelerometry. Patients with at least four valid days (≥10 waking hours) out of a possible seven were included in analysis. A range of demographic, social, symptom-based, general health and physical factors were examined in relation to physical activity and sedentary time using correlations and linear regressions controlling for confounders (age, gender, smoking status, employment status and accelerometer waking wear time). Study Two: In 107 patients recruited from general practitioners, symptoms were assessed using the COPD Assessment Test (CAT) and Modified Medical Research Council (mMRC) questionnaires. Twelve-month exacerbation history was self-reported. Exercise capacity was assessed via incremental shuttle walk test (ISWT) and self-reported usual walking speed. Physical activity and sedentary time were obtained from a wrist-worn accelerometer. Study Three: Patients were randomised in-hospital into a usual care (Control), Education or Education + Feedback group with the intervention lasting 14 days following discharge. The intervention groups received information about reducing prolonged sitting. The Education + Feedback group also received real-time feedback on their sitting time, number of stand-ups and step count at home through an inclinometer linked to a smart device app. The inclinometer also provided vibration prompts to encourage movement when the wearer had been sedentary for too long. Feasibility of recruitment (e.g. uptake and retention) and intervention delivery (e.g. fidelity) were assessed. Acceptability of the intervention technology (e.g. wear compliance, app usage and response to vibration prompts) was also examined. Results: Study One: COPD patients were more sedentary (592±90 versus 514±93 minutes per day, p < 0.05) and accrued less MVPA (12±18 versus 33±32 minutes per day, p < 0.05) than apparently healthy adults. For COPD patients, self-reported dyspnea and percentage body fat were independent correlates of sedentary time and light activity with exercise capacity (incremental shuttle walk test) an independent correlate of MVPA. For apparently healthy adults, percentage body fat and exercise capacity were independent correlates of sedentary time and light activity. Percentage body fat was an independent correlate of MVPA. Study Two: ISWT (B=-0.016±0.005, partial R2=0.117, p=0.004) and years living with COPD (B=0.319±0.122, R2=0.071, p=0.011) were independently associated with CAT score. ISWT (B=-0.002±0.001, R2=0.123, p < 0.001) and vector magnitude counts per minute (VMCPM) (B=0.0001±0.0000, R2=0.050, p=0.011) were independently associated with mMRC grade. MVPA was independently associated with previous exacerbations (B=-0.034±0.012, R2=0.081, p=0.005). Patients reporting a CAT score of > 20 or an mMRC score of ≥2 had lower VMCPM, were more sedentary and took part in less light activity than patients reporting a CAT score of 0-10 or mMRC of 0, respectively. Patients reporting ≥2 exacerbations took part in less MVPA than patients reporting zero exacerbations. Study Three: Study uptake was 31.5% providing a final sample of 33 COPD patients. Retention of patients at two-week follow-up was 51.5% (n=17). Reasons for drop-out were mostly related to being unable to cope with their COPD. Patients wore the inclinometer for 11.8±2.3 days (and charged it 8.4±3.9 times) with at least one vibration prompt occurring on 9.0±3.4 days over the 14 day study period. Overall, 325 vibration prompts occurred with patients responding 106 times (32.6%). 40.6% of responses occurred within 5 minutes of the prompt with patients spending 1.4±0.8 minutes standing and 0.4±0.3 minutes walking, taking 21.2±11.0 steps. Discussion: Study One: COPD patients were less active and more sedentary than apparently healthy adults; however, factors predicting behaviour were similar between groups. Correlates differed between sedentary time, light activity and MVPA for both groups. Interventions to boost physical activity levels and reduce sedentary time should be offered to patients with mild-moderate COPD, particularly those reporting more severe breathlessness. Study Two: Worse exercise capacity, low levels of physical activity and more time spent sedentary are some of the factors associated with patients of the same severity of airflow limitation reporting differing symptom severities. These patients may benefit from both lifestyle and exercise interventions. Study Three: Recruitment and retention rates suggest a trial targeting sedentary behaviour in hospitalised COPD patients is feasible. A revised intervention, building on the successful components of the present feasibility study is justified. Conclusion: The findings from this thesis have contributed a greater understanding of physical activity and sedentary behaviour in COPD and can inform the development of tailored physical activity and sedentary behaviour interventions for patients across the grades of COPD severity.

Made available in DSpace on 2014-06-11T19:24:11Z (GMT). No. of bitstreams: 0 Previous issue date: 2006-12-15Bitstream added on 2014-06-13T19:30:47Z : No. of bitstreams: 1 gananca_as_me_bauru.pdf: 2038119 bytes, checksum: 255caa1e61b323355f27249e0ca110ce (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / O presente estudo apresenta uma alternativa de aplicação dos princípios do design ergonômico no projeto e avaliação de uma assento modular com regulagem vertical, buscando prevenir e minimizar os problemas decorrentes do desvio da coluna vertebral do tipo escoliose: uma das principais seqüelas da paralisia cerebral (PC). A revisão bibliográfica abordou as relações entre design, ergonomia e fisioterapia, bem como os procedimentos de reabilitação da pessoa com PC, particularmente os meios tecnológicos de tratamento da escoliose. Os objetivos do estudo envolveram a intervenção projetual com a aplicação dos princípios do design ergonômico, e a aplicação e validação de técnicas clínicas e fisioterapêuticas na avaliação da usabilidade de assentos especiais para reabilitação. Aspectos éticos foram considerados na abordagem com 3 indivíduos portadores de PC e escoliose, sendo que um deles utilizou um assento adaptado com regulagem vertical, e os demais fizeram uso de assento comum. Os procedimentos das avaliações envolveram diferentes formas de abordagem e profissionais, com avaliações pré e pós-uso do produto, num intervalo de 90 dias. Os resultados indicaram melhorias psico-sociais, ortopédicas, neurológicas e clínicas do usuário do assento adaptado, sendo que a avaliação da biofotogrametria computadorizada indicou uma melhora significativa (p '< OU =') 0,01) nas condições posturais da coluna vertebral. Tais resultados comprovaram a eficiência da adaptação proposta no produto; uma nova alternativa na avaliação de usabilidade de produtos para a reabilitação; além da conseqüente melhoria na qualidade de vida das pessoas com necessidades especiais. / This study presents an alternative application of the principals of ergonomic design, using this project and its evaluation of a vertically regulated modular chair, seeking to prevent and minimize the problems caused by the curvature of the spine such as scoliosis: one of the main consequences of cerebral palsy (CP). The bibliographical sources used approached the relationship between design, ergonomics and physiotherapy, as well as the procedure of rehabilitation of people with CP, particularly the technological methods of treating scoliosis. The objectives of this study involve the intervention of this project with the application of the principals of ergonomic design, and the application and validation of clinical and physiotherapeutic techniques in the evaluation of the use of special seating for rehabilitation. Ethical aspects were considered in the approach used with theree individuals with CP and scoliosis: one of them used the vertically regulated chair and the others the standard chair. The evaluation procedures involved a variety of methods of approach and different professionals, with pre and post use product evaluation, during a period of ninety days. The results showed psychosocial, orthopedic, neurological and clinical improvements to the adapted chair user: Computerized Biophotogrammetry evaluation showed significant improvement (p '< OU =') 0,01) in the spinal posture condition. Such results prove the efficiency of the proposed product adaptation; a new alternative in the evaluation of the use of the product for rehabilitation; and, consequential improvement to the quality of life of people with special needs.

Socrate dirait que le Dieu a créé la forme de la chaise, que les artisans fabriquent d’autres chaises d’après cette forme, et que les artistes créent des chaises artistiques d’après des chaises fabriquées par les artisans. Il y a une vérité dans ces idées. La chaise est la chaise, elle a une forme propre à elle. Elle ne prend pas la forme d’un piano, ni celle d’un lit. Ces idées conduisent à la définition, la forme, la fabrication, l’utilisation, la transformation et la signification de la chaise. On attribue, dès l’ancienne Égypte, deux fonctions à la chaise : une matérielle (s’asseoir) et une immatérielle (symboliser). Quand la chaise est utilisée dans l’activité sociale, politique ou artistique (transformée, détruite, reconstruite, etc.), elle est symbolique (elle symbolise), et c’est la seule condition dans laquelle la chaise peut dénoter et signifier. Entrons en contact avec la chaise pour qu’elle puisse signifier ! Un changement apparut à partir de la fin du XIXe siècle. Les designers ont conçu et fabriqué une grande diversité de chaises novatrices à la fois utilitaires et artistiques ou classiques dans leurs œuvres d’art. Bien que les designers aient cherché de nouvelles formes, leurs chaises étaient encore pourvues de la forme de base (pieds, siège et dossier) donnant la fonction fondamentale : s’asseoir. Il apparaît que la forme de la chaise soit déjà définie. Par qui la forme de la chaise fut-elle définie ? Par quoi la chaise signifie-t-elle ? / Socrates would say that the God created the form of the chair, that the craftsmen make other chairs according to this form, and that the artists create artistic chairs according to chairs made by the craftsmen. There is a truth in these ideas. The chair is the chair, it has its own form. It does not take the form of a piano, nor that of a bed. These ideas lead to the definition, the form, the manufacture, the use, the transformation and the significance of the chair. The human beings, from ancient Egypt, attributed two functions to the chair: one is material (sit) and the other is immaterial (symbolize). If the chair is used in a social, political or artistic activity (transformed, destroyed, rebuilt, etc.), it is symbolic (or symbolizing), this is the only condition where the chair can denote and signify. Get into contact with the chair so that it can mean! A change appeared from the end of the 19th century, designers designed and built a wide variety of innovative chairs, both utilitarian and artistic when the artists used simple and ordinary chairs or classical chairs in their art works. Although designers have sought new forms, but their chairs were still provided with the basic form (legs, seat and backrest) providing the fundamental function : sit. It appears that the form of the chair has already been defined. Who defined the form of the chair ? What does the chair mean?