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Search Results: 1 - 10 of 133963 matches for " Andrew T Kaczynski "
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Development of a Detailed Log Booklet for Social Ecological Physical Activity Research
Andrew T. Kaczynski
Environmental Health Insights , 2012, DOI: 10.4137/EHI.S8086
Abstract: To advance social ecological research, tools are required to better assess the contextual nature of physical activity outcomes. This study describes the development of a detailed log booklet to capture relevant episode-specific data, including location and purpose, about participants' free-living activity patterns. The log was developed using definitions and questions from existing physical activity questionnaires as well as measures designed to elicit more specific and detailed information relevant to social ecological studies of physical activity. Utility of the log was tested with 580 community residents over seven days. It was found to be practical and feasible for use in community-based physical activity research, and yielded a wealth of episodic information about intensity, duration, location, purpose, and co-participants, among other details.
Development of a Detailed Log Booklet for Social Ecological Physical Activity Research
Andrew T. Kaczynski
Environmental Health Insights , 2012,
Deconstructing Williamsburg: Using focus groups to examine residents' perceptions of the building of a walkable community
Andrew T Kaczynski, Michael T Sharratt
International Journal of Behavioral Nutrition and Physical Activity , 2010, DOI: 10.1186/1479-5868-7-50
Abstract: Focus groups were conducted with residents of a planned retail and residential development that was designed to embody many attributes of walkability and was located within a large city in southwestern Ontario. In total, 31 participants provided qualitative data about neighborhood resources and dynamics, use of local services, physical activity behavior, and other related issues. The data were transcribed and coded for themes relevant to the study purpose.Salient themes that emerged emphasized the importance of land use diversity, safety, parks and trails, aesthetics, and a sense of community, with the latter theme cutting across all others. The data also revealed mechanisms that explain relationships between the built environment and behavior and how sidewalks in the neighborhood facilitated diverse health behaviors and outcomes. Finally, residents recited several examples of changes in behavior, both positive and negative, since moving to their current neighborhood.The results of this study confirmed and expanded upon current knowledge about built and social environment influences on physical activity and health. That many residents reported changes in their behaviors since moving to the neighborhood permitted tentative inferences about the causal impact of built and social environments. Future research should exploit diverse methods to more fully understand how neighborhood contexts influence active living.Improving physical activity levels has been identified worldwide as a top public health priority [1-5]. Physical activity contributes to a reduced risk of numerous chronic diseases such as obesity, cancer, osteoporosis, diabetes, cardiovascular disease, and depression [6,7]. Further, a lack of exercise is among the top three modifiable risk factors for premature death [8]. Economically, in 1995 dollars, the direct costs of inactivity accounted for $24 billion or 2.4% of U.S. health care expenditures, while costs associated with obesity accounted for an addition
Correspondence of perceived vs. objective proximity to parks and their relationship to park-based physical activity
Kelsey J Lackey, Andrew T Kaczynski
International Journal of Behavioral Nutrition and Physical Activity , 2009, DOI: 10.1186/1479-5868-6-53
Abstract: We used data from 574 respondents who reported the distance to their closest park and compared this with objective measurements of proximity to the closest park. Both indicators were dichotomized as having or not having a park within 750 m. Audits of all park features within this distance were also conducted and other personal characteristics and neighborhood context variables (safety, connectedness, aesthetics) were gleaned from participants' survey responses. Participants also completed detailed seven-day PA log booklets from which measures of neighborhood-based and park-based PA were derived.Agreement was poor in that only 18% of respondents achieved a match between perceived and objective proximity to the closest park (kappa = 0.01). Agreement was higher among certain subgroups, especially those who reported engaging in at least some park-based PA. As well, respondents with a greater number of parks nearby, whose closest park had more features, and whose closest park contained a playground or wooded area were more likely to achieve a match. Having a ball diamond or soccer field in the closest park was negatively related to achieving a match between perceived and objective proximity. Finally, engaging in at least some park-based PA was not related to either perceived or objective proximity to a park, but was more likely when a match between and perceived and objective proximity occurred.Poor levels of correspondence were observed between self-reported and objective proximity to parks, but certain individual, neighborhood, and park variables increased the likelihood of a participant being aware of local parks. Future research should examine how people conceptualize parks and what urban and park planners can do to increase awareness and use of these community assets.Physical activity (PA) is important for health and a growing body of evidence points to the influence of neighborhood and community environments on population-level rates of activity and inactivity [1-3
Health-Related Factors Associated with Mode of Travel to Work
Melissa Bopp,Andrew T. Kaczynski,Matthew E. Campbell
Journal of Environmental and Public Health , 2013, DOI: 10.1155/2013/242383
Health-Related Factors Associated with Mode of Travel to Work
Melissa Bopp,Andrew T. Kaczynski,Matthew E. Campbell
Journal of Environmental and Public Health , 2013, DOI: 10.1155/2013/242383
Abstract: Active commuting (AC) to the workplace is a potential strategy for incorporating physical activity into daily life and is associated with health benefits. This study examined the association between health-related factors and mode of travel to the workplace. Methods. A volunteer convenience sample of employed adults completed an online survey regarding demographics, health-related factors, and the number of times/week walking, biking, driving, and using public transit to work (dichotomized as no walk/bike/drive/PT and walk/bike/drive/PT 1 + x/week). Logistic regression was used to predict the likelihood of each mode of transport and meeting PA recommendations from AC according to demographics and health-related factors. Results. The sample was aged 43.5 11.4 years and was primarily White (92.7%) and female (67.9%). Respondents reported walking (7.3%), biking (14.4%), taking public transit (20.3%), and driving (78.3%) to work at least one time/week. Among those reporting AC, 9.6% met PA recommendations from AC alone. Mode of travel to work was associated with several demographic and health-related factors, including age, number of chronic diseases, weight status, and AC beliefs. Discussion. Mode of transportation to the workplace and health-related factors such as disease or weight status should be considered in future interventions targeting AC. 1. Introduction The economic cost of preventable chronic disease in the United States is substantial, with the direct and indirect costs associated with cancer, cardiovascular disease, diabetes, mental health disorders, and pulmonary conditions estimated at more than $1 trillion for the general population in 2003. Among employed adults, much of this economic burden is shouldered by employers in terms of private health insurance expenditures and lost productivity, with the costs associated with chronic disease nearing $465 billion [1]. The visionary initiative targeting population level health is found in the US Department of Health and Human Services’ Healthy People 2020 and includes goals of attaining high-quality, longer lives free of preventable disease and premature death [2]. This document includes goals and objectives focused on changing health behaviors that contribute to chronic disease morbidity and mortality, including specifically improving rates of physical activity participation along with environmental and policy approaches aimed at supporting this behavior across the lifespan. Evidence outlining the benefits of regular physical activity participation for the prevention of chronic disease and
The Future of Blue Economy: Lessons for European Union
Wlodzimierz (Vlad) M. Kaczynski
Foundations of Management , 2011, DOI: 10.2478/v10238-012-0033-8
Abstract: Advancing global economic integration through the oceans, an interplay of economic, social, climatologic and technical forces are bringing the oceans to the forefront of resource development and business activity. With oceans covering over 70 percent of the Earth's surface, the future of the ocean space is increasingly being shaped by the interaction of numerous and powerful forces, most important of them being human activities. Over next 20 years, increasing uncertainty will be generated by the confluence of rapid social, cultural, technological and geopolitical changes. The rapid global increase in the production outputs of industry, agriculture and fisheries, as well as rising levels of consumption of marine products and the demand for coastal space worldwide is exerting increasing environmental pressure on the ocean. There is a need to identify more effective means to reduce the environmental impacts generated by the economic growth and its by-products. Sustainable approaches meet the needs of present without compromising the ability of future generations to satisfy their own needs. The Blue Economy concept is about the commercial development of oceans in a sustainable way. Poland's future economic security is linked with country's presence in the world ocean and successful membership in international bodies such as European Union, NATO and various United Nations maritime organizations. These factors will also determine Poland's place and its role in the global ocean economy.
Percutaneous Dilational Tracheostomy in the Emergent Setting  [PDF]
Andrew McCague, David T. Wong
International Journal of Clinical Medicine (IJCM) , 2013, DOI: 10.4236/ijcm.2013.42018

Objective: Since its inception, the use of the percutaneous dilational tracheostomy (PDT) has been contraindicated in the setting of an emergent airway. Emerging in the literature are several cases of successful emergent PDTs. Here we present our experience with the use of PDT in managing emergent airways. Study Design: All patients who underwent emergent PDT, using the Ciaglia Blue Rhino Introducer Set (Cook Critical Care, Bloomington,IN), in an academic county hospital setting between February 2010 and May 2012 were included in the study. Electronic medical records were reviewed for demographic and procedural data. Results: Twelve patients were included in the study with ages ranging from 20 to 87 (mean 57) years-old. The most common reason for emergent airway was trauma (7 patients), followed by obstructing neck mass (2 patients), septic shock (2 patients), and angioedema (1 patient). Seven PDTs were performed in the OR, four at bedside and one in the ER. Three of the 12 patients had emergent cricothyroidotomies in place that malfunctioned, requiring emergent conversion. No patients suffered from short term complications. One patient developed a neck abscess at the site of the PDT one month post operatively, two patients had accidental decanulation post operatively, and both were replaced without complication. Conclusions: PDT can be used in the emergent setting in the hands of trained practitioners with minimal complications. A larger, prospective trial is needed to make conclusions regarding patient care.

Anti-RNA Polymerase III Antibodies in Systemic Sclerosis  [PDF]
Andrew Kelly, Chris T. Derk
Open Journal of Rheumatology and Autoimmune Diseases (OJRA) , 2015, DOI: 10.4236/ojra.2015.53013
Abstract: Anti-RNA Polymerase III has been recognized as an important autoantibody in Systemic Sclerosis and it is now included in the 2013 ACR/EULAR classification criteria for Systemic Sclerosis. With this manuscript we attempt to review the current data on anti-RNA polymerase II as it relates to Systemic Sclerosis.
Increased Porphyrins in Primary Liver Cancer Mainly Reflect a Parallel Liver Disease
Jerzy Kaczynski,G ran Hansson,Sven Wallerstedt
Gastroenterology Research and Practice , 2009, DOI: 10.1155/2009/402394
Abstract: Hepatic porphyries have been associated with an increased risk of primary liver cancer (PLC), which on the other hand may cause an increased porphyrin production. To evaluate the role of an underlying liver disorder we analyzed porphyrins in patients with hepatocellular carcinoma (HCC) (=65), cholangiocellular carcinoma (=3), or suspected PLC, which turned out to be metastases (=18) or a benign disorder (=11). None of the patients had a family history of porphyry or clinical signs of porphyry. Increased aminolevulinic acid or porphyrin values were common not only in patients with PLC (43%) but also in metastatic (50%) and benign (64%) liver disorders. The corresponding proportion for HCC patients with liver cirrhosis (55%) was higher (<.05) than in those without cirrhosis (17%). We conclude that symptomatic porphyries are unusual in PLC, whereas elevated urinary and/or faecal porphyrins are common, primarily reflecting a parallel liver disease and not the PLC.
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