Five-year longitudinal evaluation of quality of life in a cohort of patients with differentiated thyroid carcinoma     

Giusti M  Melle G  Fenocchio M  Mortara L  Cecoli F  Caorsi V  Ferone D  Minuto F  Rasore E 《Journal of Zhejiang University. Science. B》2011,12(3):163-173

Differentiated thyroid carcinoma (DTC) generally has a favorable outcome. Thyroid disease, treatments, stress, and comorbidity can compromise health-related quality of life (QoL) and indirectly weigh upon the outcome. From 2004 to 2008, we evaluated QoL longitudinally in 128 DTC subjects. During scheduled examinations, subjects were asked to undergo a semi-structured psychiatric interview and five rated inventories. The same examination was conducted in 219 subjects after surgery for benign thyroid pathology. Low scores represent a better QoL. DTC and control subjects were similar in terms of age, male/female ratio, concomitant psychopharmacological treatments, and frequency of psychiatric diseases. In DTC subjects, Billewicz scale (BS) scores showed an increasing trend over time, especially among females. The ad hoc thyroid questionnaire (TQ) scores were similar in both groups and did not change over time, but at the end of the study ad hoc TQ and BS were significantly related. Ad hoc TQ scores were also related to age on entry to the study. In both male and female DTC subjects, Hamilton’s tests for anxiety (HAM-A), but not for depression (HAM-D), showed an improving trend. At the end of the study, HAM-A and HAM-D scores were comparable to those of the control group. HAM-A and HAM-D were both positively correlated with the stage of cancer and the time between diagnosis and treatment. Only HAM-D correlated with age on entry to the study. Kellner symptom questionnaire (KSQ) item scores were higher in DTC subjects than in controls. The change over time in the items including anxiety, somatization, depression, and hostility was significant. Somatization and hostility were more significantly reduced in DTC females than in DTC males. Hostility scores were significantly lower in DTC subjects than in controls at the end of the study. Somatization and depression were significantly related to staging on diagnosis and age on entry to the study. Our study confirms a wide variation of illness perception in DTC subjects, which is generally unrelated to the favorable clinical follow-up of the disease. Psychological evaluation during long-term follow-up improved QoL scores, which reached the same levels noted in subjects with a history of thyroid surgery for benign thyroid pathology. Our data indicate that special attention should be paid to QoL in older DTC subjects and those with more severe staging on diagnosis.  相似文献   

Anthropometry and body composition of female handball players according to competitive level or the playing position     

Chiara Milanese  Francesco Piscitelli  Chiara Lampis  Carlo Zancanaro 《Journal of sports sciences》2013,31(12):1301-1309

Abstract

Anthropometry and body composition were investigated in 43 female handball players from the Italian championships, grouped according to their competitive level (elite vs. sub-elite) or their playing position [goalkeeper (n = 7), back (n = 14), wing (n = 18), or pivot (n = 4)]. The anthropometry consisted of several circumferences, lengths, widths, and skinfold measurement at six sites; the regional and total body compositions were assessed by means of dual-energy X-ray absorptiometry (DXA). One-way ANOVA was used for statistical analysis, with a Bonferroni post-hoc test where needed. The results showed that elite players have significantly lower percentages of fat and higher bone mineral content than sub-elite as well as a clear tendency to accrue more lean mass, especially in upper limbs. Overall, the physical characteristics and body composition of handball players in Italy compared unfavourably with those in other countries, suggesting a need for improved selection and training. When playing position was included in the analysis of the whole group of handball players (n = 43) significant differences were found between the stature, mass, body mass index (BMI), several skinfolds, circumferences and lengths, and total body mineral mass, lean mass and fat mass of players in different positions. Post-hoc analysis suggests that players on the wing and in goalkeeper positions differed most from one another. These findings confirm and expand on previous data about the presence of anthropometric differences within playing positions in handball.  相似文献   

Impact of the choice of threshold on physical activity patterns in free living conditions among adolescents measured using a uniaxial accelerometer: The HELENA study     

Jeremy Vanhelst  Laurent Béghin  Julia Salleron  Jonathan R. Ruiz  Francesco B Ortega  Charlene Ottevaere 《Journal of sports sciences》2013,31(2):110-115

Abstract

The aim of this study was to assess the impact of the choice of threshold on physical activity patterns measured in adolescents under free living conditions (FLC) using a uniaxial accelerometer. The study comprised 2043 adolescents (12.5–17.5 years) participating in the HELENA Study. Participants wore a uniaxial accelerometer for 7 days. The PA patterns were assessed using thresholds determined from six different studies. For each of the thresholds used, the number of adolescents fulfilling the recommendation of 60 min of moderate to vigorous PA (MVPA) per day was also calculated. A significant difference was found between thresholds regardless of the activity level: differences of 38%, 207%, 136%, and 2780% for sedentary, light, moderate, and vigorous intensity PA, respectively (P < 0.001). Time of MVPA varied between methods from 25.3 to 55.2 min · day^–1. The number of adolescents fulfilling the recommendation varied from 5.9% to 37% according to the thresholds used. The kappa coefficient for concordance in the assessment of the number of adolescents achieving the PA recommendations was generally low. The definition of the threshold for PA intensity may considerably affect the PA patterns in FLC when assessed using a uniaxial accelerometer and the number of participants fulfilling the recommendations.  相似文献   

民法法系中的律师与体育法     

意弗朗切斯科·德尔芬尼  赵毅  钟旻桔 《体育与科学》2014,(6)

体育法是民法法系与普通法系在法律实践上融汇的领域。两大法系尽管存在着法律传统和法律思维上的差别,但法律实务的现实要求却跨过了这种隔阂。民法法系的体育法律师更需注意到这种两大法系的融汇趋势,从而在类似于体育赞助合同这样的体育法实务操作中汲取普通法的经验。  相似文献   

How do socioeconomic attainment gaps in early mathematical ability arise?     

Ella James-Brabham  Toni Loveridge  Francesco Sella  Paul Wakeling  Daniel J. Carroll  Emma Blakey 《Child development》2023,94(6):1550-1565

Socioeconomic attainment gaps in mathematical ability are evident before children begin school, and widen over time. Little is known about why early attainment gaps emerge. Two cross-sectional correlational studies were conducted in 2018–2019 with socioeconomically diverse preschoolers, to explore four factors that might explain why attainment gaps arise: working memory, inhibitory control, verbal ability, and frequency of home mathematical activities (N = 304, 54% female; 84% White, 10% Asian, 1% black African, 1% Kurdish, 4% mixed ethnicity). Inhibitory control and verbal ability emerged as indirect factors in the relation between socioeconomic status and mathematical ability, but neither working memory nor home activities did. We discuss the implications this has for future research to understand, and work towards narrowing attainment gaps.  相似文献   

The Effects of Concreteness on Mathematical Manipulative Choice     

Megan Foulkes  Francesco Sella  Theresa Elise Wege  Camilla Gilmore 《Mind, Brain, and Education》2023,17(3):185-196

There is mixed evidence as to whether concrete manipulatives (e.g., toy animals) are better than abstract manipulatives (e.g., counters) for teaching mathematical concepts to children. Concreteness is defined as the amount of extraneous information a manipulative provides, and in this study we aimed to unpick which dimensions of concreteness influence manipulative choice. Researchers, teachers, and parents completed a comparative judgment task comparing images of manipulatives varying in different dimensions of concreteness, selecting which they would choose to teach arithmetic to children. The findings indicated homogeneous, 3-dimensional manipulatives were the most preferred across all groups to teach arithmetic to children, regardless of more extraneous features. This contradicts research recommendations to minimize the use of concrete manipulatives due to their distractive qualities. Instead, it suggests that some concrete features may be preferred in more naturalistic contexts. More research is required to investigate how different dimensions of concreteness influence learning outcomes for children both in artificial research contexts and in practice.  相似文献