Costs and advance directives at the end of life: a case of the ‘Coaching Older Adults and Carers to have their preferences Heard (COACH)’ trial

BACKGROUND: Total costs associated with care for older people nearing the end of life and the cost variations related with end of life care decisions are not well documented in the literature. Healthcare utilisation and associated health care costs for a group of older Australians who entered Transition Care following an acute hospital admission were calculated. Costs were differentiated according to a number of health care decisions and outcomes including advance directives (ADs).

METHODS: Study participants were drawn from the Coaching Older Adults and Carers to have their preferences Heard (COACH) trial funded by the Australian National Health and Medical Research Council. Data collected included total health care costs, the type of (and when) ADs were completed and the place of death. Two-step endogenous treatment-regression models were employed to test the relationship between costs and a number of variables including completion of ADs.

RESULTS: The trial recruited 230 older adults with mean age 84 years. At the end of the trial, 53 had died and 80 had completed ADs. Total healthcare costs were higher for younger participants and those who had died. No statistically significant association was found between costs and completion of ADs.

CONCLUSION: For our frail study population, the completion of ADs did not have an effect on health care utilisation and costs. Further research is needed to substantiate these findings in larger and more diverse clinical cohorts of older people.

Accelerometer validity to measure and classify movement in team sports

 In team sports accelerometers are used to monitor the physical demands of athletic performance. Daniel's research showed that accelerometer accuracy can be improved through filtering. He also showed that the accelerometer can be used to automatically classify the type of movement performed. Further improving the understanding of team sports.

Coaching for mindfulness and wisdom in complex environment

The primary objective for this paper is to build a compendium for a systemic intervention program for managers working in high-reliability organizations on an offshore rig. The second objective is then to work as a coach for these managers.

Sports administration: an examination of the competitive balance concept through european and brazilian domestic soccer leagues comparison

A questão do Equilíbrio Competitivo é um tema importante da economia dos esportes profissionais nos Estados Unidos e na Europa. Muitas pesquisas foram feitas para estabelecer os critérios mais relevantes para avaliar a competitividade das ligas profissionais de futebol. Esta pesquisa analisou a relevância do Equilíbrio Competitivo como determinante da competitividade comparando o Brasileirão Série A com as nove principais ligas na Europa (Bélgica, Inglaterra, Alemanha, Holanda, França, Itália, Portugal, Escócia e Espanha). A competitividade é a capacidade de uma empresa (um clube) ou de uma indústria de enfrentar a concorrência efetiva ou potencial. A medida da competitividade deve levar em consideração uma série de fatores importantes como a qualidade e a relação qualidade/preço, a gestão de recursos humanos e a organização empresarial. Esse trabalho visa demonstrar que, apesar da incerteza do resultado ter sido considerado por muito tempo como um fator positivo de atratividade/interesse dos fãs nos esportes, um campeonato equilibrado poderia ter um efeito insignificante, para não dizer desprezível sobre a competitividade das ligas de futebol a longo prazo. Os resultados mostraram que o aumento do Equilíbrio Competitivo pode ser relevante para os campeonatos mais fracos (Bélgica, Holanda, Portugal, Escócia), mas nao dos cincos melhores (Alemanha, Espanha, França, Inglaterra, Itália). Consequentemente, o Equilíbrio Competitivo deve ser contemplado como uma variável desprezível quanto à competitividade das ligas de futebol, apesar do interesse crescente pelo conceito na literatura. Baseado principalmente em pesquisas de Dell'Osso e Symanski (1991) e de Oughton e Michie (2004), o índice HHI (Herfindahl-Hirschman) tem sido utilizado para determinar o nível de concentração de 11 ligas de futebol estudadas. Uma revisão da literatura sobre administração de futebol e esportes foi realizada.

A Dimensão do Sucesso em Coaching - uma análise do contexto brasileiro

Nos últimos anos, a comunidade acadêmica e os profissionais interessados em Coaching mostram-se cada vez mais aplicados em avançar na correta interpretação das abordagens, dos paradigmas e dos caminhos que levam aos resultados esperados pelos clientes. Todos buscam entender como evitar situações indesejáveis e, ainda mais, quais os segredos para transformar aquele processo em uma intervenção bem sucedida. Multiplicam-se os estudos e as pesquisas; reformulam-se os modelos teóricos e empíricos que tentam explicar a essência do relacionamento entre quem orienta o processo (coach) e o seu cliente (coachee). Porém, nestes tempos modernos, a expectativa que mais frequentemente está presente é a de como alcançar o sucesso e avaliar os resultados. Existirá um modelo especial que possa responder a esses exigentes requisitos? Pesquisas divulgadas, no Brasil e exterior, reconhecem que diferenças culturais e sociais podem interferir no processo de Coaching. O que nos leva, já de início, a depender de uma conceituação, ou seja, como definir o “sucesso em Coaching”. São restritos os estudos com ampla amostra para análise e escassos os trabalhos centrados no contexto brasileiro. Poucos estudos têm foco na avaliação de fatores e/ou de indicadores (por vezes, nominados critérios) presentes no “sucesso em Coaching”. A nossa motivação foi a de encaminhar um estudo que é, ao mesmo tempo, empírico e exploratório, com a pretensão de enfrentar e, se possível, superar as limitações citadas. Idealizamos e conduzimos um trabalho que tem resultado validado sob a perspectiva estatística e adequado ao contexto brasileiro. O planejamento cercou-se de cuidados na obtenção de dados, parte deles utilizada para além das fronteiras desta dissertação, contribuindo com o acadêmico e o praticante interessado em Coaching. Ao final desta dissertação, temos a convicção de que teremos uma adequada resposta para a pergunta de pesquisa: no Brasil, como as pessoas que passaram pelo processo de Coaching explicam essa sua experiência e definem o que é alcançar o sucesso?

Um estudo sobre valor agregado em coaching e sua percepção para as partes envolvidas

Com o avanço da globalização e o aumento da competitividade, as pessoas se veem, cada vez mais, obrigadas a procurar por aprimoramento. O profissional enfrenta hoje dilemas em sua carreira profissional com muito mais frequência do que antigamente, tendo em vista a quantidade de profissões que o mercado oferece. São desde jovens estudantes que buscam encontrar seus caminhos até altos executivos que querem desenvolver habilidades de liderança e fatores comportamentais. A inteligência emocional parece ter hoje um peso igual ou maior do que a qualificação técnica para que um profissional seja bem sucedido e possa crescer no mercado corporativo, e as empresas começam a compreender o valor dos chamados ativos intangíveis dentro de suas estruturas (Zanini, 2007). O coaching se apresenta nesse cenário como uma ferramenta para desenvolver e alinhar profissionais e organizações. Ambos precisam estar em constante mutação, se atualizando constantemente. Determinado indivíduo, hoje, pode apresentar o perfil ideal para determinada posição em uma organização, mas em dois anos, talvez não. Isto acontece pois ele certamente irá mudar ao longo destes dois anos, em termos de aspirações, sonhos e personalidade, ao passo que, a posição que ocupa, provavelmente também terá sofrido modificações oriundas de mudanças dentro da empresa. Este estudo visa compreender o que é valor agregado no processo de coaching, bem como analisar se estes valores estão alinhados entre clientes e “fornecedores”. Será que ambos, neste caso, entendem o valor desse serviço da mesma forma? Foi realizada uma pesquisa qualitativa com vinte profissionais do Rio de Janeiro e de São Paulo, sendo dez coaches (que oferecem coaching) e dez coachees (que recebem coaching), a fim de investigar tais objetivos. E o resultado obtido indica que o valor no coaching é justamente o desenvolvimento pessoal e profissional que o processo propicia, onde o coachee é capaz de se conhecer melhor, analisar suas competências, objetivos e metas, e organizá-las sistematicamente em um plano de ação. Ambos os grupos veem o coaching e seu valor da mesma forma, havendo portanto um alinhamento entre as partes.

Association between regular participation in sports and leisure time behaviors in Brazilian adolescents: A cross-sectional study

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Characteristics of family nucleus as correlates of regular participation in sports among adolescents

Objectives To estimate the relationship between family nucleus and sport practice among adolescents.Methods A school-based cross-sectional study carried out with 1,752 Brazilian adolescents (812 male and 940 female), aged 11-17 years. Characteristics of the family nucleus (parental education, socioeconomic status and number of siblings) and sport practice (>= 240 min/week) were assessed by questionnaires. Adjusted prevalence ratios were estimated using Poisson regression models.Results The overall prevalence of sport practice was 14.8% (boys 21.2% and girls 9.4%, P = 0.001). Higher socioeconomic status, number of siblings and parents' educational level were associated with more sport practice.Conclusion Despite the low engagement, family nucleus plays an essential role in the sport practice of our sample of Brazilian adolescents.

Evaluating the knowledge of sports participants regarding dental emergency procedures

Dental trauma is a common consequence of sports practice to which emergency treatment is critical. The purpose of this study was to evaluate the knowledge of sports participants about dental trauma procedures, particularly tooth avulsion. A specific questionnaire concerning concepts, experiences and behaviors after dental trauma and the use of mouthguard was standardized and validated with 80 people. The validated questionnaire was then distributed to 310 sports participants. The results showed that 28.4% had experienced a kind of dental trauma; 42.6% would look for a dentist for treatment; 51.7% reimplanted or would reimplant the avulsed tooth; 6.5% would maintain the avulsed tooth in milk. Although 47.4% of the participants were aware of the possibility of accidents during sports practice, only 13.9% reported to use a mouthguard. This study showed an overall lack of knowledge of sportsmen and sportswomen with regards to tooth avulsion, thus reinforcing the need for educational campaigns to improve the immediate emergency treatment of tooth avulsion.

Use of Facial Protection to Prevent Reinjury During Sports Practice

The objective of the study was to report the prevention of facial reinjury of a volleyball player using a custom-made protective facial shield. A custom-made protective partial facial shield was fabricated using polymethylmethacrylate and was fitted with a soft lining material to provide additional comfort and protection to the injured area. Facial protection provides greater security against possible facial injuries and allows injured areas to recover during sports practice.

Referring to judo's sports injuries in São Paulo State Championship

Objective. - In a pioneer way, we investigated the morbidity of sports injuries referred by judo athletes from São Paulo State Championship.Material and methods. - Data collection from 93 senior judokas in State of São Paulo Judo Championship, through Referred Morbidity Inquiry about last year.Results. - One hundred and ten events were registered with a distribution frequency gradient of sprain > contusion > strain > ligament injury > partial and total dislocation. The most injured body areas were: knee (26.3%), shoulder (21.8%), fingers (17.3%), and ankle (10.0%). The most risky situation was when the athlete was training (standing, applying a blow) and it can be explained by the frequent and unprepared exposition of the athletes. Yearly lesion rate was 1.18 injuries per athlete/year.Conclusion. - Sprains constitute the most common judo injury, and athletes are more susceptible when they apply blows; discussion about the direction that the prevention should be applied remains opened. (c) 2006 Elsevier Masson SAS. All rights reserved.

Dermatoglyphics in sports sciences: Understanding the distribution of quantitative indicators in non-athletes and athletes of basketball according to their performance

Objectives. One of the concerns of Sports Sciences is the search for methodologies that can help discover potential athletes. In this sense, some initiatives have been taken in an attempt to identify and characterize the genetic profile of dermatoglyphic marks (fingerprints). The present work has the objective of understanding the distribution of quantitative dermatoglyphic indicators in basketball players with different levels of performance compared to non-players. Methods. The subjects observed constituted 125 individuals, divided into five numerically equal groups, three of which were composed of professional basketball players according to their level of participation (Brazilian Team, National Championship and São Paulo Championship) and the last two formed by weekend players and non-players, respectively. Eleven dermatoglyphic variables were analysed in the descriptive level by means of measurement of position, variability and limits of confidence of the median, and, in inferential terms, the Kruskal-Wallis statistical test was adopted. Results. The more expressive ones were: TRC, counting lines a-b and A'-d, behave differently between athletes and non-athletes. Conclusion. Studies about this kind of analysis should be continued, calling on resources that take into consideration all variables simultaneously as a multivariate study. © 2012 Revista Andaluza de Medicina del Deporte.

Parents' support in the sports career of young gymnasts

From the very first moment of entrance in sports up to the time of their successful achievements, parents have a pronounced influence on the sport's career of their children. This influence is readily seen when the parent's dedicated involvement and investment, both emotional and financial, put into the support they give to their children in sports is taken into account. This is all done with the objective that their young athlete may stay involved and reach their full potential. To describe the parental support in the context of Brazilian Artistic Gymnastics in formative categories, this study addressed the perceptions that young gymnasts have toward the behavior and attitude of their parents through a field research conducted among 29 sport institutions involving a total of 163 athletes. We have found that parental support enabled and greatly influenced the child's entering into sports, their access to the practice of a sport, their level of participation, their degree of involvement, and their physical and emotional wellbeing. Moreover, the parental support is crucial to the commitment and dedication of the young gymnast. However, when this support is perceived in a negative way it can result in stress, conflicts between parents and children, burnout and may provoke dropout.