Promoting and maintaining physical activity in the transition to retirement: a systematic review of interventions for adults around retirement age.

It has been argued that transition points in life, such as the approach towards, and early years of retirement present key opportunities for interventions to improve the health of the population. Research has also highlighted inequalities in health status in the retired population and in response to interventions which should be addressed. We aimed to conduct a systematic review to synthesise international evidence on the types and effectiveness of interventions to increase physical activity among people around the time of retirement. A systematic review of literature was carried out between February 2014 and April 2015. Searches were not limited by language or location, but were restricted by date to studies published from 1990 onwards. Methods for identification of relevant studies included electronic database searching, reference list checking, and citation searching. Systematic search of the literature identified 104 papers which described study populations as being older adults. However, we found only one paper which specifically referred to their participants as being around the time of retirement. The intervention approaches for older adults encompassed: training of health care professionals; counselling and advice giving; group sessions; individual training sessions; in-home exercise programmes; in-home computer-delivered programmes; in-home telephone support; in-home diet and exercise programmes; and community-wide initiatives. The majority of papers reported some intervention effect, with evidence of positive outcomes for all types of programmes. A wide range of different measures were used to evaluate effectiveness, many were self-reported and few studies included evaluation of sedentary time. While the retirement transition is considered a significant point of life change, little research has been conducted to assess whether physical activity interventions at this time may be effective in promoting or maintaining activity, or reducing health inequalities. We were unable to find any evidence that the transition to retirement period was, or was not a significant point for intervention. Studies in older adults more generally indicated that a range of interventions might be effective for people around retirement age.

A European consensus on outcome measures for psychosocial intervention research in dementia care.

Psychosocial intervention makes a vital contribution to dementia care. However, the lack of consensus about which outcome measures to use to evaluate effectiveness prevents meaningful comparisons between different studies and interventions. This study used an iterative collaborative, evidence-based approach to identify the best of currently available outcome measures for European psychosocial intervention research. This included consensus workshops, a web-based pan-European consultation and a systematic literature review and a rigorous evaluation against agreed criteria looking at utility across Europe, feasibility and psychometric properties. For people with dementia the measures covered the domains of quality of life, mood, global function, behaviour and daily living skills. Family carer domains included mood and burden, which incorporated coping with behaviour and quality of life. The only specific staff domain identified was morale, but this included satisfaction and coping with behaviour. In conclusion twenty-two measures across nine domains were recommended in order to improve the comparability of intervention studies in Europe. Areas were identified where improved outcome measures for psychosocial intervention research studies are required.

Production, purification and characterization of an extracellular keratinase from Lysobacter NCIMB 9497.

AIMS: The aim of this study was to determine the keratinolytic ability of a range of bacteria and subsequently, to characterize the keratinase showing the greatest biotechnological potential. METHODS AND RESULTS: Nine bacteria, reported to produce extracellular proteases, were screened for production of keratinases. Of these, Lysobacter NCIMB 9497 exhibited the highest keratinolytic activity. The keratinase from this strain (Mr 148 kDa) was purified and characterized. Optimum activity occurred at 50 degrees C; no inhibition was demonstrated by phenylmethylsulphonyl fluoride (PMSF), but inhibition by EDTA was demonstrated. CONCLUSIONS: This study indicates that keratinase is a metalloprotease with a high degree of keratinolytic activity and stability. SIGNIFICANCE AND IMPACT OF THE STUDY: This is the first detailed report of a metalloprotease with keratinolytic activity. The novel reaction mechanism, degree of keratinolytic activity and stability indicate considerable biotechnological potential in the leather industry, and in the processing of poultry waste.

The relationship between patient behaviour and environmental quality for the dementing.

BACKGROUND: The quality of long-term hospital care for demented patients has never been studied in relation to the behaviour of the residents, although this relationship has been studied for other patient groups and in other settings. METHOD: Five aspects of environmental quality were assessed using a rating scale package. Seven wards with a range of quality were selected and patient behaviour categorized and recorded using a direct observation method. RESULTS: Comparative analyses revealed that institutional ward practices were associated with abnormal motor activity and inappropriate behaviour. In addition, social/recreational provision was associated with increased social behaviour and less time spent doing nothing, although high levels of provision were also associated with abnormal motor activity and inappropriate behaviour. Inappropriate behaviour also appeared to be related to a lack of provision of reality orientation cues and to better quality of ward condition. Space availability was not associated with any behavioural patterns. CONCLUSIONS: Some aspects of the environment are associated with patterns of behaviour. There is a need for further research both in this setting and in non-hospital settings.

The relationship between well-being and job satisfaction for staff working on long stay wards for the elderly confused.

The psychological well-being and job satisfaction of nursing staff working on long stay wards for the elderly confused were examined in one health district. Feelings of well-being were not related to job satisfaction. However, feelings of unhappiness were found to be related to job dissatisfaction, this relationship was found in the ward managers (predominantly males) and not other qualified or unqualified staff. The implications of this finding are discussed.

Preliminary report on nurse job satisfaction on wards for the elderly, mentally ill.

The effect of Community Care Policies upon staffing levels within institutions is potentially problematic; wider job opportunities becoming available to nurses as community provision increases. The job satisfaction of nurses still working within institutions must, therefore, be an issue of importance in the maintenance of suitably qualified and experienced staff. This study examines the differing amounts of job satisfaction reported by a sample of 59 nurses all working on long-stay wards for the elderly, mentally ill; located within three different institutions. The results show that the measures selected for use have high content and face validity for this population. The effects of institutional and staff management are highlighted as being major influences upon the degree of job satisfaction.