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[An awareness campaign on the diagnosis and prevention of colon and rectal cancer. Planning and evaluation of its results].

Colorectal cancer is very frequent in Argentina. It is the third most frequent cancer, after skin and breast tumor in the city of Rosario. Our population usually ignores the symptoms of colonic cancer and early diagnosis are infrequent. The Societies of Gastroenterology, Oncology and Colonoproctology organizes a public awareness campaign during july, august and september 1985 in Rosario and its surrounding (population 1,300,000) by means of newspaper, radio and specially by television, describing the symptoms were present, as well as insisting of the possibility of prevention by endoscopy diagnosis and removal of polyps. Literature and pamphlets were distributed, and information letters were send to all the physicians in Rosario. An International update meeting on colon and rectal took place. The results of this campaign were evaluated through the Tumor Registry of Rosario. Since september 1984 still february 1986, the monthly incidence of polyps and cancer of the colon and rectum was recorded. The monthly average incidence of polyps was 18.9. Previous to the campaign, the monthly average of diagnosed polyps was 17.5; during the campaign, 27.5; and after it, 13.8. The monthly average of colorectal cancer was 39, before the campaign, 41; during the campaign, 49, and 26 afterwards. These results were statistically studies by the parametric test of Mann and Whitney. During the campaign a significant (p = 0.05) increase of diagnosed polyps and cancers, was found. Our conclusion is that the awareness was successful, but we think that it is necessary to insist with periodic and longer campaigns.

Argentina↗

[The "stop violence" campaign of the Swiss Conference of Equality Officers].

The campaign "Stop Domestic Violence against Women" (referred to below as "Stop Violence") is a prevention campaign of the Swiss Conference of Equality Officers. It has been primarily focussed an heightening public awareness of violence against women in relationships with the opposite sex and offering victims and experts a refuge and meeting place. Central elements of the campaign: public service announcements on television and in the radio broadcast at various times of the day and the Info Line, a trilingual hot line and contact point specially set up by the campaign for victims and experts. The evaluation was designed to describe and estimate the type and extent of phone contacts with victims, experts and other callers. It was also designed to survey the opinion of the campaign on the part of those confronted with the victims of domestic violence on a daily basis, i.e. the staff of women's shelters. Consequently, the goal of the evaluation was to gather feedback on the campaign as well as assess the benefits and effect of the Info Line.

Adult↗

Childhood incidence of acute lymphoblastic leukaemia and exposure to broadcast radiation in Sydney--a second look.

INTRODUCTION: Recent findings of an apparent association between incidence of childhood leukaemia and radio frequency radiation (RFR) from television transmission antennas in Sydney, NSW, are examined. METHODS: Incidence of childhood (0-14 years) acute lymphoblastic leukaemia (ALL) at the local government area (LGA) level is related to estimated exposure levels of RFR from television transmission antennas, using Poisson regression techniques. RESULTS: Most of the association between ALL incidence and television transmission RFR is shown to be the result of an influential observation: one of the highly exposed LGAs contributes all the excess, while in a similarly exposed LGA childhood ALL incidence was found to be no higher than the rate expected for NSW. With the influential observation excluded from the analysis, no positive correlation between exposure to RFR and leukaemia is evident. Conversely, under the assumption of an association with RFR, the low probability of the observed incident cases in LGAs under conditions of relatively high exposure to RFR conflicts with the assumption of an effect. CONCLUSION: The apparent association between childhood ALL incidence and RFR radiation from television towers is weaker when an LGA-level analysis is conducted.

Adolescent↗

Recruitment and accrual of women in a randomized controlled trial of spinal manipulation.

OBJECTIVE: To report on recruitment efforts and accrual rates for a nonmusculoskeletal chiropractic clinical trial. DESIGN: Information regarding the method of recruitment was collected for each individual who responded to an advertisement and completed an interviewer-administered telephone screening. SETTING: A suburban chiropractic teaching clinic with recruitment efforts extending throughout the larger metropolitan area. PATIENTS: A total of 2312 women were screened for participation and the advertisement source was noted for each. Of these, 138 women were recruited and fulfilled all study requirements. MAIN OUTCOME MEASURES: The numbers of responses and accrual rates were determined for 8 different recruitment methods: newspaper advertisements, community referrals, radio advertisements, community colleges, press releases, a community electronic sign, public television, and local posters. RESULTS: The most effective recruitment methods were newspaper advertisements, community referrals, and radio advertisements; the least effective methods were public television and local posters. CONCLUSIONS: The effort required for the recruitment of subjects was underestimated in this study. Based on the information gained, future recruitment methods for study participants will primarily focus on low-effort, high-yield methods such as newspaper and radio advertising, followed by press releases, campus electronic signs, and public television.

Adult↗

The quality of life of people with schizophrenia living in community in Rio de Janeiro, Brazil.

INTRODUCTION: The influence of sociodemographics and clinical factors on the quality of life (qol) of an individual with schizophrenia is being widely studied, particularly in developed countries. The de-institutionalization process that is taking course in Brazil, to a less symptoms-focused approach, makes necessary the assessment of the qol of these patients living in the community. OBJECTIVES: To evaluate factors related to the qol in patients diagnosed with schizophrenia or schizo-affective disorder, and who are users of one of the two municipal community mental health services of a Rio de Janeiro district, Brazil. MATERIAL AND METHODS: A cross-sectional study was carried out. Selected patients were interviewed with Brazilian versions of Lancashire Quality of Life Profile, Brief Psychiatric Rating Scale and Calgary Depression Scale for Schizophrenia. RESULTS: A total of 136 patients participated in the study. Most of them were single and lived with their relatives, had low educational level, were unemployed and had low income. A great number of the interviewed did not have any social contact outside the family and leisure activity, except watching television and/or listening to the radio. Finances and work situation had the lowest satisfaction level. Educational level, presence of positive and depressive symptoms, hospital admissions were negatively associated with qol. For those receiving state benefit, perceived qol increased with age. These predictors explained more than 42% of the total subjective qol score variance.

Adolescent↗

Discretionary time among older adults: how do physical activity promotion interventions affect sedentary and active behaviors?

Investigation goals were to document discretionary time activities among older adults, determine whether time spent in discretionary activities varied by gender, and investigate whether participation in a prescribed physical activity (P) intervention increased the time that older adults spend in discretionary time physical activities that were not specifically prescribed by interventions. Longitudinal data were drawn from 2 published studies of older adults. Study 1 compared 2 PA interventions in healthy older men and women (N = 103, M =70.2 years), and Study 2 compared a PA intervention with a nutrition intervention in healthy older women (N =93, M =63.1 years). Participants in both studies completed similar assessments of their discretionary time activities using the Community Healthy Activities Model Program for Seniors questionnaire. Across both studies, at baseline, over 95% of participants reported talking on the telephone and reading as frequent sedentary discretionary time activities; over 80% reported visiting with friends and watching television or listening to the radio. Women engaged in significantly greater hours of social activities and household maintenance activities than did men (p <.05). From baseline to 12-month posttest, social, recreational, and household activities remained stable by gender and across time after participating in a PA intervention. Despite previously documented 2- to 3-hr increases in physical activities occurring in response to the study interventions, increases did not generalize for most participants to activities not prescribed by the intervention. Older adults are participating in numerous sedentary social and recreational activities that appear to remain stable across time and in the face of PA intervention prescriptions.

Aged↗