Lifestyle advice and lifestyle change: to what degree does lifestyle advice of healthcare professionals reach the population,focusing on gender,age and education?

Health promotion practice in health care has a high priority in the endeavour to achieve equal opportunities for health and diversity in health among the population. The purpose of the study was to investigate whether there is any connection between the lifestyle advice given by healthcare professionals and the lifestyle change of the population, focusing on age, gender and education level. The study is based on the data from a national population survey in Sweden in which 52 595 patients who had attended health care were interviewed by phone. The participants were asked whether healthcare professionals had raised the subject of lifestyle during the visit and whether the advice they gave had contributed to a lifestyle change. The results indicated that lifestyle issues were raised with 32.2% of those who attended health care, particularly among men, younger patients and those with a high education level. When lifestyle issues were raised, the advice contributed to 39.2% of patients making a lifestyle change, to a higher extent among men, older patients and those with a low education level. The study shows that lifestyle advice given by healthcare professionals, during both emergency and outpatient healthcare visits, is an important contributor to patients' lifestyle change.     

Hemispheric Asymmetry and Human Electrodermal Conditioning: The Dichotic Extinction Paradigm

It was hypothesized that classically conditioned responses to an auditory verbal CS initially presented only to the left cerebral hemisphere would be greater than when the same CS was presented to the right hemisphere. The experiment consisted of three different phases in a dichotic extinction paradigm. During the habituation phase the CS+ and CS? were presented binaurally, and separated. All subjects were treated alike. During the acquisition phase the conditioning subjects had the CS+ but not the CS? followed by the UCS. The CS+ and CS? were presented binaurally and separated. The control subjects received no UCS presentations. During the dichotic extinction phase, half of the conditioned subjects had the CS+ presented in the right ear (i.e., with initial left hemisphere input), with the CS? simultaneously presented in the left ear (i.e., with initial right hemisphere input). The other half had the earphones reversed. The control group was similar to the two conditioning groups. During the acquisition phase, significantly larger electrodermal responses were observed to the CS+ compared to the CS? in the conditioning groups, but not in the control group. During the dichotic extinction phase, significantly more resistance to extinction was observed in the CS+ Right-Ear group compared to the CS+ Left-Ear group, with the control group revealing virtually no responding at all. It was concluded that the present results have demonstrated effects of cerebral asymmetry on rate of extinction of the classically conditioned response.     

Feeding following intraventricular injection of CA++, MG++ or pentobarbital in pigs.

The effects on food intake, of injections into the lateral ventricle of Ca++, Mg++ or equimolar mixtures of the 2 ions have been studied in pigs. The chloride salts were made up in normal saline which together with 1.35 percent NaC1 was used as a control injection. Dosages of 12.5 mumoles, 25 mumoles, or 50 mumoles either Ca++ or Mg++ elicited increased food intake in the 30 min following the injection and there was a predominantly linear feeding response to increasing concentration of the two ions. Ca++ was more effective in eliciting increased food intake than Mg++. Equimolar mixtures of Ca++ and Mg++ of 6.5 + 6.5 mumoles, 12.5 + 12.5 mumoles or 25 + 25 mumoles also increased food intake linearly and the mixture of ions was more effective than equivalent concentrations of Ca++ or Mg++ alone. No antagonism between Ca++ and Mg++ was seen with respect to food intake. Intraventricular injections of 16 mumoles of sodium pentobarbital also elicited increased food intake in the 30 min following injection. It is suggested that the ions and the barbiturate probably act by deression of periventricular neurons, particularly in the medial hypothalamus which is adjacent to the third ventricle.