Background: Noncardiac chest pain (NCCP) is one of the leading reasons for emergency department visits and significantly limits patients' daily functioning. The protective effect of physical activity has been established in a number of pain problems, but its role in the course of NCCP is unknown. This study aimed to document the level of physical activity in patients with NCCP and its association with NCCP-related disability in the 6 months following an emergency department visit. Methods: In this prospective, longitudinal, cohort study, participants with NCCP were recruited in two emergency departments. They were contacted by telephone for the purpose of conducting a medical and sociodemographic interview, after which a set of questionnaires was sent to them. Participants were contacted again 6 months later for an interview aimed to assess their NCCP-related disability. Results: The final sample consisted of 279 participants (57.0% females), whose mean age was 54.6 (standard deviation = 15.3) years. Overall, the proportion of participants who were physically active in their leisure time, based on the Actimètre questionnaire criteria, was 22.0%. Being physically active at the first measurement time point was associated with a 38% reduction in the risk of reporting NCCP-related disability in the following 6 months (ρ = .047). This association remained significant after controlling for confounding variables. Conclusions: Being physically active seems to have a protective effect on the occurrence of NCCP-related disability in the 6 months following an emergency department visit with NCCP. These results point to the importance of further exploring the benefits of physical activity in this population.

Chaque année, la recherche scientifique mène à des découvertes majeures, confirmant ainsi la place du domaine de la santé comme creuset incontournable en matière d’innovations. Toutefois, cette performance ne se traduit pas par davantage d’innovation au sein des organisations ni par une productivité accrue du système de santé. Mais le réseau peut s’améliorer à ce chapitre. Voici trois pistes.

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Electronic gambling machine (EGM) licenses are meant to be a complementary revenue source for liquor establishments. Considering this, retailers with more than one license to operate EGMs may benefit from promoting their gambling offer, which may in turn facilitate excessive gambling behaviours. This study compares establishments that possess a single license to operate EGMs with those that are multi-licensed regarding four environmental risk factors: advertisements, automated teller machines, isolated gambling area, and EGM operating hours. A field observation was carried out by seven pairs of observers in 166 establishments in Capitale-Nationale de Quebec (QC), Canada. In each establishment, observers had to complete an observational grid on an iPod touch to gather environmental data related to the identified variables. Results from the stepwise logistic regression show that being a multi-licensed establishment increases the chance of having longer operating hours and displaying non-regulated advertisements that promote gambling. Multi-licensed establishments tend to offer a more attractive gambling environment, which may increase the risk of excessive gambling. Reinforcement of regulations for responsible gambling is discussed.RésuméPour les établissements ayant un permis d’alcool, posséder une licence d’exploitation d’appareils de jeux électroniques (AJE) se traduit par un revenu complémentaire. De ce fait, les détaillants ayant plus d’une licence d’exploitation d’AJE peuvent tirer parti de la promotion de leur offre de jeu, ce qui, en retour, peut encourager des comportements de jeu excessifs. Cette étude compare les établissements qui détiennent une seule licence d’exploitation d’AJE avec ceux qui en détiennent plusieurs en tenant compte de quatre facteurs de risque environnementaux : la publicité, les guichets automatiques, la zone de jeu isolée et les heures d’exploitation des AJE. Une observation sur le terrain a été effectuée par sept paires d’observateurs dans 166 établissements de Capitale-Nationale de Québec (QC), Canada. Dans chaque établissement, ils ont recueilli des données environnementales liées aux variables identifiées qu’ils ont compilées dans une grille d’observation sur un iPod touch. Les résultats du modèle logistique utilisant la régression séquentielle montrent que le fait, pour un établissement, d’avoir plusieurs licences augmente la possibilité de prolonger les heures d’exploitation et d’afficher des publicités non réglementées qui font la promotion du jeu. Les établissements ayant plusieurs licences ont tendance à offrir un environnement de jeu plus attrayant, ce qui peut accroître le risque de jeu excessif. Un resserrement des règles pour une réglementation responsable du jeu est à l’étude.