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Physical examination

Wiliam César Alves Machado, Vera Maria da Silva, Rafael André da Silva, Ricardo Luiz Ramos, Nébia Maria Almeida de Figueiredo, Elen Martins da Silva Castelo Branco, Luciana Krauss Rezende, Mônica de Almeida Carreiro
The present qualitative study was conducted in the second semester of 2014 via interviews with 12 doctors and 13 nurses working as managers at a large hospital that serves as a reference center for urgent and emergent care in the Zona da Mata region of Minas Gerais State, Brazil. The study sought to identify the criteria that doctors and nurses use to discharge individuals with disabling neurological injury with instructions related to accessing physical rehabilitation programs. Thematic content analysis was used to examine data...
October 2016: Ciência & Saúde Coletiva
Jafar Sadegh Tabrizi, Homayoun Sadeghi-Bazargani, Mostafa Farahbakhsh, Leila Nikniaz, Zeinab Nikniaz
BACKGROUND: This population-based study aimed at investigating the prevalence and associated factors of prehypertension/hypertension in Iran. METHODS AND FINDINGS: The data (n = 2818) for this study were collected in 2015 as a part of the major Lifestyle Promotion Project (LPP) conducted in East Azerbaijan (urban and regional parts). The data for socio-demographic status, dietary information, and physical activity and anxiety levels were collected through validated questionnaires...
2016: PloS One
HwaJung Choi, Robert F Schoeni, Linda G Martin
OBJECTIVES: This study examines changes in functional and activity limitations 1998-2012 for individuals 55-69. METHODS: Logistic models are used to estimate trends in limitations in vision, hearing, physical and cognitive functioning, IADLs, and ADLs. Additional models assess the extent to which trends are associated with and differ by education, smoking, and BMI. RESULTS: Changes in prevalence of limitations in vision, hearing, cognitive functioning, and ADLs are not statistically significant...
2016: PloS One
Juan Liu, Guang Hong, Yu-Han Wu, Kosei Endo, Jian-Min Han, Hiroyuki Kumamoto, Takeshi Wada, Hidemi Kato, Ping Gao, Keiichi Sasaki
The aim of this study was to investigate and compare the surface characteristics and initial bioactivity of ceria-stabilized zirconia/alumina nanocomposite (NANOZR) with those of yttria-stabilized zirconia (3Y-TZP) and pure titanium (CpTi) following the use of three surface modification methods; polishing, sandblasting/acid-etching (SB-E) and electrochemical deoxidation (ECD). Physical properties including surface morphology, chemical composition, X-ray diffraction, surface wettability, surface roughness, and hardness were measured...
October 26, 2016: Journal of Biomedical Materials Research. Part B, Applied Biomaterials
Manigandan Subramanyam Thyagarajan, Khalid Sharif
Space occupying liver lesions usually present with abdominal pain or abnormal physical findings, such as a palpable abdominal mass or distention. Liver lesions identified in children include benign and malignant neoplasms, inflammatory masses, cysts and metastatic lesions. Two-thirds of liver lesions in children are malignant. Hepatoblastoma accounts for two-thirds of malignant liver tumors in children. Benign lesions of the liver in children include vascular lesions, hamartomas, adenomas, and focal nodular hyperplasia...
October 25, 2016: Indian Journal of Pediatrics
Kenji Sanada, Iñaki Zorrilla, Yusuke Iwata, Cristina Bermúdez-Ampudia, Ariel Graff-Guerrero, Mónica Martínez-Cengotitabengoa, Ana González-Pinto
Several studies have investigated the relationship between non-pharmacological interventions (NPIs) and peripheral brain-derived neurotrophic factor (BDNF) in schizophrenia patients. We conducted a systematic review and meta-analysis to review the efficacy of NPIs on peripheral serum and plasma BDNF in subjects with schizophrenia (including schizoaffective disorder). Meta-analyses were conducted to examine the effects of NPIs on blood BDNF levels by using the standardized mean differences (SMDs) between the intervention groups and controls...
October 24, 2016: International Journal of Molecular Sciences
Torsten Oliver Salge, David Antons, Patrick Cichy, J Nils Foege, Julian Hannen, Antje S J Huetten
BACKGROUND: It is now widely established that health care organizations are well advised not only to identify and act upon the concerns of all patient groups but also to encourage and enable them to voice their concerns in the first place. That said, research has begun to reveal that patients differ substantially in their readiness to complain, with many deciding to remain silent even after experiencing severe adverse events. Little research has explored whether patients at the margins (e...
October 25, 2016: Health Care Management Review
Julia König, Sabine Schmid, Eva Löser, Olaf Neumann, Stefan Buchholz, Ralph Kästner
BACKGROUND: There has been increasing research on posttraumatic stress disorder (PTSD) following childbirth in the last two decades. The literature on predictors of who develops posttraumatic stress symptoms (PSS) suggests that both vulnerability and birth factors have an influence, but many studies measure predictors and outcomes simultaneously. OBJECTIVE: In this context, we aimed to examine indirect and direct effects of predictors of PSS, which were measured longitudinally...
2016: European Journal of Psychotraumatology
Zhiliang Yang, Guilian Sun
BACKGROUND: Sixth (abducens) nerve palsy (ANP) is far less frequent in children and has not been reported as a sign of acute disseminated encephalomyelitis (ADEM). We present an infant case of ADEM with bilateral abducens nerve palsy (BANP). CASE PRESENTATION: We report one case of BANP in a 15-month-old boy of fulminant ADEM. The patient underwent physical examinations and brain MRI scan three times during about six months follow-up. The patient had BANP and developmental regression when he regained consciousness from a coma, and the signs had persisted for 6-months...
October 26, 2016: BMC Ophthalmology
Andre B Rosay, Carrie F Mulford
This study examines the prevalence and correlates of psychological abuse and physical abuse against women and men aged 70 or older. Self-report data from 2,185 respondents in the 2010 National Intimate Partner and Sexual Violence Survey (NISVS) were used to create weighted estimates for past-year experiences of abuse. Correlates were then examined using survey logistic regression models. More than 1 in 10 adults who are 70 years of age or older (14.0%) have experienced some form of abuse in the past year, with 12...
October 26, 2016: Journal of Elder Abuse & Neglect
V Tuka, M Matoulek, T Zelinka, J Rosa, O Petrák, O Mikeš, Z Krátká, B Štrauch, R Holaj, J Widimský
Hypokalaemia as a typical feature of primary aldosteronism (PA) is associated with muscle weakness and could contribute to lower cardiopulmonary fitness. The aim of this study was to describe cardiopulmonary fitness and exercise blood pressure and their determinants during a symptom-limited exercise stress test in patients with PA. We performed a cross-sectional study of patients with confirmed PA who were included before adrenal vein sampling on whom a symptom-limited exercise stress test with expired gas analysis was performed...
October 26, 2016: Physiological Research
Jordana K Thibado, Ashley N Martfeld, Denise V Greathouse, Roger E Koeppe
An essential component of mammalian cells, cholesterol exerts significant influence on the physical properties of the cell membrane and in turn its constituents, including membrane proteins. Although sparse, polar amino-acid residues are highly conserved in membrane proteins and play pivotal roles in determining specific structural and functional properties. To gain greater understanding of particular polar residues in the membrane environment, we have examined two specific "guest" Arg residues within a well-defined and deuterium-labeled "host" framework provided by the transmembrane helical peptide GWALP23 (acetyl-GGALWLALALALALALALWLAGA-amide)...
October 26, 2016: Biochemistry
Xian Teng, Sen Pei, Flaviano Morone, Hernán A Makse
Identifying the most influential spreaders that maximize information flow is a central question in network theory. Recently, a scalable method called "Collective Influence (CI)" has been put forward through collective influence maximization. In contrast to heuristic methods evaluating nodes' significance separately, CI method inspects the collective influence of multiple spreaders. Despite that CI applies to the influence maximization problem in percolation model, it is still important to examine its efficacy in realistic information spreading...
October 26, 2016: Scientific Reports
G M E E Geeske Peeters, Sophia Rainbird, Michelle Lorimer, Annette J Dobson, Gita D Mishra, Stephen E Graves
Background and purpose - There are concerns that mental health (MH) may influence outcomes of total knee arthroplasty (TKA) or total hip arthroplasty (THA). We examined effects of poor MH before surgery on long-term outcomes of osteoarthritis-related TKA or THA in women. Patients and methods - The data were from 9,737 middle-aged participants (47-52 years) and 9,292 older participants (73-78 years) in the Australian Longitudinal Study on Women's Health who completed surveys between 1998 and 2013. Dates of arthroplasties were obtained from the Australian Orthopaedics Association National Joint Replacement Registry...
October 26, 2016: Acta Orthopaedica
Meghan K Edwards, Paul D Loprinzi
BACKGROUND: Previous research demonstrates individual associations of sedentary behaviour, moderate-to-vigorous physical activity (MVPA) and cardiorespiratory fitness on systemic inflammation, often assessed via C-reactive protein (CRP) levels. Their potential additive association on CRP, however, has not been fully evaluated, which was the purpose of this study. METHODS: Data from the 2003-2004 National Health and Nutrition Examination Survey were used (N = 627 adults 20-49 years)...
October 26, 2016: Clinical Physiology and Functional Imaging
Andrée Dionne, Louis Pérusse, Alain-Steve Comtois, Mario Leone
Physical activity is often avoided or practised at a low-intensity level because of the limited ability of patients with heart disease (HD) to provide sustained effort. Immersible training has been suggested as a possible alternative as hydrostatic pressure can modify some hemodynamic parameters in healthy patients and potentially increase the exercise capacity in patients with HD. The purpose of this study was to examine the acute cardiorespiratory adaptations at different levels of immersion using an immersible ergometer (IE) in patients with HD...
October 26, 2016: Clinical Physiology and Functional Imaging
Henna L Haapala, Mirja H Hirvensalo, Janne Kulmala, Harto Hakonen, Anna Kankaanpää, Kaarlo Laine, Lauri Laakso, Tuija H Tammelin
The aim of the Finnish Schools on the Move program is to create a more active and pleasant school day through physical activity (PA). In this quasi-experimental design, we compared changes in moderate-to-vigorous-intensity physical activity (MVPA) and sedentary time (ST) during the school day and outside school hours for Grades 1-9 over two academic years in four program schools and two reference schools. Altogether 319 girls and boys aged 7-15 participated in the study between 2010 and 2012. MVPA and ST were measured four times over the 1...
October 26, 2016: Scandinavian Journal of Medicine & Science in Sports
L Lopes, S Póvoas, J Mota, A D Okely, M J Coelho-E-Silva, D P Cliff, V P Lopes, R Santos
Available data on the associations between motor competence (MC) and flexibility are limited and result inconclusive. This study aims to examine the relationship between flexibility and MC in children. The sample comprised 596 Portuguese children (47.1% girls) aged 9.7 ± 0.6 years. Motor competence was evaluated with the body coordination test, Körperkoordination Test für Kinder. Cardiorespiratory fitness (20-m shuttle run), muscular strength (curl-up and push-up tests), and flexibility (back-saver sit and reach and trunk-lift tests) were evaluated using the Fitnessgram Test Battery...
October 26, 2016: Scandinavian Journal of Medicine & Science in Sports
Roghayeh Chenary, Azita Noroozi, Sedighe Sadat Tavafian, Maliheh Saeed Firoozabadi
BACKGROUND: Health-promoting behaviors can enhance physical and mental health among individuals with disability, particularly veterans. OBJECTIVES: The current study aimed to examine both one-way direct and indirect effects of the factors of the Health Promotion Model (HPM) on health-promoting behaviors in chemical veterans from Ilam province in Iran. MATERIALS AND METHODS: This cross-sectional study was conducted in 2014. In this study, 239 moderate-to-severe chemical veterans from Illam province supported by the veterans' affairs department of Ilam were evaluated via census sampling...
August 2016: Iranian Red Crescent Medical Journal
L Sherr, A Molloy, A Macedo, N Croome, M A Johnson
OBJECTIVES: Treatment rollout has dramatically improved life expectancy for people with HIV and AIDS. Women represent a substantial proportion of patients in the UK (approximately one-third of patients in care are female according to the HIV Annual Report 2014). This study examines psychosocial and biomedical issues for women diagnosed with HIV in the UK, comparing those above and below 45 years of age to examine menopause and ageing issues. METHODS: Consecutive clinic attenders in a large outpatient London HIV clinic were invited to participate in the study...
October 5, 2016: Journal of Virus Eradication
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