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Physical examination AND education

Lauren J Parker, Haslyn Hunte, Anita Ohmit, Debra Furr-Holden, Roland J Thorpe
: Previous research has demonstrated that experiencing interpersonal discrimination is associated with cigarette smoking. Few studies have examined the relationship between the effects of physical and emotional discrimination and cigarette usage, and none have examined this relationship among Black men. The aim of this study was to examine the association between the effects of physical and emotional discrimination and cigarette smoking. METHODS: Data from the Indiana Black Men's Health Study, a community-based sample of adult Black men, was used to conduct multivariate logistic regression to examine the relationship between the physical and emotional effects of discrimination and smoking, net of healthcare and workplace discrimination, age, education, household income, and being married...
October 25, 2016: Substance Use & Misuse
Amber R Atwater, Mariah Rudd, Audrey Brown, John S Wiener, Robert Benjamin, W Robert Lee, Jullia A Rosdahl
BACKGROUND : There is limited information on the impact of widespread adoption of the electronic health record (EHR) on graduate medical education (GME). OBJECTIVE : To identify areas of consensus by education experts, where the use of EHR impacts GME, with the goal of developing strategies and tools to enhance GME teaching and learning in the EHR environment. METHODS : Information was solicited from experienced US physician educators who use EPIC EHR following 3 steps: 2 rounds of online surveys using the Delphi technique, followed by telephone interviews...
October 2016: Journal of Graduate Medical Education
K Warfa, I Drake, P Wallström, G Engström, E Sonestedt
Previous studies have suggested that a high intake of sugar-sweetened beverages is positively associated with the risk of a coronary event. However, a few studies have examined the association between sucrose (the most common extrinsic sugar in Sweden) and incident coronary events. The objective of the present study was to examine the associations between sucrose intake and coronary event risk and to determine whether these associations are specific to certain subgroups of the population (i.e. according to physical activity, obesity status, educational level, alcohol consumption, smoking habits, intake of fat and intake of fruits and vegetables)...
October 24, 2016: British Journal of Nutrition
Luisa N Borrell, Lisa Graham, Sharon P Joseph
OBJECTIVES: To examine the association of neighborhood safety and support with overweight and obesity and whether these associations vary with age, sex, and race/ethnicity among children and adolescents. DESIGN: Cross-sectional. SETTING: United States. MAIN OUTCOME MEASURES: Childhood overweight and obesity. METHODS: We used data from the 2011-12 National Survey of Children's Health, a representative sample of US children and adolescents, for the analyses (N=40,730)...
October 20, 2016: Ethnicity & Disease
Maan Isabella Cajita, Kris Denhaerynck, Fabienne Dobbels, Lut Berben, Cynthia L Russell, Patricia M Davidson, Sabina De Geest
BACKGROUND: Health literacy (HL) is a major determinant of health outcomes; however, there are few studies exploring the role of HL among heart transplant recipients. The objectives of this study were to: (1) explore and compare the prevalence of inadequate HL among heart transplant recipients internationally; (2) determine the correlates of HL; and (3) assess the relationship between HL and health-related behaviors. METHODS: A secondary analysis was conducted using data of the 1,365 adult patients from the BRIGHT study, an international multicenter, cross-sectional study that surveyed heart transplant recipients across 11 countries and 4 continents...
September 13, 2016: Journal of Heart and Lung Transplantation
Amanda Reichard, Michelle Stransky, Kimberly Phillips, Monica McClain, Charles Drum
BACKGROUND: While it is commonly accepted that disparities in unmet need for care vary by age, race/ethnicity, income, education, and access to care, literature documenting unmet needs experienced by adults with different types of disabilities is developing. OBJECTIVE: The main objective was to determine whether subgroups of people with disabilities are more likely than people without disabilities to delay/forgo necessary care, in general and among the insured. METHODS: We used pooled Medical Expenditure Panel Survey data (2004-2010) to examine delaying or forgoing medical, dental, and pharmacy care among five disability subgroups (physical, cognitive, visual, hearing, multiple) and the non-disabled population...
September 13, 2016: Disability and Health Journal
Emel Sari Gokten, Nagihan Saday Duman, Nusret Soylu, Mehmet Erdem Uzun
It is known that children with mental and developmental problems are at risk of abuse and neglect. Attention-deficit/hyperactivity disorder is one of the most frequent neurodevelopmental disorders in children and adolescents. The purpose of this study is to examine whether children diagnosed with ADHD are under more risk in terms of child abuse and neglect compared to controls. In this case-control study, 104 children, who applied to Child and Adolescent Psychiatry Unit of Bursa Yuksek Ihtisas Training and Research Hospital between January and June 2015, were diagnosed with ADHD, and had no other psychiatric comorbidity except for disruptive behavior disorders, and 104 healthy children were compared...
October 19, 2016: Child Abuse & Neglect
Yurii B Shvetsov, Brook E Harmon, Reynolette Ettienne, Lynne R Wilkens, Loic Le Marchand, Laurence N Kolonel, Carol J Boushey
The alternate Mediterranean diet (aMED) score is an adaptation of the original Mediterranean diet score. Raw (aMED) and energy-standardised (aMED-e) versions have been used. How the diet scores and their association with health outcomes differ between the two versions is unclear. We examined differences in participants' total and component scores and compared the association of aMED and aMED-e with all-cause, CVD and cancer mortality. As part of the Multiethnic Cohort, 193 527 men and women aged 45-75 years from Hawaii and Los Angeles completed a baseline FFQ and were followed up for 13-18 years...
October 21, 2016: British Journal of Nutrition
Josep L Conde-Sala, Cristina Portellano-Ortiz, Laia Calvó-Perxas, Josep Garre-Olmo
PURPOSE: To analyse the clinical, sociodemographic and socioeconomic factors that influence perceived quality of life (QoL) in a community sample of 33,241 people aged 65+ and to examine the relationship with models of social welfare in Europe. METHODS: This was a cross-sectional study of data from Wave 5 (2013) of the Survey of Health, Ageing and Retirement in Europe (SHARE). The instruments used in the present study were as follows: sociodemographic data, CASP-12 (QoL), EURO-D (depression), indicators of life expectancy and suicide (WHO), and economic indicators (World Bank)...
October 20, 2016: Quality of Life Research
Laura Wells, Magnus Nermo, Viveca Östberg
As physical inactivity may track from adolescence to adulthood, it is important to identify social determinants of physical inactivity in early life. However, most studies have measured socioeconomic position as one dimension. We examine whether multiple dimensions of socioeconomic position, in addition to other dimensions of inequality (i.e., gender, immigrant background), associate with physical inactivity at two time points in youth. Longitudinal data were drawn from the Swedish Level of Living Survey (N = 765) and analysed by gender-stratified logistic regression...
October 5, 2016: Health Education & Behavior: the Official Publication of the Society for Public Health Education
David J Berkoff, Kamesh Krishnamurthy, Jennifer Hopp, Laura Stanley, Ken Spores, David Braunreiter
BACKGROUND AND PURPOSE: The accurate performance of physical therapy exercises can be difficult. In this evolving healthcare climate it is important to continually look for better methods to educate patients. The use of handouts, in-person demonstration, and video instruction are all potential avenues used to teach proper exercise form. The purpose of this study was to examine if a corrected error video (CEV) would be as effective as a single visit with a physical therapist (PT) to teach healthy subjects how to properly perform four different shoulder rehabilitation exercises...
October 2016: International Journal of Sports Physical Therapy
Emma Stait, Michael Calnan
BACKGROUND: During the last two decades, differential consumption patterns in health-related behaviours have increasingly been highlighted as playing an important role in explaining persistent and widening health inequalities. This period has also seen government public health policies in England place a greater emphasis on changing 'lifestyle' behaviours, in an attempt to tackle social inequalities in health. The aim of this study was to empirically examine the variation in health-related behaviour in relation to socio-economic position, in the English adult population, to determine the nature of this relationship and whether it has changed over time...
October 18, 2016: International Journal for Equity in Health
Carolina Fernández-Lao, Irene Cantarero-Villanueva, Noelia Galiano-Castillo, Elena Caro-Morán, Lourdes Díaz-Rodríguez, Manuel Arroyo-Morales
BACKGROUND: Mobile learning (m-learning) has becoming very popular in education due to the rapidly advancing technology in our society. The potentials of the mobile applications should be used to enhance the education process. Few mobile applications have been designed to complement the study of physical therapy skills for physiotherapy students. The aim of this study was to investigate whether a mobile application, as a supplement to traditional learning, is useful for physiotherapy students in the acquisition of palpation and ultrasound skills in the shoulder area...
October 19, 2016: BMC Medical Education
Markus Gerber, Katharina Endes, Christian Herrmann, Flora Colledge, Serge Brand, Lars Donath, Oliver Faude, Uwe Pühse, Henner Hanssen, Lukas Zahner
PURPOSE: A better understanding of how social and environmental contexts impact on childhood overweight/obesity is needed to develop more effective prevention strategies. Because the relationship between physical activity, stress and obesity measures has received limited attention, this study examined for the first time in first grade schoolchildren whether physical activity and fitness moderate the relationship between psychosocial stress and obesity-related measures. METHODS: 325 children (51% girls, Mage=7...
October 14, 2016: Medicine and Science in Sports and Exercise
Amal A Wanigatunga, Paul V Nickerson, Todd M Manini, Parisa Rashidi
The objective of this analysis was to apply symbolic aggregate approximation (SAX) time-series analysis to accelerometer data for activity pattern visualization stratified by self-reported mobility difficulty. A total of 2393 (71.6  ±  7.9 years old) participants wore an accelerometer on the hip (4  +  d; 10  +  h) during the national health and nutrition examination survey (NHANES), a biannual series of health assessments of the US population. One minute epoch data was used to perform SAX, which converted accelerometry time series data into four activity levels...
October 18, 2016: Physiological Measurement
Qin Yu, Baiting Liu, Rongmei Na
OBJECTIVE: To investigate the prevalence and risk factors of hypertension in Zhuanghe region. DESIGN AND METHOD: By adopting the cross-sectional study, the 3500 original residents were chosen from the country of Zhuanghe randomly. Using adjusting questionnaire of WHO-Monica study including smoking, alcohol consumption, daily salt intake, physical activity, receiving health education times, family history, history of diabetes and coronary heart disease were recorded...
September 2016: Journal of Hypertension
Rachelle Jones, Timothy A Brusseau, Pamela H Kulinna, Hans van der Mars
BACKGROUND: Understanding the physical activity patterns of youth is important for the implementation and evaluation of programming and interventions designed to change behavior. To date, little is known about the objectively measured physical activity patterns of Native American youth. Therefore, the purpose of the study was to examine the step counts of Navajo youth during weekdays, weekend days, and physical education classes. METHODS: Participants included 63 high school students (mean age = 15...
October 17, 2016: Journal of Racial and Ethnic Health Disparities
Donna Scott-Tilley, Heather Crites
This case report presents a patient who presented multiple times with vaginal injuries and bleeding, reporting sexual assault with a foreign object. Findings from her history and physical examination were consistent with sexual assault and human trafficking. The outcome of this case was not what we initially expected when the patient first presented for care. However, the patient ultimately received the care she needed. This case illuminates the need for excellent continuing education, interdisciplinary communication, and continuity of care...
October 3, 2016: Journal of Forensic Nursing
William B Karper
This research examined whether a long-term, multi-component program positively affected physical fitness, pain and fatigue in seven women with fibromyalgia syndrome. These women lived independently in the community. They attended a university-based program 3 days per week, 1 hour per session, year-around for many years. They were evaluated periodically with a fitness test and rating scale regarding pain and fatigue. Results from when they began the program versus most recently are provided. All of these women showed various positive results from participation in the program...
2016: Journal of Women & Aging
Arthur Kavanaugh, Philip Helliwell, Christopher T Ritchlin
INTRODUCTION: Psoriatic arthritis (PsA) is underdiagnosed and has a substantial impact on quality of life, disability, and work productivity. The population-based Multinational Assessment of Psoriasis and Psoriatic Arthritis (MAPP) survey examined the impact of PsA on patients' activities of daily living and unmet treatment needs. METHODS: This large-scale, random digit dialing, telephone survey of patients self-reporting a diagnosis of psoriasis and/or PsA was conducted in North America and Europe...
June 2016: Rheumatol Ther
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