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Kazuhiro Harada, Sangyoon Lee, Sungchul Lee, Seongryu Bae, Kenji Harada, Hiroyuki Shimada
BACKGROUND: Older adults with cognitive impairment are at higher risk for various health problems. Although previous studies have suggested going outdoors more frequently might be effective to promote health, no longitudinal studies have examined objectively measured outdoor time in this population. This study examined the relationships between changes in objectively measured outdoor time and physical, psychological, and cognitive functions among older adults with cognitive impairments...
June 11, 2018: Archives of Gerontology and Geriatrics
Fatma Yesilyurt, Abdullah Aydin, Halise Inci Gul, Mehmet Akkurt, Nefise Dilek Ozcelik
In the title compound, C18 H19 NO3 S, the morpholine ring adopts a chair conformation. The thio-phene ring forms dihedral angles of 26.04 (9) and 74.07 (10)° with the benzene ring and the mean plane of the morpholine ring, respectively. The mol-ecular conformation is stabilized by an O-H⋯N hydrogen bond. In the crystal, mol-ecules are connected through C-H⋯O hydrogen bonds, forming wave-like layers parallel to the ab plane, which are further linked into a three-dimensional network by C-H⋯π inter-actions involving the benzene rings and the methyl-ene H atoms of the morpholine rings...
July 1, 2018: Acta Crystallographica. Section E, Crystallographic Communications
Hammouda Chebbi, Samia Mezrigui, Meriam Ben Jomaa, Mohamed Faouzi Zid
The title salt, C8 H20 N2 2+ ·2NO3 - , was obtained by a reaction between 1,3-cyclohexa-nebis(methyl-amine) and nitric acid. The cyclo-hexane ring of the organic cation is in a chair conformation with the methyl-ammonium substituents in the equatorial positions and the two terminal ammonium groups in a trans conformation. In the crystal, mixed cation-anion layers lying parallel to the (010) plane are formed through N-H⋯O hydrogen-bonding inter-actions; these layers are formed by infinite undulating chains running parallel to the [001] direction...
July 1, 2018: Acta Crystallographica. Section E, Crystallographic Communications
Rubina Siddiqui, Urooj Iqbal, Zafar Saeed Saify, Shammim Akhter, Sammer Yousuf
The title compound, C31 H46 NO7 + ·Cl- , was synthesized by a one-pot Mannich condensation reaction. In the mol-ecule, the piperidinone ring adopts a chair conformation, and the trimeth-oxy-substituted benzene rings and octyl chain are arranged equatorially. In the crystal, centrosymmetric dimers are linked into layers parallel to (011) by N-H⋯Cl and C-H⋯Cl hydrogen bonds. A Hirshfeld surface analysis indicates that the most important contributions for the crystal packing are O⋯H (20.5%) inter-actions followed by C⋯H (7...
July 1, 2018: Acta Crystallographica. Section E, Crystallographic Communications
Diana Hodorowicz-Zaniewska, Karolina Brzuszkiewicz, Joanna Szpor, Wojciech Kibil, Andrzej Matyja, Katarzyna Dyląg-Trojanowska, Piotr Richter, Antoni M Szczepanik
Introduction: Atypical ductal hyperplasia (ADH) is a benign lesion, which due to the risk of coexisting cancer is classified as a lesion of uncertain malignant potential. Aim: To identify clinical predictors of cancer underestimation in patients with ADH diagnosed after vacuum-assisted breast biopsy (VABB). Material and methods: Between 2001 and 2016, a total of 3804 vacuum-assisted core needle biopsies were performed at the First Chair of General Surgery of the Jagiellonian University Medical College in Krakow, including 2907 ultrasound (US)-guided biopsies and 897 digital stereotactic procedures...
June 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Kei Miyazaki
American Heart Association/the American College of Cardiology and nine other professional organizations have issued a new hypertension clinical practice guideline (CPG) on November 2017, which has lowered the hypertension threshold to 130/80 mmHg. American Academy of Family Medicine has decided to not endorse this new CPG for various reasons including flaws in CPG development process and a limited additional benefit for lower treatment targets. The major concern was intellectual conflict of interest (COI)...
July 2018: Journal of General and Family Medicine
Brigitta Szilágyi, Aniko Kukla, Alexandra Makai, Pongrác Ács, Melinda Járomi
BACKGROUND: A sports therapy program in type 2 diabetes helps in glucose control, but little is known how a long-term structured exercise intervention affects the parameters in this disease. Our aim was to measure the impact of a 24-week long sports therapy program in type 2 diabetes on the concentration of glucose in blood, body composition, and physical fitness level. METHODS: In this prospective longitudinal study, 208 type II diabetic patient (80 male, 128 female, aged: 61±6,86 years) were selected and randomly assigned to a control or an intervention group...
July 9, 2018: Journal of Sports Medicine and Physical Fitness
Atle Hole Saeterbakken, Hilde Bremseth Bårdstu, Anine Brudeseth, Vidar Andersen
The aim of this study was to determine the effects of a 10-week strength training intervention on isometric strength, rate of force development (RFD), physical function (stair climbing, rising from a chair, and preferred and maximal walking speed), and physical activity among frail elderly people receiving home-care services. Thirty participants were randomly assigned (by sex) to a control group (CON) or a strength training group (ST) performing a supervised training programme using elastic bands, box-lifting, and body weight exercises twice per week...
2018: Journal of Aging Research
Kathleen M McNerney, Mary Lou Coad, Robert Burkard
BACKGROUND: When patients are given instructions before vestibular function testing, they are often asked to refrain from ingesting caffeine 24 h before testing. However, research regarding the effects of caffeine on the outcome of vestibular function testing is limited. PURPOSE: To evaluate whether the results from rotational chair tests are influenced by caffeine. RESEARCH DESIGN: Participants were tested after consuming a caffeinated beverage (i...
July 2018: Journal of the American Academy of Audiology
John W Devlin, Yoanna Skrobik, Bram Rochwerg, Mark E Nunnally, Dale M Needham, Celine Gelinas, Pratik P Pandharipande, Arjen J C Slooter, Paula L Watson, Gerald L Weinhouse, Michelle E Kho, John Centofanti, Carrie Price, Lori Harmon, Cheryl J Misak, Pamela D Flood, Waleed Alhazzani
OBJECTIVES: To describe novel guideline development strategies created and implemented as part of the Society of Critical Care Medicine's 2018 clinical practice guidelines for pain, agitation (sedation), delirium, immobility (rehabilitation/mobility), and sleep (disruption) in critically ill adults. DESIGN: We involved critical illness survivors from start to finish, used and expanded upon Grading of Recommendations, Assessment, Development and Evaluation methodology for making recommendations, identified evidence gaps, and developed communication strategies to mitigate challenges...
July 6, 2018: Critical Care Medicine
Bohumila Krčmárová, Matúš Krčmár, Marianna Schwarzová, Peter Chlebo, Zuzana Chlebová, Radoslav Židek, Adriana Kolesárová, Katarína Zbyňovská, Eva Kováčiková, Simon Walker
Previous findings suggest that performing strength training (ST) in the evening may provide greater benefit for young individuals. However, this may not be optimal for the older population. The purpose of this study was to compare the effects of a 12-week ST program performed in the morning vs. evening on strength, functional capacity, metabolic biomarker and basal hormone concentrations in older women. Thirty-one healthy older women (66 ± 4 years, 162 ± 4 cm, 75 ± 13 kg) completed the study. Participants trained in the morning (M) (07:30, n = 10), in the evening (E) (18:00, n = 10), or acted as a non-training control group (C) (n = 11)...
July 9, 2018: Chronobiology International
Tyler J Dobbs, Shawn R Simonson, Scott A Conger
Dobbs, TJ, Simonson, SR, and Conger, SA. Improving power output in older adults using plyometrics in a body mass-supported treadmill. J Strength Cond Res XX(X): 000-000, 2018-The purpose of this study was to determine if performing plyometrics in a body mass-supported treadmill would lead to greater increases in power output and functional strength in older adults compared with traditional strength training. Twenty-three participants were randomized to strength (SG, n = 8), plyometric (PG, n = 8), or control (CG, n = 7) groups...
July 4, 2018: Journal of Strength and Conditioning Research
Andres Trujillo-Leon, Wael Bachta, Fernando Vidal-Verdu
Attendant joysticks of powered wheelchairs are devices oriented to help caregivers. Diseases and disabilities such as dementia, spinal cord injuries or blindness make the user unable to drive the chair by his or her own. However, this device is not intuitive to use, especially for old people. Proper processing of the information provided by two tactile sensors in the handlebar achieves control signals that allow an easy and intuitive driving. This is done in this paper, where the performance of this approach is evaluated in comparison with that of the joystick by means of objective measurements as well as questionnaires to obtain the subjective perception of the participants in the experiments...
July 2018: IEEE Transactions on Neural Systems and Rehabilitation Engineering
Joanne Lee, Viren Asher, Arun Nair, Victoria White, Catherine Brocklehurst, Martyn Traves, Anish Bali
Background: Enhanced recovery has been shown to improve patients' experience after surgery. There are no previous studies comparing patients' experience between those undergoing laparoscopic and open gynaecological surgery. Therefore, the aim of this prospective study is to compare patients' functional recovery based on milestones set by the enhanced recovery programme and patients' satisfaction between the two groups. Methods: All eligible patients undergoing gynaecological surgery within an enhanced recovery after surgery (ERAS) programme from March to August 2014 were involved in this study...
2018: Perioperative Medicine
Sarah Fishleder, Miruna Petrescu-Prahova, Jeffrey R Harris, Brian Leroux, Kimberly Bennett, Christian D Helfrich, Marlana Kohn, Peggy Hannon
BACKGROUND AND PURPOSE: Declines in strength, flexibility, and balance in older adults can lead to injuries and loss of independence and are particularly common in those of greater age and in worse health. EnhanceFitness (EF) is a nationally disseminated, evidence-based group exercise program for older adults that has been shown to improve function through cardiovascular, strength, flexibility, and balance exercises. This article examines changes in, and predictors of, participant physical function from baseline through 2 program cycles of EF as measured by 3 physical function tests: arm curls, chair stands, and 8-foot up-and-go...
July 3, 2018: Journal of Geriatric Physical Therapy
Danuta Mendelson
The Voluntary Assisted Dying Bill 2017 Vic (VAD Bill) was passed by the Legislative Assembly of the Victorian Parliament on 20 October 2017. The Bill is partly based on the Majority Report provided by the Legal and Social Issues Committee of the Victorian Legislative Council following its Inquiry into End of Life Choices (June 2016). The Majority Report recommended introduction of euthanasia and assisted suicide legislation. The Bill is modelled on the Ministerial Advisory Panel on Voluntary Assisted Dying Final Report, which drafted 66 recommendations on legalising administration and supply of substances for the purpose of causing the person's death...
November 2017: Journal of Law and Medicine
Kathleen H Burns, Michael J Borowitz, Karen C Carroll, Christopher D Gocke, Jody E Hooper, Timothy Amukele, Aaron A R Tobian, Allen Valentine, Rob Kahl, Vanessa Rodas-Eral, John K Boitnott, J Brooks Jackson, Fred Sanfilippo, Ralph H Hruban
Faculty value equitable and transparent policies for determining salaries and expect their compensation to compare favorably to the marketplace. Academic institutions use compensation to recruit and retain talented faculty as well as to reward accomplishment. Institutions are therefore working to decrease salary disparities that appear arbitrary or reflect long-standing biases and to identify metrics for merit-based remuneration. Ours is a large academic pathology department with 97 tenure-track faculty. Faculty salaries are comprised of 3 parts (A + B + C)...
January 2018: Academic Pathology
Antoneta Granic, Helen Mossop, Gabriella Engstrom, Karen Davies, Richard Dodds, James Galvin, Joseph G Ouslander, Ruth Tappen, Avan A Sayer
Objective: To explore the association between ethnicity, sociodemographic, health, and lifestyle factors, and physical performance (PP) in ethnically diverse community-dwelling older adults from one geographic area. Method: We used multivariable linear regression to identify factors associated with upper (grip strength [GS], arm curls [AC]) and lower (chair stands [CS]) body strength and mobility (gait speed [GSp]) in 577 older adults (mean age 74 ± 8; 104 African American, 142 Afro-Caribbean, 123 Hispanic, and 208 European American) from South Florida...
January 2018: Gerontology & Geriatric Medicine
Nancy Kulish, Deanna Holtzman
Jockeying for position in the context of a threesome is a major preoccupation in female social behavior, and in female inner experience, throughout the life cycle. This oscillating phenomenon can be thought of as "twos and threes." While such configurations are often understood in terms of sibling rivalry or social influences, the focus here is on underlying female triangular dynamics. "Twos and threes" are differentiated from the more familiar rivalries among siblings and from the concept of sibling oedipal triangles...
June 2018: Journal of the American Psychoanalytic Association
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July 2018: Asia-Pacific Journal of Clinical Oncology
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