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Kara, Jay. „The ultimate guide to your at-home fitness regime“. Dental Nursing 16, Nr. 6 (02.06.2020): 276–77. http://dx.doi.org/10.12968/denn.2020.16.6.276.
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Mortell, Rosemarie, und Larry Tucker. „Effects of a 12-Week Resistive Training Program in the Home Using the Body Bar on Dynamic and Absolute Strength of Middle-Age Women“. Perceptual and Motor Skills 76, Nr. 3_suppl (Juni 1993): 1131–38. http://dx.doi.org/10.2466/pms.1993.76.3c.1131.
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Guidelines published by the American College of Sports Medicine indicate that resistive training should be an integral part of an adult fitness program. Most adults will find it difficult to train resistively regularly unless they train in their own homes using simple, inexpensive equipment. The purpose of this study was to examine the extent to which participation in a 12-week resistive training program using the Body Bar, a simple, inexpensive resistive training device, in the home improves dynamic and absolute strength of middle-age women compared to similar women engaged in a walking program. A pretest-midtest-posttest design was employed with subjects randomly assigned to either a resistive ( n = 30) or a walking (control) group ( n = 30). All subjects were tested on measures of dynamic and absolute strength. Resistive trainers performed significantly better than the controls across the 12-week training period on all strength variables even with statistical control for potential confounders. Number of workouts performed and average intensity of each workout were both significant predictors of strength improvements among the resistive trainers.
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Na, Jung Jo, und Jisun An. „A Study on Home Workout Mobile Applications - Focused on User Tasks and Interface Design -“. Journal of The Korean Society of Illustration Research 65 (31.12.2020): 5–19. http://dx.doi.org/10.37379/jksir.2020.65.1.
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da Cunha de Sá-Caputo, Danúbia, Redha Taiar, Adérito Seixas, Borja Sanudo, Anelise Sonza und Mario Bernardo-Filho. „A Proposal of Physical Performance Tests Adapted as Home Workout Options during the COVID-19 Pandemic“. Applied Sciences 10, Nr. 14 (10.07.2020): 4755. http://dx.doi.org/10.3390/app10144755.
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Social isolation and physical distancing measures, such as quarantine, local confinement, lockdown and isolation, aim to slow the spread of the coronavirus disease (COVID-19). This condition is necessary; however, sedentary behaviors are stimulated. The aim of this manuscript is to propose simple home-based exercises that everyone, considering their individual limitations, could perform. Moreover, individuals might monitor their performance daily. Feasible and useful home-based exercise strategies, to counter-balance the negative impact of the sedentary lifestyle during confinement, will stimulate the population to perform some exercises wherever possible. For this, home-based exercises were proposed based on physical tests, such as a stair climb test, balance test, single-leg-stance-test, gait speed, five-chair stand, free walking, free run, six-minute walk test, timed up and go, sit-and-reach, fingertip-to-floor test, and free physical exercises. It is important to consider that when the individual is performing the test, physical exercise is also being done. In conclusion, several exercises that consider the clinical conditions of the individuals and can reduce their sedentary behavior, considering COVID-19 confinement, are suggested to improve the population’s quality of life.
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Zhang, Sen, Minghui Jin, Wanting Li, Xiaoting Zhao, Mingsong Zou und Yaxiong Zheng. „The Present Situation of Home Exercise and the Research of Exercise Strategy“. Learning & Education 9, Nr. 3 (29.12.2020): 60. http://dx.doi.org/10.18282/l-e.v9i3.1575.
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Exercise mentioned the word, many people will think of outdoor gym workout but exercise that occupy the home also is a kind of way people exercise in the exercise that occupy the home, there will be a lot of inconvenience, the choice of venue, the lack of equipment, lack of exercise partner, lack of professional guidance and so on are people that occupy the home a stumbling block to exercise this article mainly from the exercisers exercising consciousness places the use time of the choice of equipment selection scientific exercise plan knowledge reserve source of coping exercisers were investigated by the seven aspects and make a guide on how to carry out the exercise that occupy the home, how happy scientific exercise, how to reasonable exercise these aspects to think, in order to achieve the goal of scientific home exercise.
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Teixeira, Rafael M., Lívia de L. de Oliveira, Laís M. R. Loureiro, George von Borries und Teresa H. M. da Costa. „Sensory Analysis of Post-Exercise Coffee or Cocoa Milk Beverages for Endurance Athletes“. Beverages 6, Nr. 4 (20.10.2020): 61. http://dx.doi.org/10.3390/beverages6040061.
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Beverage strategies with balanced carbohydrate and protein supply are important for athletes’ recovery. Cow’s milk with added bioactive compounds present in coffee and cocoa facilitates glucose metabolism and may help post-workout glycogen recovery. Home-prepared beverages are cost and nutritionally effective strategies. Thus, the objectives were: (1) To develop home-prepared beverages containing nonfat powdered milk and sugar combined with filtered coffee or cocoa powder in balanced amounts for recovery after endurance exercise; and (2) to perform sensory analysis. Sensory evaluation was conducted by an acceptance test, applying nine-point hedonic scale and descriptive analysis, using the check-all-that-apply method (CATA). McNemar’s test and logistic regression with the proportional odds model were employed. The sample included 44 triathletes and 56 runners, of both sexes, 31–70 years old. Both beverages were well accepted by runners and triathletes, with higher acceptance of the coffee beverage (odds ratio coffee vs cocoa 5.232, p=0.0038). There was no significant difference between acceptance of triathletes and runners for the two beverages. The descriptive sensory analysis (CATA) resulted in slightly different characterizations between the two beverages. Both beverages were well accepted and characterized by the athletes, who can supply different options of post-workout beverages according to individual tastes, composition, and characteristics.
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Shuvalova, Irina, Vitaliy Golovan und Lee Sangkyu. „INFLUENCE OF “NOVUMEDICAL” EQUIPMENT ON NON-SPECIFIC RESISTANCE OF THE ORGANISM TAKING INTO ACCOUNT ADAPTATION REACTIONS“. EUREKA: Health Sciences 3 (31.05.2019): 18–25. http://dx.doi.org/10.21303/2504-5679.2019.00912.
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Studies have shown the effectiveness and perspective of using «NovuMedical» devices for the purpose of primary and secondary prevention of diseases, increasing the personal interest of patients in extending the period of active longevity due to regular recovery at home. The preventive effect of the equipment is not directed against the symptoms of the disease, but to increase the body's resistance. Before treatment, the normal type of adaptive response was detected in 75 % of patients, the workout reaction was noted in 45.4 %, the calm activation reaction – 23.2 %, the reaction of increased activation in 6.2 % of cases, and the stress response was recorded in 25.2 %. After the treatment, the workout reaction was detected in 44.1 % of cases, the calm activation reaction – 22.2 %, the increased activation zone – 33.3 %. The preformed factors used in the apparatuses are a bioregulator in the broad sense of modulating the physiological functions of the body, which makes it possible to “rejuvenate” the sick organism, at least to equalize the biological and passport age, to restore the original potential of sanogenetic reactions. Apparatus for home use can be the basis for the primary population prevention and secondary individual prevention of a wide range of diseases and premature aging.
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Simpson, D., O. David und F. Nasr. „An unusual presentation of dysarthria in a young patient, a stroke mimic“. Acute Medicine Journal 20, Nr. 2 (01.04.2021): 140–43. http://dx.doi.org/10.52964/amja.0854.
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Internal carotid artery dissection commonly affects younger patients. We present a case of a previously fit and well 43-year-old gentleman who presented with a sudden onset of slurring of speech, with right-sided tongue deviation and fasciculation on examination. Signs and symptoms began following participation in a home workout class. Magnetic resonance angiography revealed right-sided extracrainal internal carotid artery dissection leading to right-sided unilateral twelfth cranial nerve palsy.
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Kim, Sun-Hee, Il-Han Seo und Seung-Man Lee. „Effect of at-home workout participant"s expectations on perceived value and intention to continue exercise“. Korean Journal of Sports Science 30, Nr. 4 (31.08.2021): 421–32. http://dx.doi.org/10.35159/kjss.2021.8.30.4.421.
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Santos, Michael E. „Alternative Home Upper Body Workout Using Water Bottles For Selected College Freshmen Students of Angeles University Foundation“. International Journal of Physical Education, Fitness and Sports 4, Nr. 2 (30.06.2015): 15–21. http://dx.doi.org/10.26524/1523.
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Lo, Suzanne Hoi Shan, Janita Pak Chun Chau, Kai Chow Choi, Jonas Yeung, Siu Hung Li und Marika Demers. „Feasibility of a ballet-inspired low-impact at-home workout programme for adults with stroke: a mixed-methods exploratory study protocol“. BMJ Open 11, Nr. 4 (April 2021): e045064. http://dx.doi.org/10.1136/bmjopen-2020-045064.
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IntroductionBalancing problems are prominent in stroke survivors with unilateral paresis. Recent evidence supports that dance interventions are associated with significant improvements in gait, stability and walking endurance in people with neurological conditions. The aim of this study is to explore the feasibility of a novel ballet-inspired at-home workout programme (Footprints to Better Balance (FBB)) for stroke survivors.Methods and analysisA mixed-methods exploratory study incorporating a randomised controlled trial and qualitative evaluation will be conducted. We will recruit 40 adults with a first-ever ischaemic or haemorrhagic stroke and mild-moderate lower limb paresis from two acute stroke units. The intervention group will receive usual care plus FBB, an 8-week home-based programme with ballet-inspired workouts underpinned by Bandura’s principles of self-efficacy and outcome expectation. FBB will be delivered by trained lay and peer volunteers, with the support of volunteer healthcare professionals. Multiple data will be collected: Recruitment rate, adherence to FBB, semi-structured interviews and questionnaires on outcomes (balance, gait and memory) assessed at baseline and immediately post-intervention. The generalised estimating equations model will be used to compare differential changes on outcomes across time points between the two arms. Qualitative data will be coded and grouped to form themes and subthemes.Ethics and disseminationEthical approval from the Joint Chinese University of Hong Kong-New Territories East Cluster Clinical Research Ethics Committee has been obtained. All eligible participants will provide written informed consent. Study results will be disseminated via publications in peer-reviewed journals and presentations at international conferences.Trial registration numberNCT04460794
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Iannaccone, Alice, Andrea Fusco, Salvador J. Jaime, Sara Baldassano, Jill Cooper, Patrizia Proia und Cristina Cortis. „Stay Home, Stay Active with SuperJump®: A Home-Based Activity to Prevent Sedentary Lifestyle during COVID-19 Outbreak“. Sustainability 12, Nr. 23 (04.12.2020): 10135. http://dx.doi.org/10.3390/su122310135.
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The purpose of this study was to investigate the intensity of SuperJump® workout as a home-based activity for fulfilling physical activity recommendations during COVID-19 home-confinement. Seventeen (males: n = 10; females: n = 7) college students (age: 25.8 ± 2.7 years; height: 1.7 ± 0.1 m; weight: 66.2 ± 12.1 kg) participated in the study. To assess the intensity of the activity (30-min), heart rate (HR), expressed as percentages of age-predicted maximal HR (%HRmax), and session ratings of perceived exertion (sRPE), collected on a CR10 scale, were used. %HRmax data were categorically separated in five classes of intensity according to the American College of Sport Science’s guidelines. Enjoyment was evaluated using the Physical Activity Enjoyment Scale (PACES). Repeated measures ANOVA was used to evaluate differences (p < 0.05) in relation to gender and exercise intensity. No gender difference emerged for %HRmax and sRPE. Significantly higher (p < 0.05) %HRmax were found for the moderate intensity (47.1 ± 34.4%) with respect to very light (3.6 ± 6.9%), light (14.5 ± 23.3%) and vigorous (34.6 ± 39.6%) and for the vigorous intensity with respect to very light; no near maximal to maximal values were observed. Subjects perceived SuperJump® as moderate (sRPE = 3.1 ± 1.2) while showing high levels of enjoyability (PACES = 86.6 ± 16.2%). SuperJump® can be classified as moderate-to-vigorous activity, representing an effective alternative and enjoyable home-based activity for preventing the effects of a sedentary lifestyle during home-confinement.
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Mumpuniarti, Mumpuniarti, Ishartiwi Ishartiwi, Nur Azizah und Wening Prabawati. „Parents’ training needs for intellectual disability learning about daily life activities“. Cypriot Journal of Educational Sciences 16, Nr. 4 (31.08.2021): 1616–30. http://dx.doi.org/10.18844/cjes.v16i4.6026.
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This study aims to explore the training needs of parents for the future of children with intellectual disabilities (ID). The survey research method is used in this study. The questionnaire was used as a guide for parents, and then every chosen programme required by the parents was mentioned in the interview. Data analysis was carried out by categorising parental training needs into four domains of daily activities. The respondents were eight parents who needed training on the programmes of daily activities in order to train their children with ID at home. The findings show that those parents have still not been able to express their rights to convey their needs. Likewise, when they are invited to arrange the structure of the workout schedule at home, they still respond passively. The conclusion is that schools should start to explore the needs of daily activities programmes and develop learning programmes with parents.
Keywords: Parents’ training, intellectual disability, learning.
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Latino, Francesca, Francesco Fischetti, Stefania Cataldi, Domenico Monacis und Dario Colella. „The Impact of an 8-Weeks At-Home Physical Activity Plan on Academic Achievement at the Time of COVID-19 Lock-Down in Italian School“. Sustainability 13, Nr. 11 (21.05.2021): 5812. http://dx.doi.org/10.3390/su13115812.
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The purpose of this randomized controlled study was to investigate the efficacy of an 8-week exercise programme conducted in e-learning mode on high school students’ academic performance. The aim was to examine the changes in physical fitness and learning outcomes during the enforced period of lockdown caused by outbreak of the second wave of COVID-19 pandemic and the closure of schools in Italy. Thirty high-school students (14–15 years) were randomly assigned to an experimental group (n = 15) that performed an at-home workout programme (~60 min., twice a week), or a control group (n = 15) who received only a regular programme of theoretical lessons where no practice takes place. Both groups were synchronized in real-time with the physical education teacher. In order to assess students’ starting level and significant changes reached, at baseline and after training, a battery of standardized assessment motor tests (Standing long jump test, Harvard step test, sit and reach test, and butt kicks test), and an academic achievement test (Amos 8–15) were administered. In comparison to the control group at baseline and the end of the programme, the experimental group reported considerable improvements in motivation and concentration, significant anxiety reduction, and an increase in capacity to organize studying and to be more flexible. Moreover, it was possible to observe the efficacy of the workout to improve learning ability among practicing students (p < 0.001). No significant changes were found in the control group. The results suggest that a school-based exercise programme conducted online could be a powerful approach in order to achieve the best academic outcomes and for improving students’ physical fitness as well as their cognitive health.
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Basori, Ahmad Hoirul, und Alaa Omran Almagrabi. „Towards Racing Gamification with Natural Interface for post stroke Rehabilitation“. Computer Engineering and Applications Journal 6, Nr. 1 (07.04.2017): 21–28. http://dx.doi.org/10.18495/comengapp.v6i1.196.
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Stroke patient basically suffer from limited movement, they cannot control their balance very well, therefore the therapy that involve repetitive motion, harmonization and stability workout should be applied to them. The invention of Kinect has lead people to applied this device as a tool for recovering patient from stroke because its capability on tracking the skeletal of human body. Racing Game is very popular among the adults, elderly and even kids, the rule it’s quite simple and understandable. The combination between the racing game and natural interface will lead to innovative application which is potential to be used as home therapy for post stroke patient. User will be required to move some parts of their body such as both hand, arm, head and even shoulder. The body tracking is provided by depth camera that can capture and interpret human body gesture recognition to be used as interaction command. The human skeleton will be displayed onto screen to control the car in the game and the result of racing will be synchronized with user excitement which is recorded through Kinect video.
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Ratnawati, Emmelia. „Latihan "Salam Trendi" terhadap Kekuatan Otot dan Kecepatan Berjalan Lansia Paska Stroke di Kota Depok“. Jurnal Kesehatan Karya Husada 9, Nr. 1 (20.04.2021): 1–10. http://dx.doi.org/10.36577/jkkh.v9i1.432.
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Stroke in the elderly resulted in limited autonomy. Exercise Salam Trendy consists of deep breathing exercises, stretching, and range of motion is one exercise to reduce limitations. Exercises done at home and individual 2x / week for 4 weeks. This study aimed to identify the effects of exercise "Salam Trendy" against muscle strength and walking speed of elderly post-stroke in Depok. Quasi-Experimental research design using pre and post test design. Total sample of 44 respondents consisting of the treatment group and the control group were selected with consecutive sampling technique. Evaluation studies conducted on the first and fourth week. The results showed that the arm muscle strength (p = 0.042) and legs (p = 0.005); walking speed (p = 0.002) increased significantly after being given a workout. This means that the exercise “Salam Trendy “ affect the increase in muscle strength and walking speed. The study recommends the need for this exercise as one of the interventions of nurse elderly post-stroke in the community.
Keyword: Stroke; the elderly; exercise Salam Trendy; muscle strength, walking speed.
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Gier, Amanda, Nicholas M. Edwards, Philip R. Khoury, Shelley Kirk, Christopher Kist und Robert Siegel. „Instructor-led versus Video-led Exercise: A Comparison of Intensity in Obese Youth“. International Journal of Kinesiology and Sports Science 6, Nr. 3 (31.07.2018): 12. http://dx.doi.org/10.7575/aiac.ijkss.v.6n.3p.12.
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Background: Exercise is a key component in treating childhood obesity. Group exercise sessions with a trained instructor are ideal, but most treatment programs cannot offer these often enough to meet physical activity guidelines. At-home options that provide a similar-intensity workout are needed. Objective: To determine if exercise videos are a feasible at-home option for obese youth to meet recommended physical activity guidelines for moderate-to-vigorous exercise. Methods: Obese youth attended a summer camp focused on weight management. Subjects wore accelerometers to assess physical activity levels at camp. During camp, all subjects completed four exercise activities: three separate exercise sessions led by exercise physiologists (EP), as well as an exercise video (EV). Each exercise session utilized a different format: high intensity interval training (HIIT), group games (GG) and yoga. The EV, created by the same EP, included aerobic exercise and yoga. Data was analyzed to determine intensity associated with each exercise session. Results: Data was obtained from 16 (50%) accelerometers (9 girls, 7 boys). There was no difference in sedentary (SED) minutes per hour between activities. HIIT and GG had more moderate-vigorous physical activity (MVPA) than yoga (p<0.0001 and p=0.01) and EV (p<0.0001 and p=0.01). There was no difference in MVPA between HIIT and GG. Conclusions: Obese children exercised at higher intensities during instructor-led HIIT and GG exercise sessions than yoga or EV sessions.
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Andreev, V. I., O. I. Sluchak, M. I. Andryushchenko und V. Ya Maer. „Positive Impact of Exergaming on Recovery from Stress and Metabolic Equivalent of Tasks for Athletes and Gamers (on the Example of Outdoor Mobile Games)“. Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 6, Nr. 4 (20.09.2021): 208–16. http://dx.doi.org/10.26693/jmbs06.04.208.
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The research focuses on exergaming as an instrument of physical traning for stress tolerance. The purpose of the study is to determine the positive effect of exergaming on two criteria: 1) on stress resistance based on root mean square of successive differences (speed of recovery after physical stress); 2) to combat obesity on the basis of metabolic equivalent of task. The main difference between simple gamer and professional sportsman reaction to the exergaming was developed. For example, exergaming is one of the best types of unloading workout for sportsman and one of the best motivator for more intence workout for simple exergamer. The main categories of exergames classification were reviewed in economic and scientific context of the exergame industry. Main exergaming types include: home, medical, dance and bike exergaming, connect emulation of the sport, role-playing game with gamercize-control and outdoor mobile games. Materials and methods. Nineteen competitions of dance exergaming (World Pump Festival and Just Dance) and eSports League discipline of bike exergaming (Zwift) have been identified in aspects of cybersports. This article is confirmed in 2 experimental researches about: 1) metabolic equivalent of task in main exergaming types and outdoor mobile games in particular; 2) speed of recovery after physical stress. Study of metabolic equivalent of task for the exterior mobile games is based on Ukraine Niantic games community survey (190 members). Results and discussion. Average playing experience for the Niantic games (Ingress, Pokémon Go and Harry Potter: Wizards Unite) community was 4 years (59% ≤5 years and 41% >5 years). The distance travelled during this time was about 7429 kilometers (32% passed more than 10,000 km). Metabolic equivalent of task and body heat balance was modelled on the basis of the survey data and metabolic WHO constants and body heat constants of ANSI standart. Exterior games take 5.65 kkal to 1 kg per 1 day, home fitness exergaming (Power Pad, Let's Yoga, Personal Trainer: Walking) takes 7.14 kkal to 1 kg per 1 day, dance exergames take 7.14-10 kkal to 1 kg per 1 day. In the body heat equivalent, this is 4.1 times more than at rest for home-fitness videogames, 5.75 times more than at rest for dance exergaming and 1.84-2.59 times more than at rest for exterior mobile exergames. Conclusion. Based on the indicators of root mean square of successive differences with the help of Energy Health free platform, the first stage of the research on the influence of outdoor exergames on the formation of stress tolerance was held. Root mean square of successive differences monitoring was carried out for 20 participants (10 Black Sea State University volleyball team members and 10 Niantic game community members). An increase in root mean square of successive differences was recorded for 80% of gamers and 60% of athletes. Moreover, the novelty factor acted precisely in athletes, which indicates long-term effectiveness of outdoor mobile games as an instrument of physical traning for stress tolerance
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Dr. P. Prabhavathy, Nagalakshmi Vallabhaneni,. „The Analysis of the Impact of Yoga on Healthcare and Conventional Strategies for Human Pose Recognition“. Turkish Journal of Computer and Mathematics Education (TURCOMAT) 12, Nr. 6 (05.04.2021): 1772–83. http://dx.doi.org/10.17762/turcomat.v12i6.4032.
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Human pose estimation is a profound, established computer vision issue that has uncovered numerous past difficulties. Breaking down human exercise is advantageous in multiple fields like surveillance, biometrics, and many healthcare applications. Workout with yoga poses is famous these days since yoga activities can expand adaptability and muscular quality, and the respiration procedure will be improvised. The yoga postures evaluation is hard to check, so specialists will most likely be unable to benefit from the exercises ultimately. IoT-based yoga frameworks are required for individuals who need to rehearse Yoga at home. A few studies are recommended camera-oriented or wearable gadget-oriented yoga posture finding strategies with more precision. Nonetheless, camera-based plans have security and privacy issues, and the wearable device-based methods are illogical in the earlier applications. To build such systems, one must have a strong foundation and current research in pose estimation. In this paper, first, the impact of Yoga on humans with various stress levels is analysed on the real-time data. Second, the comprehensive review of yoga posture recognition systems from machine learning to deep learning strategies and evaluation metrics discussed
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Schuler, Markus K., Julia Goebel, Beate Hornemann, Julia Hoffmann, Michael Kramer, Martin Bornhäuser, Gerhard Ehninger und Uwe Platzbecker. „Effects of a Home-Based Exercise Intervention Program on Physical Capacity and Fatigue in Patients with Myelodysplastic Syndrome (MDS) - a Feasibility Study“. Blood 126, Nr. 23 (03.12.2015): 5609. http://dx.doi.org/10.1182/blood.v126.23.5609.5609.
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Abstract Introduction: Cancer-related fatigue (CrF) is a frequent and disabling symptom in hematological malignancies and associated with significant impairment in quality of life (QoL). Patients suffer from tiredness, weakness and limited capability. CrF involves physical, psychological, mental and social aspects, and often leads to inactivity or depressive mood. There is evidence for the benefit of exercise and physical activity on CrF, but clinical trials targeting patients with MDS are missing. Methods: We conducted a prospective, non-randomized trial to assess the feasibility, safety and efficacy of a home-based exercise intervention in patients with IPSS low to intermediate risk MDS. Subjects underwent an introduction and first exercise session at baseline (T0) under supervision of a physiotherapist. Workout sessions were then performed unsupervised in an outpatient setting. Patients were asked to record results in a sports diary. Exercise schedule contained six sessions per week - endurance or strength training in daily turns - over 12 weeks (T1). Follow-up assessment was performed at week 24 (T2). Endurance training included walking, running, cycling or swimming at patient´s preference. Strength training consisted of six exercises with an elastic strap for both upper and lower limb and the spine. Subjects were examined three times (T0, T1, T2). All examinations included 6-minutes walking distance (6-MWD), an ergometer check, isometric strength measurement of lower limb and isokinetic strength measurement of the abdomen and back. Quality of life and fatigue were assessed by the EORTC QLQ-C30 and Multidimensional Fatigue Inventory (MFI). Results: Twenty-one patients (13 male, 8 female) with low to intermediate risk MDS were included. Median age was 66 years (range 29-87). Fifteen patients completed the program at week 12 (T1). Twelve patients voluntarily continued the exercise program until week 24 (T2). The primary endpoint was met, since 11 patients (52%) performed more than 75% of all planned session. Median number of individual workout session was 54 (range 1-72). There were no adverse events reported due to the intervention. Main reasons for missed training sessions were doctor´s appointments or hospitalization, other private appointments, followed by acute infection and general weakness. Six-minute walking distance (6-MWD) improved from 570 meters (m) (T0) to 645 m (T1, +13%) and 660 m (T2, +16%). Among other parameters of physical capacity, strength of lower limbs increased from 2230 Newton (N) (T0) to 2570 (T1, +15%) and 2730 (T2, +22%). Between T0, T1 and T2 most functional measures like global health status (53 vs. 50 vs. 52), role functioning (62 vs. 49 vs. 61) and social functioning (63 vs. 58 vs. 53) were equal or slightly decreased. General fatigue did not significantly change over time (49 vs. 52 vs. 47 using the EORTC QLQ-C30 score [scale 0-100] and 12.2 vs. 12.4 vs. 11.9 on MFI [scale 0-21]. Results of all endurance and resistance parameters and QoL measures including fatigue subscales are displayed in Table 1. Conclusion: These data provide evidence that an unsupervised outpatient exercise program is feasible in MDS patients. The results of this pilot study also demonstrate that patients' acceptance of the program is high and physical capacity can be improved. Fatigue as a predominant symptom did not worsen during observational period. Further studies are therefore warranted. Figure 1. Results of all endurance and resistance parameters and QoL measures including fatigue subscales Figure 1. Results of all endurance and resistance parameters and QoL measures including fatigue subscales Disclosures Schuler: PharmaMar: Research Funding. Ehninger:Cellex GmbH: Equity Ownership. Platzbecker:Novartis: Honoraria, Research Funding; Celgene: Honoraria, Research Funding; Boehringer: Research Funding.
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Jakovleva, Monta, und Ieva Rudzinska. „REGULARITIES OF YOUNGSTER FREE TIME PHYSICAL ACTIVITY IN A LATVIAN SECONDARY SCHOOL“. Baltic Journal of Sport and Health Sciences 2, Nr. 105 (2017): 20–26. http://dx.doi.org/10.33607/bjshs.v2i105.21.
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Background. Article investigates youngster physical activity (PA) habits, finding tendencies of PA participation, factors promoting and impeding it. Methods. The methods include literature analysis, cross-sectional study with self-reported questionnaire consisting of 11 questions and statements about most popular leisure sports, frequency, venues, significant others, and neighbourhood influence. The questionnaire, based on EU Special Eurobarometer 412 “Sport and Physical Activity”, research in Northern and Eastern countries, as well as in the Netherlands, was sent by e-mail to 91 Grade 10 subjects in a Latvian mainstream secondary school in the academic year of 2015/2016; the response rate was 60%. The statistical analysis was carried out with Index method and SPSS software. Results. The Cronbach’s alpha for neighbourhood section (5 items) of the questionnaire was .74. The validity of the questionnaire was based on the consideration that the questions were drawn from surveys, described in reliable sources. Most of the students with friends or alone did three sports at sport schools (69.50%), as well as in parks, woods, seaside, at home, most popular sports were team games (basketball, volleyball), winter sports (skiing and snowboarding), fitness sports (running), strength sports (gym workout) and gymnastics. Statistically significant, medium strong correlations were found between good relations with neighbours and high level of well-being (r = .38, p = .05). Conclusion. The student choice to practice team games and gymnastics might be influenced by traditional youngster values and their status as trendy sports, but winter sports in Latvia traditionally are among the most popular ones. Good neighbourhood relations could help youngsters be more physically active.
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Maniero, Viviane Camara, Rodrigo Decembrino Vargas Brasil, Paulo Sérgio Cerqueira Rangel, Taiane Mendonça Camargo, Marcela Pires de Souza, Júlia Marcelo Maia Forte, Cristiane da Cruz Lamas und Sergian Vianna Cardozo. „A clinical-ecological study of a triple viral epidemic: Zika, Dengue and Chikungunya/ Um estudo clínico-ecológico de uma tripla epidemia viral: Zika, Dengue e Chikungunya“. Brazilian Journal of Development 7, Nr. 6 (04.06.2021): 55136–51. http://dx.doi.org/10.34117/bjdv7n6-088.
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In Brazil, since 2015, co-circulation of three arboviruses, Dengue (DENV), Chikungunya (CHIKV) and Zika (ZIKV), have presented diagnostic challenges, due to their similar clinical manifestations. Our goal was to analyze cases of arboviral illness using key clinical features and to ascertain house infestation indices (HII) in the study area. A total of 28,064 medical records were analyzed by clinical-epidemiological criteria for DENV, ZIKV and CHIKV in 2015 and 2016 at the public health unit in Xerem, Duque de Caxias, Rio de Janeiro. The collection of vectors at home breeding sites in Xerem was performed to determine the HII, in March and June 2015. The total number of cases of suspected arboviral illness in 2015 was 969, of which 444 (45.8%) were due to DENV, 146 (15.1%) to ZIKV, and 11 (1.1%) to CHIKV. In 2016, the number of suspected cases of arboviral illness was 2019, of which 324 (16.0%) were classified as DENV, 779 (38.6%) as ZIKV, and 53 (2.60%) as CHIKV. The clinical manifestations prevalent in ZIKV were rash (67.8% to 79.5%) and pruritus (63.7% to 71.4%). The HII for the immature stages of Aedes in the study area, in March and June 2015, was 11.8% for Ae. aegypti and 8.1% for Ae. albopictus, both very high. There was a strong positive correlation observed for precipitation and HII for both vectors (Ae. aegypti and Ae. albopictus), but not for temperature levels. We conclude that a triple epidemic occurred in the studied area probably due to the high infestation rates and a naive population for the two newly introduced arboviruses; whilst there are no available specific laboratory tests a practical clinical diagnosis workout is crucial.
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Brown, Lance, Tania Shaw, James A. Moynihan, T. Kent Denmark, Ameer Mody und William A. Wittlake. „Investigation of afebrile neonates with a history of fever“. CJEM 6, Nr. 05 (September 2004): 343–48. http://dx.doi.org/10.1017/s1481803500009623.
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ABSTRACT Objective: Our objective was to describe clinically significant infections in a cohort of afebrile neonates who underwent an emergency department (ED) septic workup because of the history of a measured fever at home. Methods: Retrospective medical record review of all infants ≤28 days of age who presented to our tertiary care pediatric ED between Jan. 1, 1999, and Aug. 22, 2002, underwent lumbar puncture in the ED, had a reported temperature at home of ≥38°C, and an ED triage temperature of <38°C. Laboratory and radiographic results were tabulated. Results: During the study period, 206 neonates underwent lumbar puncture in our ED. Of these, 108 were excluded because their home temperature was not documented, and 71 were excluded because they were still febrile on presentation to the ED. The study group consisted of the remaining 27 subjects, 4 of whom had received acetaminophen prior to ED arrival. Infections were confirmed in 10 (37%) subjects (3 urinary tract infections, 2 aseptic meningitis, 1 enterovirus meningitis, 1 respiratory syncytial virus bronchiolitis, 1 rotavirus enteritis and 2 pneumonias). Conclusions: Clinically important infections are not uncommon among afebrile neonates undergoing ED septic workup because of a measured fever at home. Some diagnostic testing is warranted in this group, although the clinical utility and indications for specific test modalities remain unclear.
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Hagiu, Bogdan-Alexandru, Iulian Dumitru Turculeț und Iulian Marius Dumitru. „Preliminary Data on the Prophylaxis of Severe Forms of Covid-19 Through Exercise“. Studia Universitatis Babeş-Bolyai Educatio Artis Gymnasticae 66, Nr. 1 (30.03.2021): 79–84. http://dx.doi.org/10.24193/subbeag.66(1).08.
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"ABSTRACT. Independent studies suggest the possibility of prophylaxis of severe forms of COVID-19 through moderate-intensity exercise. There is the fear that intense exercise could increase the risk of the virus entering the cell, a determining factor being hypoxia. As a result, in this paper we aimed to assess the heart rate and oxygen saturation of the blood in the case of Kangoo Jumps and aerobic training at home. Kangoo Jumps workouts practiced in such a way as to avoid in principle the high intensity of the effort, do not produce transient hypoxia, not even in subjects whose heart rate indicated an intense effort. Preliminary data show that aerobics at home does not produce hypoxia in mature adults and the elderly, and heart rates do not exceed the limit of moderate intensity; however, additional studies are required for both categories of exercises under study."
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Pasanisi, Giovanni, Biagio Sassone, Jonathan Myers, Giorgio Chiaranda, Andrea Raisi, Rosario Lordi, Simona Mandini, Gianni Mazzoni und Giovanni Grazzi. „Modello di riabilitazione cardiologica teleguidata durante pandemia da COVID-19“. Cardiologia Ambulatoriale 28, Nr. 4 (Dezember 2020): 271–75. http://dx.doi.org/10.17473/1971-6818-2020-4-6.
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Background. The COVID-19 pandemic has induced many governments to promote national lockdowns. Despite a period of quarantine is the best option and recommendation to stop the rapid spread of infections, this may have collateral effects on other dimensions of the isolated patients’ physical and mental health. Physical activity is the major component of cardiac rehabilitation programs that have been abruptly discontinued. Aims. To counteract physical inactivity during the COVID-19 outbreak we propose an home cardiac rehabilitation program under telemonitoring guidance, the home-bAsed physiCal acTivity Intervention during cOvid-19 quaraNtine (ACTION) study, testing its feasibility. Methods and results. ACTION is an observational study in cardiac outpatients referred to an exercise-based cardiac rehabilita-tion program. A program consisting of aerobic recommendations combined with a selection of strength and balance exercises is recommended. Video tutorials providing details of the workouts will be sent to patients. Selected patients can be followed during the home-sessions via video connection using current smartphone applications. Conclusions. The ACTION study could provide applicable results for safe and effective exercise therapy in outpatients with car-diovascular disease, while preventing the COVID-19 outbreak from generating adverse health consequences due to acute cessa-tion of physical activity. Findings from the ACTION study can also be useful after the end of COVID-19 outbreak for patients who cannot participate in traditional center- or home-based cardiac rehabilitation programs.
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Mutz, Michael, Johannes Müller und Anne K. Reimers. „Use of Digital Media for Home-Based Sports Activities during the COVID-19 Pandemic: Results from the German SPOVID Survey“. International Journal of Environmental Research and Public Health 18, Nr. 9 (21.04.2021): 4409. http://dx.doi.org/10.3390/ijerph18094409.
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Health authorities recommend digital tools for home-based sport and exercise routines to stay active and healthy during the COVID-19 pandemic. The study investigates the prevalence, duration, most popular activities, and social selectivity of home-based digital sport and its contribution to overall levels of sporting activity during the pandemic. It is based on cross-sectional survey data (n = 1508), representing the population >14 years living in Germany. Data collection took place in October 2020, using computer-assisted web interviewing. Results show that overall, 23% of respondents used digital media for sports activities at least one time during the COVID-19 pandemic. Numbers increased during the lockdown and decreased afterwards. People engaged in a variety of fitness workouts, most frequently practiced with the help of publicly accessible fitness videos from video-sharing platforms. Digital sports practitioners are younger, better educated, and financially better off. Females are overrepresented. Individuals engaged in digital sports achieved 30 min/week more sports activity during the pandemic compared to individuals solely involved in offline sports. Hence, home-based digital sports activities were a popular means to stay active, particularly in the period of the lockdown. Strong social disparities indicate that the possible health benefits of digital sports only reach out to particular population groups.
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Perahia, Tzlil, David Kleinman und Wassim Habre. „Your Automated Implantable Cardioverter Defibrillator Is Not a Bulletproof Vest but It Might Save Your Life“. Clinical Practice and Cases in Emergency Medicine 3, Nr. 3 (01.07.2019): 191–93. http://dx.doi.org/10.5811/cpcem.2019.4.42086.
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A 43-year-old male was brought to the emergency department as the highest level trauma activation with complaints of chest and arm pain after sustaining gunshot wounds (GSW). Initial workup was notable for superficial GSWs to the left chest and upper extremity with direct impact to the patient’s automated implantable cardioverter defibrillator. The patient underwent replacement of the device without rewiring and was discharged home without complications.
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Memari, Amirhossein, Ardalan Shariat und Albert Thomas Anastasio. „Rising incidence of musculoskeletal discomfort in the wake of the COVID-19 crisis“. Work 66, Nr. 4 (17.09.2020): 751–53. http://dx.doi.org/10.3233/wor-203221.
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The COVID-19 pandemic has led to the shutdown of much of the world’s economic and social operations. Given shutdown of exercise facilities, there has been a sharp uptick in a sedentary lifestyle. As people have lost their normal daily activity patterns, it is reasonable to assume that musculoskeletal pain-related syndromes will consequently begin to increase. In addition, there has been a rise in social network, television, and online home-based workouts. In the wake of the COVID-19 pandemic, it is unclear whether previous recommendations for physical activities will remain sufficient, given cessation of normal physical activities from day-to-day life. We raise a variety of questions in dealing with the potential fallout of the COVID-19 shutdown from a musculoskeletal standpoint.
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Castagnola, Elio, Livia Gargiullo, Salvatore Renna, Anna Loy, Francesco Risso, Andrea Moscatelli, Ivana Baldelli, Giuliana Cangemi und Roberto Bandettini. „What Is the Best Initial Empirical Treatment of Suspected Sepsis in a Newborn Readmitted Soon after Discharge Home in an Era of Increased Resistance to Antibiotics? A Report of Two Cases“. American Journal of Perinatology 33, Nr. 11 (September 2016): 1090–92. http://dx.doi.org/10.1055/s-0036-1586104.
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Background Colonization/infection by antibiotic-resistant bacteria is becoming a major threat to health care systems. Case report Two septic neonates were readmitted in our hospital few days after hospital discharge. In both of them, microbiological workup revealed an infection caused by multiresistant pathogens. Noteworthy, one baby had received intensive care management for 4 weeks, whereas the other had been vaginally delivered and sent home on his second day of life. Conclusion These cases suggest that in countries and/or hospital with high prevalence of colonization/infection by resistant pathogens in nurseries, neonatal intensive care units, and obstetric wards, the choice of initial therapy of suspected sepsis in a neonate readmitted from home soon after discharge should take into account the possibility of an infection due to a multiresistant pathogen.
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Pimienta, Allen L., Thomas A. Billings und Robert G. Fish. „Paraneoplastic Phenomena in a Patient With Locally Destructive and Metastatic Renal Cell Carcinoma“. Journal of Primary Care & Community Health 9 (Januar 2018): 215013271879902. http://dx.doi.org/10.1177/2150132718799023.
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Renal cell carcinoma (RCC) accounts for approximately 80% of all primary renal neoplasms in United States causing approximately 65 000 new cases of RCC and 14 000 deaths each year. Symptoms of RCC typically include weight loss and night sweats but may also feature paraneoplastic phenomena in advanced stages as well as flank pain, gross hematuria, scrotal varicocele, inferior vena cava pathology, and a palpable abdominal mass. In this article, we present the course of a patient with advanced RCC, from initial presentation through workup and to eventual diagnosis. The case features late-onset symptoms, extensive paraneoplastic phenomena, and significant physical examination findings. We also review the literature available on RCC and critically analyze inefficiencies of the workup retrospectively.
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Schertz, Adam Ross, Anand Karthik Sarma, Sudhir Datar und Peter John Miller. „Reversible cerebral vasoconstriction syndrome (RCVS) caused by over-the-counter calcium supplement ingestion“. BMJ Case Reports 14, Nr. 1 (Januar 2021): e233877. http://dx.doi.org/10.1136/bcr-2019-233877.
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A 59-year-old woman was found unresponsive at home. Initial neurologic examination revealed aphasia and right-sided weakness. Laboratory results demonstrated a serum calcium level of 17.3 mg/dL (corrected serum calcium for albumin concentration was 16.8 mg/dL). Extensive workup for intrinsic aetiology of hypercalcemia was unrevealing. Further discussion with family members and investigation of the patient’s home for over-the-counter medications and herbal supplements revealed chronic ingestion of calcium carbonate tablets. CT angiogram of the brain revealed multifocal intracranial vascular segmental narrowing, which resolved on a follow-up cerebral angiogram done 2 days later. These findings were consistent with reversible cerebral vasoconstriction syndrome.Appropriate blood pressure control with parenteral agents, calcium channel blockade with nimodipine and supportive care therapies resulted in significant improvement in neurologic status. By discharge, patient had near-complete resolution of neurologic symptoms.
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Billy, Gregory G., und Sayers J. Miller. „Neurologic Thoracic Outlet Syndrome: A Case Report and Clinical Review“. International Journal of Athletic Therapy and Training 21, Nr. 5 (September 2016): 14–20. http://dx.doi.org/10.1123/ijatt.2015-0080.
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An avid weightlifter presented with complaints of right arm and hand numbness. His workup was consistent with neurologic thoracic outlet syndrome with severe conduction block at the level of the supraclavicular fossa. He chose conservative treatment, which focused on correction of thoracic and cervical segmental dysfunction, upper crossed syndrome muscle imbalances, and upper trunk and anterior forward head postural concerns. Upon completion of the therapy program and continuation of a home exercise program, his conduction block and symptoms resolved. Conservative treatment may be an effective alternative to surgery for neurologic thoracic outlet syndrome.
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Barr, Peter R., Andrew C. To, Marzia Rigolli, Hamish Hart, David Cranefield, Colin Edwards und Jo Wickham. „PM434 Coronary CT angiography is useful in the acute workup of higher risk troponin positive patients“. Global Heart 9, Nr. 1 (März 2014): e150-e151. http://dx.doi.org/10.1016/j.gheart.2014.03.1764.
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Quintero, Eduardo, Jerald Pelayo, Grace Salacup und Kevin Bryan Lo. „Lupus enteritis as a lone manifestation of SLE: rare but possible“. BMJ Case Reports 14, Nr. 8 (August 2021): e239072. http://dx.doi.org/10.1136/bcr-2020-239072.
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A 28-year-old Southeast Asian non-pregnant woman with asthma and prior cholecystectomy presented to the emergency department with acute watery diarrhoea, intermittent abdominal pain and vomiting. Apart from abdominal tenderness, the rest of the physical examination was unremarkable. She had leucocytosis, alkaline phosphatase elevation and exudative ascites. Radiological imaging ruled out biliary leak and was only significant for circumferential small and large bowel thickening. Upper endoscopy and colonoscopy showed normal duodenal and colonic mucosae. Both infectious and malignancy workup were also unremarkable. Bereft of other systemic symptoms, autoimmune pathology was initially deemed unlikely; however, autoimmune workup revealed positive antinuclear antibody, double-stranded DNA, anti-Smith antibody, antinuclear ribonucleoprotein and hypocomplementaemia. With multidisciplinary collaboration, the patient was initiated on high-dose steroids, which dramatically improved her symptoms. She was discharged home with a steroid taper, and at 3 months of follow-up with her rheumatologist, she was continued on steroids and hydroxychloroquine.
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Nicodemo, Mirella, Maria Rita Spreghini, Melania Manco, Rita Wietrzykowska Sforza und Giuseppe Morino. „Childhood Obesity and COVID-19 Lockdown: Remarks on Eating Habits of Patients Enrolled in a Food-Education Program“. Nutrients 13, Nr. 2 (26.01.2021): 383. http://dx.doi.org/10.3390/nu13020383.
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Childhood obesity is a worldwide health emergency. In many cases, it is directly linked to inappropriate eating habits and a sedentary lifestyle. During lockdown aimed at containing the coronavirus disease (COVID-19) spread, children have been forced to stay at home. The present study aimed at investigating the lifestyles of outpatients (aged 5–17 years) with complicated obesity enrolled in the day-hospital food education program at the Children’s Hospital Bambino Gesù in Rome. A survey was performed based on a structured questionnaire, investigating dietary habits and lifestyles. The questionnaire answers were rated as “yes/no/sometimes” or “often/never/sometimes”. Eighty-eight families correctly completed the questionnaire between March and May 2020. The results highlighted that 85.2% (N = 75) of the patients ate breakfast regularly, and 64.3% (N = 72) consumed fruit as an afternoon snack. However, 21.6% (N = 19) did just “often” home workouts, and 50.0% (N = 44) reported an increase of feeling hungry with “sometimes” frequency. There is a significant relationship of feeling hungry with gender (p < 0.0001) and age (p = 0.048) and, also, between gender with having breakfast (p = 0.020) and cooking (p = 0.006). Living a healthy lifestyle during lockdown was difficult for the outpatients, mainly due to the increase in a sedentary lifestyle and the increase in feeling hungry, but some healthy eating habits were maintained, as advised during the food education program provided before lockdown.
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Elegante, Marco, Joseph Hamera, Jane Xiao und David Berger. „Operative Hysteroscopy Intravascular Absorption Syndrome Causing Hyponatremia with Associated Cerebral and Pulmonary Edema“. Clinical Practice and Cases in Emergency Medicine 3, Nr. 3 (04.06.2019): 252–55. http://dx.doi.org/10.5811/cpcem.2019.4.41878.
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Operative hysteroscopy intravascular absorption syndrome is an iatrogenic syndrome caused by absorption of hypo-osmolar distension medium during hysteroscopy, which can lead to rapid hyponatremia with resulting cerebral and pulmonary edema. We present a case of a 47-year-old female who underwent hysteroscopic myomectomy at an outpatient ambulatory surgical center who was brought to the emergency department with dyspnea, hypoxia, and altered mental status. Workup showed hyponatremia with cerebral edema on computed tomography of the head and pulmonary edema on chest radiograph. The patient improved after resuscitation with intravenous saline and supplemental oxygen, and she was discharged home the next day.
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Zaid, Uwais B., Herman S. Bagga, Adam C. Reese und Benjamin N. Breyer. „Intratesticular Abscess in a Solitary Testicle: The Case for Testicle Sparing Management“. Case Reports in Medicine 2013 (2013): 1–2. http://dx.doi.org/10.1155/2013/184064.
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We present the case of a 24-year-old immunocompromised man with an intratesticular abscess. The patient presented with one week of left scrotal pain and swelling. Workup included scrotal ultrasonography which revealed a large fluid collection within the tunica albuginea of the left testis. Surgical exploration of the left testis evacuated a significant amount of purulent fluid. The residual viable testicular parenchyma was salvaged. Intraoperative cultures grewMorganella morganii.Follow-up ultrasonography showed resolution of the testicular fluid collection, and the patient was discharged home with oral antibiotics. Intratesticular abscesses are a rare clinical entity which often result in orchiectomy.
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Lamanna, Anthony, Ruth P. Lim, Lee Pheng Yap, Julian Maingard und Siven Seevenayagam. „Enlarging left atrial haemangioma in a patient with Cowden syndrome“. BMJ Case Reports 12, Nr. 7 (Juli 2019): e230088. http://dx.doi.org/10.1136/bcr-2019-230088.
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A 53-year-old female patient known to have Cowden disease (PTEN mutation positive) was found to have a mass at the left atrium on a CT coronary angiography performed as part of a preoperative workup for an unrelated surgery. Further radiological characterisation of the lesion was achieved using MRI and positron emission tomography. Interval growth prompted surgical excision; however, surgery was expedited after the patient presented with haemopericardium and cardiac tamponade. The patient was discharged home 8 days postoperatively, and no intraoperative or postoperative complications were encountered. A diagnosis of cavernous haemangioma was made on histology.
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Castro Junior, Ricardo L. De, Neiberg de Alcantara Lima und Stela Sampaio Vitorino. „Brugada Pattern Mimicking Myocardial Acute Infarct“. Journal of Cardiac Arrhythmias 33, Nr. 1 (08.06.2020): 29–33. http://dx.doi.org/10.24207/jca.v33i1.3352.
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Brugada syndrome (BrS) has been described as an arrhythmic disorder characterized by ST elevation with successive negative T wave in the right precordial leads. Patients are at risk for sudden cardiac death (SCD) due to ventricular fibrillation (VF). This specific electrocardiogram (ECG) pattern can sometimes be confused with ST elevation myocardial ischemia. This report shows a patient who presented with chest pain and had an ECG compatible with Brugada. An ischemic workup was performed, and acute coronary syndrome was ruled out. He had a final diagnosis of BrS and was discharged home after the placement of an automatic defibrillator.
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IJsselsteijn, W. A., Y. A. W. de Kort, J. Westerink, M. de Jager und R. Bonants. „Virtual Fitness: Stimulating Exercise Behavior through Media Technology“. Presence: Teleoperators and Virtual Environments 15, Nr. 6 (01.12.2006): 688–98. http://dx.doi.org/10.1162/pres.15.6.688.
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The current paper describes research that is aimed at elucidating our understanding of media technology factors that may help users of exercise equipment to stay motivated for doing regular workouts. In particular, we investigated the effects of immersion and coaching by a virtual agent on intrinsic motivation and the sense of presence of participants cycling on a stationary home exercise bike. A basic two-by-two within-subjects experimental design was employed whereby participants were presented with a virtual racetrack with two levels of immersion (high vs. low) and two levels of a virtual coach (with vs. without). Results indicate a clear positive effect of immersion on both motivation and presence. The virtual coach significantly lowered the perceived control and pressure/tension dimensions of intrinsic motivation, but did not affect the enjoyment dimension. The presence of the virtual coach also reduced negative effects associated with VEs, such as feeling dizzy or nauseated.
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Edison, Mara, Matthew Meunier und Nathaniel Miller. „The Evaluation of a 19-Year-Old With Hypertension and Proteinuria: A Case Report“. Journal of Primary Care & Community Health 10 (Januar 2019): 215013271984343. http://dx.doi.org/10.1177/2150132719843437.
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A 19-year-old male presented to the clinic and was found to be prehypertensive and have proteinuria on urine testing. He was subsequently diagnosed with focal segmental glomerulosclerosis (FSGS). Initial workup for pediatric hypertension includes urinalysis, chemistry panel, lipid panel, and renal ultrasound. Abnormalities on urinalysis, including proteinuria, hypercholesterolemia, and low serum albumin in children are characteristic of nephrotic disease. FSGS is a type of kidney pathology that often contributes to nephrotic disease and results from a variety of causes. For the primary care provider, being aware of the guidelines for pediatric hypertension screening and evaluation is important as 20% of children with hypertensive disease are due to kidney disease. FSGS is the third leading cause of end-stage renal disease in children aged 12 to 19 years, and its incidence was found to be rising in a study of Olmsted County, MN residents. Treatment to complete or partial remission of the proteinuria can slow the progression of renal disease. In this case report, we will discuss the evaluation of pediatric hypertension workup with proteinuria, specifically due to FSGS, and review current management strategies.
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Murphy, Alexandra N., Danielle Byrne, Umer Salati und Leo Lawler. „Intravenous leiomyomatosis manifesting as saddle embolism“. BMJ Case Reports 12, Nr. 3 (März 2019): e228267. http://dx.doi.org/10.1136/bcr-2018-228267.
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A 51-year-old, otherwise well woman, presented with progressive severe dyspnoea. CT pulmonary angiogram (CTPA) demonstrated a large filling defect within the right main pulmonary artery with evidence of right heart strain. She was anticoagulated and discharged home; however, was readmitted with progression of symptoms and hypotension within 1 month. Repeat CTPA demonstrated progression of the filling defect. Formal surgical thrombectomy was performed with removal of an unusual cream-coloured, rubber-like material. Histological analysis revealed intravenous leiomyomatosis (IVL). IVL is a rare benign neoplasm, characterised by smooth muscle cell proliferation in vascular structures that can act aggressively. This case describes the workup, recognition and management of IVL.
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Xu, Jieqing Jessica, Pasteur Rasuli und Kevin D. Burns. „Case Report: Segmental Arterial Mediolysis, a Rare Cause of Hypertension“. Canadian Journal of Kidney Health and Disease 7 (Januar 2020): 205435812095088. http://dx.doi.org/10.1177/2054358120950885.
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Rationale: The differential diagnosis for hypertension with elevated plasma renin is broad. This case illustrates one of the rarer, and therefore underrecognized, causes of high renin hypertension. Presenting concerns of the patient: A 41-year-old man with a medical history significant for multiple ischemic strokes and dyslipidemia presented for assessment of decreased renal function and resistant hypertension. His initial workup for secondary causes of hypertension was remarkable for an elevated plasma renin and normal aldosterone. Further investigation with computed tomography (CT) angiography was performed, which demonstrated multiple bilateral renal aneurysms and infarcts. Diagnoses: After ruling out other potential causes of bilateral renal aneurysms and infarcts, a diagnosis of segmental arterial mediolysis (SAM) was made. Interventions: Optimization of antihypertensive regimen, counseling regarding regular home blood pressure monitoring, and smoking cessation. Outcomes: The patient achieved excellent blood pressure control, stable renal function, and had no further strokes or other vascular events. Teaching points: Our case demonstrates the importance of considering SAM in the diagnosis of hypertension with elevated plasma renin and as a vasculitis mimic. It also highlights the importance of considering renal vascular imaging in the workup of resistant hypertension.
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Šola, Katarina Fehir, Iva Mucalo, Andrea Brajković, Ivona Jukić, Donatella Verbanac und Sanda Vladimir Knežević. „Drug therapy problems identified among older adults placed in a nursing home: the Croatian experience“. Journal of International Medical Research 48, Nr. 6 (Juni 2020): 030006052092879. http://dx.doi.org/10.1177/0300060520928791.
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Objective The aim of this study was to determine the frequency and type of drug therapy problems (DTPs) in older institutionalized adults. Method We conducted a cross-sectional observational study from February to June 2016 at a 150-bed public nursing home in Croatia, where comprehensive medication management (CMM) services were provided. A rational decision-making process, referred to as the Pharmacotherapy Workup method, was used to classify DTPs. Results Data were prospectively collected from 73 residents, among which 71% were age 75 years or older. The median number of prescribed medications per patient was 7 (2–16) and polypharmacy (> 4) was recorded for 54 (74.0%) patients. A total 313 DTPs were identified, with an average of 4.3 ± 2 DTPs per patient. The most frequent DTP was needing additional drug therapy (n = 118; 37.7%), followed by adverse drug reaction (n = 55; 17.6%). Lactulose (14.4%), tramadol (6.7%), and potassium (6.4%) were the medications most frequently related to DTPs. Conclusion The high prevalence of DTPs identified among older institutionalized adults strongly suggests the need to incorporate new pharmacist-led CMM services within existing institutional care facilities, to improve the care provided to nursing home residents.
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Sung, Anthony D., Krista R. Nichols, Julia A. Messina, Kristi Romero, Tara Dalton, Amy Bush, Megan Covington et al. „Hematopoietic Stem Cell Transplantation at Home“. Blood 130, Suppl_1 (07.12.2017): 745. http://dx.doi.org/10.1182/blood.v130.suppl_1.745.745.
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Abstract Introduction: Patients receiving autologous (auto) and allogeneic (allo) hematopoietic stem cell transplantation (HCT) typically undergo extensive inpatient hospitalizations, daily "day hospital" visits, or a combination of the two. This aspect of transplant poses a variety of challenges, ranging from nosocomial infections to hospital-induced delirium to lifestyle adjustments. By keeping patients at home, we may lower complications and improve quality of life, as well as potentially lower costs and resource utilization. Methods: We conducted a phase 1 study of home HCT to investigate the safety and feasibility of implementing this strategy in the United States. Patients interested in participating needed to live within a 30 minute drive of a transplant center and underwent a home inspection to assess suitability and safety (e.g. absence of black mold). Eligible patients would still receive pre-transplant conditioning at the hospital or day hospital, but they would be discharged home after receiving their stem cell infusion. The goal was to keep trial participants at home for the duration of transplant. In the morning, nurse practitioners or physician assistants made daily house calls to conduct assessments, examine patients, and draw blood for laboratory studies. These studies were run at the hospital, and in the afternoon a nurse returned to the patient's home to provide home blood transfusions, home intravenous fluids, electrolytes, or antibiotics, or other interventions. If an acute event occurred that could not be safely managed at home (e.g. first evaluation of febrile neutropenia), patients returned to the hospital or day hospital for further workup and care. Likewise, patients returned to the hospital or day hospital for certain routine procedures, such as intravenous methotrexate given as part of graft-versus-host disease prophylaxis or first blood transfusion to ensure there were no reactions. Transplant outcomes were monitored by the medical team throughout the patient's care and confirmed by a clinical research nurse or specialist by chart review. Stool samples, to assess changes in the gut microbiome, were collected at baseline and weekly for the first four weeks, at day 60, 100, and day 180. Samples will undergo 16s rRNA sequencing to identify the taxonomic groups of bacteria present in the gut. Results: Twenty-two patients received home HCT (Table 1). This included 6 allos and 16 autos. Ages ranged from 34-63 years for allos and 46-74 years for autos. In both groups, 2/3 or more of patients had a baseline Karnofsky Performance Status of 70 or 80. Patients in the allo group spent 72% of their days entirely at home, while patients in the auto group spent 52% of their days at home. The main reason for returning to the hospital or day hospital were febrile neutropenia (4 allos and 9 autos). Aside from CMV reactivation (3 of 6 allos, 50%), only 2 allos (33%) and 2 autos (13%) developed bloodstream infections. Three allos developed GVHD; interestingly, these were the three patients that spent the most time in the hospital/day hospital even prior to Day 30 (median 23 days vs. 11 days), even prior to development of GVHD. There was one case of treatment-related mortality (GVHD) in the entire cohort. Overall, patients and their caregivers endorsed the program, providing numerous expressions of appreciation and gratitude on exit interviews, and quality of life was well-preserved as assessed by FACT-BMT: median scores for autos stayed the same when comparing baseline (median 113) to day 30 (median 114) and increased on day 100 (median 124). Discussion: Our results suggest that home HCT is safe and feasible. Despite including mostly older adults with suboptimal performance status, patients did quite well at home. They were able to maintain their quality of life and had low rates of infectious complications. Though patients did have to return to the hospital or day hospital at various times during transplant, keeping patients out of the hospital for even half the duration of transplant could have tremendous cost savings that would offset the increased staffing and travel required for house calls. Studies of the gut microbiome are pending to test the hypothesis that home HCT will preserve the gut microbiome, thereby preventing GVHD. In addition, a randomized phase 2 study of home vs. standard transplant for allogeneic HCT is currently in progress. Disclosures Sung: Novartis: Research Funding; Merck: Research Funding; Cellective: Research Funding. Gasparetto: Janssen, BMS, Celgene: Consultancy; Janssen, BMS, Celgene: Other: Travel, accommodations, or other expenses paid or reimbursed; Celgene: Research Funding; Janssen, BMS, Celgene, Takeda: Honoraria. Rizzieri: Shire: Research Funding; Erytech: Research Funding.
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Fazeli Farsani, Soulmaz, Marloes P. van der Aa, Catherijne A. J. Knibbe, Anthonius de Boer und Marja M. J. van der Vorst. „A Follow-up Study on BMI-SDS and Insulin Resistance in Overweight and Obese Children at Risk for Type 2 Diabetes Mellitus“. Global Pediatric Health 2 (01.01.2015): 2333794X1456845. http://dx.doi.org/10.1177/2333794x14568451.
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Objectives. To evaluate body mass index standard deviation score (BMI-SDS), insulin sensitivity, and progression to type 2 diabetes mellitus (T2DM) in children at risk for T2DM approximately 3 years after being diagnosed with overweight/obesity and insulin resistance (measured by Homeostasis Model Assessment of Insulin Resistance [HOMA-IR]). Methods. Out of 86 invited children, 44 (mean age 15.4 ± 3.6 years) participated. Medical history, physical examination, and laboratory workup were performed. Results. While the mean BMI-SDS significantly increased from 2.9 to 3.4, the mean HOMA-IR significantly decreased from 5.5 to 4.6 (baseline vs follow-up visit). Change in HOMA-IR was only due to a decrease in mean fasting plasma insulin (24.1 vs 21.1, P = .073). Conclusions. Although increase in BMI-SDS in these children is worrisome, the American Diabetes Association recommended screening interval of 3 years for children at risk for T2DM is not too long based on the fact that none of our study participants developed T2DM.
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Спіцин, В. В. „Methodology of Conducting Physical Training Classes for Primary Schoolers with Impaired Posture“. Teorìâ ta Metodika Fìzičnogo Vihovannâ, Nr. 2 (06.08.2016): 27–33. http://dx.doi.org/10.17309/tmfv.2016.2.1161.
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Research objective: to determine the program content and methodological peculiarities of physical education of primary schoolers with impaired posture during the physical training classes.
Research methods: analysis of scientific, methodological and special literature; definition of physical development and physical preparedness (control tests); pedagogical observation; mathematical and statistical data processing.
Research results. The primary school age being the period of growth and skeletal development, it is very important to pay particular attention to primary schoolers’ correct posture development, as it directly defines the condition of their physical health. Faults in children’s posture are a condition that we can stop from progressing and correct provided that we take prompt preventive measures.
The right use of specially selected complexes of physical exercises, active games and regular workouts at home prove to have improved physical development in children with impaired posture.
Secondary school teachers of physical training can qualitatively manage the process of pupils’ physical education in class by carrying out systematic pedagogical control, using the specific program content and accounting for the methodological peculiarities in the physical education of primary schoolers with impaired posture.
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Tamene, Kaleb Amanu, und Bizuayehu Daba. „A Comparative Assessment on the Role of Private Investment in Poverty Reduction in Illubabor and Jimma Zones,Oromiya National Regional State, Ethiopia“. International Journal of Multicultural and Multireligious Understanding 7, Nr. 2 (05.04.2020): 552. http://dx.doi.org/10.18415/ijmmu.v7i2.1528.
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The research was assessing the role of private investment in poverty reduction in Jimma and Illibabor zones comparatively. There was almost little study was done in this areas and the research intended to fill such hole. For this purpose, necessary and careful literature reviews were done before. This research is workout by using a qualitative approach of research methodology and as far as the sampling technique concerned, we employed non probability sampling technique. From non probability sampling, purposive sampling technique was chosen. To this effect, Jimma and Illuababor Zones were purposively selected because of their prominence to Jimma university and which helps to save time and to implement one of the well known axiom of JU and that is “we are in the community” to promote the livelihoods of the community. Finally, the data gathered by using primary and secondary sources and the results proved that private investment is very important for the alleviatiation of poverty. For sure, there is a complementary relationship between private investment and poverty reduction. Moreover, the study finally recommends that Jimma and Illubabor zones should seriously work in creating enabling environment for private investment.
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Sams, Cassandra, Rama S. Ayyala und David W. Swenson. „Falling through the worm hole: an exploration of the imaging workup of the vermiform appendix in the pediatric population“. BJR|Open 1, Nr. 1 (Juli 2019): 20190016. http://dx.doi.org/10.1259/bjro.20190016.
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Despite the thousands of articles discussing appendicitis in the literature, the dilemma of how to best diagnosis and manage pediatric appendicitis remains unsettled. Over the past decade, evidence has been mounting about the use of antibiotics as the sole therapy in uncomplicated appendicitis in the adult population. This debate has even recently bled over into the lay press. While this change in practice pattern is still in its infancy for the pediatric population, radiologists should be aware of this change in therapy and how it can impact the imaging work-up and relevant findings. This article concisely summarizes the imaging findings and various imaging pathways to arrive at the diagnose of appendicitis with an emphasis of how to best be of use to our surgical colleagues in this evolving paradigm. It also highlights venues for further research, namely increasing accuracy of differentiating complicated from uncomplicated appendicitis.
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Jayatilaka, Sahani, Kunal Desai, Swarup Rijal und Debra Zimmerman. „Statin-Induced Autoimmune Necrotizing Myopathy“. Journal of Primary Care & Community Health 12 (Januar 2021): 215013272110287. http://dx.doi.org/10.1177/21501327211028714.
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Statin therapy is a widely prescribed medication class for hypercholesterolemia. In statin-induced autoimmune myopathy, genetically predisposed and at-risk patients can develop antibodies against hydroxy-3-methylglutaryl-CoA reductase (HMGCR), the key enzyme in the production of cholesterol. As a result, an autoimmune reaction causing weakness, myalgia, with possible severe rhabdomyolysis, renal failure, and myonecrosis also can occur. A 73-year-old female presented to clinic with myalgia and fatigue. She was on atorvastatin 20 mg/day for over 1 year, which she stopped 1 week prior to her initial presentation. Patient did experience rhabdomyolysis as well as a transaminitis. She underwent an autoimmune workup which was positive for HMG-CoA reductase antibodies. Patient was initially treated on a prednisone taper, starting dose 50 mg/day. Without remission of symptoms, methotrexate 15 mg/week was initiated.