Miracle-dz/UniFAR-FTUs huggingface dataset:
STUDYING THE EFFECT OF TRIAGE VIDEO TRAINING THROUGH START STYLE ON AWARENESS LEVEL OF EMERGENCY MEDICAL STAFFS AND THEIR PERFORMANCE

A B S T R A C T Aims: One of the main contents of management and decisions in emergency triage is triage. Considering the importance of learning triage especially among medical emergencies staff and contradictions about the amount of education method effect and that some of these methods have some merits regarding the effect of learning, easiness, speed and cost, this study had been done with the aim of “studying the effect of triage educational film through START style on awareness and performance of medical emergencies staff”. Methods: In and intervention study, 72 of medical emergencies staff of north of Khouzestan, who were selected randomly in 2013 were tested, before education, immediately after and 15 days after education (by a triage 45 minutes educational film and after 15 minutes asking and answering) by a researcher-made questionnaire, which included three parts of questions (demographic, awareness and performance), then results were analyzed by SPSS18 software and descriptive test and paired t-test. Results: The average of awareness and performance were respectively increased from 39% to 84f.6% and from 29.31 to 75.57 and also there was significant statistical relationship (p<0.001). Also there was significant statistical difference between the average of awareness and performance immediately after and 15 days after education (p<0.001). Conclusion: The skill of pre hospital providers at all levels of training and experience to triage patients is less than optimal. However, this skill improved significantly after a single education session.
Metabolic syndrome and insulin resistance in Division 1 collegiate football players.

PURPOSE To estimate the prevalence of metabolic syndrome and insulin resistance in a cohort of Division 1 collegiate football players. METHODS Ninety football players were evaluated in a cross-sectional study to estimate the prevalence of metabolic syndrome, insulin resistance, and associated risk factors. Obesity was defined as a body fat >or=25% determined by BOD POD measurements. The National Cholesterol Education Program Adult Treatment Panel III criteria were used to estimate prevalence of metabolic syndrome. Quantitative insulin sensitivity check index calculations were performed to estimate prevalence of insulin resistance. Linear regression techniques were used to determine association between body fat percentage and other measured continuous parameters. Fisher exact test was used to determine association between nominal variables, and one-way ANOVA compared the three groups defined by position. RESULTS Summary measures showed a small prevalence of abnormal individual measurements. There was an association between body fat percentage and most evaluated parameters (P < 0.05). The prevalence of obesity, insulin resistance, and metabolic syndrome was 21%, 21%, and 9%, respectively. Obesity is closely associated with metabolic syndrome (P < 0.0001) and insulin resistance (P < 0.0001) in this population. All subjects with metabolic syndrome were obese, and the odds for insulin resistance in the obese group are 10.6 times the odds for the nonobese group. Linemen (n = 29) had 19 of the 19 obese subjects, 13 of the 19 subjects with insulin resistance, and all subjects with metabolic syndrome. CONCLUSIONS There is a strong association between obesity and both metabolic syndrome and insulin resistance in Division 1 collegiate football players. Linemen are at significant risk for metabolic syndrome and insulin resistance compared with other positions. This may be predictive of future health problems in Division 1 collegiate football players, especially linemen.
Muscle metabolism during exercise with carbohydrate or protein-carbohydrate ingestion.

INTRODUCTION Ingesting protein (PRO) with CHO during prolonged exercise is purported to improve performance compared with CHO alone by altering the regulation of skeletal muscle energy provision. However, no study has directly investigated this issue. We tested the hypothesis that compared with CHO alone, coingestion of PRO would alter markers of metabolic control, including the magnitude of glycogen use and the net expansion of the tricarboxylic acid cycle intermediate pool, which has been linked to the capacity for oxidative energy delivery. METHODS Eight trained men (mean +/- SE: age = 29 +/- 2 yr; VO2peak = 55 +/- 2 mL x kg(-1) x min(-1)) cycled at 69% +/- 1% VO2peak for 90 min on two occasions, and biopsy samples (vastus lateralis) were obtained before and after exercise. In a randomized, double-blind manner, subjects ingested one of two drinks during exercise that contained either 6% CHO or 6% CHO + 2% PRO (CHO + PRO) at a rate of 1 L x h(-1) to deliver 60 g x h(-1) CHO +/- 20 g x h(-1) PRO. RESULTS CHO + PRO ingestion increased the plasma concentration of branched chain (561 +/- 46 vs 301 +/- 32 micromol x L(-1)) and essential amino acids (1071 +/- 98 vs 670 +/- 71 micromol x L(-1)) after exercise versus CHO (both P values <or=0.05). However, net muscle glycogen use (CHO + PRO = 223 +/- 31 vs CHO = 185 +/- 38 mmol x kg(-1) dry weight) and tricarboxylic acid cycle intermediate expansion (CHO + PRO = 2.3 +/- 0.7 vs CHO = 2.1 +/- 0.2 mmol x kg(-1) dry weight) were similar between trials. Blood creatine kinase activity and 20-km time trial performance measured approximately 24 h after the first exercise bout were not different between treatments. CONCLUSION When trained men ingest CHO at a rate on the upper end of the range generally recommended to improve endurance performance, coingestion of PRO does not alter specific markers proposed to reflect an enhanced capacity for skeletal muscle energy delivery.
Prevalencia de sucesos violentos y de trastorno por estrés postraumático en la población mexicana

OBJETIVO: Reportar el indice de exposicion a diferentes sucesos violentos, los correlatos demograficos, la prevalencia de trastorno por estres postraumatico y el impacto sobre la calidad de vida. MATERIAL Y METODOS: La Encuesta Nacional de Epidemiologia Psiquiatrica es representativa de la poblacion mexicana urbana de 18 a 65 anos de edad. Se realizo entre 2001 y 2002, con el instrumento diagnostico de la version computarizada de la Entrevista Internacional Compuesta de Diagnostico (CIDI-15, por sus siglas en ingles). Los analisis toman en cuenta el diseno complejo de la muestra aleatoria, multietapica y estratificada. Se utilizaron el Metodo Kaplan-Meir y regresiones logisticas. RESULTADOS: El 68% de la poblacion ha estado expuesta al menos a un suceso estresante en su vida. La exposicion varia por sexo (violacion, acoso y abuso sexual son mas frecuentes en mujeres; los accidentes y robos, entre los hombres) y por edad (ninos, adolescentes, mujeres adultas jovenes y personas de la tercera edad). El 2.3% de las mujeres y 0.49% de los hombres presentaron un trastorno de estres postraumatico. La violacion, el acoso, el secuestro y el abuso sexual son los sucesos con mayor manifestacion de trastornos por estres postraumatico. CONCLUSIONES: Los resultados refuerzan la necesidad de ampliar la cobertura de tratamiento para atender las secuelas de la violencia, considerando las importantes variaciones de genero y estadios de desarrollo.
Resistance training with vascular occlusion in inclusion body myositis: a case study.

UNLABELLED Inclusion body myositis (IBM) is a rare idiopathic inflammatory myopathy that produces remarkable muscle weakness. Resistance training with vascular occlusion has been shown to improve muscle strength and cross-sectional area in other muscle wasting conditions. PURPOSE We evaluated the efficacy of a moderate-intensity resistance training program combined with vascular occlusion by examining functional capacity, muscle morphology, and changes in the expression of genes related to muscle protein synthesis and proteolysis in a patient with IBM. METHODS A 65-yr-old man with IBM resistant to all proposed treatments underwent resistance training with vascular occlusion for 12 wk. Leg press one-repetition maximum; thigh cross-sectional area; balance, mobility, and muscle function; quality of life; and blood markers of inflammation and muscle damage were assessed at baseline and after the 12-wk program. The messenger RNA (mRNA) expression levels of mechanogrowth factor, mammalian target of rapamycin, atrogin-1, and muscle RING finger-1 were also quantified. RESULTS After the 12-wk training program, the patient's leg press one-repetition maximum, balance and mobility function, and thigh cross-sectional area increased 15.9%, 60%, and 4.7%, respectively. All Short Form-36 Health Survey Questionnaire subscales demonstrated improvements as well, varying from 18% to 600%. mRNA expression of mechanogrowth factor increased 3.97-fold, whereas that of atrogin-1 decreased 0.62-fold. Muscle RING finger-1 and mammalian target of rapamycin mRNA levels were only slightly altered, 1.18- and 1.28-fold, respectively. Importantly, the exercise did not induce disease flare. CONCLUSIONS We describe a novel, and likely the first, nonpharmacological therapeutic tool that might be able to counteract the muscle atrophy and the declining strength that usually occur in IBM.
Finger tapping ability in healthy elderly and young adults.

PURPOSE The maximum isometric force production capacity of the fingers decreases with age. However, little information is available on age-related changes in dynamic motor capacity of individual fingers. The purpose of this study was to compare the dynamic motor function of individual fingers between elderly and young adults using rapid single-finger and double-finger tapping. METHODS Fourteen elderly and 14 young adults performed maximum frequency tapping by the index, middle, ring, or little finger (single-finger tapping) and with alternate movements of the index-middle, middle-ring, or ring-little finger-pair (double-finger tapping). The maximum pinch force between the thumb and each finger, tactile sensitivity of each fingertip, and time taken to complete a pegboard test were also measured. RESULTS Compared with young subjects, the older subjects had significantly slower tapping rates in all fingers and finger-pairs in the tapping tasks. The age-related decline was also observed in the tactile sensitivities of all fingers and in the pegboard test. However, there was no group difference in the pinch force of any finger. The tapping rate of each finger did not correlate with the pinch force or tactile sensitivity for the corresponding finger in the elderly subjects. CONCLUSIONS Maximum rate of finger tapping was lower in the elderly adults compared with the young adults. The decline of finger tapping ability in elderly adults seems to be less affected by their maximum force production capacities of the fingers as well as tactile sensitivities at the tips of the fingers.
Tackle characteristics and injury in a cross section of rugby union football.

BACKGROUND The tackle is the game event in rugby union most associated with injury. This study's main aims were to measure tackle characteristics from video using a qualitative protocol, to assess whether the characteristics differed by level of play, and to measure the associations between tackle characteristics and injury. METHODS A cohort study was undertaken. The cohort comprised male rugby players in the following levels: younger than 15 yr, 18 yr, and 20 yr, grade, and elite (Super 12 and Wallabies). All tackle events and technique characteristics were coded in 77 game halves using a standardized qualitative protocol. Game injuries and missed-game injuries were identified and correlated with tackle events. RESULTS A total of 6618 tackle events, including 81 resulting in a game injury, were observed and coded in the 77 game halves fully analyzed (145 tackle events per hour). An increase in the proportion of active shoulder tackles was observed from younger than 15 yr (13%) to elite (31%). Younger players engaged in more passive tackles and tended to stay on their feet more than experienced players. Younger than 15 yr rugby players had a significantly lower risk of tackle game injury compared with elite players. No specific tackle technique was observed to be associated with a significantly increased risk of game injury. There was a greater risk of game injury associated with two or more tacklers involved in the tackle event, and the greatest risk was associated with simultaneous contact by tacklers, after adjusting for level of play. CONCLUSIONS Tackle characteristics differed between levels of play. The number of tacklers and the sequence of tackler contact with the ball carrier require consideration from an injury prevention perspective.
Force-velocity relationship in cycling revisited: benefit of two-dimensional pedal forces analysis.

PURPOSE Maximal cycling exercise has been widely used to describe the power-velocity characteristics of lower-limb extensor muscles. This study investigated the contribution of each functional sector (i.e., extension, flexion, and transitions sectors) on the total force produced over a complete pedaling cycle. We also examined the ratio of effective force to the total pedal force, termed index of mechanical effectiveness (IE), in explaining differences in power between subjects. METHODS Two-dimensional pedal forces and crank angles were measured during a cycling force-velocity test performed by 14 active men. Mean values of forces, power output, and IE over four functional angular sectors were assessed: top = 330 degrees -30 degrees , downstroke = 30 degrees -150 degrees , bottom = 150 degrees -210 degrees , and upstroke = 210 degrees -330 degrees . RESULTS Linear and quadratic force-velocity and power-velocity relationships were obtained for downstroke and upstroke. Maximal power output (Pmax) generated over these two sectors represented, respectively, 73.6% +/- 2.6% and 10.3% +/- 1.8% of Pmax assessed over the entire cycle. In the whole group, Pmax over the complete cycle was significantly related to Pmax during the downstroke and upstroke. IE significantly decreased with pedaling rate, especially in bottom and upstroke. There were significant relationships between power output and IE for top and upstroke when the pedaling rate was below or around the optimal value and in all the sectors at very high cadences. CONCLUSIONS Although data from force-velocity test primarily characterize the muscular function involved in the downstroke phase, they also reflect the flexor muscles' ability to actively pull on the pedal during the upstroke. IE influences the power output in the upstroke phase and near the top dead center, and IE accounts for differences in power between subjects at high pedaling rates.
Acute cardiorespiratory responses to inspiratory pressure threshold loading.

PURPOSE We tested the acute responses to differing pressure threshold inspiratory loading intensities in well-trained rowers. The purpose of this study was to evaluate 1) how the magnitude of inspiratory pressure threshold loading influences repetition maximum (RM), tidal volume (VT), and external work undertaken by the inspiratory muscle; and 2) whether the inspiratory muscle metaboreflex is activated during acute inspiratory pressure threshold loading. METHODS Eight males participated in seven trials. Baseline measurements of maximal inspiratory pressure (PImax), resting tidal volume (VT), and forced vital capacity (FVC) were made. During the remaining sessions, participants undertook a series of resistive inspiratory breathing tasks at loads corresponding to 50%, 60%, 70%, 80%, and 90% of PImax using a pressure threshold inspiratory muscle trainer. The number of repetitions completed at each load, VT, heart rate (fc), and measures of arterial blood pressure was assessed continuously during each trial. RESULTS A standardized cutoff of 10% FVC was used to define the RM, which decreased as loading intensity increased (P < 0.05). This response was nonlinear, with an abrupt decrease in RM occurring at loads > or =70% of PImax. The most commonly used inspiratory muscle training regimen of 30RM corresponded to 62.5% +/- 4.6% of PImax and also resulted in the highest external work output. Tidal volume (VT) decreased significantly over time at 60%, 70%, and 80% of PImax (P < 0.05), as did the amount of external work completed (P<0.05). CONCLUSIONS Although all loads elicited a sustained increase in fc, only the 60% load elicited a sustained rise in mean arterial blood pressure (P = 0.016), diastolic blood pressure (P = 0.015), and systolic blood pressure (P = 0.002), providing evidence for a metaboreflex response at this load.
The Normative Aging Study: An Interdisciplinary and Longitudinal Study of Health and Aging

The Normative Aging Study is a comprehensive interdisciplinary longitudinal study located in the VA Outpatient Clinic in Boston, Mass. The study was inaugurated in 1963 by the VA because of its statutory responsibility for the medical care of 25 million war veterans of whom 2 million are now 65 years of age and over, a figure which will rise to over 7 million in the next 20 years. Approximately 2,000 male veterans are enrolled for their lifetime as research subjects and undergo recurrent examinations administered on an outpatient basis. The focus of the study is on non-pathological aging, so that the subjects were carefully screened in advance to satisfy rigid health criteria regardless of age. The study is distinctive because of its large N and the socioeconomic diversity of its population. Parameters include clinical medicine, biochemistry, special senses, oral medicine, anthropometry and behavior. The study is designed to investigate the relationship between normal aging and the natural history of chronic diseases. The investigation of environmental correlates of age change throughout the logitudinal design will also suggest the intrinsic or extrinsic nature of the aging process. The hybrid cross-sectional-longitudinal design will also enable the partialing of secular from true aging effects. Functional ages pertaining to various aspects of aging are being developed as a tool for assessing relative aging rates and the relationship among such differences in aging.
Clinical Experience with a Circular Stapled Hemorrhoidopexy without Circular Anal Dilator (CAD)

Purpose: The circular stapled hemorrhoidopexy (SH) reduces mucosal prolapse and interrupts the end branches of the upper hemorrhoidal artery through a suitable instrument, Procedure for Prolapse and Hemorrhoids (PPH). However, there are some technical difficulties in routine use of the circular anal dilator (CAD). The goal of this study was to evaluate the efficacy and the safety of a CSH without use of a CAD. Methods: Between April 2005 and November 2006, 250 patients with Grade III and IV prolapsed hemorrhoids who had undergone CSH with PPH without using a CAD were retrospectively analyzed. The sex and age, the operation time, the type of anesthesia, the number of excised hemorrhoid piles, the degree of hemorrhoids and postoperative pain (consumed analgesics), the hospital stay, the postoperative complications, and the number of follow-up examinations at the outpatient clinic were analyzed. Results: The operation time was 17.76 minutes (10∼35 minutes). Most patients (89%) experienced spinal anesthesia. The degrees of hemorrhoids were Grade III (45%) and Grade IV (55%). The numbers of excised piles were 3 (44%), 4 (43%), and more than 5 (13%). The number of consumed postoperative analgesics was 0.97 times (mean). The mean hospital stay was 2.83 days. The postoperative complications were pain, bleeding, and urinary retention. Conclusions: A CSH without use of a CAD was an effective and safe surgical modality compared with other procedures for treating hemorrhoids. This procedure is feasible and convenient. The procedure is a new alternative in the treatment of severe hemorrhoids.
Regular physical activity moderates cardiometabolic risk in Alzheimer's caregivers.

INTRODUCTION Dementia caregivers have an increased risk of cardiovascular disease, and it is possible that metabolic disturbances contribute to this risk. Regular physical exercise reduces cardiometabolic risk, but caregivers may have less opportunity to engage in such activity. We hypothesized that regular physical activity would moderate cardiometabolic risk in dementia caregivers. METHODS One hundred and fifteen Alzheimer's caregivers and 54 noncaregiving controls were assessed for medical history and health habits. Physical activity was defined as the number of days per week participants performed light (score = 0-4), moderate (score = 0-4), or vigorous (score = 0-4) exercise (total score = 0-12). A cardiometabolic risk score was calculated by adding standardized z-scores of five metabolic syndrome components: body mass index, triglycerides, HDL cholesterol, systolic blood pressure, and glucose. RESULTS Caregivers were less physically active than noncaregivers (mean ± SD = 5.1 ± 3.0 vs 6.3 ± 2.7, P = 0.008). A significant caregiver status × physical activity interaction was found for the standardized cardiometabolic risk score controlling for gender, age, education, smoking, alcohol consumption, health problems, cholesterol-lowering medication, negative affect, role overload, and fasting state (P = 0.035). Among participants with low levels of physical activity, caregivers had greater cardiometabolic risk score than noncaregivers (0.58 ± 0.31 vs -1.23 ± 0.54, P = 0.017); no group difference emerged in participants with high levels of physical activity (P = 0.81). CONCLUSIONS Cardiometabolic risk was particularly high in caregivers reporting reduced levels of regular physical activity. Intervention studies aimed at increasing physical activity in caregivers seem warranted to examine whether that would possibly lower cardiometabolic risk to the level of noncaregivers.
Defining the Threshold at which Health Care Professionals Consider Withdrawing Life Sustaining Ventilation in Neonatology

Objective: To determine the variation inhealthcare provider perspectives regarding Withdrawing Life Sustaining Ventilation (WLSV) in Neonatology. Methods: We surveyed physicians, nurses, respiratory therapists, social workers, occupational and physical therapists, and neonatal pharmacists at two North American neonatal intensive care units to assess how neonatal healthcare providers use numerical risk to assist decision-making in Withdrawing Life Sustaining Ventilation. The survey presented nine scenarios depicting varying projected disabilities (single and multiple) at 3 years of age. Participants were asked to choose a predicted risk for the proposed disabilities (threshold) at which they would consider offering the WLSV option to parents. Ten additional questions regarding demographic information, attitudes, beliefs, and personal experiences were included. Results: The response rate was 59% (332/562). Respondents were primarily female nurses. For all respondents, the choice of WLSV was offered at statistically increasing frequency for the following disabilities: deafness, blindness, cerebral palsy, and mental retardation. The risk of severe mental retardation was the strongest influencing variable. The median choice for risk of severe mental retardation alone (61-70% risk) showed no significant difference from the median choice for risk of multiple disabilities (two or more). Median responses were not significantly different with respect to age, number of children, ethnic origin, occupation, religion, strength of religious belief, or knowledge of a friend/relative with impairments. Conclusions: Poor cognitive outcome is the principal determinant in WLSV decision-making among health care providers.