Miracle-dz/UniFAR-FTUs huggingface dataset:
Muscle activity during the incline shoulder press in relation to the exercise intensity

Background: The incline machine shoulder press (IMSP) is an alternative resistance exercise to the bench press associated with throwing performance. The muscle activity during IMSP has not yet been described in females and at different exercises intensities. Objectives: The aim of this present study was to investigate changes in the activity of prime movers during the IMSP in relation to the exercise intensity in female athletes. Methods: Eight female athletes experienced in resistance training were screened for peak electromyography amplitude normalized for maximum voluntary isometric contraction during the IMSP with increasing loads of 40%, 60%, 80% and 100% of 1 repetition maximum (1RM). The selected muscles were the anterior deltoid (AD), pectoralis major (PM), triceps brachii long head (TBlong) and triceps brachii lateral head (TBlat). Results: The results of Friedman ANOVA showed increased muscle activity along with exercise intensity in all prime movers (p < .001). The Kruskal-Wallis ANOVA showed inter-muscle differences at exercise intensity of 40% 1RM (p = .004, ηp2 = .52), 60% 1RM (p = .005, ηp2 = .55), 80% 1RM (p = .035, ηp2 = .46) and 100% 1RM (p = .002, ηp2 = .52), where TBlat showed lower activity than other muscle groups at each exercise intensity. The TBlong showed lower activity than the PM and AD at 40% 1RM, and the PM activity was lower than that of AD and TBlong at 100% 1RM. Conclusions: The IMSP is an exercise which activated AD and TBlong more than PM and TBlat during maximal lifting effort. Therefore, the IMSP should be understood as the exercise which might substantially overload the AD and TBlong during maximal lifts. Coaches should use the IMSP if they desire to activate TBlong more than TBlat during upper limb pressing.
Acute Monocyte Subset Counts in Patients Undergoing Coronary Surgery

Elevated proinflammatory monocyte levels may predict cardiovascular events in several diseases. The present paper reports on changes in Classical (CD14++CD16-), intermediate(CD14++CD16+) and particularly non-classical (CD14++CD16+) monocyte counts in patients undergoing coronary bypass surgery with respect both to baseline levels in healthy subjects. In an observational descriptive study, baseline counts in 31 patients scheduled for coronary revascularization surgery were compared with 25 healthy controls. In a subsequent longitudinal study in patients undergoing surgery were monitored at 5 time points up until 48 hours after surgery: biochemical markers for ischemia and acute inflammation were measured, and monocyte subset percentages were quantified by flow cytometry. Baseline and endpoint classical monocyte counts in coronary patients were significantly lower than those of healthy controls (p<0.05). Intermediate monocytes populations were significantly higher at all time points surgery group than in controls, though progressively declining over time to approach control levels. Baseline counts for the non-classical subset, widely linked to cardiovascular risk, were significantly higher in the coronary group than in controls (p<0.001) and, though falling over time, did not attain normal levels over the study period (p<0.001). Given the modulatory effect of extracorporeal circulation on biochemical parameters, a secondary analysis was performed to ascertain the potential effect of ECC on monocyte subset counts: no significant inter-group difference in counts was observed.
THUR 262 Diagnosis of osas in neurology outpatients

Background Obstructive sleep apnoea syndrome (OSAS) can present with neurological symptoms. Treatment of underlying OSAS can improve neurological comorbidities like Parkinson’s, epilepsy and Alzheimer’s. Early identification of OSAS may explain and improve symptoms. The aim of this study was to identify the association between the diagnosis of OSAS and presenting symptoms like headaches, memory problems, seizures and vertigo. Methods The medical records and polysomnography reports of 40 patients, newly diagnosed with OSAS by a consultant in a neurology outpatient clinic at a NHS district general hospital, were reviewed; the likelihood of OSAS explaining presenting symptoms was rated on a 1–4 scale. Results 32 OSAS patients were included in the study (21 male and 11 female). 15 patients (46.8%) presented with headaches, 5 patients (15.6%) with memory problems, 5 patients (15.6%) suffered from (dissociative and epileptic) seizures and 1 patient (3.1%) suffered from vertigo. 10 patients (31%) newly diagnosed presented with none of these neurological symptoms. All 32 patients presented with at least one of the typical symptoms of OSAS for example daytime sleepiness, snoring, and witnessed apnoeas. Conclusion Undiagnosed OSAS is likely common in neurology outpatients and often can explain presenting symptoms and can be a treatable co-morbidity.
Drug use, dependence, and abuse among state prisoners and jail inmates, 2007-2009: Special report

More than half (58%) of state prisoners and two-thirds (63%) of sentenced jail inmates met the criteria for drug dependence or abuse, according to data collected through the 2007 and 2008-09 National Inmate Surveys (NIS) (figure 1). In comparison, approximately 5% of the total general population age 18 or older met the criteria for drug dependence or abuse. General population data come from the National Survey of Drug Use and Health (NSDUH) collected from 2007 to 2009 by Substance Abuse and Mental Health Services Administration. Drug dependence and abuse estimates in both the NIS and NSDUH data collections were based on criteria specified in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). 1,2
Knowledge of Health Professionals on Essential Newborn Care in Bamako, Mali

Despite existing policies on training health professionnels in essential newborn care (ENC), neonatal mortality still remains high in Mali. Our work aimed to assess the level of knowledge of health staff about ENC. Material and methods: From March 20th to April 20th, 2016, we interviewed newborn care providers at the six reference health centers and the Gabriel Toure University Hospital Center in Bamako. Results: In total, we interviewed 407 newborn care providers with a sex ratio of 0.52. Interviewees had over five years work experience in 62.1%. They considered a low Apgar score as an indication for neonatal resuscitation in 89%, regardless of profile (p = 0.1583). They knew the good aspiration technique in 54%, with nurses and midwives more knowledgeable (p < 0.001) of the reference health centers (p = 0.0000). The interviewees knew the indication and rate of ventilation in 30.2% and 16.0%, respectively. About one third (34%) thought oxygen administration should be systematic during ventilation. The knowledge level on ventilation was the lowest in the group of general practitioners (p = 0.0063 for oxygen indication and p < 0.001 for the technique). Knowledge level for other ENC components (temperature maintenance, eyes care, breastfeeding) were higher. The knowledge of the delay of the breasting did not correlated with either the profile (p = 0.0857) or the place of practice. The knowledge of the first bath was dependent on both the professional profile (p = 0.0002) and the reference level (p = 0.0238). Conclusion: The level of knowledge of health professionnels on ENC should be improved. This will involve the integration of ENC in initial training curricula along with an appropriate continuing training policy thereafter.
Impact of Stoma Care Education in Minimizing the Incidence of Stoma Skin Complications

151 The stoma is an abnormal artificial opening in the human body that binds the hollow space of the patient with the outside world. Creation of stoma is considered as treatment method of colorectal cancer and several intestinal disorders1. The number of individuals with an ostomy is estimated to increase by 3% to 4% per year. Patients might live with stoma either temporarily or permanently. As a result of cancer, some of the patients would live with a colostomy for the rest of their lives. Stoma complications could be necrosis, leakage granuloma formation, retraction, stenosis, prolapse, parastomal hernia and peristomal skin disease2. Reduced complications of stoma would lead to a better quality of life. The most common skin complications are rash, ulceration or irritation3. According to Meisner et al, it could be ascertained that globally, approximately 73% of the patients are facing stoma skin complications2. Nursing plays an imperative role in providing essential care to the individuals, families and community members4.
Role of Human Papilloma Virus in the Etiology of Primary Malignant Sinonasal Tumors

INTRODUCTION : Human papilloma virus (HPV) is a DNA virus infecting the mucous membrane and skin. Around 150 genotypes of HPV have been identified. They are divided into high risk and low risk depending on their potential to cause cervical malignancy. The frequent genotype which causes HPV associated malignancies is HPV 16 (1). Another high risk genotype virus is HPV 18 which has also been implicated in genital cancers involving vulva and penis along with cervical cancer(2). The low risk genotypes namely HPV 6 and 11 are associated benign conditions such as genital warts and also in upper airway diseases such as laryngeal papillomatosis. OBJECTIVES : To investigate the association of HPV and primary malignant sinonasal tumors, the demographics and various risk factors of patients with malignant sinonasal tumors attending ENT OPD in a tertiary care hospital. METHODS : In a prospective case control study design for a period of 2 years, this study was conducted in the ENT OPD in a tertiary care hospital. Patients eligible for the study were evaluated and divided into cases and controls based on the diagnosis. With informed consent, tissue taken during the surgery for HPV DNA analysis by PCR. Sample size was calculated to be 50 in each arm. The data was entered in EPIDATA version 3.1 Statistical analysis was performed using statistical software SPSS (version 13.0). Chi square test was used to find association. RESULTS : In the case arm, the male to female ratio was 5:1 (p <0.05). Sinonasal malignancies were seen in middle to elderly age group whereas sinonasal polyposis and chronic sinusitis was more seen in younger age groups (p-0.02). Symptoms of epistaxis and facial swelling point towards malignancy(p <0.05). The median duration was 3 months (IQR=2-6) for cases and for controls 24 months (IQR=8-42), (p<0.001). Our study revealed a strong association of smoking (OR – 1.5, p-0.2) and snuff usage (OR-3, p<0.05) with sinonasal malignancies. HPV DNA was not detected in cases or controls.
Left Ventricular Hypertrophy Revisited: Cell and Matrix Expansion Have Disease-Specific Relationships.

Left ventricular hypertrophy (LVH), a common pathway in health and disease, occurs because of cellular hypertrophy and expansion of extracellular matrix. Myocardial biopsy can identify extracellular matrix expansion (fibrosis, amyloid) from cellular hypertrophy and disarray and infiltration (iron, amyloid, inflammatory cells), but its invasive nature restricts its use to specific cases. Histology recognizes these cellular (cell death/hypertrophy) and extracellular matrix (fibrosis/infiltration) processes, but conventional cardiac imaging combines them into 1 compartment: the left ventricular mass (LVM). Cardiovascular magnetic resonance (CMR) using T1 mapping can split LVM into cellular and matrix components by measuring the extracellular volume fraction (ECV). The cell volume is LVM/1.05×[1–ECV], and the matrix volume is LVM/1.05×ECV, 1.05 being the specific gravity of the myocardium. We used this approach to explore the biology of LVH. The study was approved by the ethical committee of the UK National Research Ethics Service (07/H0715/101) and conformed to the principles of the Helsinki Declaration. All subjects gave written consent to participate; 190 subjects underwent CMR, including healthy volunteers (HV; n=30, male 44%, 41±11 years of age, no cardiovascular history, and …
Exercise Adherence and Physiological Responses in Pedometer and Nordic Walking Plus Pedometer Groups

The purpose of this study was to compare exercise adherence and physiological responses in a Pedometer Only group and a Nordic Walking Plus Pedometer group during an eight-week, free-living walking program. Thirty-four sedentary adults participated in the baseline evaluations which included assessments of resting heart rate, blood pressure, resting metabolic rate, pulmonary functioning, lipid panel, body composition, and volitional peak oxygen uptake. Twenty-five participants completed a follow-up evaluation after 8 weeks of a walking program (Pedometer Only group, n=12; Nordic Walking group, n=13). There were significant changes in resting metabolic rate and body fat with an increase of 189 kcals/day and a decrease of 1.26% body fat overall, respectively. These changes were not significantly different between groups when analyzed for treatment effect. Although there were no statistically significant differences in amount of time walked, the Nordic Walking Plus Pedometer group’s median walk time was less than the Pedometer Only group’s median walk time. It appears that Nordic walking poles improve physiological indices without affecting exercise compliance.
LOW BACK PAIN AMONG REGISTERED NURSES IN SURGICAL UNIT AT RAJA PEREMPUAN ZAINAB (RPZ) II HOSPITAL, KOTA BHARU, KELANTAN

Low back pain is a common occupational health issue especially among nurses that leads to suffering, disability and days of work lost that affect the continuity and quality of patients care. This study aims to determine prevalence of low back pain among registered nurse at Surgical Unit in RPZ II Hospital and identify the associated factors. It is a cross-sectional study that used a self-administered questionnaire to collect the data among a convenience sample of 60 nurses. Data was analyzed using Pearson Chi-Square. Majority of them were aged 31 to 40 years (53.3%), Malays (91.5%), married (84.6%), had working experience from 11 to 15 years(50.8%), had formal manual handling training(64.9%) and are overweight(58.3%). The prevalence of low back pain was 63.8%. The study revealed statistical significancea for race (p=0.002), number of patients they have to handle (p=0.005), satisfaction with working environment (p=0.007), and emotional and social problems (p=0.007, p=0.038, respectively).
Quality of life after spinal cord injury in Thai individuals: A mixed-methods study

Background: Patients with spinal cord injury (SCI) face various health-related difficulties. Physical limitations and health-related complications in individuals with SCI can lead to activity restrictions and lowering their quality of life (QoL). It is important to assess the QoL in population with SCI to gain more valuable insights into aspects of health-related QoL (HRQoL) that could play a key role in improving care for persons with SCI. Objective: To quantitatively measure the QoL in persons with SCI in Thailand and expand the results through qualitative investigation to provide meaning, context and depth of “how” and “why” they rated, defined and addressed their QoL in that way. Methods: The philosophical assumption of this study was set based on the post-positivist views using mixed-methods sequential explanatory design. The quantitative data were collected and analyzed in 101 Thai individuals with SCI using standardized Thai version of the Short Form Health Survey version 2 (SF-36v2), followed by the qualitative investigation of semi-structured interviews in 11 volunteers who participated in the SF-36v2 phase. Priority is given to quantitative data. The data integration occurred at the qualitative data collection through the data interpretation and discussion stage. Results: With regard to quantitative data, a recent study found a statistically significant difference (p<0.05) in four domains for male and three domains for the female when comparing the SF-36 Thai normative data with SF-36v2 SCI data. Qualitative data revealed that the most salient themes of HRQoL in individuals with SCI were “supporting factors toward QoL” and “driving force post injury”. The integration of the findings revealed that the qualitative data could individually explain and define QoL as well as support quantitative results. The connection of both findings indicated that the higher scores in psycho-social variables and lower scores in physical domains of SF-36v2 in Thai persons with SCI may be due to unique Thai family traditions and community values. Conclusion: The scores on SF-36v2 and the replies in the qualitative investigation of QoL themes of Thai individuals with SCI were similar to those of other research, but this study is unique in that it specifically represents the Thai socio-environmental-cultural aspects.
The Montreal Cognitive Assessment (MoCA) as a cognitive screen in addiction health care: A validation study for clinical practice

ABSTRACT Objective: The current study assessed the criterion validity of the Montreal Cognitive Assessment (MoCA) as a short cognitive screen for use in addiction health care. Method: Eighty-two patients were assessed with two parallel versions of the MoCA; at intake (baseline) and directly preceding an extensive neuropsychological assessment (NPA) approximately 8 weeks later (follow-up). Results: Of all included patients, 54.9% were classified as having substance-induced neurocognitive disorder. The most common primary substance of abuse was alcohol (70.7%). The criterion validity was determined predictively and concurrently, and sensitivities of . 56 and . 67 and specificities of . 62 and . 73 were found, respectively. Conclusion: While the MoCA is an adequate screen when administered at the same time as the NPA, the predictive validity of administering this cognitive screen at intake is limited. Furthermore, the relation between MoCA domain scores and the performance on their corresponding cognitive domain in the NPA is more reliable when the MoCA is administered at the same time as the NPA. While the MoCA can be used to screen for cognitive impairments in patients in addiction health care, the instrument’s sensitivity is not optimal, which should be taken into account when interpreting results.
Avaliação da qualidade de vida em pacientes com estomia intestinal

Introdução: A estomia intestinal é uma condição que podeafetar a vida das pessoas, seu convívio em sociedade, bemcomo ter consequências diretas para a qualidade de vida.Objetivo: Avaliar a qualidade de vida de pacientes com estomiaintestinal atendidos em ambulatório de um hospital. Casuísticae Métodos: Estudo transversal analítico e quantitativo. Aamostra foi composta por 54 pacientes estomizados, acima de18 anos e acompanhados há pelo menos um ano no ambulatóriode estomia de um hospital de Goiânia/GO. Foram aplicadosum questionário sociodemográfico e a versão abreviada doinstrumento de avaliação de qualidade de vida da OrganizaçãoMundial da Saúde World Health Organization instrument toevaluate quality of life (WHOQOL-BREF). Foi confeccionadoum banco de dados utilizando o SPSS 18. Foi realizada umaanálise descritiva das variáveis e foram utilizados o teste t deStudent e o teste de análise de variância (ANOVA) Scheffépara avaliar a existência ou não de diferença estatisticamentesignificativa (p≤0,05). Resultados: A pesquisa incluiu 54pacientes, sendo 30 do sexo feminino e 24 do sexo masculino.Quanto à renda familiar, 61,1% informaram receber até umsalário mínimo. A maioria afirmou não ter atividades de lazer(62,9%), não praticar atividade física (85,2%) e não estarempregada (92,6%). A média do escore geral da qualidade devida foi 3,7±0,5. Os domínios apresentaram escores indicandoboa qualidade de vida. Identificou-se que não ter religião,ter filhos e maior renda são preditores relacionados a ummelhor escore no domínio meio ambiente. Os que referirammelhor autoavaliação da qualidade de vida também tiverammelhores escores em satisfação com a saúde e domínios físicoe psicológico. Conclusão: Os pacientes com estomia intestinalapresentaram boa qualidade de vida, com menores escoresem meio ambiente, que se relacionam com as facetas dinheiroe lazer. Melhor autopercepção da qualidade de vida indicamelhor satisfação com a saúde em geral.
Prevalence of Malocclusion and Evaluation of Orthodontic Treatment Need amongst Patients in Pokhara, Nepal

Introduction: Prevalence of malocclusion and orthodontic treatment need varies according to different region based on ethnic diversity.Objective: To assess the prevalence of malocclusion and orthodontic treatment need amongst patients visiting College of Dental Surgery, Gandaki Medical College, Pokhara, Nepal.Materials & Method: A cross-sectional study based on WHO-Oral Health Survey Basic Methods using Community Periodontal Index (CPI) probe and mouth mirror was conducted. The malocclusion based on Angle’s classification, overjet, overbite, open bite, crowding, spacing and cross bites were recorded. Dental Health Components (DHC) of Index of Orthodontic Treatment Need (IOTN) was recorded. The frequency distribution was calculated and chi square test was used to assess the gender difference.Result: The prevalence of normal occlusion was 5.8%, Angle’s Class I malocclusion was 67.9%, Class II was 19.5% and Class III was 6.8%. Crowding (51.07%) was more common malocclusion trait than spacing (24.46%). There were no significant differences in distribution of various occlusal traits between male and female subjects. Orthodontic treatment need based on DHC showed: 19.40% were in definite/extreme need of treatment (Grade 4/5), 21.93% had borderline need (Grade 3) and 58.67% had no/ little need of treatment (Grade 1/2). Conclusion: Angle’s Class I was the most common malocclusion trait (67.9%) followed by anterior crowding (51.07%). 19.40% patients visiting the teaching hospital in Pokhara are in definite or extreme need of orthodontic treatment
Real-World Evidence for the Widespread Effects of Fixed-Site High- Frequency Transcutaneous Electrical Nerve Stimulation in Chronic Pain

Purpose: Transcutaneous electrical nerve stimulation (TENS) produces pain relief by decreasing central excitability and increasing central inhibition. Fixed-site high-frequency TENS (FS-TENS) is a form of TENS in which the device is designed to stimulate a predetermined area rather than to overlap the patient’s pain. The objective of this study was to confirm that FS-TENS has widespread effects beyond the stimulation site in a real-world chronic pain population. Methods: A retrospective cohort study was conducted on users of a FS-TENS device. This device is placed on the upper calf. Study participants were stratified into two groups, those whose pain distribution did not include foot or leg pain (proximal pain group) and those whose pain distribution included foot or leg pain (distal pain group). The outcome measures were changes in pain intensity and pain interference with sleep, activity and mood from a baseline assessment to a 60-day follow-up. FS-TENS dose was characterized by utilization, which was defined as the percentage of days with at least 30 minutes of stimulation. Predictors of pain outcomes were examined by moderated multivariable regression. Results: 1676 FS-TENS users met the inclusion and exclusion criteria. There were 296 (17.7%) participants in the proximal pain group and 1380 (82.3%) participants in the distal pain group. There were no differences in FS-TENS usage between the groups. There were no differences between the two groups for any pain outcome. Age, baseline pain measures, number of painful health conditions, constant pain, weather sensitivity and utilization were predictive of pain outcomes. Distal pain moderated the associations between utilization and sleep/activity interference. The doseresponse associations between FS-TENS utilization and pain outcomes were comparable in participants with distal and proximal pain. Conclusion: These results are consistent with FS-TENS having widespread effects beyond the site of stimulation in real-world chronic pain.