bluuebunny/crossref_metadata_2025 huggingface dataset:
Prevalence of Obesity and Health-Promoting Lifestyle Among Nurses in a Tertiary Hospital, Malaysia
Authors: Ahmad Sharoni Siti Khuzaimah , Nik Hassan Nik Hasmumthaj , Abdul Halim Norhidayati , Budury Syiddatul
Published: May 2023

The study was conducted to determine the prevalence of obesity and health-promoting lifestyles among nurses in a tertiary hospital, Malaysia. Descriptive cross-sectional study of 417 nurses was conducted between July and August 2022 using the Health-Promoting Lifestyle Profile II (HPLPII) scale. The study found majority of the respondents were obese (n = 233, 55.9%). The total score of Health-Promoting Lifestyle Profile II (HPLP-II) was 142.46±22.70. Body Mass Index and health responsibility were statistically correlated (r = 0.129, p = 0.009). Obesity among nurses is prevalent. Body weight management and exercise programs should be implemented to achieve healthy lifestyle among nurses.
Implementation of a Whole-School Mindfulness Curriculum in an Urban Elementary School: Tier 1 through Tier 3
Authors: Ventura Allison , Kissam Barbara , Chrestensen Kandise , Tfirn Ian , Brailsford Jennifer , Dale Lourdes P.
Published: May 2023

Mindful education (ME) in schools can address student well-being and stressors, as well as improve the overall school environment. Implementing a whole-school mindfulness curriculum can be challenging, especially when serving students in both general education and emotional behavioral disorder (EBD) settings. We investigated the feasibility, implementation, and benefits of a whole-school mindfulness curriculum (MindUP) in an urban elementary school. This study is unique in that it investigated how to implement mindfulness curriculum within both general education and EBD student populations. Participants included 55 staff and 436 students. This study used a concurrent mixed methods design. The qualitative data included interviews, informal focus groups, and participant feedback, and the quantitative data included participant satisfaction surveys and teacher assessment of student behaviors before/after the curriculum. While implementing MindUP, teacher feedback was incorporated to adapt the program (e.g., decrease lesson length, provide supplemental child-friendly breathing activities). Qualitative data indicated the adapted MindUP program improved school climate and aided teachers with teaching coping skills, especially breathing techniques, to help their students self-regulate when stressed. Data indicated students in regular education improved in their aggression/disruptive behaviors, concentration/attention, and social/emotional competence, whereas students in the EBD program only improved in their aggression/disruptiveness (effect sizes 0.15 to 0.51). An adapted MindUP curriculum was accepted, implemented, effective, and sustainable in both the general education and EBD settings. The program helped students learn mindfulness-based coping strategies with breathing being the most beneficial mindfulness intervention for managing and reducing student stress and for creating a calmer school climate.
The Promising Success of Project Extension for Community Healthcare Outcomes (ECHO) Diabetes: Case Series
Authors: Figg Lauren , Addala Ananta , Jain Ishaan , Anez Claudia , Midney Paul , DeChirico Corin , Symanski Colleen , Fitzgerald Brian C , Colbert Kristi , Raymer Terry , Stockton-Joreteg Candy , Murphy Elizabeth , Collins Leah , Bernstein Cyd , Hechavarria Melanie , Sheehan Eleni P , Bernier Angelina , Westen Sarah C , Hood Korey K , Zaharieva Dessi P , Basina Marina , Cuttriss Nicolas , Filipp Stephanie L , Gurka Matthew J , Walker Ashby F , Maahs David M , Haller Michael J , Lal Rayhan A
Published: May 2023

Background

In the United States, there are over 37 million people with diabetes but only 8000 endocrinologists. Therefore, many people with diabetes receive care exclusively from primary care providers (PCPs). To democratize knowledge regarding insulin-requiring diabetes through tele-education, Stanford University and the University of Florida developed Project Extension for Community Healthcare Outcomes (ECHO) Diabetes.

Objective

ECHO Diabetes uses a Hub and Spoke model connecting specialists (the “Hub”) with PCPs (the “Spokes”). One-hour, weekly sessions include Hub diabetes didactic presentations and Spoke deidentified case presentations. Lessons learned during these sessions target provider knowledge and confidence surrounding diabetes management and patient care.

Methods

Spokes were asked to provide short descriptions of people with diabetes whose diabetes management improved directly or indirectly from their providers’ participation or their involvement with a Diabetes Support Coach (DSC). We provide a case series to describe individuals and outcomes. Because this study was not a randomized controlled trial and was a prospective observation of patients with the intervention delivered to providers, the trial is not registered in a public trials registry.

Results

A case series of 11 people with diabetes was compiled from 10 PCPs and 1 DSC from California and Florida between 2021 and 2022. The principal impact of ECHO Diabetes is the education amplified from PCPs and DSCs to people with diabetes. In all cases, people with diabetes reported increased engagement and improved diabetes management. Several cases reflected increased access to diabetes technology, improvement in glycemic outcomes, and positive trends in mental health measures.

Conclusions

This case series elucidates the potential value of the ECHO Diabetes program to people with diabetes who receive their diabetes care from PCPs. Those matched with a DSC saw clinically significant improvements in hemoglobin A1c and mental health outcomes.
EVALUASI PERESEPAN ELEKTRONIK DI DEPARTEMEN ILMU KESEHATAN ANAK
Authors: Dyah Anggraini  , Andreasta Meliala  , Iwan Dwiprahasto
Published: May 2023

Background:

Hospitals can prevent errors in medical actions or pharmaceutical services to patients called medication errors. One of the incidences of medication errors that are still high in Indonesia is the prescribing phase. So, currently, many hospitals have replaced manual prescription writing with electronic prescribing systems, including at Dr. Hospital. Cipto Mangunkusumo (RSCM).

However, prescribing errors are still often found, especially in pediatric patients’ prescriptions.

Objective: To evaluate the implementation of electronic prescribing and measure the results of personnel interventions on electronic prescribing in pediatric patients.

Methods: Experimental with a quasi-experimental design, the one

group pretest-posttest design. The research was conducted from

December 2019 to January 2020 in pediatrics. The research subjects were 100 doctors participating in the Specialist Medical Education Program (PPDS). Training subjects carried out the intervention to write electronic prescriptions and provide feedback in the form of personal letters. Reassessment of the incidence of prescribing errors was carried out after four weeks.

Results: The incidence of prescribing errors decreased after the intervention. (p = 0.05). The most types of prescription errors are

the wrong dosage, strength, frequency. Prescribing errors in perinatology ward, pediatric inpatient ward and polyclinics decreased after

intervention, while prescribing errors in the emergency room remained. There is a significant relationship between the provision of intervention with the level of education (p = 0.001). PPDS mid-level doctors make more prescribing errors in almost all types of errors

and workplaces than junior and senior PPDS doctors. The results of the calculation of prescribing error pre and post intervention shows that giving an intervention can reduce the risk of prescription errors by up to 37%.

Conclusion: Personnel intervention in education and providing

feedback plays a role in reducing the incidence of prescribing errors. Education and providing feedback should be done regularly. In addition, it is necessary to add an electronic prescription support system to support the reduction of prescribing errors.
MANAJEMEN PERSEDIAAN OBAT DENGAN PENDEKATAN PERIODIC REVIEW SYSTEM
Authors: Rukmono Siswishanto  , Erna Kristin  , Irwan Endrayanto Aluicius
Published: May 2023

Background: Continuity of drug availability in hospitals with no excessive supplies is still a problem. The range of inaccuracies in the plan for drug needs can be wasteful in procurement costs and affect the continuity of health services. Hospitals need to improve historical processing data on drug absorption to optimize drug demand planning.

Objective: The research aimed to simulates optimizing the planning and control of drug inventory using the periodic review system.

Methods: Case study research to plan drug needs, using daily drug uptake data longitudinally (2014-2017). The obtained formulas are used to perform simulations by comparing drug supplies based on existing methods with optimization methods on accurate uptake data in 2018. Interviews In-depth research is carried out on informants selected based on the relationship with system. Data analysis was performed using the t-test statistical test and qualitative data were analyzed using open coding.

Results: An assessment of 10 types of drugs, each of 5 drugs has carried out in the fast moving and slow-moving groups. Eight out of the ten drugs reviewed, there were significant differences in drug supply between the existing method and the periodic review system method. The price of drug supplies during 2018 is Rp.13,315,337,556, while the existing method is Rp. 16,481,465,208. There were 25 cases of drug shortages worth Rp. 655,282,174 in the periodic review system method that is lower than the existing method, which is 31 instances of drug shortages worth Rp.756,743,295.

Conclusion: The periodic review system method has advantages compared to existing methods in terms of fewer inventories and cost needs, and the occurrence of fewer drugs shortages and the budget to finance the drug shortages rates. Thus periodic review system method has the potential to improve the planning of drug needs in hospitals.
Tracing the Predicament of Refugees in Mohsin Hamid’s Exit West
Authors: Pattanayak Mausumi , Tiwari Mukesh
Published: May 2023

A refugee is a person who is forced to leave his or her home country due to war, violence or persecution and seeks safety by crossing public borders, with no intention of returning home. The number of refugees has increased due to major crises around the world as the conflict in Syria, Afghanistan and South Sudan, etc. In Mohsin Hamid’s Exit West, the impact of refugees is explored, with a focus on the challenges of exile such as language barriers, racism, financial difficulties and ongoing health of a young couple, Saeed and Nadia, as they flee their country due to civil war and start a new life through magic doors. The major themes in the novel are refugees, migration and terrorism. The advantages of refugees include economic growth, new ideas and artistic imandpact, but it also brings social, economical, political problems. Exit West by Mohsin Hamid is a book that sheds insight on the current global refugee issues. The book was released in the year of 2017.
GAN and MIRNet-Assisted Image Enhancement: A Promising Future in Visual Computing
Authors: R Vineeth , K Dr. Janaki , S Vishakan U , G Karthick , Sonkavade Vasu Arjun
Published: May 2023

Abstract: We present an extensive strategy for improving images using deep learning-based techniques, concentrating onsuperresolution (SR) and low-light image improvement utilizing generative adversarial networks (GANs) and misalignment-robust networks (MIRNet), respectively. During the SGAN training phase, a deep convolution neural network learns a complete link between low- and high-resolution pictures. Our approach simultaneously optimises all layers to provide cutting-edge restoration quality and quick speed for practical application. To achieve performance and speed trade-offs, we also investigate alternative network setups andparameter settings.Additionally, we upgrade the overall reconstruction quality by expanding our network to handlethree color channels concurrently. In contrast, MIRNet is utilized for low light image improvement, which has grown in significance as a result of the increased need for trustworthy picture enhancement systems in real-time applicationsincluding autonomous driving, surveillance footage, and crime scene investigations. MIRNet, which may be used for a range of image improving applications.
Fuel Delivery Application
Authors: Gunthe Srushti
Published: May 2023

Abstract: The growing concern and importance of fuel assistance in the transportation sector have led to the development of an online platform called Fuel Delivery Application. This Android platform aims to provide a safe, reliable, and efficient delivery service for gasoline and diesel to users vehicles, whether they are in urban or rural settings. The application utilizes the GPS sensor of mobile devices to determine the user’s location and employs the K-Nearest Neighbour (KNN) algorithm, a popular machine learning algorithm, to find the nearest petrol pump. When a user finds themselves stranded on the road due to a lack of fuel, the Fuel Delivery Application becomes a crucial service to rely on. Instead of worrying about finding a nearby petrol pump, users can simply use the application to request the desired fuel to be delivered to their location. The system ensures that the real cost of the fuel is charged, and additional fuel delivery fees are added accordingly
Continuous majorization in quantum phase space
Authors: Van Herstraeten Zacharie , Jabbour Michael G. , Cerf Nicolas J.
Published: May 2023

We explore the role of majorization theory in quantum phase space. To this purpose, we restrict ourselves to quantum states with positive Wigner functions and show that the continuous version of majorization theory provides an elegant and very natural approach to exploring the information-theoretic properties of Wigner functions in phase space. After identifying all Gaussian pure states as equivalent in the precise sense of continuous majorization, which can be understood in light of Hudson's theorem, we conjecture a fundamental majorization relation: any positive Wigner function is majorized by the Wigner function of a Gaussian pure state (especially, the bosonic vacuum state or ground state of the harmonic oscillator). As a consequence, any Schur-concave function of the Wigner function is lower bounded by the value it takes for the vacuum state. This implies in turn that the Wigner entropy is lower bounded by its value for the vacuum state, while the converse is notably not true. Our main result is then to prove this fundamental majorization relation for a relevant subset of Wigner-positive quantum states which are mixtures of the three lowest eigenstates of the harmonic oscillator. Beyond that, the conjecture is also supported by numerical evidence. We conclude by discussing some implications of this conjecture in the context of entropic uncertainty relations in phase space.
Áreas de conservación para zarapito de pico recto Limosa haemastica durante temporada no reproductiva en el sur de Chile
Authors: Delgado Claudio , Cursach Jaime A. , Espinosa Luis , Pfeifer Ana , Cárdenas Jaime
Published: May 2023

El zarapito de pico recto (Limosa haemastica) es un ave playera migratoria considerada de alta preocupación para la conservación. El objetivo del presente trabajo fue determinar sitios de uso de L. haemastica, mediante monitoreo satelital, durante temporada no reproductiva, en la Región de Los Lagos, sur de Chile. Se entrega un listado de sitios identificados como relevantes para esta especie, junto con detalles de los movimientos de las aves entre distintos humedales marinos y estuarinos de la Región. Se elaboró una base de datos espacial generada por siete transmisores satelitales instalados en individuos de L. haemastica. De estos, cinco fueron instalados en noviembre 2015 en el humedal marino de Chullec (42,47°S; 73,53°O), Chiloé. Mientras que los otros dos fueron instalados en noviembre 2020 en el humedal La Pasada (41,60°S; 73,59°O), Maullín. Los resultados indicaron que L. haemastica utiliza distintos humedales marinos y estuarinos de la Región de Los Lagos, tanto continentales como insulares. Estos movimientos mostraron un patrón de uso que permite proponer una red de sitios que conecta el paisaje continental e insular. En total, se identificaron 25 sitios importantes para L. haemastica en Los Lagos, siendo nueve reconocidos por primera vez como áreas de conservación para esta ave playera migratoria.
#AconteceucomigoHQ: relatos de Gordofobia e Pressão Estética em Quadrinhos
Authors: Gillet Fabiana , Silva dos Santos Luiz Cezar
Published: May 2023

Propomos neste trabalho uma análise sobre as tiras e comentários da webcomic Aconteceu Comigo da quadrinista amazonense Laura Athayde, postadas em seu Instagram. A webcomic foi criada por Athayde a partir de relatos anônimos de mulheres sobre suas vivências e enfrentamento à diversas opressões, com a tônica do machismo. Destacam-se, para os fins deste estudo, as webtiras que retratam relatos de gordofobia, pressão estética e aceitação corporal, saúde e autoestima com relação ao corpo. A análise se fundamenta em uma perspectiva dos Estudos do Corpo Gordo e da interseccionalidade. Concluímos que há uma legitimação da constante vigilância sobre os corpos gordos, expressa em comentários das pessoas leitoras, evidenciando que o corpo gordo ainda é oposto de corpo livre.
The mediating role of innovation and change in the relationship between organizational learning and the sustainability of banks
Authors: John Jeena Ann , Diotay Danilo C. , Sankar Jayendira P. , Alawi Sayed Haytham Yaseen
Published: May 2023

In this research paper, we focused on the variable that could influence the sustainability of banks. According to Bahrain Economic Vision 2030, sustainability is one of the guiding principles. Ninety-nine (99) managers working in different banks have participated in the survey. The perspectives of the managers are considered in this study. The collected data was tested in SmartPLS 3.0 to have more accuracy in the results. The four hypotheses were decided to be accepted or rejected based on the path analysis, specifically the p-value significance at 0.01, 0.05, and 0.10. Descriptive statistics, factor analysis, correlation, regression, reliability, discriminant validity tests were conducted. From the hypothesis testing, it is relevant that there is no direct relation between organizational learning and sustainability. It is indirectly related to innovation and change. The model verification is based on the samples collected from the managers of each bank. However, the hypothesis requires further verification in different business contexts. There are different factors influencing sustainability, which have not been included in our research such as economic, environmental, and social factors. These could be analyzed in future research.
The alternative: Dimetindene maleate as a tranquilizer and anxiolytic
Authors: Diamandis Dr. Carolina , Kaucher Helmut , Stoltenberg Sven , Lazar Marius , Moradi David
Published: May 2023

This report examines the pharmacological properties and therapeutic potential of Dimetindene maleate as a medium strong tranquilizer and anxiolytic. Dimetindene maleate is an antihistamine with additional sedative effects, making it suitable for managing anxiety and promoting relaxation. This report delves into the mechanism of action, pharmacokinetics, clinical applications, and potential side effects of Dimetindene maleate, providing a comprehensive understanding of its therapeutic benefits and limitations. Additionally, this report explores current research trends and future prospects for Dimetindene maleate as a promising option in the management of anxiety disorders.
Walden Conservatory of Music: A Case of Nonprofit Financial Analysis and Strategic Planning
Authors: Feng Nancy Chun , Neely Daniel G.
Published: May 2023

Charitable nonprofit organizations are entrusted with financial resources to ensure they are able to fulfill their mission. It is imperative that these resources are well managed and that the nonprofit organization maintains a sound financial condition. It is also important for nonprofits to consider the financial aspect of their strategic plan to ensure there will be enough financial resources to deliver on future programmatic plans. This case requires students to do a thorough assessment of the financial condition of a nonprofit organization and to consider how each of their primary programs fit both with their mission as well as with their financial resources.
Innovative and Novel Research Datasets Related to Cybersecurity Risk Disclosures: A Research Note
Authors: Calderon Thomas G. , Gao Lei
Published: May 2023

This research note describes an innovative dataset that was developed and used by Gao, Calderon, and Tang (2020) and Calderon and Gao (2021) to examine cybersecurity risk disclosures. Our innovative dataset and contemporary text analytics methodology allowed us to develop interesting insights and identify various patterns in the disclosure of cybersecurity risks that publicly traded companies face. We believe that researchers can learn from our data and methodology, and contribute further to the literature on corporate disclosure in general and cybersecurity risks in particular.
Lender Capital Management and Financial Covenant Strictness
Authors: Demerjian Peter R. , Owens Edward L. , Sokolowski Matias
Published: May 2023

We provide evidence that lenders with lower regulatory capital issue loans with lower financial covenant strictness, consistent with such lenders viewing borrower covenant violations as costlier. This is because a borrower covenant violation may lead the lender to downgrade the loan, which triggers accounting that further reduces regulatory capital. Because of regulatory scrutiny, this is true even if the lender waives the violation. We find that this association is concentrated in performance covenants rather than capital covenants. We also find that lenders with relatively low capital issue loans with lower amounts and shorter maturities, consistent with such lenders replacing covenant protection with stricter loan terms on other dimensions. Finally, we find that this form of lender capital management extends to loan syndicate participant lenders, in that participants with relatively low capital adequacy take smaller loan shares when the lead arranger sets high covenant strictness.

Data Availability: Data are available from the public sources cited in the text.

JEL Classifications: G21; M40; M41.
Corrigendum: Psychophysiological Processing of Itch in Patients with Chronic Post-burn Itch: An Exploratory Study
Authors: Van Laarhoven Antionette I.M. , Ulrich Dietmar J.O. , Wilder-Smith Oliver H. , Van Loey Nancy E.E. , Nieuwenhuis Marianne , Van der Wee Nic J.A. , Evers Andrea W.M.
Published: May 2023

Abstract is missing (Corrigendum)
This Corrigendum relates to the following article: https://doi.org/10.2340/00015555-2323
Fifty years of the Journal of Rehabilitation Medicine
Authors: Borg Kristian , Andersson Agneta , Stam Henk
Published: May 2023

Missing (Editorial)
Autotraction versus manual traction in patients with prolapsed lumbar intervertebral discs
Authors: Ljunggren AE , Weber H , Larsen S
Published: May 2023

Forty-nine patients with lumbago-sciatica and prolapsed lumbar intervertebral discs, comparable concerning anamnestical and clinical data were randomized for autotraction and manual traction given by the same therapist for a period of one week while strict bed rest was prescribed. A blind overall assessment performed immediately after the traction period, after two weeks follow-up training and three months after hospitalization showed that the two traction modalities are equally efficient. As treatment for hospitalized patients with lumbar intervertebral disc prolapses the relatively simple manual traction variety should be preferred, if any. Traction is suggested to be used as a prognostical aid. Pain intensity was significantly reduced in all body parts. About one fourth of patients avoided operation. After two years there was no recurrence of symptoms
Change in muscle force following electrical stimulation. Dependence on stimulation waveform and frequency
Authors: Stefanovska A , Vodovnik L
Published: May 2023

Change in muscle force in healthy subjects due to electrical stimulation was accomplished with rectangular and sinusoidal currents. The pulse width of rectangular stimuli was 0. 3 ms and repetition frequency was 25 Hz. The frequency of sinusoidal stimuli was 2 500 Hz, chopped by a 25 Hz rectangular signal. Thirteen healthy subjects were involved in the study and divided into three groups. The first group (A) had stimulation with rectangular impulses, the second (B) with sinusoidal impulses and the third (C) was a control group. The quadriceps muscle was stimulated daily for 10 minutes for 3 weeks. The maximal voluntary isometric torque increased for 25% in group A and 13% in group B, while there was no significant difference in group C. Different patterns of fatigue occurred with different stimuli. The presence of fatigue during the high frequency sinusoidal stimulation diminished the strengthening effects.
A maximised-ADL index of functional status for stroke patients. Methodological considerations
Authors: McClatchie G Schuld W
Published: May 2023

An index of functional status for stroke patients is presented. It is based on the observation that a patient's disposition is decided by the level of involvement of the most severely affected ADL-parameter. This allowed a suitably selected set of ADL-parameters to be scaled so that an index of functional status could be constructed which did not depend on the assumption of simple additivity of the component ADL-parameters. This index, together with two simplified versions, was contrasted with two summed-ADL indices and with an index of mobility, as predictors of outcome. The study was carried out on 57 patients.
Load moments about the hip and knee joints during ergometer cycling
Authors: Ericson MO , Bratt A , Nisell R , Németh G , Ekholm J.
Published: May 2023

The aim of the study was to calculate the magnitudes of moments of force acting about the bilateral hip and knee joint axes during ergometer cycling. Six healthy subjects pedalled a weight-braked bicycle ergometer at different workloads, pedalling rates, saddle heights and pedal foot position. During cycling at 120 Watts, 60 revolutions per minute with mid-saddle height and anterior pedal foot position, the mean peak flexing and extending hip load moments were 34. 3 and 8. 9 Nm, respectively. Mean peak flexing knee load moments was 28. 8 Nm and extending moment was 11. 9 Nm. Hip load moments were significantly increased by increasing the ergometer workload or pedalling rate. For knee load moments, workload was the most important factor. The flexing knee load moment did not change with changes in pedalling rate. Different saddle heights or pedal food positions had a slight but not always statistically significant influence on the hip and knee joint loads. The maximum hip and knee joint load moments induced during cycling were small compared with those obtained during other exercises or normal activities such as level walking, stair climbing, and lifting.
Objective analysis of walking in a patient with ankylosing spondylitis and bilateral hip and knee fusion. A case report
Authors: Matsunaga T , Nakata T , Wong AC.
Published: May 2023

No abstract available
Changes in muscle activity during fast, alternating flexion-extension movements of the knee
Authors: Richardson C , Bullock MI.
Published: May 2023

The effects of high frequency alternating knee flexion-extension on muscle activity of the quadriceps and hamstring muscle groups has been investigated. Standard loads were used for each subject. The muscle activity in vastus medialis, vastus lateralis, rectus femoris and the lateral hamstrings were recorded by electromyography during increasing velocities. Rectus femoris and hamstrings were found to increase their activities significantly with increasing speed while vastus medialis and vastus lateralis showed no such change. The individual thigh muscles thus differ in function in relation to the velocity of movement.
Reproducibility of goniometry of the wrist
Authors: Solgaard S , Carlsen A , Kramhøft M , Petersen VS.
Published: May 2023

The wrist motion in 31 healthy probands was measured by four observers with a simple goniometer under standardized conditions. The INTRA-observer variation was calculated to 5 to 8 degrees and the INTER-observer variation to 6 to 10 degrees. No difference between experienced and non-experienced observers was found. The difference between the right and the left wrist was negligible, indicating that the opposite wrist can be used as reference when evaluating restrictions in motion.
Personality factors in intermittent claudication related to the outcome of self-care program
Authors: Keltikangas-Järvinen L , Lindfors O , Lepäntalo M
Published: May 2023

The relationship between personality factors in intermittent claudication and the patient's compliance with the therapeutic regimen was studied. Fifty-three patients with intermittent claudication were clinically examined, interviewed and tested with the Wechsler Intelligence Test, the Rorschach Test and the Ceasarec-Marke Inventory. The patients were given self-care program with four recommendations. After half a year, the clinical examinations and interviews were repeated. The results showed that the compliance with self-care program was relatively poor. Hostility, aggressiveness and affect-lability were obstacles to compliance. Obsessive-compulsive and dependent patients as well as those with strong guilt feelings followed the regimen best.
Risk indicators in the psychosocial and physical work environment for work-related neck, shoulder and low back symptoms: a study among blue- and white-collar workers in eight companies.
Authors: Johansson JA , Rubenowitz S
Published: May 2023

The study was based on a questionnaire and included 209 white-collar workers and 241 blue-collar workers in eight companies. The questionnaire deals with musculoskeletal symptoms, psychosocial and physical load factors. The relationship between job factors and neck, shoulder and low-back symptoms was analysed. The Nordic Musculoskeletal Questionnaire (NMQ) was supplemented with an additional question regarding whether or not the symptoms were believed to be related to work. The associations between the psychosocial factors and musculoskeletal symptoms were substantially higher when solely work-related symptoms were included in the analyses; these associations were of the same magnitude as that between several physical work load factors and work-related musculoskeletal symptoms. This study suggests that calculations of associations based solely on the NMQ, without the inclusion of questions to elicit reports of symptoms that are believed to be work-related, could have a powerful effect-masking consequence.
Outcomes of geriatric discharge planning. A quality assurance study from a geriatric rehabilitation ward.
Authors: Styrborn K , Larsson A , Drettner G
Published: May 2023

The outcome of a discharge planning procedure at a geriatric rehabilitation ward was studied with an interdisciplinary and multidimensional approach, where medical, nursing, functional and psychosocial factors were included. The patient's own expectations and attitude to functional performance and outcome were explored in an interview at the day of discharge and one month later in a follow-up telephone interview. Data were also collected from registers and medical and professional records. All the 36 patients discharged to their own homes, mostly after home assessment, or to old people's homes were followed up. The median rehabilitation stay was 30 days. Their medical status was stable over time and nursing interventions remained frequent. The functional level was unchanged for 18, and further enhanced for 10 patients. Most patients felt secure at home and received the home help they anticipated. Worries were expressed by one-third on realistic grounds, mainly medical or ideas on the accommodation. Some interventions were required and carried out by the team. Home living was as expected or better for two-thirds of the patients. The timing and the patient's situation at discharge seemed to have been well assessed, with an overall positive outcome after a month at home. Further development of practical multidimensional evaluations adapted to elderly patients is necessary in a quality assurance perspective.
Maximal isometric knee extension strength and stair-mounting ability in 75- and 80-year-old men and women
Authors: Rantanen T , Era P , Heikkinen E
Published: May 2023

The objective was to study whether the ability to mount different step heights depends on knee extension strength, and if this dependence varies according to age or sex among elderly persons. Altogether, 198 independently living 75-year-old women, 98 75-year-old men, 117 80-year-old women and 45 80-year-old men participated in the study. Maximal isometric knee extension strength was measured in a sitting position using a custom-built dynamometer chair. Results were standardized for body mass and height. In the stair-mounting test 10 cm high boxes were combined to form steps with heights of 10 to 50 cm. Older subjects, especially the women, exhibited poorer results in both tests. However, when groups based on maximum step height were analysed separately for strength, three-way analysis of variance revealed no sex effects. Although the number of men in the analysis was quite small, it was concluded that the strength requirements for mounting a certain step height were similar for both sexes. Owing to their sex-related lower average strength, old women may be at greater risk than old men of becoming impaired in certain motor tasks.
Isometric muscle strength and muscular endurance in normal persons aged between 17 and 70 years
Authors: Bäckman E , Johansson V , Häger B , Sjöblom P , Henriksson KG
Published: May 2023

Isometric muscle strength was measured in 63 women and 65 men, randomly selected, aged 17-70 years, using Penny & Giles' hand-held dynamometer. Eight muscle groups as well as the hand grip strength were tested bilaterally. The muscular endurance was measured as time to exhaustion in the abductors of the shoulder and the flexors of the hip. Reference values for muscle strength and muscular endurance are given in the age groups 17-18, 20-29, 30-39, 40-49, 50-59 and 60-70 years of age. The mean strength of females was about 65-70% of that of the men, but when the results were related to weight, the differences almost disappeared. Both men and women seem to have the greatest muscle strength at the age of about 17-18. The strength is rather constant up to the age of about 40 years, after which a discrete decline is seen up to about 60, from where the decline is more obvious. Muscular endurance showed great variability between individuals. However, no decrease in endurance was seen in older ages. For both sexes, lower reference limits of endurance, with the methods used, for arm abductors are suggested as being 3 minutes and for hip flexors, 90 seconds.
Isometric and isokinetic knee extension and flexion torque in men and women aged 20-70
Authors: O Borges
Published: May 2023

An investigation was made of the influence of age and sex on peak muscle torque in knee extension and flexion during maximal isokinetic and isometric contraction. The study was performed on both legs of 139 clinically healthy men and 141 clinically healthy women aged 20, 30, 40, 50, 60 or 70 years. Maximum knee extension and flexion muscle torque (Newtonmetre, Nm) was measured isokinetically at various angles of velocity (12, 90 and 150 degrees/s) and isometrically under standardized conditions (Cybex II). No significant differences were found between the right and the left leg in the whole material. Muscle torque was higher in men than in women in all age groups (p less than 0.001). Both isokinetic and isometric torque decreased with age in both sexes. Isokinetic torque decreased significantly (p less than 0.05) between 20 and 30 years of age in men and between 40 and 50 years of age in women (at all velocities studied; p less than 0.05). A significant decrease (p less than 0.05) was found between the ages of 60 and 70 years in both sexes. Maximum isometric torque showed a significant decrease (p less than 0.05) between 60 and 70 years in men and women. There were no significant differences in isokinetic or isometric torque between moderately active and inactive men or women. Significant correlations were found between muscle torque and body weight, height and body surface area.
Functional balance tests in 76-year-olds in relation to performance, activities of daily living and platform tests
Authors: Frändin K , Sonn U , Svantesson U , Grimby G
Published: May 2023

Functional balance was studied in a sample of 98 women and 75 men from a population study. Tests used were one-legged stance and walking in a figure of eight. The results revealed that both static and dynamic functional balance were significantly correlated to isometric knee extensor strength, walking speed and stair-climbing capacity, while the association with activities of daily living (ADL) was modest in this sample of relatively healthy elderly persons. A sub-sample of 17 women and 10 men also performed balance tests on a force plate. Velocity of the sway path with both open and closed eyes was significantly correlated to the functional balance tests. Mean sway in the anterior-posterior direction and area tested with closed eyes were significantly correlated to the functional static balance test. There were no significant associations between the platform variables and the results in the performance tests. This study demonstrated differences between the sexes in that males were able to stand for a longer time on one leg, while they swayed more than females on the platform.
Correlative studies of dynamics and pathology in whip-lash and head injuries
Authors: Sano K , Nakamura N , Hirakawa K , Hashizume K
Published: May 2023

Abstract is missing
The Effects of Physical Training and Flunarizine on Walking Capacity in Intermittent Claudication
Authors: Lepäntalo M , Sundberg S , Gordin A
Published: May 2023

The clinical significance of drugs improving red cell deformability is not confirmed. We established the effect of physical training alone and combined with flunarizine on intermittent claudication. Twelve patients aged 48-73 years were included in the study. Pain-free walking distance on treadmill, ankle/arm pressure ratio and transcutaneous oxygen tension were measured. Walking distance increased significantly (p less than 0. 05) by 130% from 75 m to 173 m during the first year when the patients were on programmed physical training. Ankle/arm pressure ratio also increased significantly (p less than 0. 05) from 0. 46 to 0. 55 during this period. The increase in walking distance ceased when the programmed physical training was discontinued for 6 months. During the following double-blind, cross-over medication period the patients were given flunarizine 5 mg b. i. d. and placebos in randomized order for 3 months each. They also continued the same programmed physical training as during the first year. Walking distance increased, albeit not significantly, with time to 392 m after the second medication period. There was no difference, however, between flunarizine and placebo. Ankle/arm pressure ratio was of the same magnitude as at the beginning of the trial. Oxygen tension measurements did not give consistent results. We conclude that programmed physical training increased walking distance as a function of time. Flunarizine had no effect on the performance of patients with intermittent claudication.
Glenohumeral Malalignment in the Hemiplegic Shoulder. An Early Radiologic Sign
Authors: Shai G , Ring H , Costeff H , Solzi P
Published: May 2023

A new radiologic sign is described which seems to diagnose an early presubluxation phase of glenohumeral malalignment in hemiplegic shoulders. The sign consists of a V-shaped widening of the upper part of the space between the humeral head and the glenoid cavity on anteroposterior shoulder films in the erect position. Twelve of 14 patients showing this sign went on to develop chronically painful shoulders, and four of them developed radiologically evident subluxation within several months. The sign may be helpful in diagnosing shoulder pathology following stroke at an early stage, when orthotic measures may still have preventive value.
Motion of the Pubic Symphysis in Pelvic Instability
Authors: Walheim GG , Olerud S , Ribbe T
Published: May 2023

Pelvic instability is a term widely used to describe a clinical entity characterized by pain localized to the pubic symphysis and/or sacroiliac joints. The pain often radiates down the leg. Hypermobility of the pelvic joints has been suggested as the cause of pain. Apart from several clinical stress tests, attempts at establishing objective evidence of such mobility have mainly consisted in radiologic measurement of motion of the pubic symphysis by a method which allowed only vertical movement to be recorded (5). In the present study symphyseal mobility was measured by an electromechanical method by which direct interosseous movement could be recorded in three directions and two different planes. Measurements were performed in a series of 15 patients with a tentative diagnosis of pelvic instability and the results compared to the results of radiologic measurement and to the normal values obtained in an earlier study of healthy volunteers (31). The results of this study would seem to refute the theory of symphyseal hypermobility being pathognomonic of so-called pelvic instability. It has moreover shown that radiologic measurement may be used for rough screening purposes, but is not sufficiently reliable for more exact measurements.
Load on knee joint structures and muscular activity during lifting.
Authors: Ekholm J , Nisell R , P Arborelius U , Hammerberg C , Németh G
Published: May 2023

The load on the knee joints during lifting has been less studied than low back load. Healthy subjects lifted a 12. 8-kg box from floor to table-level in three different ways; 1) with straight knees, 2) with bent knees and the box in front of the knees, and 3) with bent knees and the box between the knees. The loading moment of force about the bilateral knee axis was calculated by means of a computerized static sagittal plane model. Electromyography was recorded from quadriceps and ischiocrural muscles. The beginning of the flexed-knee lifts caused a flexing loading knee moment of about 50 Nm and a knee angle of 90 degrees. Straight-knee lifts gave all through the lift an extending loading moment. During the final phase of all lifts there was an extending loading knee moment of about 55 Nm and a knee angle of 0 degrees. The three lifts were compared and discussed from a biomechanical and ergonomical point of view.
The Finnish Pain Questionnaire: Comparison of Descriptions of Pain in Coronary Heart Disease and Low Back Pain
Authors: Ketovuori H , Kohvakka A , Hurri H , Eskelinen L
Published: May 2023

The verbal description of pain is the method most commonly used to study pain symptoms. The Finnish Pain Questionnaire has not been standardized yet. It is impossible to know which descriptors are typical of certain states of pain and which descriptors differentiate states of pain from each other. The aims of this study was to clarify if it is possible to differentiate pain descriptions for coronary heart disease from descriptions for low back pain using the Finnish Pain Questionnaire and to compare the use of pain descriptors and subclasses of descriptors. The patients comprised 57 male patients with coronary heart disease (mean age 52. 9 years) and 60 female patients with low back pain (mean age 52. 0 years). The results indicated that different descriptors are important in descriptions of coronary heart disease pain and low back pain. The differences of frequencies in the use of descriptors were statistically significant. There were also significant differences in the use of descriptors from different subclasses of the sensory dimension, according to the mechanisms of pain. The results indicated that it is possible to find out which descriptors are the most important for different states of pain and that the Finnish Pain Questionnaire can be a valid method for describing different states of pain.
A Comparative Study of Pain Description, Emotional Discomfort and Health Perception in Patients With Chronic Pain Syndrome and Rheumatoid Arthritis
Authors: Gaston-Johansson F , Johansson G , Felldin R , Sanne H
Published: May 2023

The purpose of the present study was to compare pain description and emotional and psychosomatic discomfort in patients with chronic pain syndrome (CPS) and rheumatoid arthritis (RA) in order to identify special characteristic features in patients with CPS. Methods used were a Visual Analogue Scale, the McGill Pain Questionnaire, a new pain, ache and hurt assessment tool and a questionnaire related to causes of pain, health perception and experienced emotional and psychosomatic discomfort. The patients with CPS perceived themselves as being less healthy than patients with RA. While the sensory quality of pain was similar in both groups, the emotional component was stronger in patients with CPS. They experienced more emotional and psychosomatic discomfort compared to patients with RA. They believed that factors associated with their work had caused the pain. The result indicates that assessment of ache by patients with CPS on the Visual Analogue Scale reflects the affective dimension of the experience.
The Natural History of Idiopathic Low Back Pain. A Three-Year Follow-Up Study of Spinal Motion, Pain and Functional Capacity
Authors: Lankhorst GJ , Van de Stadt RJ , Van der Korst JK
Published: May 2023

During a three-year follow-up study of 31 chronic idiopathic low back pain patients significant spontaneous improvements of pain and disability scores were found, while range of motion of the lumbar spine decreased. It is argued that increasing stiffness of the low back may be the clinical manifestation of the process of stabilization, that takes place in previously painful instable motion segments. The present findings have also implications for the interpretation of changes of spinal motion. Restriction of range of motion seems to be a normal long-term development in low back pain patients and is accompanied by a diminution of pain and disability.
Physical Therapy for Chronic Low Back Pain: Correlations Between Spinal Mobility and Treatment Outcome
Authors: Mellin G
Published: May 2023

Chronic low back pain in 151 men aged 54 to 63 years was treated for three weeks in a rehabilitation centre or as outpatients at a health centre. Spinal mobility of forward and lateral flexion, and rotation, were measured before and two months after treatment. The effects of the treatment on low back pain were recorded from questionnaires answered before and 2, 6 and 12 months after treatment. A favourable outcome correlated significantly with an increase of spinal lateral flexion (p less than 0. 01) and rotation (p less than 0. 05). The hypothetical utility of mobilizing lateral flexion and rotation exercises as part of the rehabilitation of patients with chronic low back pain is discussed.