Physical activity and quality of life of patients with fibromyalgia

Background: Fibromyalgia Syndrome (FMS) has been linked to decreased social functioning, poor mental health, and quality of life (QOL). Increased physical functioning and activity can result in improvements in social, mental and overall health, as well as lowered depression and anxiety levels. Objectives: The aim of this study was to determine physical activity levels and QOL amongst patients diagnosed with fibromyalgia in the Johannesburg region of South Africa. Methods: The research design was cross-sectional. Descriptive and quantitative data were collected. FMS patients (n=38) completed an online questionnaire on the Google Forms platform. The questionnaire was comprised of four components, namely Demographics, the Global Physical Activity Questionnaire (GPAQ), the Fibromyalgia Impact Questionnaire (FIQR), and the Short Form-36 (SF-36). During data analysis, descriptive characteristics and correlations were computed. The significance level was set at p ≤ 0.05. Results: Results revealed high FIQR scores (67%) accompanied with low QOL scores (<50% in all domains). There was no correlation between physical activity and FIQR, and physical activity and QOL. Conclusion: High scores on the impact of FMS were associated with lower overall QOL scores. However, the relationship between physical activity, and the impact of FMS and QOL remain inconclusive.

Physical activity levels in female breast cancer patients and survivors in Ekurhuleni, South Africa

Background: By using complementary therapies, such as exercise rehabilitation during and after cancer treatment, breast cancer patients and survivors can improve their quality of life and overall health while also negating the deleterious effects of breast cancer and its treatment. Objectives: The aim of this study was to determine the physical activity levels of female breast cancer patients and survivors in Ekurhuleni, South Africa. Methods: The International Global Physical Activity Questionnaire (2002) determined participants' physical activity levels during work, travel and leisure. The questionnaire was disseminated to medical facilities in hard copy format and online via the Google Forms platform. Statistics were computed using the Statistical Package for Social Science (SPSS) with the level of significance set at 95% (p < 0.05). Results: One hundred female breast cancer patients and survivors with a mean age of 55 years from Ekurhuleni, South Africa participated in this study. The findings reflected that most participants (59%) were meeting the American College of Sports Medicine's physical activity guidelines when considering activity done during work, travel and leisure. No significant difference was seen in physical activity participation between breast cancer patients and breast cancer survivors, or those attending private and public facilities. Conclusion: For the breast cancer patient, physical activity and exercise may be a promising and effective adjuvant treatment both during and after anticancer therapies, improving quality of life, playing a role in increasing treatment tolerance, mitigating a range of symptoms and side effects brought on by cancer diagnosis and treatments and enhancing outcomes

Knowledge about genetics and trust in genetic testing in a mid-size city in Argentina / Conocimiento sobre genética y confianza en pruebas genéticas en una ciudad de tamaño medio en Argentina

ABSTRACT Public attitudes about genetics appear to depend on the local context. We analyzed survey responses obtained in 2015 from 293 residents of Luján, a city in the province of Buenos Aires, Argentina, who self-assessed their knowledge about genetics and their trust in genetic tests. The survey integrated a larger research project for which consenting adult participants shared demographic and genealogical information and provided saliva samples for genetic ancestry analyses. Participants reported little knowledge but high trust in genetic testing when questioned about knowledge and trust. Well-known media stories of DNA-based forensic genetic investigations to identify the victims of state repression during the military dictatorship may have contributed to the high self-assessment of their genetic knowledge expressed by some participants, regardless of educational attainment. Our analysis provides information that could be used as a baseline to begin unraveling the current level of public trust in genetics in a region of the Global South where genetic testing has become widespread, but people's knowledge of and trust in genetics remain poorly studied.

RESUMEN Las actitudes del público sobre la genética parecen depender del contexto local. Analizamos las respuestas de una encuesta suministrada en 2015 a 293 residentes de Luján, una ciudad de la provincia de Buenos Aires, Argentina, quienes autoevaluaron su conocimiento sobre genética y su confianza en las pruebas genéticas. La encuesta integraba un proyecto de investigación más amplio en el que los adultos participantes que dieron su consentimiento compartieron información demográfica y genealógica y proporcionaron muestras de saliva para un estudio de ancestría genética. Cuando se les preguntó sobre su conocimiento y confianza, los participantes informaron tener poco conocimiento sobre genética, pero mucha confianza en las pruebas genéticas. Historias muy conocidas de los medios de comunicación sobre investigaciones genéticas forenses basadas en el ADN para identificar a las víctimas de la represión estatal durante la dictadura militar pueden haber contribuido a la alta autoevaluación del propio conocimiento genético manifestado por algunos participantes, independientemente de su nivel educativo. Nuestro análisis proporciona información que podría utilizarse como base para comenzar a desentrañar los niveles actuales de confianza pública en la genética en una región del Sur Global donde las pruebas genéticas se han generalizado, pero el conocimiento y confianza de las personas sobre genética están poco estudiados.

Feeding activity of the cayenne pompano Trachinotus cayennensis (Cuvier 1832) (Perciformes, Carangidae) in estuaries on the western coast of the state of Maranhão, Brazil / Atividade alimentar do pampo Trachinotus cayennensis (Cuvier 1832) (Perciformes, Carangidae) em estuários do litoral ocidental do Estado do Maranhão, Brasil

Abstract The present paper addresses the feeding activity of Trachinotus cayennensis, collected in Lençóis Bay (1°18'S - 1°19'S; 44°51'W - 44°53'W) on the western coast of the state of Maranhão, Brazil. Sampling was conducted between June 2012 and June 2013 using driftnets with stretch mesh sizes from 95 to 100 mm. A total of 205 individuals (114 females and 91 males) were analyzed. Statistically significant differences in the sex ratio were found in June, September and December 2012. Food items were analyzed based on frequency of occurrence and volumetric method, with the subsequent calculation of the alimentary importance index. Three size groups were defined to determine possible ontogenetic changes in eating habits based on the size range of the individuals collected: I (˂ 29 cm), II (29.1 to 37.0) and III (≥ 37.1). Eleven food item categories were identified: mollusks, polychaetes, crustaceans, nematodes, insects, algae, bryozoans, ophiuroids, fishes, vegetal matter and sediments. The variety of items in the diet of T. cayennensis indicates considerable feeding plasticity and opportunistic behavior. Seasonal variations influenced the feeding pattern of the species, with greater feeding activity in the dry season. The considerable availability of resources in estuarine habitats of the western coast of Maranhão constitutes another factor that influences the feeding behavior of this species.

Resumo Atividade alimentar do pampo Trachinotus cayennensis (Cuvier 1832) (Perciformes, Carangidae) em estuários na costa ocidental do Maranhão, Brasil. O presente trabalho descreve a atividade alimentar do Trachinotus cayennensis , coletado na Baía de Lençóis (1°18'S - 1°19'S; 44°51'W - 44°53'W) na costa oeste do Maranhão. Amostragens foram realizadas entre junho de 2012 e junho de 2013, utilizando redes de emalhar à deriva com tamanho de malha de 95 a 100 mm. Foram analisados ​​205 indivíduos (114 fêmeas e 91 machos). Encontraram-se diferenças estatisticamente significativas na proporção sexual nos meses de junho, setembro e dezembro de 2012. Os itens alimentares foram analisados ​​com base na frequência de ocorrência e utilizando o método volumétrico, com o subsequente cálculo do índice de importância alimentar. Três grupos de tamanho foram definidos para determinar possíveis mudanças ontogenéticas nos hábitos alimentares com base na faixa de tamanho dos indivíduos coletados: I (˂ 29 cm), II (29,1 a 37,0) e III (≥ 37,1). Foram identificadas 11 categorias de alimentos: moluscos, poliquetas, crustáceos, nematoides, insetos, algas, briozoários, ophiuro, peixes, matéria vegetal e sedimentos. A variedade de itens na dieta de T. cayennensis indica uma plasticidade alimentar considerável e um comportamento oportunista. As variações sazonais influenciaram o padrão alimentar da espécie, com maior atividade de alimentação na estação seca. A considerável disponibilidade de recursos nos habitats estuarinos da costa oeste do Maranhão constitui outro fator que exerce influência sobre o comportamento alimentar desta espécie.

Feeding activity of the cayenne pompano Trachinotus cayennensis (Cuvier 1832) (Perciformes, Carangidae) in estuaries on the western coast of the state of Maranhão, Brazil

Abstract The present paper addresses the feeding activity of Trachinotus cayennensis, collected in Lençóis Bay (1°18S 1°19S; 44°51W 44°53W) on the western coast of the state of Maranhão, Brazil. Sampling was conducted between June 2012 and June 2013 using driftnets with stretch mesh sizes from 95 to 100 mm. A total of 205 individuals (114 females and 91 males) were analyzed. Statistically significant differences in the sex ratio were found in June, September and December 2012. Food items were analyzed based on frequency of occurrence and volumetric method, with the subsequent calculation of the alimentary importance index. Three size groups were defined to determine possible ontogenetic changes in eating habits based on the size range of the individuals collected: I ( 29 cm), II (29.1 to 37.0) and III ( 37.1). Eleven food item categories were identified: mollusks, polychaetes, crustaceans, nematodes, insects, algae, bryozoans, ophiuroids, fishes, vegetal matter and sediments. The variety of items in the diet of T. cayennensis indicates considerable feeding plasticity and opportunistic behavior. Seasonal variations influenced the feeding pattern of the species, with greater feeding activity in the dry season. The considerable availability of resources in estuarine habitats of the western coast of Maranhão constitutes another factor that influences the feeding behavior of this species.

Resumo Atividade alimentar do pampo Trachinotus cayennensis (Cuvier 1832) (Perciformes, Carangidae) em estuários na costa ocidental do Maranhão, Brasil. O presente trabalho descreve a atividade alimentar do Trachinotus cayennensis , coletado na Baía de Lençóis (1°18S 1°19S; 44°51W 44°53W) na costa oeste do Maranhão. Amostragens foram realizadas entre junho de 2012 e junho de 2013, utilizando redes de emalhar à deriva com tamanho de malha de 95 a 100 mm. Foram analisados 205 indivíduos (114 fêmeas e 91 machos). Encontraram-se diferenças estatisticamente significativas na proporção sexual nos meses de junho, setembro e dezembro de 2012. Os itens alimentares foram analisados com base na frequência de ocorrência e utilizando o método volumétrico, com o subsequente cálculo do índice de importância alimentar. Três grupos de tamanho foram definidos para determinar possíveis mudanças ontogenéticas nos hábitos alimentares com base na faixa de tamanho dos indivíduos coletados: I ( 29 cm), II (29,1 a 37,0) e III ( 37,1). Foram identificadas 11 categorias de alimentos: moluscos, poliquetas, crustáceos, nematoides, insetos, algas, briozoários, ophiuro, peixes, matéria vegetal e sedimentos. A variedade de itens na dieta de T. cayennensis indica uma plasticidade alimentar considerável e um comportamento oportunista. As variações sazonais influenciaram o padrão alimentar da espécie, com maior atividade de alimentação na estação seca. A considerável disponibilidade de recursos nos habitats estuarinos da costa oeste do Maranhão constitui outro fator que exerce influência sobre o comportamento alimentar desta espécie.

An automated dispensing system for improving medication timing in the emergency department / 世界急诊医学杂志（英文）

BACKGROUND: Numerous medical conditions require timely medication administration in the emergency department (ED). Automated dispensing systems (ADSs) store premixed common doses at the point-of-care to minimize time to administration, but the use of such automation to improved time to medication administration has not been studied. Since vancomycin is a commonly used empiric antimicrobial, we sought to quantify the effect of using an ADS on time to drug delivery in patients presenting to the ED. The study aimed to determine the efficacy of utilizing an ADS to improve time to administration of vancomycin and determine any negative effects on dosing appropriateness.METHODS: The institional review board approved the retrospective quality improvement study took place in a single, urban academic tertiary care ED with an annual census of 80000. Study subjects were all patients receiving vancomycin for the management of sepsis between March 1 to September 30, 2008 and the same time period in 2009. The primary outcome was the proportion of patients who received vancomycin within one hour of bed placement and the secondary outcome was dosing appropriateness.RESULTS: Sixty-three patients had weight and dosing information available (29 before and 34 after intervention) and were included in the study. Before intervention, no patient received vancomycin in less than 60 minutes, while after intervention 14.7％ of the patients received it in less than 60 minutes (difference in proportions 14.7％, 95％ CI 0.39％-30.0％, P=0.04). A similar proportion of the patients received correct dosing before and after intervention (44.8％ vs. 41.2％, difference in proportions 3.7％, 95％ CI -20.0％-26.7％, P=0.770).CONCLUSION: The use of an ADS may improve the timing of medication administration in patients presenting to the ED without affecting dosing appropriateness.

Changes in Neutrophil Count; Creatine Kinases and Muscle Soreness after Repeated Bouts of Downhill Running

OBJECTIVE. A primary objective was to examine circulating neutrophil count after repeated bouts of downhill running. An additional aim was to determine creatine kinase (CK)levels during the initial 12 hours; after repeated DHRs. DESIGN. Eleven healthy; untrained Caucasian males performed 2 x 60 min bouts of DHR (-13.5); spaced 14 days apart; at a speed equal to 75VO2max on a level grade. Blood was collected before; after; and every hour for 12 hours; and every 24 hours for 6 days. Absolute neutrophil count; CK; and delayed-onset muscle soreness (DOMS) were assessed. Result were analysed using repeated measures ANOVA (p0.05) with appropriate post hoc tests. RESULT. There were no significant differences in neutrophil count (p