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The COVID-19 pandemic has influenced various aspects of people's lives;for instance, restrictions during the pandemic have forced people to think about sports participation and physical activity in new ways. There has been growing interest in technological interventions to support exercise-related behavioural changes in daily life;in particular, exergames designed to induce full-body movement offer alternatives to physical activity. Since Taiwan has a high rate of ownership of exergame-related equipment, it is worth examining players' perceptions of using exergames for exercise. This study utilised a Means-End Chain analysis with in-depth laddering interviews to investigate Taiwanese perceptions of certain attributes of exergames as most likely to produce desired consequences in accordance with their values. The findings provide researchers and practitioners interested in the use of technology for exercise with valuable implications of Means-End Chain theory and structuration theory and suggestions for exergame design and promotion.
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In recent years, the novel corona virus pandemic is raging around the world, and the safety of home environment and public environment has become the focus of people's attention [2]. Therefore, the research on disinfection robot has become one of the important directions in the field of machinery and artificial intelligence. This paper proposes a robot with the STM32 MCU as the core of disinfection, and is equipped with a variety of sensors and a camera vision, has the original cloud service management platform, the remote deployment of navigation, based on visual SLAM to realize high precision navigation and positioning, can realize to indoor environment autonomously route planning, automatic obstacle avoidance checking, disinfection, epidemic prevention function, at the same time can pass Bit computer software realizes remote control of robot, which has great development potential. © 2022 ACM.
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Stroke is a leading cause of long-term disability in adults and the fifth leading cause of mortality in the United States. One of the main tasks related to stroke in the family medicine setting is assessment and management of modifiable risk factors. The American Heart Association/American Stroke Association (AHA/ASA) guidelines on primary prevention of stroke recommend that cigarette smoking, physical inactivity, overweight and obesity, dyslipidemia, hypertension, and diabetes be addressed and/or managed to decrease the risk of stroke. Obstructive sleep apnea (OSA) is an independent risk factor for stroke. Screening for OSA in patients at risk of stroke can be considered. Atrial fibrillation (AF) contributes to more than 20% of acute ischemic strokes. Guidelines recommend that some patients with AF be treated with warfarin or direct-acting oral anticoagulants for stroke prevention, as the clinical situation warrants. Other risk factors for stroke include carotid artery disease, migraine with aura, sickle cell disease, alcohol or drug use, hypercoagulable states (including COVID-19), and previous stroke or transient ischemic attack. Recent meta-analyses have found that aspirin may not be beneficial for primary prevention of stroke. Aspirin currently is not recommended for primary stroke prevention in low-risk individuals.
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TOPIC: Chest Infections TYPE: Fellow Case Reports INTRODUCTION: Roseomonas genus was described in 1993 by Rihs et al. as a "pink coccoid", non-fermentative, aerobic, gram-negative bacteria. It has been isolated from environmental sources (e.g., water, soil, air, and plants);however, human infections are rare. We report a case of R. gilardii associated bacteremia in the setting of COVID-19 pneumonia. CASE PRESENTATION: 73-year-old man with history of HIV (on Bictarvy, well controlled), and diabetes presented with progressive shortness of breath. On admission he was tachypneic, hypoxic, and tachycardic. Lab findings showed lactic acidosis, leukocytosis, respiratory acidosis, elevated inflammatory markers, and COVID-19 PCR positive. He was in acute hypoxic respiratory failure requiring escalation of oxygen therapy with eventual intubation. CT angiography of the chest showed diffuse bilateral subpleural ground glass opacities and lower lobe consolidation with air bronchogram. He was started on Dexamethasone 6mg (10 days), Remdesevir (1 dose), and empiric antibiotics for pneumonia. After 5 days of above therapy patient continued to deteriorate and plasma exchange was given as a salvage therapy. Blood cultures from admission grew Roseomonas Gilardii, which was susceptible to Cefepime. After literature review cefepime was switched to imipenem, cilastatin and amikacin due to studies suggesting high amounts of resistance to Cephalosporins. DISCUSSION: Majority of infection due to R. spp occur in immunocompromised patients (e.g., ESRD, cancer and transplant). These organisms are susceptible to quinolones, carbapenems, and cephalosporins with recommended duration of treatment being 15 days. R. mucosa isolates are resistant to ceftazidime, cefepime, piperacillin, tazobactam, and colistin. R. gilardii is more susceptible than R. mucosa to tested antimicrobial agents. CONCLUSIONS: This is the first reported case of R. gilardii associated empyema in a COVID-19 patient. This underlines the impact of superinfections in COVID-19. R spp. infection in humans is rare and have an inherent resistance to cephalosporins, but high susceptibility to Amikacin and Imipenem. REFERENCE #1: Rihs JD, Brenner DJ, Weaver RE, Steigerwalt AG, Hollis DG, Yu VL. 1993. Roseomonas, a new genus associated with bacteremia and other human infections. J. Clin. Microbiol. 31:3275–3283. REFERENCE #2: Petros Ioannou, Vasiliki Mavrikaki & Diamantis P Kofteridis (2020). Roseomonas species infections in humans: a systematic review, Journal of Chemotherapy, 32:5, 226-236, DOI: 10.1080/1120009X.2020.1785742 REFERENCE #3: Dé I, Rolston KV, Han XY. Clinical significance of Roseomonas species isolated from catheter and blood samples: analysis of 36 cases in patients with cancer. Clin Infect Dis. 2004 Jun 1;38(11):1579-84. doi: 10.1086/420824. Epub 2004 May 7. PMID: 15156446. DISCLOSURES: No relevant relationships by Aneeta Kumari, source=Web Response No relevant relationships by Kunal Nangrani, source=Web Response No relevant relationships by Jose Orsini, source=Web Response No relevant relationships by Evgeny Pinelis, source=Web Response No relevant relationships by Priya Raju, source=Web Response No relevant relationships by Keerthi Reddy Ramireddy, source=Web Response Speaker/Speaker's Bureau relationship with Allergan Please note: $20001 - $100000 by Joshua Rosenberg, source=Web Response, value=Honoraria No relevant relationships by Waqqas Tai, source=Web Response No relevant relationships by Viswanath Vasudevan, source=Web Response No relevant relationships by John Zeibeq, source=Web Response
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Objective: During the COVID-19 pandemie period, weight control became an important health issue because of physical inactivity. Developing a valid and convenient tool to estimate energy consumption is a pressing task. Methods: This research investigates the invention patent method of rhythm speech test, introduces the smartphone sport supported fat & glucose calculator (SSFGC) program, applies it to estimation of fat and sugar consumption in endurance exercise of bicycle, and compares it with the results measured by gas analysis indirect calorimetry. The research recruited 12 males (age: 31.8±3.2 yrs, height: 171.6 ± 7.9 cm, weight: 71.2 ± 5.0 kg, peak oxygen uptake: 46.2 ± 5. 6 mL/min/kg, maximum power: 240 ± 50 watts, 15 watts/min progressive exercise load exhaustion time: 982 ± 197 sec and RER: 1.1 ± 0.1). Before the research, the research objects must be measured for peak oxygen uptake and basic physiological data. Participants must follow the SSFGC method of use during the 1 hour' s endurance exercise (30% V• O2peak -80% V• O2peak). The data derived from each analysis are expressed as mean ± standard deviation. The significance is set to p ≦.05. Results: According to SSFGC and gas analysis indirect calorimetry, estimated consumption of sugar (r =. 994, p <. 05) and fat (30% V• O2peak to 50% V• O2peak: r=.888, p <. 05;60% V• O2peak to 80% V• O2peak r=.817, p <. 05) exhibited high positive correlation between the two. Conclusion: The invention patent method of rhythm speech test, by importing SSFGC calorimeter program, can estimate the energy consumption of fat and sugar in stable endurance exercise, and provide the theoretical basis/or further application in the future. © 2021 A. CARBONE Editore. All rights reserved.