Subject(s)
Ill-Housed Persons , Nutrition Disorders/epidemiology , Nutritional Status , Veterans , Adult , Alcohol Drinking/epidemiology , Diet Records , Food Services , Food Supply , Humans , Interviews as Topic , Male , Middle Aged , Nutrition Policy , Serum Albumin/analysis , United States/epidemiology , Weight LossSubject(s)
Osteoporosis/prevention & control , Physical Exertion , Adult , Aged , Bone and Bones/metabolism , Female , Gravitation , Humans , Male , Middle Aged , Osteoporosis/metabolismABSTRACT
Postural correction and strengthening exercises should be prescribed--and we must be as particular about these prescriptions as we are about those for drugs. An ideal exercise program for an older osteoporotic patient can be easy to understand, simple to carry out, and safe. Add a calcium supplement if the dietary intake is inadequate. However, calcium alone can only prevent further bone reduction. It must be combined with exercise--ideally before menopause--to prevent bone loss and build up a "reserve" of bone mass.
Subject(s)
Nutritional Physiological Phenomena , Osteoporosis/prevention & control , Physical Exertion , Activities of Daily Living , Bone and Bones/metabolism , Calcium/therapeutic use , Dancing , Female , Humans , Minerals/metabolism , Osteoporosis/drug therapy , Osteoporosis/physiopathology , Posture , Sports , Vitamin D/therapeutic useSubject(s)
Physical Exertion , Trauma, Nervous System , Wounds and Injuries/etiology , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Sports MedicineABSTRACT
Although ankylosing spondylitis (AS) has been considered rare in women, we believe that its incidence is underestimated. In our case studies of 12 women with AS the characteristic clinical features of the disease included onset before the age of 30 (12 patients); night pain and morning stiffness (12 patients); intermittent, migratory joint pain (9 patients); and history of uveitis (2 patients). Spine mobility was decreased in all patients. Sacroiliac (SI) (8 patients) and circumthoracic (5 patients) tenderness were common findings. If these pertinent clues are present, further diagnostic studies are indicated. Histocompatibility testing for the HLA-B27 antigen, which is reported to be present in over 90% of patients with AS, is useful in detecting early and mild forms of the disease. We found the antigen in 10 of 11 patients tested. Radioisotope (RI) scanning can show early inflammation of the SI joints long before changes are evident on standard roentgenograms: In 3 cases, SI films were reported as normal but RI scans revealed abnormal uptake and ratios. Early detection of AS prevents inappropriate treatment of patients and mislabeling them as functional complainers.
Subject(s)
Spondylitis, Ankylosing/diagnosis , Adolescent , Adult , Aged , Diphosphates , Female , HLA Antigens/analysis , Humans , Middle Aged , Radionuclide Imaging , Sacroiliac Joint/diagnostic imaging , Sex Factors , Spondylitis, Ankylosing/diagnostic imaging , Spondylitis, Ankylosing/immunology , Technetium , Time FactorsABSTRACT
Twelve patients who had previously been treated for palsy of the long thoracic nerve of Bell and resultant serratus anterior paralysis were examined in a follow-up study designed to determine their extent of recovery and/or residual disability. The patients' histories were reviewed, following which they were recalled for updating of the history and reexamination. It was found that those patients whose lesions were due to acute trauma had only partial or no recovery of serratus function, while those with infectious, toxic, allergic or idiopathic etiologies had partial or complete recovery. The occurrence of a prolonged interval between onset of symptoms and institution of therapy was found to adversely affect prognosis. Among those patients with no recovery of serratus anterior function, some were able to maintain relatively good active motion in the affected shoulder by substituting with the trapezius.