Results Of Physical Examination Research Articles

Risk of Developing Severe Alimentary-Constitutional Obesity and Metabolic Disorders: Interventional Comparative Study

Background. The relevance of alimentary-constitutional obesity, especially its severe forms, is associated with a number of metabolic disorders, subsequently leading to serious chronic noncommunicable diseases.Objective. To identify factors that increase the risk of severe alimentary-constitutional obesity and metabolic disorders.Methods. A follow-up group of 426 patients aged 18 to 65 years was formed among those seeking help from an endocrinologist for overweight or obesity. The diagnosis of alimentary-constitutional obesity was confirmed at the initial examination in the outpatient clinic setting. Depending on the severity of obesity and the type of fat deposition according to anthropometric data (body mass index, waist circumference), the study participants were ratified into two study groups. The research was conducted between 2010 and 2017 in outpatient settings and was based on a cross-sectional comparative study. In order to assess the risk of severe obesity and factors associated with it, the authors studied medical history data, results of physical examination, including blood pressure level, laboratory examination with analysis of carbohydrate, fat metabolism and liver function, assessed eating behaviour, and performed diagnosis of anxiety-depressive disorder. Statistical analysis of the results was carried out using Statistica 10 (StatSoft, USA).Results. Women are more likely to see an endocrinologist with less severe obesity than men. Severe obesity risk is higher in middle-aged and elderly people, as well as in hereditary tainted patients and those having a history of obesity for more than 10 years. Severe obesity itself is a significant risk for metabolic events, with a 4-fold higher risk of hyperglycaemia and hypercholesterolaemia (due to very low density lipoproteins) and a 5-fold higher risk of hyperinsulinaemia and insulin resistance.Conclusion. Analysis of severe obesity risks has shown that earlier personal commitment to a healthy lifestyle is essential for weight loss and subsequent improvement of metabolic parameters, particularly in men and those aged 45 years or older.

Determinants of arterial elastic function in middle-aged and elderly people: A population-based cross-sectional study from a low-income population in China.

Arterial stiffness is closely associated with the occurrence of many cardiovascular and cerebrovascular diseases. However, the risk factors and mechanisms related to arterial stiffness development have only been partially elucidated. We aimed to describe arterial elastic function and its influencing factors in middle-aged and elderly people in rural China. This was a cross-sectional study conducted among residents, aged ≥45 years, of Tianjin, China, between April and July 2015. Data regarding participant demographics, medical history, lifestyle, and physical examination results were collected and assessed the association with arterial elastic function using linear regression. Of the 3,519 participants, 1,457 were male (41.4%). Brachial artery distensibility (BAD) decreased by 0.5%/mmHg with every 10-year increment in age. The mean BAD value was 0.864%/mmHg lower in women than in men. With each unit increase in mean arterial pressure, the BAD decreased by 0.042%/mmHg. In patients with hypertension or diabetes, the BAD decreased by 0.726 and 0.183%/mmHg, respectively, compared with those without hypertension or diabetes. For each unit increase in triglyceride (TG) level, the mean BAD increased by 0.043%/mmHg. With each increase in body mass index (BMI) category, the BAD increased by 0.113%/mmHg. Brachial artery compliance (BAC) decreased by 0.007 ml/mmHg with each 10-year increase in age, and brachial artery resistance (BAR) increased by 30.237 dyn s-1 cm-5. The mean BAC in women was 0.036 ml/mmHg lower and the mean BAR was 155.231 dyn s-1 cm-5 higher in women than in men. In individuals with hypertension, the mean BAC decreased by 0.009 ml/mmHg and the mean BAR increased by 26.169 dyn s-1 cm-5. With each increase in BMI category, the mean BAC increased by 0.005 ml/mmHg and the mean BAR decreased by 31.345 dyn s-1 cm-5. For each unit increase in TG level, the mean BAC increased by 0.001 ml/mmHg. These findings indicate that age, sex, mean arterial pressure, BMI, diabetes, hypertension, and TG level are independently associated with the components of peripheral arterial elasticity. Understanding the factors influencing arterial stiffness is important for developing interventions to minimize arterial aging and cardiovascular and cerebrovascular diseases caused by arterial aging.

Medial gastrocnemius rotational flap for the reconstruction of extensor mechanism disruption in periprosthetic knee infections: a retrospective series with minimum twoyear follow-up.

Extensor mechanism disruption following total knee arthroplasty has a prevalence ranging from 0.3 to 3%. Its management is challenging, especially in case of associated infection of the prosthetic implant. Surgical options are limited due to the septic process, and the use of allograft or synthetic mesh are not recommended. The aim of this study was to report clinical outcomes, complications, survival, and surgical technique of medial gastrocnemius flap for the treatment of extensor mechanism disruptions associated with periprosthetic knee infection. This is a retrospective study from a prospectively collected arthroplasty registry from 2012 to 2019. Patients who received the gastrocnemius flap in the setting of a two-stage knee replacement for periprosthetic infection were included. Results of physical examination, Knee Society Score, Oxford Knee Score, and measurement of the range of motion registered pre-operatively were compared to those obtained at last follow-up. Survival was analysed through Kaplan-Meier curve. A total of 15 patients were included, with a mean age of 63.4 years (range 36-77). The reconstruction of the extensor mechanism demonstrated a success rate of 73.3%. The mean extension lag at final follow-up was 7.5° (range, 0-30). The mean Knee Society Score and Oxford Knee Score improved from 29.0 (range, 21-36) and 17.5 (range, 13-22) respectively, to 82.9 (range, 74-89) and 36.0 (range, 33-39). Medial gastrocnemius rotational flap is a reliable option for joint and limb salvage in case of periprosthetic knee infection associated with wide soft tissue degeneration and extensor mechanism disruption. The technique and surgical protocol presented in this study are reproducible and guaranteed good clinical outcomes and infection control.

Utility of diagnostic tests in vomiting dogs presented to an internal medicine emergency service.

Vomiting is a common sign in dogs presenting to emergency services. It can be self-limiting, a sign of a life-threatening extraintestinal, or intestinal disorder. Reasonable diagnostics should be performed to determine the underlying cause. This study aimed to assess the utility of diagnostic tests in vomiting dogs, and its correlation with patient history, and physical examination results. Additionally, parameters to differentiate uncomplicated vomiting from complicated vomiting were investigated. In this prospective, observational, clinical study, data from 99 client-owned dogs with vomiting, presenting as first opinion cases, were evaluated. History, physical examination, duration of clinical signs, overall number of episodes of vomiting, appetite, and additional clinical signs were recorded. The standardized diagnostic evaluation of all patients included venous blood gas analysis, complete blood count, serum biochemistry profile, canine pancreatic lipase, abdominal radiographs, ultrasound, and urinalysis. Follow-up was performed 4-5 days later. Based on severity of disease and clinical course, dogs were categorized to "uncomplicated vomiting" (UN), or "complicated vomiting" (COM). The utility of each test for diagnosing the cause of vomiting was evaluated. Spearman correlation coefficient, Chi-squared-, unpaired t-, and Mann-Whitney U-test were used. Statistical significance was defined as p ≤ 0.05. Out of the 99 dogs, 34 had uncomplicated courses of disease (UN). In 60/99 cases, a diagnosis was obtained, and in 39/99 cases, the cause for vomiting remained unknown. Longer duration of clinical signs, and reduced appetite were associated with higher utility of abdominal ultrasound. A poor mentation was associated with a higher utility of blood examinations and abdominal radiographs. Dogs presenting with an impaired mentation or with additional clinical signs other than diarrhea, were more likely to be in the COM group. Based on this investigation, general recommendations concerning the diagnostic approach for patients with vomiting could not be provided. For dogs who have exclusively vomiting as a clinical sign, and present in good mentation, further investigations might not be beneficial, and these dogs may recover with symptomatic treatment alone. Additional diagnostics could be indicated in dogs with additional clinical signs other than diarrhea.

POSTER ABSTRACTS

POSTER ABSTRACTS

Diagnosis Gangguan Sendi Temporomandibular pada Kasus Kehilangan Gigi dengan Metode DC/TMD

Background: Temporomandibular joint disorder (TMD) is characterized by craniofacial pain involving the jaw joint, masticatory muscles, or muscles that innervate the head and neck. The causes of TMD are multifactorial, including tooth loss and bad habits. The new DC/TMD protocol is a TMD examination protocol that is highly recommended for use as a clinical and research protocol for dentists. Objective: This study aims to determine the prevalence of TMD diagnosis results using the DC/TMD method, to determine the types of TMD diseases experienced and their relationship to the status of tooth loss in students. Method: The study used a cross-sectional analytical design with samples that met the inclusion criteria of 150 students aged 19-25 years who were taken by total sampling. The research subjects were asked to agree and sign an informed consent in advance by the researcher. Data were obtained from the results of anamnesis and physical examination with a diagnosis of TMD using the DC/TMD protocol based on the International RDC/TMD Consortium Network which has been translated into Indonesian. The examination data were processed using SPSS statistical software with univariate and bivariate tests. Results: 48% of students had tooth loss, 62% of students were diagnosed with TMD, and the results of the relationship analysis using the chi-square test showed that there was a significant relationship between tooth loss and TMD (p-value = 0.024; p

Child sexual abuse in Kaduna State, Northwestern Nigeria: A review of 420 police-reported cases

ABSTRACT Child sexual abuse affects millions of children globally but in Nigeria, hospital-based studies continue to report few cases, making it difficult to assess the magnitude and quality of care. This study aimed to overcome this challenge by reviewing police medical reports instead of hospital records. A total of 420 reports were retrieved from one police area command in Kaduna State, Northwestern Nigeria, between 2018 and 2021. The majority of the victims were females (65.5%), 5–14 years (70.2%), and familiar with their assailants (71.4%). Most of the assailants were men (99.0%), 20–40 years (29.1%), who acted alone (86.7%). Most of the reports contained history (79.3%), physical examination (49.6%), and laboratory results (>90%). Among female victims, the commonest genital findings were absent hymen (25.6%) and normal findings (17.6%). Among male victims, the commonest anal findings were normal findings (41.7%) and anal dilatation (23.6%). The victims tested positive for HIV (0.5%), hepatitis B (4.7%), hepatitis C (1.0%), and syphilis (0.8%). Higher positivity rates were noted among assailants. Treatments offered to the victims included antibiotics (30.2%), analgesics (11.9%), emergency contraception (6.7%), and psychotherapy (67.4%). The review calls for improved reporting, use of comprehensive treatment guideline, and training of service providers to improve the quality of care.

Using nutrigenomics to guide personalized nutrition supplementation for bolstering immune system.

Immunity refers to the ability of the human immune system to resist pathogen infection. Immune system has the basic functions of immune defense, immune self stabilization and immune surveillance. Balanced nutrition is the cornerstone of the immune system to play its immune function, and nutritional intervention is also an important means to maintain and improve immunity. Previous studies have confirmed that T cells have individual differences in recognizing viral antigens of virus infected cells, and the body's response to antigens is controlled by a variety of genetic genes, such as human leukocyte antigen (HLA) genes, immune response (Ir) genes, etc. In this paper, through immunity genetic testing, we screen out genetically susceptible people with low immunity and people with the risk of nutrient metabolism disorders; through using lifestyle questionnaire and physical examination results, we analyze people's physical condition, dietary habits, and exercise habits to evaluate people's nutrient deficiency degree. Then, combining multi-dimensional health data, we evaluate users' immune status and nutritional deficiency risk comprehensively, further, we implemented personalized nutrition intervention on the types and doses of nutritional supplements to improve immunity. We also validated the effectiveness of our personalized nutrition solution through a population-based cohort study.

COVID-19-Associated Schizophrenia-Like Psychosis

Background: COVID-19-associated psychoses are psychotic disorders that have developed during a new coronavirus infection. Criteria of these psychoses are the manifestation of psychosis simultaneously with infection with the SARS-CoV-2 virus and the presence of documented COVID-19 disease. Information about these diseases appears as brief reports of mental services or with rare clusters. The need to study COVID-19-associated psychoses is due to the relatively high risk of their development, reaching 2.8%. The aim of study was to analyse the identified cases of COVID-19-associated psychosis in comparison with the results presented in the scientific literature. Patients and methods: 50 cases of COVID-19-associated psychosis were analyzed using a clinical method, taking into account the results of physical examination from April 2020 to September 2021. Results: 27 women and 23 men aged 20 to 57 were examined. Common symptoms were revealed: simultaneously or immediately after infection and identification of the virus against the background of growing anxiety and dissomnia, delusional ideas were formed, which quickly turned into fantastic delusion with disturbing agitation and hallucinations and subsequent marked disorganization of behavior with possible confusion of consciousness at the peak of psychosis. Perceptual deceptions were the most common, auditory hallucinations were the most prevalent, and catatonia was relatively common. The cupping therapy led to reduction of psychotic symptoms, and returned patients to a pre-morbid level of functioning. In most cases, there was a critical resolution of the attack, which probably indicates a favorable outcome of the disorder. Such dynamics is consistent with scientific literature data. Conclusion: the question of the primary or secondary nature of COVID-19-associated psychoses remains unresolved. It is necessary to continue the study of COVID-19-associated psychosis with the identification of risk factors for the development of psychosis, manifestation features, psychopathological picture, outcome options to determine the optimal rehabilitation program.

ХАРАКТЕРИСТИКА ГАСТРОИНТЕСТИНАЛЬНОГО САЛЬМОНЕЛЛЕЗА У ДЕТЕЙ НИЖНЕГО НОВГОРОДА

The study aims to examine the epidemiological, etiological, and clinical features of gastrointestinal salmonellosis in children living in Nizhny Novgorod. A retrospective analysis of 49 children with gastrointestinal salmonellosis who received treatment in the Infectious Hospital No. 23 in Nizhny Novgorod was conducted. Database was compiled via clinical and laboratory diagnosing methods to assess the age of the patients, the duration of the disease upon admission to the hospital, the results of physical examination and laboratory tests using statistical methods. Most children were 3 years old or older (71.4 %) and admitted in 2–3 days after the onset of the disease (77.6 %). The most common infectious agent was serovar S. enteritidis D (84.8 %), while every 2nd child (46.9 %) had a mixed infection. The severity of the disease was mostly moderate (93.9 %) with the presence of intoxication (87.8 %), febrile fever (65.3 %), abdominal pain syndrome (93.8 %), repeating vomiting (57.7 %). Half of the patients developed grade I exicosis (53 %). astrointestinal symptoms were often combined with leukocyturia (49 %). The fecal culture test was highly informative for verification of specific bacterial agent. Long-term germ fecal excretion was detected in 12.2 % of patients, mostly in children under the age of 3 years (83.3 %). The study provides etiological, clinical and epidemiological features of gastrointestinal salmonellosis in children living in Nizhny Novgorod.

Epilepsy and drug-resistant epilepsy in neurocutaneous syndromes

Aim: Epilepsy frequently accompanies neurocutaneous syndromes. Due to the comorbid conditions that epileptic seizures may cause, their frequency, type, and duration also affect the prognosis of neurocutaneous diseases. The purpose of this study was to examine the frequency of epilepsy and drug-resistant epilepsy in neurocutaneous syndromes, and factors affecting the development of drug-resistant epilepsy.Methods: In our clinic, nine of the 24 patients who were under follow-up due to neurocutaneous syndromes were diagnosed with Tuberous Sclerosis Complex (TSC), six with Sturge-Weber syndrome, and nine with Neurofibromatosis type 1. We examined the age at diagnosis, findings at the time of the diagnosis, the presence of accompanying epilepsy, age at onset of seizures, seizure type and frequency, antiepileptic drugs used, responses to antiepileptic drugs, electroencephalography and brain magnetic resonance imaging findings, neurological-neuro-ophthalmological and physical examination results, and systemic findings.Results: Age at onset of seizures ranged between four months and four years. A pre-diagnosis history of seizure was present in all the patients with TSC, and the first seizure in 55% of the patients was epileptic spasm type. Hemiparesis and port wine stain were present at the time of diagnosis in Sturge-Weber syndrome, while accompanying seizures were observed later.Conclusion: The frequency of accompanying epilepsy and drug-resistant epilepsy is higher in the TSC.

Swiss Cheese Heart: Cardiac Hydatid Cysts

Here we present a case of a 22-year-old man with a 6-year history of non-specific chest pain and fatigue. Echocardiography and computed tomography showed multiple hydatid cysts involving entire left ventricular myocardium, a decreased ejection fraction, and no involvement of other organs. Surgical resection was contraindicated because of the severity of the myocardial damage. This case demonstrates an extremely rare indication of heart transplantation.

Complete fracture-dislocation of the cervical spine without permanent neurological sequelae: case report

Background: Cervical spine injuries occur in up to 3% of all trauma patients. Fracture-dislocation of the lower cervical spine is typically present with severe spinal cord injury in which the body of one vertebra rests fully anterior to the next body. With this kind of injury, there are very few examples where there is no permanent neurological deficit, and those that do exist are extremely rare. Case Presentation: A 19-year-old Saudi male patient was presented by ambulance to the emergency department. He was a front-seat passenger in a vehicle involved in a road accident. The patient was unconscious, Glasgow Coma Scale (GCS) (8/15), and quadriparetic. He was intubated and put on a mechanical ventilator and vasopressor support for persistent hypotension. American Spinal Injury Association impairment scale was a grade A. Initial management and resuscitation was done according to Advanced trauma life support (ATLS) guidelines: cervical collar application, logrolling, analgesic therapy, vitals normalized, and general condition stabilized. Skull traction was performed on admission. The patient underwent anterior cervical open reduction + C6/7 pedicle screw, and lateral mass screw internal fixation was performed. Conclusion: We report a rare case of complete fracture dislocation of C5/C6 listhesis with bilateral facet lock, with C7 fracture, C7/T1 listhesis, and bilateral facet lock. The patient presented with quadriparesis and was successfully treated with posterior reduction and fusion. The mechanism of injury, which was thought to be flexion and compression, was deduced by the patient's history and the results of physical and neuroimaging examinations.

Status of the Newborn Hearing Screening in the 4-Months Age National Infant Health Checkup in Korea: A Nationwide Population-Based Study.

The aims of this study are to review data on 4-months age National Health Screening Program for Infants and Children (NHSPIC) using a National Health Insurance Service (NHIS) database, and to analyze the newborn hearing screening (NHS) results and related characteristics of the 4-months NHSPIC for 7 years in South Korea. We analyzed a NHIS database of infants who had participated in the 4-month age NHSPIC from 2010 to 2016. According to the results of hearing questionnaires and physical examination, we analyzed the outcomes of NHS and related infantile and socioeconomic factors. Among 3,128,924 of total eligible infants in Korea between the year 2010 and 2016, 69.2% (2,164,621 infants) conducted 4-months age NHSPIC, and 94.4% (2,042,577 infants) of which performed hearing questionnaires regarding NHS. Among the total hearing examinees, premature infants accounted for 3.6%, infants who were hospitalized in the neonatal intensive care unit (NICU) for more than 5 days accounted for 5.6%, and infants with head and neck abnormalities were 0.6%. The NHS performing rate was 79.1% for total hearing examinees in 2010, but gradually increased to 88.9% in 2016. The NHS performing rate in 2016 was 93.4% for premature infants, 91.7% for NICU hospitalized babies. The mean referral rate was 0.6% for total hearing examinees, 1.4% for premature infants, and 2.3% for NICU hospitalized babies. When we analyzed the NHS performing rate and the referral rate according to the household income level, the NHS performing rate of infants in Medical Aid programs was the lowest as 65.6%, and the NHS performing rates in other five levels of NHIS was higher ranging between 85.1% to 86.0%. The referral rate of infants in the Medical Aid program (3.8%) was significantly higher than those of infants in other classes (1.10-1.25%). The estimated overall NHS performing rate in Korea gradually increased and was 88.9% in 2016. The overall referral rate was low as 0.6%, and it was significantly different depending on the infant's health condition and household income levels. We assume that our finding would help to establish policies managing hearing impaired children, and to develop the customized hearing care service programs considering the household economic levels.

Systemic monotherapy with acitretin for erythrodermic psoriasis: results of a retrospective study of 81 patients.

Erythrodermic psoriasis (EP) remains challenging to manage because it is rare and has complex complications. Although acitretin is recommended as an appropriate choice for EP, there is a lack of large-scale evidence. This study aims to assess the efficacy and safety of acitretin as systemic monotherapy in EP patients. We retrospectively analyzed data from patients with EP who received at least 3 months of acitretin as systemic monotherapy during hospitalization and out-patient follow-up from January 2005 to May 2021 at the Peking Union Medical College Hospital, China. The efficacy was clinically evaluated after 1, 2, 4, and 12 weeks of treatment, which was classified as a good response (>75% of lesions cleared), partial response (50%-75% cleared), moderate response (25-50% cleared), or no response (<25% cleared). Safety was assessed on the basis of physical examination results and significant changes in laboratory examination results after 12 weeks of treatment. Overall, 81 patients (79.0% men; mean age, 47.9 years) were included. The acitretin dose ranged from 20 to 60 mg/day (0.3 to 0.8 mg/kg/day). The rates of good, partial, and moderate responses were 0.0%, 2.5%, and 42.0% at 1 week; 3.7%, 34.6%, and 61.7% at 2 weeks; 29.6%, 58.0%, and 12.4% at 4 weeks; and 85.2%, 13.6%, and 1.2% at 12 weeks after treatment initiation, respectively. EP patients transformed from psoriasis vulgaris showed a higher good/partial response rate compared with that of EP patients that developed from pustular or articular psoriasis (44.6% vs. 14.3%, p = 0.035). Patients with concurrent infection showed a lower rate of good/partial response compared with that of those without concurrent infection (16.7% vs. 44.4%, p = 0.049). Adverse effects were seen in 45 (55.6%) patients in 12 weeks, and dyslipidemia (n = 31; 38.3%), xerosis (n = 24; 29.6%), and elevated liver enzymes (n = 6; 7.4%) were most commonly reported. Twenty-three patients were followed up for over 3 years, and six (26.1%) patients had EP recurrence. Acitretin as a systemic monotherapy showed satisfactory effectiveness for EP, especially in patients developed from psoriasis vulgaris and without infection.

ANÁLISE DO EFEITO DO TREINAMENTO INTERMITENTE DE ALTA INTENSIDADE PARA JOVENS ATLETAS

ABSTRACT Introduction The CPC Central Committee and the State Council have pointed out that currently, the basic indicators of young students’ physical health have completely declined. This circumstance has made adolescent physical health and improving the quality of young athletes a key issue in physical education targeting adolescents. Objective Investigate the effect of high-intensity intermittent training on young athletes. Methods 24 adolescents performed 10 intermittent high-intensity training for one month, and all athletes’ pre and post-training indexes were collected and compared. Results The physical examination results of male and female athletes improved to some extent (athletes’ blood pressure fluctuated during the 10 training sessions, increasing slightly, and heart rate variability increased considerably (P &lt; 0.05). Conclusion High-intensity intermittent training has a good effect on health promotion in young athletes, and can effectively improve their physical function and competitive performance. Physical education teachers and student-athletes should conduct relevant training. In addition, this training method also fits the current learning life situation of high school students. Level of evidence II; Therapeutic studies - investigation of treatment results.

A Decision Support System For Detecting Stage In Hodgkin Lymphoma Patients Using Artificial Neural Network and Optimization Algorithms

Hodgkin-type lymphoma is a disease with unique histological, immunophenotypic, and clinical features. This disease occurs in nearly 30% of all lymphomas. Its treatable is high. However, the treatment plan is specified after the stage and risk status are determined. For this reason, it is an important process for doctors to decide on the stage of the disease correctly. Some of the data used for this decision are the patient's history, detailed physical examination, laboratory findings, imaging methods and bone marrow biopsy results. Hybrid FDG-PET is the other method used in the medical world. This method is used in diagnosis, evaluation of response given to treatment, staging and restaging process. However, it is radiation-based. Therefore it has the possibility of producing undesirable results in the future. In this study, an artificial intelligence-based computer-assisted decision support system is done to reduce the number of used medical methods and radiation exposure. Data were obtained from the NCBI-GEO dataset. The evaluation of these data, which contains missing values, is handled in two ways. Firstly, samples with missing values in the initial evaluation are deleted from the dataset. Then, these data are trained with “trainlm” function in artificial neural network architecture. However, reducing the error value of the estimates is important. For this, the artificial neural network architecture is retrained with the artificial bee colony algorithm, particle swarm optimization algorithm and invasive weed algorithm, respectively. Secondly, the same operations are performed again on the dataset containing missing values. As a result of the training, the maximum performance was obtained for invasive weed and particle swarm optimization algorithms with 1,45547E+14 and 1,23103E+14 average error rates, respectively.

SNPERS: A Physical Exercise Recommendation System Integrating Statistical Principles and Natural Language Processing

As chronic diseases such as cardiovascular diseases are prevalent and progressively more common in young people, more and more college students are paying attention to exercising, even though they are busy studying. However, some college students are unmindful of their physique and their bodies’ targeted exercise. The exercise they do is either extensive but not refined or too homogeneous. We conducted a statistical analysis of 18,101 college students’ physical examination results. We found that students who exercise regularly but still did not achieve satisfactory results in one or more physical examination items had often exercised in the two unscientific ways mentioned above. This paper presents an intelligent recommendation system that integrates statistical principles and natural language processing, which improves traditional recommendation systems and could provide suitable and targeted exercise suggestions for college students. The R2 increased by about 27.72%.

Neurological and Neuroradiological Manifestations in Neonates Born to Mothers With Coronavirus Disease 2019

BackgroundTo investigate the complications that occurred in neonates born to mothers with coronavirus disease 2019 (COVID-19), focusing on neurological and neuroradiological findings, and to compare differences associated with the presence of maternal symptoms. MethodsNinety neonates from 88 mothers diagnosed with coronavirus disease 2019 (COVID-19) during pregnancy were retrospectively reviewed. Neonates were divided into two groups: symptomatic (Sym-M-N, n = 34) and asymptomatic mothers (Asym-M-N, n = 56). The results of neurological physical examinations were compared between the groups. Data on electroencephalography, brain ultrasound, and magnetic resonance imaging abnormalities were collected for neonates with neurological abnormalities. ResultsNeurological abnormalities at birth were found in nine neonates (Sym-M-N, seven of 34, 20.6%). Decreased tone was the most common physical abnormality (n = 7). Preterm and very preterm birth (P < 0.01), very low birth weight (P < 0.01), or at least one neurological abnormality on physical examination (P = 0.049) was more frequent in Sym-M-N neonates. All infants with abnormalities on physical examination showed neuroradiological abnormalities. The most common neuroradiological abnormalities were intracranial hemorrhage (n = 5; germinal matrix, n = 2; parenchymal, n = 2; intraventricular, n = 1) and hypoxic brain injury (n = 3). ConclusionsNeonates born to mothers with symptomatic COVID-19 showed an increased incidence of neurological abnormalities. Most of the mothers (96.4%) were unvaccinated before the COVID-19 diagnosis. Our results highlight the importance of neurological and neuroradiological management in infants born to mothers with COVID-19 and the prevention of maternal COVID-19 infection.

Early Detection Of Heart Attack After Cardiac Catheterization In Health Promotion Perspective: A Case Study

Heart attack cases among cardiovascular disease continue increasing every year and ranking as the highest cause of death in Indonesia. The objective of this research was to provide a framework for health promotion nurses to prevent heart attacks after cardiac catheterization. This research used a case study with the Case Management Society of America (CMSA) model. The case was selected from a patient with Coronary artery disease (CAD), 58 years old, retired of a civil servant, ex-chronic smoker, controlled hypertension, and a family history of CAD. The stages of CMSA data processing include Assessment, Preparation Pre-Catheterization, Recovery Phase, Planning and Intervention, and Evaluation. Objective data was taken from the physical examination results. Subjective data were obtained from interviews according to the CMSA standard, reputed journals, and other official documents. Analysis of the case study was conducted by coding, categorizing, comparing, and organizing. This case study revealed that health promotion nurses need to know the potential complications of post-heart catheterization i.e. shortness of breath, chest pain, lack of activity that is not known by family members, assumptions about uncontrolled nutrition, irregular medication, and heart attacks. The research recommended to prevent heart attacks post catheterization, health promotion nurses have to provide daily notes as patient progress reports and set a regular follow-ups.