Previous Habits Research Articles

Impact of adherence to a Mediterranean Diet pattern on patients with first acute myocardial infarction

Background and aimsThe Mediterranean diet (MD) affects the risk of myocardial infarction and long-term prognosis after a coronary event. Limited data are available regarding the influence of MD on short-term prognosis. We assessed the impact of the MD adherence on in-hospital and short-term outcome in patients with first ST-elevation Myocardial Infarction (STEMI). Methods and resultsAs many as 533 European patients with STEMI and no previous history of coronary artery disease were included in this analysis. Previous dietary habits of each patient were collected with a food frequency questionnaire from which we calculated the FAMI Mediterranean Diet Score (FAMI MD Score), according to the MD adherence. A blood sample was drawn to each patient within 6 h of symptoms onset. Levels of high-sensitivity C-Reactive Protein (hsCRP), Interleukin-6 (IL-6) were measured. Clinical outcome at 180 days and myocardial reperfusion were assessed.Patients with higher FAMI MD Score had lower levels of hsCRP; there were no differences between IL-6 level among FAMI MD Score quintiles. There were no associations between adherence to MD and 180-day adverse events. Lower FAMI MD Score was associated with a higher risk of ineffective myocardial reperfusion after thrombolysis or percutaneous coronary intervention. Similar results were observed for daily consumption of ≥4 portions of fruit and vegetable. ConclusionsA positive effect of the Mediterranean diet, and fruit and vegetable intake was observed on hsCRP and the occurrence of effective myocardial reperfusion. These findings confirm the favorable impact of Mediterranean diet adherence not only in primary but also in secondary prevention.

Factors Influencing Patients' Intention to Perform Physical Activity During Hematopoietic Cell Transplantation.

To examine theoretical and medical variables influencing a patient's intention to perform physical activity during hospitalization for hematopoietic cell transplantation (HCT). 54 patients undergoing HCT at the Seidman Cancer Center in Cleveland, Ohio. A longitudinal, prospective cohort design was used. Instruments included the Self-Report Habit Index, tailored to assess exercise habit, the Memorial Symptom Assessment Scale-Short Form, and an investigator-constructed survey of intention, attitude, control, and subjective norm toward physical activity. Descriptive statistics, univariate logistic regression, and linear regression were used. Intention for physical activity remained high at all time points. Previous exercise habits were not related to intention. Inverse relationships between symptom distress and the theoretical constructs that influence intention occurred at the critical time points of nadir and discharge during transplantation. Nurses should reinforce physical activity regardless of exercise habits. Symptom distress may influence physical activity differently during the transplantation trajectory.

Perceived Barriers to Follow AHA Dietary Recommendations in Hypercholesterolemic Patients.

Hypercholesterolemia is an important risk factor for cardiovascular disease. Lifestyle modification including dietary changes is the first step for the treatment. Low adherence to dietary recommendations has reported earlier. This study purposed to identify barriers to the American Heart Association dietary recommendations in hypercholesterolemic patients. A 30-item structured questionnaire was designed and the reliability and validity of the questionnaire were evaluated. The exploratory factor analysis was performed on 160 hypercholesterolemic patients and extracted seven interpretable underlying factors of diet non-adherence (52.35% of total variance). These factors included "situational barriers and gathering," "takeaways and eating out," "psychological factors," "false beliefs and food habits," "lack of motivation," "enjoy eating and difficulty resisting the temptation" and "satisfaction with previous food habits". From the practical point of view, considering these perceived barriers, patient's culture, traditions, and dietary preferences can be beneficial in improving dietary adherence among hypercholesterolemic patients.

An unusual presentation of oro-naso-palatal fistula

This case report is of a 29-year-old male who complained of nasal escape of food and fluids through his nose for 6 months. Further questioning revealed a previous cocaine habit which has now ceased. Examination revealed a septal perforation and CT scanning revealed a 16 mm wide sagittal bone defect involving most of the hard palate as well as absence of the inferior half of the nasal septum. A diagnosis of septal perforation leading to an oro-naso-palatal fistula was made. This rather unusual presentation and clinical findings are discussed within this article. CPD/Clinical Relevance: The effects of cocaine misuse on the oral mucosa are presented.

The Factors Affecting Farmers’ Soybean Planting Behavior in Heilongjiang Province, China

Under the threat of food insecurity, the Chinese government has created plans and policies to stimulate soybean production. Despite government efforts to stimulate production, based on predictions, planned targets for soybean production are unlikely. Consequently, the predictions raise questions about farmers’ intentions to increase soybean cultivating area. In other words, farmers may not be willing to increase soybean. However, few researchers have studied soybean farmers’ intention and behavior. With these concerns in mind, this study analyzed the intention and factors that influence farmers’ choice of increasing soybean production as well as evaluating the differences in the decision making between commercial and subsistence farmers. This study collected data from 155 randomly selected families in 23 villages in the major soybean area in Heilongjiang Province. Results showed that 42.6% of the farmers expressed that they would expand soybean planting area, while the rest would insist on previous planting habits. The capacity to increase soybean production confronted many constraints. Farmers’ age, farm income, land topography, and ease of selling all positively influence farmers’ behavior. A significant difference in decision making between subsistence and commercial farmers was found. Subsistence farmers were more affected by land topography, agricultural insurance status, and satisfaction of soybean subsidies, whereas commercial farmers were more affected by farming experience and farm income. As a result, soybean policies should focus on increasing farmers’ income, promoting large-scale planting, training young farmers, innovation of agricultural insurance, and strengthening construction of agricultural infrastructure.

Effects of Maternal Physical Exercise on Global DNA Methylation and Hippocampal Plasticity of Rat Male Offspring

Intrauterine exposure to exercise is beneficial to cognition of the offspring. Although it is advisable to start practicing physical exercise during pregnancy, it is probable that practitioners or sedentary women keep their previous habits during gestation. This study was designed to evaluate the effects of maternal aerobic exercise initiated before and maintained during gestation, or performed in these isolated periods, on cognition and plasticity in the hippocampus of offspring. Groups of male pups were categorized by the exposure of their mothers to: treadmill off (sedentary, SS), pregestational exercise (ES), gestational exercise (SE) or combined protocols (EE). Between postnatal day 20 (P20) and P23 the offspring received one daily 5-bromo-2′-deoxiuridine (BrdU) injection and, from P47 to P51, were evaluated by the Morris water maze task. At P53, hippocampal global DNA methylation, survival of progenitor cells (BrdU), Brain-derived Neurotrophic Factor (BDNF) and reelin levels were measured. The offspring from ES, SE and EE mothers demonstrated improved spatial learning compared to SS, but hippocampal DNA methylation was significantly modified only in the offspring from ES mothers. The offspring from ES and SE mothers presented higher number of BrdU+ and reelin+ hippocampal cells than EE and SS. No differences were observed in the BDNF levels among the groups. The maternal pregestational and gestational isolated exercise protocols showed similar effects for offspring plasticity and spatial cognitive ability, while the combined protocol simply improved their spatial learning. Interestingly, only pregestational exercise was able to induce plasticity in the offspring hippocampus associated with modulation of global DNA methylation.

Habits, Quick and Easy: Perceived Complexity Moderates the Associations of Contextual Stability and Rewards With Behavioral Automaticity.

BackgroundHabits have been proposed to develop as a function of the extent to which a behavior is rewarded, performed frequently, and executed in a stable context. The present study examines how each of these factors are associated with behavioral automaticity across a broad variety of behaviors drawn from previous habits research. This study further assesses how perceived complexity of the behavior influences the associations of rewards, frequency, and contextual stability with automaticity.MethodsParticipants (N = 459) completed an online survey assessing their experiences and engagement with 25 different behaviors, including exercise, handwashing, smoking, and medication adherence, among others. Exploratory factor analysis validated a short, relatively novel scale of perceived behavioral complexity, and multilevel analyses grouped by participant were used to examine the factors that contribute to automaticity.ResultsAcross behaviors, frequency, contextual stability, and perceived rewards were positively associated with automaticity. Perceived complexity was negatively associated with automaticity and moderated the influence of contextual stability and rewards, but not frequency, on automaticity. Both contextual stability and rewards were stronger predictors of automaticity when behavioral complexity was high rather than low, as predicted; in addition, when contextual stability was high, more complex behaviors showed greater automaticity than simpler behaviors.ConclusionThe results of this study confirm that behavioral frequency, rewards, and contextual stability are each independently associated with automaticity across a spectrum of behaviors. This study further demonstrates that perceived complexity of a behavior moderates the extent to which contextual stability and rewards are associated with automaticity. The results affirm a need to further understand the components of habits and how they differ across varying behaviors.

Risk of second primary neoplasia in patients with oropharyngeal carcinoma: Role of HPV status in the outcome.

e17544 Background: Patients with HPV-positive oropharyngeal cancer (OPC) have better prognosis and a lower risk of appearance of second primary neoplasm (SPN) than HPV-negative OPC patients. The aim of our study was to analyze the risk of developing SPN in a large group of patients with OPC according to HPV status in the primary tumor and its relationship with toxic habits. Methods: This study includes patients from a prospective data-base: 484 OPC patients were treated from 1991 to 2017 for which the HPV DNA positivity was evaluated by PCR in available tumor specimens. HPV DNA positive samples were further tested for HPV E6*I mRNA detection and/or p16INK4a immunohistochemistry. The mean follow-up of patients included in the study was 4.9 years (SD 5.1 years). We estimated the incidence of SPN in all cancer sites and in cancer sites related to tobacco and alcohol consumption according to the HPV status in the primary tumor. Results: Ninety-nine (20.5%) out of 484 OPCs included in the study were HPV-related. During the follow-up period, 127 patients with HPV-negative tumors (33.0%) and 19 patients with HPV-positive tumors (19.2%) had a SPN. Considering only the tobacco/alcohol-related SPNs, 106 of the patients with HPV-negative tumors (27.5%), and 12 patients with HPV-positive tumors (12.1%) had a tobacco/alcohol-related SPN (P < 0.0001). Five-year and 10-year SPN-free survival for HPV-negative versus HPV-positive OPC patients was 61.0% versus 81.5%, and 37.6% versus 73.8%, respectively (P < 0.001). When restricting the analyses to tobacco/alcohol-related SPNs, the corresponding survival rates were 66.6% versus 86.8% and 45.9% versus 83.5% for 5-year and 10-year survival rates, respectively (P < 0.0001). The frequency of tobacco/alcohol-related SPNs occurrence throughout the follow-up period for patients with HPV-negative OPC was 27.5%, for patients with HPV-positive tumors with a previous history of severe tobacco and/or alcohol use was 21.4%, and for patients with HPV-positive tumors without a history of severe tobacco and/or alcohol consumption it was 8.5% (P < 0.0001). Conclusions: HPV status and previous toxic habits might allow classifying patients regarding the risk of tobacco/alcohol-related SPNs. HPV-related OPC patients without previous history of severe tobacco and/or alcohol use have a significant low risk of SPN development, particularly in those locations related to tobacco use or alcohol consumption

Screening of People with High Blood Pressure in Moscow Region

Aim. To perform an arterial hypertension (HT) screening for assessing the awareness of Moscow Region citizens about high blood pressure (BP) and draw their attention to this important risk factor. Material and methods . The screening was performed as a part of Standardized International Screening Study May Measurement Month 2018” in five towns of Moscow Region: Domodedovo, Balashikha, Mytishchi, Solnechnogorsk, Klin. 510 participants (324 females, 186 males) were involved, aged from 18 to 86 years (median age 42 [28;57] years). People over 1 8 years were asked to measure BP levels and fill out a questionnaire: age, gender, height and weight, previous BP measurement date, bad habit (tobacco smoking, alcohol consumption), cardiovascular diseases and type 2 diabetes history, previous high BP levels and antihypertensive drugs taking. Elevated BP was considered systolic BP (SBP) ≥ 140 mm Hg and/or diastolic BP (DBP) ≥ 90 mm Hg. Mechanical and automatic tonometers were used. Results. Increased BP was registered in 24% of participants. High BP levels were more common among men of working age and women older than working age. Increased BP was registered for the first time in 7% of the participants, and half of the participants who had previously taken antihypertensive therapy had increased BP levels. The highest prevalence of elevated BP levels was detected in obese men (55%). Conclusion. Regular preventive medical examinations have the task of health keeping and timely disease prevention. The continuity in the medical care may reduce the incidence of socially significant diseases.

Assessing Risk Assessment in Action

Recent years have seen a rush toward evidence-based tools in criminal justice. As part of this movement, many jurisdictions have adopted actuarial risk assessment to supplement or replace the ad-hoc decisions of judges. Proponents of risk assessment tools claim that they can dramatically reduce incarceration without harming public safety. Critics claim that risk assessment will exacerbate racial disparities. Despite extensive and heated rhetoric, there is virtually no evidence on how use of this “evidence-based” tool affects key outcomes such as incarceration rates, crime, or racial disparities. The research discussing what “should” happen as a result of risk assessment is hypothetical and largely ignores the complexities of implementation. This Article is one of the first studies to document the impacts of risk assessment in practice. It evaluates pretrial risk assessment in Kentucky, a state that was an early adopter of risk assessment and is often cited as an example of best-practices in the pretrial area. Using rich data on more than one million criminal cases, this Article shows that a 2011 law making risk assessment a mandatory part of the bail decision led to a significant change in bail setting practice, but only a small increase in pretrial release. These changes eroded over time as judges returned to their previous habits. Furthermore, the increase in releases was not cost-free: failures-to-appear and pretrial crime increased as well. Risk assessment had no effect on racial disparities in pretrial detention once differing regional trends were accounted for. Kentucky’s experience does not mean we should abandon risk assessment, but it should temper the hyperbolic hopes (and fears) about its effects. Risk assessment in practice is different from risk assessment in the abstract, and its impacts depend on context and details of implementation. If indeed risk assessment is capable of producing large benefits, it will take research and experimentation to learn how to achieve them. Such a process would be evidence-based criminal justice at its best: not a flocking toward methods that bear the glossy veneer of science, but a careful and iterative evaluation of what works and what does not.

Characteristics of centenarians’ lifestyles and their contribution to life satisfaction: A case study conducted on Hainan Island

BackgroundCentenarians represent an intriguing model for healthy aging. They appear to have adapted well to their lives and are likely to be influenced by previous lifestyle habits, and their life satisfaction is influenced by mental and psychological health. ObjectiveThe aim of this study is to explore centenarians’ lifestyles by sex and their potential contribution to life satisfaction. MethodIn order to examine the common characteristics of centenarians in Hainan and the potential differences between men and women, a cross-sectional survey was conducted with 223 cognitively-intact Chinese centenarians. We also explored the association between life satisfaction and other physical factors using binary logistic regression and principal component analysis. ResultsThe results provided supplementary evidence indicating that women tended to live longer than men. However, the difference in life satisfaction observed between the sexes was not obvious (p = 0.659). The proportion of physical factors between each sex showed a similar trend in distribution. Most centenarians’ lifestyles were similar, in that they followed a light diet and did not smoke or drink alcohol. Centenarians in better physical condition and with higher self-assessment, as well as those with “alcohol and tobacco habits,” were more satisfied with their life. Of the factors examined in the binary logistic regression, sleep satisfaction was the only factor significantly positively correlated with life satisfaction (p < .01). ConclusionThe research findings elucidated physiological and psychological health in centenarians and provided a model of healthy aging strategies for reference purposes.

Seat belts-related behaviors in car drivers with cardiac implantable electronic devices.

Seat belt use is the single most effective means of reducing fatal injuries in road traffic accidents. The presence of a cardiac implantable electronic device (CIED) might influence seat belt-related behaviors due to the physical proximity of the seat belt and left subclavian area in which the device is usually implanted. Understanding the underlying mechanisms of improper seat belt use may improve safety of these patients. We performed a prospective study using a structured questionnaire with 120 CIED recipients (age, 63.9 ± 10.9 years) attending a pacing outpatient clinic. All study participants were active drivers and predominantly male. The majority of patients (79%) had undergone high-energy device implantation. We found that 18% of study participants do not fasten seat belts on a regular basis or use the seat belt in an atypical fashion (such as under the armpit). Moderate or high level of discomfort from the interaction between seat belt and CIED was present in 27%, while more than half (51%) were afraid of seat belt-induced CIED damage. In multifactorial analysis, we found the following independent predictors of improper seat belt use: (1) at least moderate level of discomfort at the CIED site (P=0.02); (2) fear of CIED damage (P=0.009); and (3) irregular seat belt use prior to CIED implantation (P=0.037). Improper seat belt-related behaviors are common in CIED recipients. They arise from previous habits and from CIED-related physical and psychological factors. Patients' education regarding the importance and safety of proper seat belt use is a priority.

The Turkish version of the Modified Falls Efficacy Scale: reliability and validity from the viewpoint of balance

Background/aim The factors associated with fall-related self-efficacy should be addressed, especially in the elderly. The Modified Falls Efficacy Scale (MFES) is a simple instrument with good scaling properties and reliability. The aim of the present study was to determine the reliability and the validity of the Turkish version of the MFES from the viewpoint of balance.Materials and methods In this study, 164 participants aged >65 years were included. The use of walking aids and assistive devices, history and frequency of falls in the previous year, living environment, and exercise habits were noted. Balance and risk of falling were assessed with the Berg Balance Scale (BBS). A forward-backward translation procedure was used for the Turkish version of the MFES.Results None of the 14 items in the MFES were modified. The Turkish version of the MFES has excellent internal consistency (Cronbach’s alpha, 0.978) and reliability (interclass correlation coefficient, 0.928–0.982), and its construct validity was supported by its ability to distinguish between the groups with respect to fall-risk factors and balance. According to the BBS scores, the high-fall-risk group had lower MFES scores than the moderate- and low-fall-risk groups (χ2 = 34.153, P = 0.001).Conclusion The Turkish version of the MFES is a sensitive instrument for evaluation of fall-related confidence while carrying out indoor/outdoor activities. It also predicts falls, reduced physical activity, balance and mobility problems, and restricted social participation and daily living activities.

Scand-Ankle: Alcohol intervention in acute surgery of ankle fracture

Risky consumption of alcohol is a global burden. Patients who overuse alcohol are overrepresented in emergency departments and surgical wards. These patients have an increased risk of postoperative complications together with prolonged hospital stays and admissions to intensive care units after surgery. In elective surgery, preoperative alcohol cessation interventions can reduce postoperative complications. To date, no studies have investigated the effect of intensive alcohol cessation intervention at the time of acute surgical emergency procedures on postoperative complications. The purpose of this thesis is to establish new evidence on the prevention of complications in acute surgical patients with risky alcohol intake. ​ The thesis was based on two studies described in four papers. The first study was a randomised controlled trial (RCT) – the Scand-Ankle study – that aimed to evaluate the effects of a gold standard programme for alcohol cessation intervention (GSP-A) in the perioperative period on postoperative complications and alcohol intake, which are described in a protocol (paper I) and at 6-week follow-up (paper II) and 1 year follow-up (paper III). The second study was a systematic review with the objective assessing the effect of perioperative alcohol cessation interventions on the rate of postoperative complications and postoperative consumption of alcohol. In paper II, the GSP-A showed a significant effect on successful cessation of alcohol in the 6-week perioperative period (51% vs. 14%; p=0.001), but it did not significantly change the complication rate (42% vs. 34%; p=0.49) or costs (€8,279 vs. €9,320; p=0.63) after trauma surgery. In paper III, at the 1-year follow-up, the participants had relapsed to their previous drinking habits, and both the intervention and control groups reported a high complication rate of 46% in the GSP-A group versus 55% in control group (p=0.47). The systematic review (paper IV) included three RCTs. These RCTs evaluated intensive alcohol cessation interventions of four to twelve week duration given to participants undergoing different types of surgical procedures with the aim of complete alcohol cessation prior to surgery. All three studies showed a significant effect on the number of participants with alcohol cessation in the intervention groups. There was a moderate quality of evidence for the effect of the intensive alcohol cessation interventions on postoperative complications. Generalisation of the results of the Scand-Ankle study and systematic review should be considered carefully because they included relatively few participants, and the intervention studies were performed in a Danish population, which may differ from other populations in other countries. It is important that the surgical staff identify patients who are vulnerable during surgery to inform them of their increased risk of developing postoperative complications. We need to rethink the strategy for acute surgery in patients with risky alcohol intake to reduce their high risk of postoperative morbidity.

Assessment of the Effect of Dietary Modifications and Bioenteric Intragastric Balloon Treatment on the Changes of Some Morphological and Biochemical Parameters in Obese Patients

Obesity is the most common disease of affluence of the XXI century. According to WHO (World Health Organization), it is defined as a chronic metabolic disorder manifested by excessive accumulation of adipose tissue with high tendency for familial occurrence. According to WHO, obesity reaches epidemic proportions in many countries. High BMI (Body Mass Index) correlates with coexisting diseases. Traditional dietetic treatment often does not bring any results. A form of conservative (non-surgical) support for patients in fighting with obesity is the reduction of stomach volume by bioenteric intragastric balloon (BIB) treatment. The aim of the work was to develop a diet with anti-inflammatory properties, well-tolerated by the patients after BIB treatment. An American diet was modified by changing the composition of fatty acids, increasing anti-oxidative potential and adding synbiotics for patients treated with BIB. Chemical analysis of reconstructed food ratios of recommended diet was performed, analysing the content of micronutrients, composition of fatty acids, antioxidative capacity, reducing power and the content of polyphenols. Improvement in anthropometric measurement results and satisfying body weight loss were obtained, while preserving fat-free body mass. Improvement in the parameters of lipid metabolism was also observed, that is, decrease in total CH (cholesterol) and TG (triglycerides), and normalized concentration of HDL (high density lipoproteins) and LDL (low density lipoproteins) fractions. Reduced concentration of glucose in blood and lower blood pressure was also noted. Performed study confirms the effectiveness of complex treatment with BIB and properly adjusted individualized diet. Observations and own experience allow to deduce that patients who resign from systematic contact with a dietician cannot maintain reduced body weight. Abandoning previous habits is the only way to maintain the effect of weight loss. Most importantly, the change in patients’ awareness and consequent behaviour in the future are crucial. Even though genes may contribute to obesity, environmental factors mainly determine the possibility of the disease to occur. Therefore, the change of patients’ lifestyle after body weight reduction will decide on their fate.

Minimally invasive fascia lata harvesting in ASCR does not produce significant donor site morbidity.

The aim of this study was to prospectively evaluate donor site morbidity in arthroscopic superior capsular reconstruction using a minimally invasive harvested fascia lata autograft. Fifteen consecutive patients underwent arthroscopic superior capsular reconstruction by the senior author using a fascia lata autograft harvested in a minimally invasive fashion. All patients were prospectively evaluated at 1 week, 6 and 18months postoperatively. The subjects' body mass index, age, actual or previous corticosteroid therapy history and active smoking habits were evaluated. Functional outcomes were assessed by the non-arthritic hip score applied to the harvested and contralateral thighs. Every patient completed standardized subjective satisfaction questionnaires at all evaluations. The median patient age was 65.5years (range 47-77). Nine patients (60%) were females, and six (40%) were males. One patient (6.7%) was within the normal range of weight, nine (60%) were overweight, four (27%) were obese, and one (6.7%) was extremely obese. Two patients (13%) were active smokers. No patients had an active or previous record of corticosteroid therapy. No patients required postoperative lower limb physical therapy. In terms of overall and cosmetic satisfaction, most patients reported that they were satisfied or very satisfied at all evaluations, and the proportion of very satisfied patients increased over time (p < 0.001). The harvested thigh's functional scores were 91% (p = 0.003) and 94% (p = 0.008) of the healthy thigh's score at 6 and 18 months, respectively. The complications reported were mild, and their proportions decreased in the first 18 months after surgery (p = 0.04). The minimally invasive fascia lata harvesting technique for arthroscopic superior capsular reconstruction leads to donor site satisfactory subjective results and good functional outcomes at 18 months after surgery. According to these findings, donor site morbidity is not a valid argument against the use of this autograft for arthroscopic superior capsular reconstruction. Case series, level IV.

Effects of exercise and dietary habits on the occurrence of polycystic ovary syndrome over 5years of follow-up.

To evaluate the effects of recent and previous exercise and dietary habits on the occurrence of polycystic ovary syndrome (PCOS). The present study had a population-based case-control phase and a nested case-control phase. Women aged 12-44years with and without PCOS were surveyed using the Semiquantitative Food Frequency Questionnaire and the International Physical Activity Questionnaire to evaluate the correlation of PCOS with recent (last 7days) or previous (5years ago) exercise and dietary habits. No difference in recent physical activity was found between the PCOS and control groups (case-control phase, n=1854). However, patients with PCOS had previously (5years ago; nested case-control phase, n=1149) spent less time physical active in relation to transportation (P=0.003), housekeeping (P=0.023), walking (P<0.001), and activities of moderate intensity (P=0.008), and had spent more time sitting (P<0.001). Dietary nutrients and energy intake did not differ between the two groups (P>0.05 for all comparisons). Previous exercise habits were associated with subsequent PCOS whereas a recently acquired exercise routine was not. Women should avoid long-term sedentary lifestyle habits and focus on adding to the duration of, or enhancing the intensity of, physical activity.

Avaliação da função pulmonar e força muscular respiratória de dependentes químicos em tratamento

Introduo: anualmente vem aumentando o nmero do uso do crack na populao brasileira. Objetivo: caracterizar o perfil da populao em tratamento no Centro de Ateno Psicossocial para lcool e outras Drogas (CAPS/AD), para uso do crack na cidade de Maring e avaliar a funo pulmonar e fora muscular respiratria desses indivduos. Mtodo: trata-se de uma pesquisa transversal, quantitativa e observacional com 15 indivduos dependentes de crack em tratamento. Foram avaliados a presena de sinais e sintomas respiratrios e hbitos pregressos, a funo pulmonar e a fora da musculatura respiratria. Resultados: dentre os resultados encontrados, 60% dos indivduos no apresentaram distrbiosventilatrios, 13,3% tiveram CVF adequado, 40,0% VEF1 adequado e o mesmo percentual com o IT tambm adequado. 66,7% tiveram PI mx e PE mx adequadas. Concluso: os resultados obtidos com a realizao desse trabalho no apresentaram alteraes significativas para a funo pulmonar e para a fora muscular respiratria da maioria dos usurios em tratamento no CAPS/AD.

Analysis of the Skin Basocellular Carcinoma (BCC) Among the Smokers in Bosnia and Herzegovina.

Aim:The aim of this article is to determine the possible correlation between the smoking habit and the incidence of basocellular skin cancer (BCC).Patients and methods:The prospective study, which lasted from June 2012 to June 2018, included subjects diagnosed with basocellular skin cancer (BCC). Respondents were divided into 3 groups. The first, group A (21 respondents), are respondents who smoke 20-35 cigarettes a day. The second, group B (19 respondents), consists of respondents who smoke 35-50 cigarettes a day. The third, group C (91 respondents), consist of non-smokers. Observed parameters are sex, age, current and previous smoking habits, including duration (total smoking year) and intensity (average number of cigarettes smoked per day), age at the start of smoking, and prolonged exposure to the sun. Results:No statistically significant relationship was found between smoking and BCC frequency. It was shown that with BCC of the skin was more affected those who did not smoke. There is no clear relationship between the duration of smoking and/or the amount of smoking and the development of BCC, and it follows that this relationship is not likely to be causative. A suggestive, but not significant, evidence of relationship between smoking and skin cancer is found at this time.Conclusion:Since it is a conglomerate of possible etiological factors, further research is needed to definitively clarify the effect of tobacco consumption on the development of BCC by monitoring a larger number of respondents over a longer period of time in large prospective studies. In any case, a possible association with skin cancer is a reason to avoid smoking.

Agnosia Interferes With Daily Hygiene in Patients With Dementia.

Patients with dementia, particularly Alzheimer’s disease, may not recognize that their clothes are dirty. They may see the food stains and discoloration of the clothes and yet because of their agnosia are unable to integrate these observations and deduce that their clothes are dirty and need to be changed. They will, therefore, resist attempts to get them to change clothes, especially if these clothes happen to be their favorite ones. This often causes caregivers to become frustrated, especially, if it represents a change in the patient’s previous habits of only wearing clean clothes. In this case study, we present a 72-year-old woman with moderate Alzheimer’s disease who lives with her daughter, who adamantly refuses to change the clothes she has been wearing for a few days and which are now clearly dirty. We report the interaction, highlight what went wrong in the patient–daughter interaction, and discuss how the catastrophic ending could have been avoided or averted.