Search

Background: Obesity is a serious health problem, it increases heart-related diseases and its prevalence continues to increase due to genetic and lifestyle influences. This study aims to evaluate the hematological parameters of obese individuals based on gender in the Omisanjana region of Ado Ekiti, Ekiti state. Nigeria. Materials and Methods: The research is based on a cross-sectional study of obese and non-obese individuals in hospitals. The study was carried out in the Omisanjana area of ​​Ado Ekiti, Ekiti state. Fifty (50) obese individuals and fifty (50) apparently non-obese individuals were recruited as controls and participated in the study. The data are shown in the table and are expressed as mean ± standard deviation, and are analyzed using the Student's t test of the statistical software package for social sciences (SPSS, version 20.0), and the level of significance is established at p≤ 0.05. Results: The results showed no significant difference in PCV (p=0.3783), WBC (p=0.501), LYM (p=0.149), GRAN (p=0.336), MID (p=0.242), ,RBC (p=0.243), HGB (p=0.086), HCT (p=0.323), MCV (p=0.943), MCH p=0.097), MCHC (p=0.922), PLT (p=0.941), when compared between obese individuals and non-obese individuals based on sex respectively. Conclusion: The study showed no statistically significant changes, and it may be because there are no significant changes in the physiological factors and the growth factors of the precursor cells in the bone marrow, so the body mass index (BMI) has no effect on hematological parameters.

Pediatric patients with complex colorectal and genitourinary conditions often require coordinated multidisciplinary care; however, this coordinated care can be hard to structure and deliver. The purpose of this paper is to review the development and implementation of a multidisciplinary colorectal and pelvic health program, one year after the program's initiation.This is an observational retrospective 1-year study (10/1/2017 to 9/30/2018). In fiscal year (FY) 2018, a multidisciplinary colorectal and pelvic health program was initiated. The program development incorporated bimonthly team meetings, educational conferences, and initiation of three clinics: a complex colorectal and genitourinary reconstruction clinic, a bowel management clinic, and a colonic motility clinic. Conditions treated included complex anorectal and cloacal malformations, Hirschsprung disease, and idiopathic constipation. The fiscal year was selected to provide comparative administrative data after program implementation.During the study period, 121 patients underwent comprehensive collaborative evaluation of which 58 (47%) were new to the institution compared to 12 (19%) new patients in the previous year (p 0.001). In FY 2018, there were 130 procedures performed and 512 collaborative visits with an average of 47 visits per month. This was a 3.4-fold increase in visits compared to FY2017 (171 visits). Of the new patients, 60% (35/58), traveled a median of 181 miles, representing 33 statewide counties, and 4 states compared to a median of 93 miles in the previous fiscal year (p = 0.004).The development of a colorectal and pelvic health program is feasible and requires a collaborative approach, necessitating multiple service lines within an institution. Program creation and implementation can result in rapid institutional clinical growth by filling a local and regional need through coordinated multidisciplinary care.IV.

Case series Patients: Female, 11 • Male, 15 Final Diagnosis: Spontaneous gastric perforation Symptoms: Abdominal pain • distention • vomiting • leukocytosis Medication: — Clinical Procedure: Both patients had surgery Specialty: Gastroenterology Objective: Rare etiology Background: Spontaneous gastric perforation is a rare clinical disorder. The majority of the available data have been reported in the neonatal age group. There are a few cases of spontaneous gastric perforation in preschool children. To our knowledge, there is no published information on spontaneous gastric perforation in older children and adolescents. Case Report: We describe the presentation and clinical course of two adolescent children who presented with spontaneous gastric perforation. Both children presented with acute onset abdominal pain, which progressively worsened. In both cases, the patient were taken urgently to the operating room after imaging studies had shown pneumoperitoneum. In both cases, surgery revealed gastric perforation with no obvious etiology, specifically no ulcer, inflammation, or other pathology. Conclusions: These two cases highlight the importance of including spontaneous gastric perforation, not just the typical duodenal/gastric ulcer, in the differential of a patient with severe abdominal pain and distension, who has imaging showing pneumoperitoneum.

OBJECTIVE: The aim of this study was to determine the impact of a demanding work schedule involving long, cumulative work shifts on response time and balance-related performance outcomes and to evaluate the prevalence of musculoskeletal disorders between day and night shift working nurses. METHODS: A questionnaire was used to identify the prevalence of past (12-month) and current (7-day) musculoskeletal disorders. Nurses worked three 12-hour work shifts in a 4-day period. Reaction time and balance tests were conducted before and after the work period. RESULTS: The work period induced impairments for reaction time, errors on reaction time tasks, and balance performance, independent of shift type. Musculoskeletal symptom prevalence was high in workers of both work shifts. CONCLUSIONS: Compressed work shifts caused performance-based fatigue in nurses. Reaction time and balance tests may be sensitive fatigue identification markers in nurses. Language: en

We investigated the time course of neuromuscular and hypertrophic adaptations associated with only four weeks of barbell squat and deadlift training. Forty-seven previously untrained women (mean±SD, age=21±3years) were randomly assigned to low volume training (n=15), moderate volume training (n=16), and control (n=16) groups. The low and moderate volume training groups performed two and four sets, respectively, of five repetitions per exercise, twice a week. Testing was performed weekly, and included dual X-ray absorptiometry and vastus lateralis and rectus femoris B-mode ultrasonography. Bipolar surface electromyographic (EMG) signals were detected from the vastus lateralis and biceps femoris during isometric maximal voluntary contractions of the leg extensors. Significant increases in lean mass for the combined gynoid and leg regions for the low (+0.68kg) and moderate volume (+0.47kg) groups were demonstrated within three weeks. Small-to-moderate effect sizes were shown for leg lean mass, vastus lateralis thickness and pennation angle, and peak torque, but EMG amplitude was unaffected. These findings demonstrated rapid muscular adaptations in response to only eight sessions of back squat and deadlift training in women despite the absence of changes in agonist-antagonist EMG amplitude.

Background Healthcare workers exhibit among the highest injury rates of all occupations, with musculoskeletal injuries predominating. Anthropometric attributes and demanding work schedules may contribute to enhanced injury risks. Specifically, physical characteristics and performance capacities as well as accumulating fatigue from multiple work shifts may predispose workers to job-related injuries. Given the unique demands of day versus night shift work and varying job positions within the healthcare sector, it remains to be determined if these job characteristics may differentially impact nursing workers’ physical and performance attributes. Therefore, the purpose of this study was to compare physical and performance attributes of both day and night shift nursing workers, and registered nurses (RNs) and nurses’ aides (CNAs).