scholarly journals Unilateral Shoulder Bags: Can They Be Worn in a Way to Reduce Postural Asymmetry?

Author(s):  
Yasmin Qureshi ◽  
Eric Shamus

Purpose: To investigate whether there is a way to wear a unilateral strap shoulder bag that will allow more symmetrical postural alignment, preventing potentially harmful musculoskeletal effects. Subjects: Sixty-five college student volunteers.Methods: Each participant donned a unilateral strap shoulder bag two different ways on the dominant and non-dominant shoulder while standing on a Postural Scale Analyzer to measure lower extremity weight distribution. Results: A significant improvement (p < 0.05) in lower extremity weight distribution was found in right hand dominant subjects (n = 63) when wearing a shoulder bag draped across the left shoulder to right hip. Discussion: When individuals who are right hand dominant wear a shoulder bag draped across the left shoulder (non-dominant shoulder), the weight distribution through the person’s lower extremities becomes more equal indicating improved postural symmetry in static standing.Conclusion: It is possible that individual prescription of a unilateral bag on the non-dominant shoulder draped across the body can be utilized to create a reduction in postural asymmetry demonstrated by more evenly distributed lower extremity loading. Recommendations: Health care providers, parents, students, and educators should be educated to carry an across-the-body unilateral strap shoulder bag that reduces postural asymmetry and the risk of future development of biomechanical problems and back pain in adulthood.

2014 ◽  
Vol 49 (3) ◽  
pp. 406-410 ◽  
Author(s):  
Cherilyn N. McLester ◽  
Robin Hardin ◽  
Stephanie Hoppe

Context: Research has suggested that the prevalence of young women with eating disorders (EDs) is increasing, but determining the exact prevalence of EDs within the female student–athlete (FS-A) population is difficult. Looking at certain traits may help us to identify their level of susceptibility to developing an ED. Objective: To determine the susceptibility of FS-As to EDs in relation to self-concept, including self-esteem and body image. Design: Cross-sectional study. Setting: Athletic training and health centers at National Collegiate Athletic Association Division I, II, and III institutions via e-mail questionnaire correspondence. Patients or Other Participants: A total of 439 FS-As from 17 participating institutions completed the questionnaires. The sample was primarily white (83.1%) and underclass (61.8%). Main Outcome Measure(s): The questionnaire consisted of 4 parts: 3 subscales of the Eating Disorder Inventory-2, the Rosenberg Self-Esteem Scale, the Body Cathexis Scale, and demographic items. Results: A total of 6.8% of FS-As were susceptible to anorexia and 1.8% were susceptible to bulimia. The majority of FS-As (61%) reported normal self-esteem levels, whereas 29.4% had high self-esteem. Overall, 64.5% were satisfied and 23% were very satisfied with their body image. Conclusions: These results are generally positive in that they suggest FS-As have high levels of self-concept and are at low risk to develop EDs. However, these findings do not mean that all concerns should be dismissed. Although more than 90% of the respondents were not susceptible to an ED, there are still FS-As who may be. Athletic departments should evaluate their FS-As' levels of self-concept so that their susceptibility to EDs can be addressed. The emotional aspect of health care should be included in providing holistic care for student–athletes. Athletic trainers often are the primary health care providers for FS-As, so they should be made aware of this concern.


Author(s):  
Lindsey Eberman ◽  
Zachary Winkelmann ◽  
Emma Nye ◽  
Daniel Walen ◽  
Kelcey Granger ◽  
...  

Context: Previous research indicates athletic trainers have a favorable view of treating transgender patients, yet do not feel competent in their patient care knowledge or abilities. Objective: To gain more depth of information about athletic trainers' knowledge and experiences regarding the health care needs of transgender student-athletes. Design: Sequential, explanatory mixed methods. Setting: Individual, semi-structured follow-up interviews. Participants: Fifteen athletic trainers who previously took part in a cross-sectional survey in April 2018 (male=8, female=7, age=24±2, years of experience=3±3). Main Outcome Measure(s): The interviews were audio recorded and transcribed verbatim. Member checking was completed to ensure trustworthiness of the data. Next, the data were analyzed using a multi-phased process and a 3-member coding team following the consensual qualitative research tradition. The coding team analyzed the transcripts for domains and categories. The final consensus codebook and coded transcripts were audited by a member of the research team for credibility. Results: Four main domains were identified: 1) perceived deficiencies, 2) misconceptions, 3) concerns, and 4) creating safety. Participants described knowledge deficiencies in themselves, health care providers within their unit, and providers able to provide safe transition care. Participants demonstrated misconceptions when characterizing the definitions of transgender and transitioning and when describing how the body responds to hormone replacement therapy. Participants expressed concern for the mental health and wellness, self-image of transgender student-athletes, and potential cost of transgender health care. However, participants also described efforts to create safety within their unit by validation, instilling trust, adjusting the physical environment, and by engaging in professional development to improve their knowledge. Conclusions: Athletic trainers want to create a safe space for transgender student-athletes but lack the necessary knowledge to treat transgender patients. Professional resources to improve athletic trainer knowledge, skills, and abilities in caring for transgender patients are a continued need. Key Points


2020 ◽  
Vol 2020 (3) ◽  
pp. 20-26
Author(s):  
Antonina Minenok ◽  
Tetiana Kiiko ◽  
Ihor Donets

The article highlights the negative trends of deteriorating health of the population in our country, which requires a responsible attitude of society and the state to strengthen and preserve the health. It becomes necessary to identify new approaches and develop programs of problems solving in the field of public health, because the current system of health care in Ukraine does not actually provide a preventive component, as it is stated in the Concept of Public Health System Development. It is noted that among a number of dangerous diseases and other important health problems, the problem of overweight remains relevant for all age groups and has no boundaries. One of the causes of overweight and obesity is the disturbance of the energy balance between the calories consumed and the calories expended, that is, excessive consumption of high-calorie foods and low levels of physical activity, especially during a pandemic. Ensuring the health and well-being of people is one of the most important goals of the world community, reflected in the basis of European policy. The achievement of European standards of quality of life and well-being of the population is one of the main tasks defined by the Strategy for Sustainable Development «Ukraine–2020». The main directions of reforms should be to increase the personal responsibility of citizens for their own health, ensuring their free choice of health-care providers of appropriate quality, the provision of targeted assistance to the most vulnerable segments of the population, and the creation of a business-friendly environment in the health-care market. Theoretical studies on the choice of efficient methods for studying overweight suggest that scientists have proposed dozens of different approaches, including both simple measurements and the most modern and expensive. But the the definition of the body mass index (BMI) remains the most convenient. This index is more closely related to the fat content of the human body than other anthropometric body mass-to-height ratios, and is therefore widely used in clinical practice. The dynamics have been investigated and important questions of preventive action on overweight and obesity have been pointed out, the reasons for the increase of the respondent body weight have been indicated, and recommendations have been made for the preservation of individual health in the context of a pandemic.


2022 ◽  
Author(s):  
Kristin L. Campbell ◽  
Prue Cormie ◽  
Sarah Weller ◽  
Shabbir M. H. Alibhai ◽  
Kate A. Bolam ◽  
...  

PURPOSE: Exercise has been underutilized in people with advanced or incurable cancer despite the potential to improve physical function and reduce psychosocial morbidity, especially for people with bone metastases because of concerns over skeletal complications. The International Bone Metastases Exercise Working Group (IBMEWG) was formed to develop best practice recommendations for exercise programming for people with bone metastases on the basis of published research, clinical experience, and expert opinion. METHODS: The IBMEWG undertook sequential steps to inform the recommendations: (1) modified Delphi survey, (2) systematic review, (3) cross-sectional survey to physicians and nurse practitioners, (4) in-person meeting of IBMEWG to review evidence from steps 1-3 to develop draft recommendations, and (5) stakeholder engagement. RESULTS: Recommendations emerged from the contributing evidence and IBMEWG discussion for pre-exercise screening, exercise testing, exercise prescription, and monitoring of exercise response. Identification of individuals who are potentially at higher risk of exercise-related skeletal complication is a complex interplay of these factors: (1) lesion-related, (2) cancer and cancer treatment–related, and (3) the person-related. Exercise assessment and prescription requires consideration of the location and presentation of bone lesion(s) and should be delivered by qualified exercise professionals with oncology education and exercise prescription experience. Emphasis on postural alignment, controlled movement, and proper technique is essential. CONCLUSION: Ultimately, the perceived risk of skeletal complications should be weighed against potential health benefits on the basis of consultation between the person, health care team, and exercise professionals. These recommendations provide an initial framework to improve the integration of exercise programming into clinical care for people with bone metastases.


2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ahmed Kamassi ◽  
Noor Hazilah Abdul Manaf ◽  
Azura Omar

Purpose The purpose of this study is to confirm that there is a great need for international Islamic accreditation body as a response of the growing number of the Islamic-friendly hospitals and Islamic practices among medical tourism providers across the globe, with a specific focus on the Malaysian industry. Design/methodology/approach This paper systematically reviews the content of medical tourism studies and international accreditation organizations for health-care providers from literature to meet its objective. Findings The establishment of international Islamic accreditation body becomes necessary nowadays as the response of the growing of Islamic medical tourism market. Creating standards based on Islamic laws and ethics may assess medical tourism providers when dealing with Muslim medical tourists. Furthermore, the most important benefit of Islamic accreditation is the development of uniform standards for Islamic medical tourism practices that combines health care and tourism services together. Practical implications An international Islamic accreditation body should be developed to assist practitioners and policymakers to use standards to select policies to improve Islamic medical tourism practices, which in turn may facilitate the identification of effective services that can meet Muslim medical tourists’ needs and expectations. Originality/value This study is the first that suggests the need to establish an international Islamic accreditation organization that assesses hospitals to offer Islamic medical tourism practices for Muslim medical tourists. It may contribute and add value to the body of Islamic medical tourism.


Author(s):  
Kennedy Diema Konlan ◽  
Joseph M. Kombat ◽  
Milipaak Japiong ◽  
Kennedy Dodam Konlan

Background: Maternity period is crucial and sensitive in the life of women due to various physiological changes that take place in the body during pregnancy and after. These changes need close monitoring to help optimize maternal and foetal health. This study explored pregnant women’s perceptions of maternity care services in the Volta Regional Hospital.Methods: Multiparous women (170) in the Ante Natal Clinic responded to a pretested questionnaire. The sample size was determined using Fischer’s formula for sample size calculation. Respondents were chosen using the convenient sampling method. The data was analysed using Statistical Package for Social Sciences version 20 in to descriptive statistics.Results: This study identified that women (42.5%) were never encouraged by health care providers to bring their partners during antenatal visits. Pregnant women (62.9%) reported that health care professionals did not allow their support persons including their husbands to be with them during labour. Women (34.1%) during labour were sometimes assaulted while 2.9% were always assaulted. Majority (74.2%) of the women received this five cardinal services that included vitamin K, eye care, cord care, bathing and immunization during the post natal period as 60.7% were introduced to family planning by midwives.Conclusions: Partner involvement in maternal health care needs to be encouraged by midwives to improve support from partners during pregnancy, labour and the post natal period. Support persons should be allowed to stay with women during labour to give the necessary support and encouragement and also take part in decision making concerning women’s care.


2019 ◽  
Vol 5 ◽  
pp. 233372141989561
Author(s):  
Alison Ross ◽  
James Gillett

In response to the risks of polypharmacy for older adults, there are increasing calls for the development and implementation of deprescribing programs. This article examines the forms of expertise that inform older adults’ decisions about how to use medications given concerns over polypharmacy and a clinical focus on deprescribing. In-depth interviews with older adults found that diverse knowledge sources underpin decisions regarding polypharmacy and deprescribing. Findings indicate that this knowledge is formed through a lifetime of embodied learning—the production of relevant knowledge through lived experiences of the body. By way of this embodied learning, older adults possess individualized knowledge bases that inform health and health care decisions, especially regarding the use of medications. If deprescribing programs are to be embedded into standard preventive medical care of older adults, then it is valuable for health care providers to be aware of and take seriously the contribution of embodied knowledge.


PEDIATRICS ◽  
1987 ◽  
Vol 80 (5) ◽  
pp. 765-766
Author(s):  
THOMAS E. WISWELL

In Reply.— Dr Watson addresses an important question—what is the proper method of hygiene in the noncircumcised male infant? Our position has long been that there should be no forceful retraction of the prepuce and that the external surface of the foreskin should be gently cleansed as other parts of the body are. All military health care providers we have communicated with advocate similar philosophies and have done so for many years. Thus, we do not believe that in the population we described that vigorous cleaning and prepuce manipulation were "scientific interventions" that contributed to the increased incidence of urinary tract infection in the uncircumcised boy.1,2


Author(s):  
Michael T Compton ◽  
Beth Broussard

Before learning about the symptoms of psychosis, it is important to understand what doctors mean by the words symptoms, signs, syndromes, and diagnosis. In this chapter, we explain these four words and then describe the various symptoms of early psychosis. Nearly any illness, whether it affects the body or the brain, causes symptoms. A symptom is an obvious change from one’s normal health that happens when an illness or disease occurs. For example, symptoms of a heart attack may include chest pain, pressure in the chest, pain running down the left arm, problems breathing, nausea, and sweating. Symptoms of the fl u may include fever, chills, cough, sore throat, and nausea. Symptoms often are the reason you go to a doctor or other health-care provider. The doctor then examines the patient to look for signs. Signs are like symptoms, but a doctor sees them through an interview, exam, or test, while symptoms are experienced by the patient. The patient may not even know that he or she has signs of an illness. For example, during a routine check-up, the doctor may discover that the patient has high blood pressure or high cholesterol. These signs could mean that the patient has heart disease or is at risk for a heart attack. Most medical diseases and mental illnesses cause both symptoms that patients experience and signs that doctors observe. A combination of both symptoms and signs is a syndrome. A heart attack is an example of a medical syndrome. Another example, diabetes, has symptoms such as being thirsty and frequent urination, and signs such as high levels of glucose, or sugar, in the blood. Some other medical syndromes are an ear infection, the flu, arthritis, and stroke. There also are many types of mental illness syndromes, such as depression, panic attacks, psychosis, and dementia. This book focuses on the syndrome of psychosis. It especially focuses on the first time psychosis appears, usually between the ages of 16 and 30 years. The word diagnosis (plural, diagnoses) refers to the specific medical word(s) given to an illness or syndrome by health-care providers. Examples of medical diagnoses include “diabetes mellitus” (diabetes), “acute myocardial infarction” (heart attack), and “cerebrovascular accident” (stroke).


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