Relationship Between Spirituality and Distress in Ascetics

The relation between spirituality and health has been argued for decades. The study aimed to ascertain the extent and nature of the relationship between spirituality quantified in terms of Spiritual Intelligence (SI) and distress in ascetics. Sixty-three Hindu ascetics aged 31.3 ± 6.6 years were sampled from Patanjali Yogpeeth, India. Participants’ distress and spiritual levels were measured by using the Cornell Medical Index Health Questionnaires (CMHIQs) and Spiritual Intelligence Self-Report Inventory-24 (SISRI-24), respectively. Multiple regression analyses showed an insignificant negative relationship between SI and distress implying SI as a predictor of psychosomatic health.

Fatigability is among the factors of discoordination between heart rate variability and physical acceleration during free-moving days in non-older women

Fatigability is related to several diseases as well as the autonomic nervous system. We investigated whether fatigability is associated with the coordination between the physical acceleration (PA) and heart rate variability (HRV) in women. Overall, 95 adult women were divided into non-old (n=50; age: 22–59 years) and old group (n=45; age: ≥ 60 years). HRV and PA data were simultaneously obtained every minute for 24 h. We defined %lag0 as the percent ratio of lag=0 min between HRV and PA in 1 h. Cornell Medical Index was used to determine the degrees of physical and psychological symptoms. In the non-older group in the hour before sleep, the participants with high fatigability scores had significantly lower %lag0 than those with low fatigability %lag0 (p<0.05). Additionally, those with higher fatigability combined with exhaustion in the morning had significantly lower %lag0 than those without exhaustion in the hour before sleep (p<0.05) but not in the hour after waking up. These results suggest that fatigability in non-older women was associated with the discoordination between HRV and PA in the hour before sleep. Additionally, exhaustion in the morning may be related to the discoordination of HRV and PA the previous night.

康奈尔健康指数应用于中国育龄妇女的心理测量学性能分析——以中国广东省为例

目的：对康奈尔健康指数（Cornell Medical Index, CMI）应用于中国育龄妇女身体和精神健康状况的评价进行心理测量学性能的分析。方法：采用分层随机抽样法，抽取广东省1019名育龄妇女，使用康奈尔健康指数（CMI）对她们进行调查。采用Cronbach's α系数和分半信度分析CMI的内部一致性；采用集合效度和区分效度来证实CMI的结构效度，进一步采用探索性因子分析来确定其结构效度；采用天花板和地板效应来验证CMI的反应度。结果：CMI 总量表的Cronbach's α系数为 0.91，各维度的ronbach's α系数为0.59~0.85；总量表的Spearman-Brown分半系数为0.86，各维度的分半系数为0.71~0.84，满足群组比较要求。各维度的集合效度的定标成功率均为83.3%以上，区分效度的定标成功率均为93.4%以上。195个条目的主成分分析共提取了55 个主成分，累积贡献率71.579%，未能反映原量表的理论构思；进一步对18个维度进行进探索性因素分析，可提取出两个主成分，经方差最大旋转后累积贡献率为52.306%，代表了量表各个领域，与理论构思基本相符。总分及18 个维度的得分均倾向于正偏态分布，在MR总分和18个维度均出现地板效应，但无天花板效应。结论：CMI应用于育龄妇女的心理学性能良好。

Effectiveness of different therapies for drug-related osteonecrosis of the jaw

Background. Antiresorptive drug-related osteonecrosis of the jaw (ADRONJ) is a serious complication of cancer patients or osteoporosis, under treatment with antiresorptive drugs. At present, there is no scientific evidence or consensus on the most appropriate treatment approach depending on the stages of the ADRONJ. Objective. To assess the effectiveness of the different therapeutic options in the treatment of ADRONJ. Search methods. The following electronic databases were searched: PubMed (MEDLINE, Cochrane Library), Web of Science (WoS) and Spanish Medical Index (IME). Selection criteria. Studies with results on treatment of ADRONJ. Data analysis. Descriptive statistics were carried out considering means and percentages. Results. 52 studies on treatment of ADRONJ were included in this review. The complete resolution of ADRONJ cases was observed in 205 of 257 patients (79.8%) treated with surgery plus flaps; 202 of 253 (another 79.8%) with the suspension of the antiresorptive drug (“drug holiday”); 512 of 648 (79.0%) with extensive surgery; 41 of 59 (69.5%) with adjuvant hyperbaric oxygen therapy; 462 of 680 (67.9%) with conservative surgery; 55 of 119 (46.2%) with laser therapy and, finally, 100 of the 346 patients (28.9%) achieved complete resolution with medical treatment (antibiotics + antiseptics). Conclusions. Depending on the severity of bone exposures, surgical treatment combined with flaps appears to be the best therapeutic option for the treatment of ADRONJ.

Fatigability is closely associated with discoordination between heart rate variability and physical acceleration during free-moving days in younger women

Objects: Fatigability is related to several diseases and the autonomic nervous system. We investigated whether fatigability is associated with the coordination between the physical acceleration (PA) and heart rate variability (HRV) in women. Methods: Overall, 95 adult women were divided into younger group (n=50; age: 22–59 years) and older group (n=45; age: ≥ 60 years). HRV and PA data were simultaneously obtained every minute for 24 h. We defined %lag0 as the percent ratio of lag=0 min between HRV and PA in 1 h. Cornell Medical Index was used to determine the degrees of physical and psychological symptoms. Results: In the younger group in the hour before sleep, the participants with high fatigability scores had significantly lower (p<0.05) %lag0 than did those with low fatigability %lag0. Additionally, those with higher fatigability combined with exhaustion in the morning had significantly lower %lag0 than did those without exhaustion in the hour before sleep but not in the hour after waking up (p<0.05). Conclusions: These results suggest that the coordination between HRV and PA in younger women was closely associated with their fatigability in the hour before sleep. Additionally, exhaustion in the morning may be related to the discoordination of HRV and PA the previous night.

Fatigability is closely associated with discoordination between heart rate variability and physical acceleration during free-moving days in younger women

BackgroundFatigability is related to several diseases and the autonomic nervous system. We investigated whether fatigability is associated with the coordination between the physical acceleration (PA) and heart rate variability (HRV) in women.MethodOverall, 95 adult women were divided into younger group (n = 50; age: 22–59 years) and older group (n = 45; age: ≥ 60 years). HRV and PA data were simultaneously obtained every minute for 24 h. We defined %lag0 as the percent ratio of lag = 0 min between HRV and PA in 1 h. Cornell Medical Index was used to determine the degrees of physical and psychological symptoms.ResultsIn the younger group in the hour before sleep, the participants with high fatigability scores had significantly lower (p < 0.05) %lag0 than did those with low fatigability %lag0. Additionally, those with higher fatigability combined with exhaustion in the morning had significantly lower %lag0 than did those without exhaustion in the hour before sleep but not in the hour after waking up (p < 0.05).DiscussionThese results suggest that the coordination between HRV and PA in younger women was closely associated with their fatigability in the hour before sleep. Additionally, exhaustion in the morning may be related to the discoordination of HRV and PA the previous night.

育龄妇女身心健康的现状及其影响因素——以中国广东省为例

目的： 了解育龄妇女身心健康的现状，探讨其主要的影响因素。方法 : 采取分层随机抽样法，选取广东省 1019 名育龄妇女，使用康奈尔健康问卷（Conell Medical Index,CMI）、简明精神状态量表 (Mini- Mental State Examimation，MMSE) 和自编的个人一般情况调查表对他们进行调查。 结果： 本组的 CMI 总分为（ 23.23± 20.63），A ～ L 得分为（ 15.38± 13.76），M ～ R得分为（ 7.85± 8.66）。CMI 总分≥ 40 分 158 人 (15.5%)，M ～ R ≥ 20 分 106 人 (10.4%)。多元线性回归显示，是否每天吸20 支以上的纸烟、每天喝多少咖啡或茶、“别人认为我很笨”等 3 个因素正向预测 CMI 的 A ～ L 得分 (β=0.197 ～ 0.241，均 P ＜ 0.001)，睡眠质量、是否每天规律地锻炼、居住环境、是否每天规律地放松等 4 个因素负向预测 CMI 的 A ～ L 得分(β=-0.158 ～ -0.234，均 P ＜ 0.05)；每天喝多少咖啡或茶、是否每天吸 20 支以上纸烟、是否每天喝两次以上白酒、职业、独生子女、“别人认为我很笨”等 6 个因素正向预测 CMI 的 M ～ R 得分 (β=0.048 ～ 0.534，均 P ＜ 0.05)，睡眠质量、每天规律地锻炼、月收入、居住环境、学历、居住面积等 6 个因素负向预测 CMI 的 M ～ R 得分 (β=-0.055 ～ -0.171，均 P＜ 0.05)；每天喝多少咖啡或茶、是否每天吸 20 支以上纸烟、是否每天喝两次以上白酒、“别人认为我很笨”等 5 个因素正向预测 CMI 总分 (β=0.057 ～ 0.384，均 P ＜ 0.05)，睡眠质量、是否每天规律地锻炼、是否每天规律地放松、居住面积、学历、居住环境等 6 个因素负向预测 CMI 的总分 (β=-0.045 ～ -0.222，均 P ＜ 0.05)。 结论： 本组育龄妇女身体和心理健康状况都较好。生活环境、生活习惯、职业、学历以及人格特征等因素可能是育龄妇女身心健康状况的影响因素。

Our journey to digital curation of the Jeghers Medical Index

Background: Harold Jeghers, a well-known medical educator of the twentieth century, maintained a print collection of about one million medical articles from the late 1800s to the 1990s. This case study discusses how a print collection of these articles was transformed to a digital database.Case Presentation: Staff in the Jeghers Medical Index, St. Elizabeth Youngstown Hospital, converted paper articles to Adobe portable document format (PDF)/A-1a files. Optical character recognition was used to obtain searchable text. The data were then incorporated into a specialized database. Lastly, articles were matched to PubMed bibliographic metadata through automation and human review. An online database of the collection was ultimately created. The collection was made part of a discovery search service, and semantic technologies have been explored as a method of creating access points.Conclusions: This case study shows how a small medical library made medical writings of the nineteenth and twentieth centuries available in electronic format for historic or semantic research, highlighting the efficiencies of contemporary information technology.