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The present study tests predictions regarding skilled golf performance and age-based upon Selection, Optimization, and Compensation (SOC) theory. Participants were 1,324 adults (17-85 years old) who competed in a three-day major amateur golf tournament. Findings indicated that older golfers were most likely to identify difficulties in their games worthy of remediation, relied on performance-enhancing equipment to the greatest degree, and scored higher on SOC selection. For such players, SOC selection and remaining competitive predicted better tournament performance. Older players were also less likely to rate a variety of game improvement techniques as effective, less likely to engage in preround preparation, and were less likely than younger players to engage in SOC optimization and compensation strategies. This pattern of findings to a large extent also characterized middle-aged players. Despite a mixed picture of support for SOC theory, these findings provide valuable insights into its application to aging and the competitive sport domain.
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Golfe , Idoso , Idoso de 80 Anos ou mais , Envelhecimento , Humanos , Pessoa de Meia-IdadeRESUMO
Low back pain is a prevalent military and veteran health problem and individuals injured on deployment may be at particularly high risk of pain conditions. Given that increasing numbers of active duty and veteran military personnel are seeking care in community settings, it is critical that health care providers are aware of military health issues. The current study examined the prevalence of low back pain among individuals with deployment-related injuries, compared their self-reported pain intensity and interference ratings, and assessed the relationship between low back pain, self-reported pain ratings, and quality of life. Almost half of participants had low back pain diagnoses, and individuals with low back pain reported significantly higher intensity and interference due to their pain than individuals without low back pain. Finally, the relationship between low back pain and quality of life was explained by self-reported pain indices, underscoring the importance of patient-centered metrics in pain treatment.
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Dor Lombar , Militares , Veteranos , Humanos , Dor Lombar/epidemiologia , Medição da Dor , Qualidade de Vida , AutorrelatoRESUMO
OBJECTIVE: Pain is a significant public health issue that may be particularly problematic among injured service members who are at high risk of chronic physical and mental health conditions. The goals of this study were to describe the prevalence and types of low back pain (acute vs. recurrent) among service members injured while on combat deployments, and to examine the differences in posttraumatic stress disorder (PTSD) and depression prevalence and severity, as well as quality of life, for individuals with low back pain compared with those without. METHOD: Baseline assessment data from a subset of participants (n = 4,397) in the Wounded Warrior Recovery Project, a large, longitudinal examination of patient-reported outcomes, were used in conjunction with Department of Defense medical records data. RESULTS: Almost half of participants had acute or recurrent low back pain diagnoses, and the majority of individuals had no diagnosis of low back pain prior to their deployment-related injury. Individuals with low back pain, particularly recurrent, screened positive for PTSD and depression at higher rates, reported more severe symptoms of these disorders, and demonstrated poorer quality of life than those without. CONCLUSIONS: Low back pain was a prevalent issue among service members with deployment-related injury and was associated with worsened mental health outcomes and quality of life. Health care providers and researchers in multiple disciplines should consider the complex relationships between pain and mental health in order to further optimize treatment and outcomes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Dor Lombar/psicologia , Saúde Mental/normas , Militares/psicologia , Qualidade de Vida/psicologia , Adulto , Feminino , Humanos , Masculino , Estados UnidosRESUMO
Sex- and gender-based health disparities are well established and may be of particular concern for service women. Given that injured service members are at high risk of adverse mental and behavioral health outcomes, it is important to address any such disparities in this group, especially in regard to patient-reported outcomes, as much of the existing research has focused on objective medical records. The current study addressed physical and mental health-related quality of life, mental health symptoms, and health behaviors (i.e., alcohol use, sleep, and physical activity) among a sample of service women injured on deployment. Results indicate that about half of injured service women screened positive for a mental health condition, and also evidenced risky health behaviors including problematic drinking, poor sleep, and physical inactivity. Many of the mental and behavioral health variables demonstrated statistically significant associations with each other, supporting the relationships between psychological health and behaviors. Results provide additional evidence for the importance of access to integrated and effective mental healthcare treatment for injured service women and the need for screening in healthcare settings that address the multiple factors (e.g., mental health symptoms, alcohol use, poor sleep) that may lead to poor outcomes.
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Comportamentos Relacionados com a Saúde , Saúde Mental , Militares/psicologia , Qualidade de Vida , Lesões Relacionadas à Guerra/psicologia , Mulheres/psicologia , Adulto , Consumo de Bebidas Alcoólicas , Feminino , Nível de Saúde , Humanos , Lesões Relacionadas à Guerra/fisiopatologiaRESUMO
BACKGROUND: Endometriosis is complex, but identifying the novel biomarkers, inflammatory molecules, and genetic links holds the key to the enhanced detection, prediction and treatment of both endometriosis and endometriosis related malignant neoplasia. Here we review the literature relating to the specific molecular mechanism(s) mediating tumorigenesis arising within endometriosis. METHODS: Guidance (e.g. Cochrane) and published studies were identified. The Published studies were identified through PubMed using the systematic review methods filter, and the authors' topic knowledge. These data were reviewed to identify key and relevant articles to create a comprehensive review article to explore the molecular fingerprint associated with in endometriosis-driven tumorigenesis. RESULTS: An important focus is the link between C3aR1, PGR, ER1, SOX-17 and other relevant gene expression profiles and endometriosis-driven tumorigenesis. Further studies should also focus on the combined use of CA-125 with HE-4, and the role for OVA1/MIA as clinically relevant diagnostic biomarkers in the prediction of endometriosis-driven tumorigenesis. CONCLUSIONS: Elucidating endometriosis' molecular fingerprint is to understand the molecular mechanisms that drive the endometriosis-associated malignant phenotype. A better understanding of the predictive roles of these genes and the value of the biomarker proteins will allow for the derivation of unique molecular treatment algorithms to better serve our patients.
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The United States of America would seem to be an excellent location for using pollen data in forensic applications. The vegetation within the region is highly diverse ranging from areas of Arctic tundra to some of the most inhospitable deserts anywhere in the Western Hemisphere. The highly varied ecology, great plant diversity, thousands of vegetational microhabitats, and extensive published pollen records for the region provide an ideal setting for these types of analyses. This diversity, often characterized in most locations by unique combinations of pollen types, makes the use of forensic pollen a reliable technique that can often be used to associate individuals with a unique crime scene or geographical region. Nevertheless, forensic pollen studies in the United States of America are currently one of the most highly under utilized techniques available to assist in solving criminal and civil cases. During the past century there has been a very limited attempt to use pollen evidence in either criminal or civil cases, for a variety of reasons, including a lack of available information about the technique, a very limited number of specialists trained to do forensic pollen work, and an almost total absence of academic centers able to train needed specialists or forensic facilities able, or willing, to fund research in this area. Hopefully, this paucity of use will change if certain steps are taken to encourage the routine collection and use of pollen evidence in both criminal and civil cases.
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Botânica , Medicina Legal/métodos , Pólen , Esporos , Vestuário , Ecossistema , Medicina Legal/tendências , Cabelo , Humanos , Estados UnidosRESUMO
BACKGROUND: Healthcare organizations, compendia, and drug knowledgebase vendors use varying methods to evaluate and synthesize evidence on drug-drug interactions (DDIs). This situation has a negative effect on electronic prescribing and medication information systems that warn clinicians of potentially harmful medication combinations. OBJECTIVE: The aim of this study was to provide recommendations for systematic evaluation of evidence for DDIs from the scientific literature, drug product labeling, and regulatory documents. METHODS: A conference series was conducted to develop a structured process to improve the quality of DDI alerting systems. Three expert workgroups were assembled to address the goals of the conference. The Evidence Workgroup consisted of 18 individuals with expertise in pharmacology, drug information, biomedical informatics, and clinical decision support. Workgroup members met via webinar 12 times from January 2013 to February 2014. Two in-person meetings were conducted in May and September 2013 to reach consensus on recommendations. RESULTS: We developed expert consensus answers to the following three key questions. (i) What is the best approach to evaluate DDI evidence? (ii) What evidence is required for a DDI to be applicable to an entire class of drugs? (iii) How should a structured evaluation process be vetted and validated? CONCLUSION: Evidence-based decision support for DDIs requires consistent application of transparent and systematic methods to evaluate the evidence. Drug compendia and clinical decision support systems in which these recommendations are implemented should be able to provide higher-quality information about DDIs.
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Sistemas de Notificação de Reações Adversas a Medicamentos/normas , Sistemas de Apoio a Decisões Clínicas/normas , Interações Medicamentosas , Prescrição Eletrônica , Medicina Baseada em Evidências/normas , Bases de Dados Factuais , Rotulagem de Medicamentos , Guias de Prática Clínica como AssuntoRESUMO
An unexpected outbreak of boll weevils, Anthonomus grandis, an insect pest of cotton, across the Southern Rolling Plains (SRP) eradication zone of west-central Texas, USA, was detected soon after passage of Tropical Storm Erin through the Winter Garden district to the south on 16 August 2007. The synchrony and broad geographic distribution of the captured weevils suggest that long-distance dispersal was responsible for the reinvasion. We integrated three types of assessment to reconstruct the geographic origin of the immigrants: (i) DNA fingerprinting; (ii) pollen fingerprinting; and (iii) atmospheric trajectory analysis. We hypothesized the boll weevils originated in the Southern Blacklands zone near Cameron, or in the Winter Garden district near Uvalde, the nearest regions with substantial populations. Genetic tests broadly agree that the immigrants originated southeast of the SRP zone, probably in regions represented by Uvalde or Weslaco. The SRP pollen profile from weevils matched that of Uvalde better than that of Cameron. Wind trajectories supported daily wind-aided dispersal of weevils from the Uvalde region to the SRP from 17 to 24 August, but failed to support migration from the Cameron region. Taken together the forensic evidence strongly implicates the Winter Garden district near Uvalde as the source of reinvading boll weevils.
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Gossypium/genética , Insetos/genética , Pólen/genética , Gorgulhos/genética , Animais , Pesquisa , Estações do Ano , TexasRESUMO
Palinologia é o estudo dos grãos de pólen produzidos por plantas sementeiras (angiospermas e gimnospermas) e esporos (pteridófitas, briófitas, algas e fungos). O pólen representa a flora terrestre e pode ser útil em muitas disciplinas: é único, não deteriora facilmente e é um marcador natural. O pólen pode ser usado para determinar os mecanismos de polinização, os recursos de forrageamento, as rotas de migração e locais fontes de insetos e outros polinizadores. O pólen fornece meios para análises paleoambientais de rochas terrestres sendo de interesse de geólogos. Também auxilia a explicar as correlações de ambientes terrestres com as sucessões marítimas e é usado para determinar trocas ecológicas e ambientais. Recentemente, a palinologia tem sido utilizada nos meios forenses. Esse artigo introduz a idéia do uso do pólen em várias disciplinas e, em particular, na entomologia.
Palynology is the study of pollen grains produced by seed plants (angiosperms and gymnosperms) and spores (pteridophytes, bryophytes, algae and fungi). It represents the land flora and can be use in many different disciplines. Pollen is distinctive, does not easily decay and is a natural marker. Pollen can be used to determine pollination mechanisms, foraging resources, migration routes and source zones of insects and other pollinators. It provides a means for paleoenvironmental analyses of terrestrial rocks and is of interest to geologists. Pollen also aids in the correlation of terrestrial with marine successions and is used to determine environmental and ecological changes. Recently, palynology is used in forensics. This manuscript introduces the ideas of using pollen in a variety of disciplines, in particular in entomology.