Vertical impact increase in middle age may explain idiopathic weight-bearing joint osteoarthritis

2001 ◽  
Vol 82 (12) ◽  
pp. 1673-1677 ◽  
Author(s):  
Steven Robbins ◽  
Edward Waked ◽  
Nicholas Krouglicof
Keyword(s):  
Middle Age ◽  
Weight Bearing ◽  
Vertical Impact

Changes in Behavior and Behavioral Intentions among Middle-Age Women: Results from an Osteoporosis Prevention Program

2003 ◽  
Vol 93 (2) ◽  
pp. 521-526 ◽  
Author(s):  
Lori W. Turner ◽  
Lorraine S. Wallace ◽  
Sharon B. Hunt ◽  
Amy S. Gray
Keyword(s):  
Physical Activity ◽  
Calcium Intake ◽  
Prevention Program ◽  
Behavioral Intentions ◽  
Middle Age ◽  
Weight Bearing ◽  
Dairy Product ◽  
Osteoporosis Prevention ◽  
Actual Change

The purpose of this study was to evaluate changes in behaviors and behavioral intentions that occurred among 342 middle-age women ( M age 49.5 yr.) after participating in an Osteoporosis Prevention Program. The valid and reliable Osteoporosis Preventing Behaviors Survey (developed by Doheny and Sedlak) and a survey developed for this work were measures. Significant changes in behaviors were reported, especially increases in weight-bearing physical activity, dairy product intake, and decreases in consumption of caffeine-containing beverages. Many subjects reported intentions to increase physical activity and calcium intake. An Osteoporosis Prevention Program may help promote osteoporosis prevention behaviors, but intents must be followed up to check actual change.

Clinical evaluation of Nirgundi Taila and Dashmoola Ghrita in the management of Sandhigata Vata (Osteoarthritis)

2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Dhaval M. Dholakiya ◽  
Mandeep Kaur ◽  
Hari Mohan Chandola
Keyword(s):  
Diagnostic Criteria ◽  
Clinical Evaluation ◽  
Clinical Presentation ◽  
Middle Age ◽  
Weight Bearing ◽  
Symptomatic Improvement ◽  
Warm Water

Though Sandhigata Vata is described under the broad heading of Vatavyadhi in most of the Samhita and Sangraha Granthas, it is not included under 80 types of “Nanatmaja Vatavyadhi”, Charaka was first, who described separately Sandhigata Vata as - “Sandhigata Anila” in Vatavyadhi chapter. The clinical presentation of Sandhigata Vata resembles to Osteoarthritis, which is the most common form of arthritis. It begins asymptomatically in middle age with progressive symptoms in advancing age. It increases in prevalence with age especially in weight bearing joints. Female are prone with 25% prevalence were 16% in male. In present study 21 patients fulfilling diagnostic criteria of Sandhigata Vata were selected. Patients were treated with Nirgundi Taila locally 8ml on affected joints, with Dashmoola Ghrita 12g. with meal internally twice a day with luke warm water. After a course of therapy of 2 month symptomatic improvement was observed at various levels with better results in the patients treated with Nirgundi Taila and Dashmoola Ghrita.

The blister of porphyria cutanea tarda: A Scanning and Transmission Electron Microscopic study

1986 ◽  
Vol 44 ◽  
pp. 334-335
Author(s):  
Veronika Burmeister ◽  
R. Swaminathan
Keyword(s):  
Electron Microscopy ◽  
Transmission Electron Microscopy ◽  
Basement Membrane ◽  
Middle Age ◽  
Porphyria Cutanea Tarda ◽  
Minor Trauma ◽  
Electron Microscopic ◽  
Transmission Electron Microscopic Study ◽  
Transmission Electron ◽  
Transmission Electron Microscopic

Porphyria cutanea tarda (PCT) is a disorder of porphyrin metabolism which occurs most often during middle age. The disease is characterized by excessive production of uroporphyrin which causes photosensitivity and skin eruptions on hands and arms, due to minor trauma and exposure to sunlight. The pathology of the blister is well known, being subepidermal with epidermodermal separation, it is not always absolutely clear, whether the basal lamina is attached to the epidermis or the dermis. The purpose of our investigation was to study the attachment of the basement membrane in the blister by comparing scanning with transmission electron microscopy.

Use of a Mild-Gain Hearing Aid by Middle-Age Normal-Hearing Adults Who Do and Do Not Self-Report Trouble Hearing in Background Noise

2020 ◽  
Vol 29 (3) ◽  
pp. 419-428
Author(s):  
Jasleen Singh ◽  
Karen A. Doherty
Keyword(s):  
Hearing Aids ◽  
Background Noise ◽  
Middle Age ◽  
Hearing Aid ◽  
Normal Hearing ◽  
Self Report ◽  
Hearing Aid Use ◽  
Hearing Handicap ◽  
Before And After ◽  
Hearing Problems

Purpose The aim of the study was to assess how the use of a mild-gain hearing aid can affect hearing handicap, motivation, and attitudes toward hearing aids for middle-age, normal-hearing adults who do and do not self-report trouble hearing in background noise. Method A total of 20 participants (45–60 years of age) with clinically normal-hearing thresholds (< 25 dB HL) were enrolled in this study. Ten self-reported difficulty hearing in background noise, and 10 did not self-report difficulty hearing in background noise. All participants were fit with mild-gain hearing aids, bilaterally, and were asked to wear them for 2 weeks. Hearing handicap, attitudes toward hearing aids and hearing loss, and motivation to address hearing problems were evaluated before and after participants wore the hearing aids. Participants were also asked if they would consider purchasing a hearing aid before and after 2 weeks of hearing aid use. Results After wearing the hearing aids for 2 weeks, hearing handicap scores decreased for the participants who self-reported difficulty hearing in background noise. No changes in hearing handicap scores were observed for the participants who did not self-report trouble hearing in background noise. The participants who self-reported difficulty hearing in background noise also reported greater personal distress from their hearing problems, were more motivated to address their hearing problems, and had higher levels of hearing handicap compared to the participants who did not self-report trouble hearing in background noise. Only 20% (2/10) of the participants who self-reported trouble hearing in background noise reported that they would consider purchasing a hearing aid after 2 weeks of hearing aid use. Conclusions The use of mild-gain hearing aids has the potential to reduce hearing handicap for normal-hearing, middle-age adults who self-report difficulty hearing in background noise. However, this may not be the most appropriate treatment option for their current hearing problems given that only 20% of these participants would consider purchasing a hearing aid after wearing hearing aids for 2 weeks.

Single Hemicerclage for Lateral Type B Malleolar Fracture - A Novel, Minimal and Reliable Osteosynthesis

Swiss Surgery ◽  
2003 ◽  
Vol 9 (6) ◽  
pp. 283-288
Author(s):  
Maurer ◽  
Stamenic ◽  
Stouthandel ◽  
Ackermann ◽  
Gonzenbach
Keyword(s):  
Ankle Joint ◽  
Weight Bearing ◽  
Fracture Type ◽  
Type B ◽  
Malleolar Fracture ◽  
Metallic Wire ◽  
Long Term Outcome ◽  
X Ray ◽  
Upper Ankle Joint ◽  
Upper Ankle

Aim of study: To investigate the short- and long-term outcome of patients with isolated lateral malleolar fracture type B treated with a single hemicerclage out of metallic wire or PDS cord. Methods: Over an 8-year period 97 patients were treated with a single hemicerclage for lateral malleolar fracture type B and 89 were amenable to a follow-up after mean 39 months, including interview, clinical examination and X-ray controls. Results: The median operation time was 35 minutes (range 15-85 min). X-ray controls within the first two postoperative days revealed an anatomical restoration of the upper ankle joint in all but one patient. The complication rate was 8%: hematoma (2 patients), wound infection (2), Sudeck's dystrophy (2) and deep vein thrombosis (1). Full weight-bearing was tolerated at median 6.0 weeks (range 2-26 weeks). No secondary displacement, delayed union or consecutive arthrosis of the upper ankle joint was observed. All but one patient had restored symmetric joint mobility. Ninety-seven percent of patients were satisfied or very satisfied with the outcome. Following bone healing, hemicerclage removal was necessary in 19% of osteosyntheses with metallic wire and in none with PDS cord. Conclusion: The single hemicerclage is a novel, simple and reliable osteosynthesis technique for isolated lateral type B malleolar fractures and may be considered as an alternative to the osteosynthesis procedures currently in use.

Personality Theory at Middle Age: Generativity vs. Stagnation

1977 ◽  
Vol 22 (1) ◽  
pp. 25-27 ◽  
Author(s):  
NANCY MCWILLIAMS
Keyword(s):  
Middle Age ◽  
Personality Theory
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