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Former Male Elite Athletes Have a Higher Prevalence of Osteoarthritis and Arthroplasty in the Hip and Knee Than Expected.

BACKGROUND: Intense exercise has been reported as one risk factor for hip and knee osteoarthritis (OA). PURPOSE: This study aimed to evaluate (1) whether this is true for both former impact and nonimpact athletes, (2) if the risk of a hip or knee arthroplasty due to OA is higher than expected, and (3) if joint deterioration is associated with knee injuries. STUDY DESIGN: Cohort study; Level of evi

Falls Predict Fractures Independently of FRAX Probability : A Meta-Analysis of the Osteoporotic Fractures in Men (MrOS) Study

Although prior falls are a well-established predictor of future fracture, there is currently limited evidence regarding the specific value of falls history in fracture risk assessment relative to that of other clinical risk factors and bone mineral density (BMD) measurement. We therefore investigated, across the three Osteoporotic Fractures in Men (MrOS) Study cohorts, whether past falls predicted

Assessment of the genetic and clinical determinants of fracture risk : Genome wide association and mendelian randomisation study

Objectives To identify the genetic determinants of fracture risk and assess the role of 15 clinical risk factors on osteoporotic fracture risk. Design Meta-analysis of genome wide association studies (GWAS) and a two-sample mendelian randomisation approach. Setting 25 cohorts from Europe, United States, east Asia, and Australia with genome wide genotyping and fracture data. Participants A discover

Should Benzodiazepines be Used for Reducing Dyspnea in Patients with Advanced Illnesses?

Dyspnea is a common and highly distressing symptom in patients with advanced illnesses. Many patients continue to experience chronic dyspnea despite optimal management of underlying disease(s) and various non-pharmacologic interventions, necessitating the consideration of pharmacologic therapies for palliation of dyspnea. One commonly asked question by clinicians is whether benzodiazepines have a

Energy saving in thermal energy systems using dimpled surface technology – A review on mechanisms and applications

Recently, dimpled surfaces have found great attention due to their abilities in energy management and heat transfer enhancement, low weight, small values of pressure drop penalty, simple fabrication, and small maintenance costs. Many experimental and numerical studies are accomplished to investigate the potentials of dimpled surface technology in energy management of various thermal energy systems

Increased lung weight in fatal intoxications is not unique to opioid drugs

Fatal intoxications with opioids are known to be associated with an increased lung weight, as well as with brain and pulmonary edema and urinary retention. However, there is evidence to suggest that fatal intoxications with non-opioid substances are also associated with increased lung weight; however, the latter aspect has not been comprehensively analyzed. To determine to what extent opioid and n

Comparative financing analysis and political economy of noncommunicable diseases

The pandemic of chronic non-communicable diseases (NCDs) poses substantial challenges to the health financing sustainability in high-income and low/middle income countries (LMICs). The aim of this review is to identify the bottle neck inefficiencies in NCDs attributable spending and propose sustainable health financing solutions. The World Health Organization (WHO) introduced the "best buy" concep

Excessive sleep is associated with worse cognition, cognitive decline, and dementia in mild cognitive impairment

INTRODUCTION: This study examines the link between daytime and nighttime excessive sleep and cognition, cognitive decline, and dementia in individuals with existing mild cognitive impairment (MCI).METHODS: Using data from the Swedish longitudinal study Good Aging in Skåne, participants aged 60-102 years were retrospectively classified as MCI based on cognitive testing. The average follow-up time w

Long-term adherence to anti-osteoporosis medication and determinants of adherence in the population-based screening trial ROSE

Summary: Screening initiatives for osteoporosis must facilitate treatment of those at elevated fracture risk. In a randomized controlled trial of 24,229 women, those in the screening group with FRAX ≥ 15% were invited for DXA with AOM treatment offered as per national guidelines. Treatment initiation in the following year was 9.5 times higher compared with controls. Purpose: To determine if screen

Serum and nasal lavage fluid eosinophil-derived neurotoxin levels and their determinants in adults

Background: Eosinophil-derived neurotoxin (EDN), an eosinophil granule protein, is a candidate biomarker in asthma to reflect eosinophilic activation. Objective: We sought to characterize the distribution of serum and nasal lavage fluid (NLF) EDN levels in different adult population subgroups and assess the determinants of high EDN levels. Methods: Serum and NLF samples were collected from a popul

Unhealthy food consumption and its determinants among children aged 6–23 months in Bangladesh: insights from the Demographic and Health Survey 2022

BackgroundLow- and middle-income countries (LMICs), including Bangladesh, are experiencing a nutritional transition characterized by rising unhealthy food consumption (UFC), which increases the risk of nutrient deficiencies and chronic diseases in children. Despite this concern, research on UFC among Bangladeshi children aged 6–23 months is limited. Therefore, this study aims to estimate the preva

Health promotion in elite Para sport : bridging knowledge gaps and addressing individual needs-a qualitative evaluation of the Safe and Healthy Para sport (SHAPE) intervention

OBJECTIVE: To qualitatively explore the perceptions of Para athletes, coaches and stakeholders of the implementation, use and effects of the health promotion intervention 'Safe and Healthy Para sport' (SHAPE). A secondary aim was to explore participants' perceptions of how safety and health in Para sport could be further developed.METHODS: As part of a process evaluation, this qualitative, descrip

Autoantibodies as prognostic markers in rheumatoid arthritis

Background and purpose: Rheumatoid arthritis (RA) is a chronic inflammatory disorder characterized by progressively destructive polyarthritis. Key autoimmune features include the presence of autoantibodies. The purpose of this review is to discuss the diagnostic and prognostic properties of rheumatoid factor (RF) and anti-citrullinated protein/peptide antibodies (ACPA), based on current use in Swe

Protocol for development of a checklist and guideline for transparent reporting of cluster analyses (TRoCA)

Introduction Cluster analysis, a machine learning-based and data-driven technique for identifying groups in data, has demonstrated its potential in a wide range of contexts. However, critical appraisal and reproducibility are often limited by insufficient reporting, ultimately hampering the interpretation and trust of key stakeholders. The present paper describes the protocol that will guide the d

An analysis of pool boiling heat transfer on nanoparticle-coated surfaces

In the present study, copper surfaces were deposited with Cu-Zinc nanoparticles of 0.6 mg by an electrophoretic deposition method (EPD). Two deposition patterns were designed, i.e., fully deposition (EPD-F) and channel-pattern deposition (EPD-C). In the channel-pattern deposition, the smooth channel and the deposition channel occur alternatively, by keeping the width of the smooth channel as 3 mm,

Requirements for effective investigation and learning after suicide : the views of persons with lived experience and professionals

Objective: This study aims to provide a deeper understanding of what persons with lived experience and professionals with experience of patient safety, suicide research, and investigations consider to be most important in investigations of healthcare before suicide to learn and improve the care of suicidal patients. Method: This is a qualitative study based on 15 semistructured interviews with per

Thermal Performance Analysis in a Zigzag Channel Printed Circuit Heat Exchanger under Different Conditions

In this study, the effect of axial heat conduction on thermal performance in a zigzag channel printed circuit heat exchanger (PCHE) with supercritical liquefied natural gas as the working fluid is studied by a numerical method under different conditions. The influence factors include Reynolds number, operating pressure, inlet temperatures of the cold side, and wall thermal conductivity. The result