A randomized, feasibility trial of an exercise and nutrition-based rehabilitation programme (ENeRgy) in people with cancer.

Background: Despite rehabilitation being increasingly advocated for people living with incurable cancer, there is limited evidence supporting efficacy or component parts. The progressive decline in function and nutritional in this population would support an approach that targets these factors. This trial aimed to assess the feasibility of an exercise and nutrition based rehabilitation programme in people with incurable cancer.

Four early warning scores predict mortality in emergency surgical patients at University Teaching Hospital, Lusaka: a prospective observational study.

Purpose: The value of early warning scoring systems has been established in high-income countries. There is little evidence for their use in low-resource settings. We aimed to compare existing early warning scores to predict 30-day mortality.

A systematic review examining nutrition support interventions in patients with incurable cancer.

Purpose: Recent guidelines by the European Society for Clinical Nutrition and Metabolism (ESPEN) have advocated increased attention to nutritional support in all patients with cancer; however, little is known about the optimal type of nutritional intervention. The aim of this review was to assess the current evidence for nutrition support in patients with incurable cancer.

Methods: This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.

Investigating Miranda waiver decisions: An examination of the rational consequences.

Millions of custodial suspects waive their Miranda rights each year without the benefit of legal counsel. Miranda understanding, appreciation, and reasoning abilities are essential to courts' acceptance of Miranda waivers (Grisso, 2003; Rogers & Shuman, 2005). The question posed to forensic psychologists and psychiatrists in the disputed Miranda waivers is whether a particular waiver decision was knowing, intelligent, and voluntary.

Identification of genes contributing to cardiovascular disease in overweight and obese individuals from West Virginia.

Excess weight is a known risk factor for coronary artery disease (CAD) and a large percentage of overweight and obese individuals ultimately develop CAD. The objective of this study was to identify human genes associated with CAD in a subgroup of overweight and obese individuals using population-based association methods. Logistic regression analyses were used to test the association between single nucleotide polymorphisms (SNPs) in 34 candidate genes and the CAD phenotype with age, gender, and BMI as covariates.

Development and initial validation of the Miranda vocabulary scale.

Miranda vocabulary forms the essential foundation for Miranda comprehension and subsequent decisions to exercise or waive Miranda rights. The purpose of the current study is the development of the Miranda Vocabulary Scale (MVS), designed to evaluate key vocabulary words found in Miranda warnings and waivers across American jurisdictions. A preliminary list of MVS words was refined by expert ratings and by each word's discriminability between failed and good Miranda comprehension.

Spanish translations of Miranda warnings and the totality of the circumstances.

Spanish-translated Miranda warnings are administered annually to thousands of Hispanic custodial suspects. In examining 121 Spanish translations and their English counterparts from 33 states, the lengths of Miranda warnings were generally comparable but marked differences were observed in the reading levels for individual Miranda components. The adequacy of Miranda translations varies markedly from minor variations to substantive errors.

Expectant management of the asymptomatic gallbladder at Roux-en-Y gastric bypass.

Background: Because of the claim that about one third of patients develop gallstones within 6 months of Roux-en-Y gastric bypass (RYGB), many have recommended preoperative ultrasonography for all patients and/or prophylactic cholecystectomy (CCY), or ursodiol to prevent stone formation.

Methods: Prospective data were collected from 1391 consecutive patients followed up for > or = 6 months after RYGB (2000-2005) to assess our practice of not routinely removing the gallbladder and not administering ursodiol.

Results: Of the 1391 patients, 334 (24%) had undergone CCY before RYGB.

Help your patients downsize with bariatric surgery.

Your patient has probably tried everything else. Now she's chosen to have weight-loss surgery. Do you know how to help her succeed?

Obesity: a rapidly expanding challenge.

: Explore the health implications of obesity, commonly performed surgical procedures, and postoperative care needs of bariatric surgery patients.

Recommendation for test administration in litigation: never administer the category test to a blindfolded subject.

Fox (1994) purports to determine the appropriateness of the normative data for the Logical Memory subtest of the Wechsler Memory Scale-Revised for individuals in litigation and suggests that "...

Innovations in the design and performance of underpads for patients with burns.

The purpose of this study was to determine the biomechanical performance of commercially available underpads and bed linens to reduce the development of pressure sores in patients with burns who are at high risk. The three biomechanical performance parameters examined were coefficient of friction, absorbent capacity, and rewet. Because wetting either cotton or cotton/polyester bedsheets markedly increases their coefficients of friction, underpads should be used routinely to protect the skin against frictional forces.

Quantitative evaluation of craniofacial changes with Jasper Jumper therapy.

Although the Jasper Jumper is becoming a widely accepted orthodontic appliance, no quantitative guidelines exist for therapy. The purpose of this investigation was to describe the orthopedic and orthodontic changes associated with Jasper Jumper therapy. A sample of 31 consecutively treated Class II patients was collected from three orthodontic practitioners who were using the same procedures and methods.

Growth of the cartilages of the mid-line cranial base of the Wistar rat: an autoradiographic study using 35S-sulphate.

Matrix synthesis in the mid-line cranial base of the rat was studied using a single injection of 35S-sulphate in animals aged 4-80 days. High uptake of 35S-sulphate in the morphologically distinct zone of early hypertrophy led to it being renamed the Matrixogenic Zone. Relocation of 35S-sulphate label into the primary spongiosa was used to estimate the growth rate of each site of endochondral ossification.

Growth of the cartilages of the mid-line cranial base: an autoradiographic study using tritium labelled thymidine.

Proliferative and kinetic activity of chondrocytes in five sites of endochondral growth in the mid-line cranial base of the rat have been studied using a single injection of 3H-thymidine in animals aged 4-80 days. The marked caudorostral gradient and temporal gradient of the labelling index and labelling profiles is indicative of a proliferative activity specific to each endochondral growth site. Measurements of the growth rate indicate that each growth site in the cranial base bones has a specific growth rate.