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1. Obstacles facing evidence based medicine in physical medicine and rehabilitation: from opinion and knowledge to practice (PubMed)

Obstacles facing evidence based medicine in physical medicine and rehabilitation: from opinion and knowledge to practice Evidence-based medicine (EBM) is a new approach to medicine which can guide clinical services toward effective and beneficial results with the least side effects or errors. Up to now, there have been few available articles about specialists' EBM status, specifically the status of physiatrists in the area of EBM.To determine the present status of physiatrists' attitudes

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2017 Electronic physician

2. Suicide prevention: optimising medicines and reducing access to medicines as a means of suicide

assessment in accordance with NICE guidelines. NICE's medicines evidence commentary on self-harm in older people discusses a large UK observational study in people aged 65 years and over. The study found that the risk of suicide was markedly increased in people who had a previous self-harm episode compared with those who did not. Self-poisoning through ingestion of drugs was the most common means of self-harm. A chronic physical health problem can both cause and exacerbate depression: pain, functional (...) impairment and disability associated with chronic physical health problems can greatly increase Suicide prevention: optimising medicines and reducing access to medicines as a means of suicide (KTT24) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 9 of 11the risk of depression in people with physical illness. Depression can also exacerbate the pain and distress associated with physical illnesses and adversely affect

2019 National Institute for Health and Clinical Excellence - Advice

3. Obesity prevention and beyond..highlights from the Faculty of Sports and Exercise Medicine Annual Scientific Conference 2017 “Exercise Medicine and Physical Activity for Health”

Obesity prevention and beyond..highlights from the Faculty of Sports and Exercise Medicine Annual Scientific Conference 2017 “Exercise Medicine and Physical Activity for Health” Obesity prevention and beyond..highlights from the Faculty of Sports and Exercise Medicine Annual Scientific Conference 2017 “Exercise Medicine and Physical Activity for Health” | BJSM blog - social media's leading SEM voice by By Dr Ronan Brady and Dr Ronan Kearney This years Irish FSEM 14 th annual scientific (...) conference ‘Exercise Medicine and Physical Activity for Health’ proved to be both informative and thought provoking. No doubt attendees garnered newfound knowledge to inform their clinical practice. For those that were unable to attend, let us highlight some key messages from the conference’s keynote speakers. Prof. Donal O’Shea (Clinical Professor of Medicine University College Dublin and Consultant Endocrinologist) opened the conference by explaining to us the cellular level immunological changes

2017 British Journal of Sports Medicine Blog

4. Faculty of Sports and Exercise Medicine Annual Scientific Conference, September 2017 “Exercise Medicine and Physical Activity for Health”

Faculty of Sports and Exercise Medicine Annual Scientific Conference, September 2017 “Exercise Medicine and Physical Activity for Health” Faculty of Sports and Exercise Medicine Annual Scientific Conference, September 2017 “Exercise Medicine and Physical Activity for Health” | BJSM blog - social media's leading SEM voice by This years Faculty of Sports and Exercise Medicine Annual Scientific Conference promises yet again to be a highlight of the international sports medicine calendar (...) . The conference will focus on “ Exercise Medicine and Physical Activity for Health ” and takes place on the 15 th and 16 th of September in the Royal College of Surgeons in Ireland (RCSI), Dublin. Delegates are welcomed from all healthcare backgrounds to this multidisciplinary conference where the Faculty of Sports and Exercise Medicine teams up with colleagues from the Irish Society of Chartered Physiotherapists (ISCP) and Athletic Rehabilitation Therapy Ireland (ARTI). The conference which takes place over

2017 British Journal of Sports Medicine Blog

5. The history and physical often falls by the wayside in modern medicine. That’s a shame.

The history and physical often falls by the wayside in modern medicine. That’s a shame. The history and physical often falls by the wayside in modern medicine. That's a shame. The history and physical often falls by the wayside in modern medicine. That’s a shame. | | February 11, 2019 3 Shares Did you feel a pop? It is a simple question that we rattle off to complete our musculoskeletal history. The answer may or may not give higher suspicion for a diagnosis of tear over sprains. But have you (...) at the insertion” isn’t enough of a home run, then how about pain over calcaneal insertion? What about coupled with fiber discontinuity on ultrasound and surrounding edema? History and physical, the importance of which we hammer into every medical student who comes through our hallowed halls, often falls by the wayside in modern medicine. Ultrasound, X-ray, MRI is where we hang our hats. Office time is limited and precious. We are over-encumbered by inefficient electronic medical records, pressured by RVUs

2019 KevinMD blog

6. Analysis of anticholinergic and sedative medicine effects on physical function, cognitive function, appetite and frailty: a cross-sectional study in Australia. (PubMed)

Analysis of anticholinergic and sedative medicine effects on physical function, cognitive function, appetite and frailty: a cross-sectional study in Australia. To test the association between use of medicines with anticholinergic or sedative properties and physical function, cognitive function, appetite and frailty.This cross-sectional study analysed baseline data collected as part of the Australian Longitudinal Study of Ageing, a population-based cohort of 2087 participants aged 65 years (...) medicine use and cognitive function. Users of anticholinergics or sedatives were significantly more likely to be frail compared with non-users.Use of medicines with anticholinergic or sedative properties is significantly associated with poorer physical function, poorer appetite and increased frailty. Early identification of signs and symptoms of deterioration associated with medicine use is particularly important in older people so that worsening frailty and subsequent adverse events are prevented.©

2019 BMJ open

7. Physical therapists' experiences of learning and delivering a complex behavioral medicine intervention to adolescents with pain. (PubMed)

Physical therapists' experiences of learning and delivering a complex behavioral medicine intervention to adolescents with pain. The objective was to study physical therapists' (PTs') experiences of learning and delivering a complex intervention, a tailored behavioral medicine treatment (BMT) targeting adolescents with pain in primary care. Method: An explorative study with qualitative approach, using content analysis. Three primary care PTs delivering the treatments in a randomized controlled

2019 Physiotherapy theory and practice Controlled trial quality: uncertain

8. Core concept of integrative medicine: physical activity (PubMed)

Core concept of integrative medicine: physical activity 28462113 2018 11 13 2213-4220 5 3 2016 Sep Integrative medicine research Integr Med Res Core concept of integrative medicine: physical activity. 169-170 10.1016/j.imr.2016.08.002 Kwak Hyo-Bum HB Department of Kinesiology, Inha University, Incheon 22212, Republic of Korea. eng Editorial 2016 08 12 Netherlands Integr Med Res 101612707 2213-4220 2017 5 3 6 0 2017 5 4 6 0 2017 5 4 6 1 ppublish 28462113 10.1016/j.imr.2016.08.002 S2213-4220(16

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2016 Integrative medicine research

9. Integration of Dermatology-Focused Physical Diagnosis Rounds and Case-Based Learning within the Internal Medicine Medical Student Clerkship (PubMed)

Integration of Dermatology-Focused Physical Diagnosis Rounds and Case-Based Learning within the Internal Medicine Medical Student Clerkship Over half of dermatologic conditions are seen by nondermatologists, yet medical students receive little dermatology education. Medical students in the clinical years of training at our institution felt insecure in their physical diagnosis skills for dermatologic conditions.The objective of this study was to implement dermatology-focused curricula within (...) the Internal Medicine (IM) Core Clerkship to increase student confidence in diagnosing skin diseases.Two dermatology-focused sessions were integrated into the IM Clerkship. A faculty dermatologist leads students on a dermatology-focused physical diagnosis "Skin Rounds", where patients are seen at the bedside and students practice describing skin lesions and forming a differential diagnosis. Students also participate in a case-based active learning session. A dermatologist selects images of common skin

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2016 Journal of medical education and curricular development

10. Teaching Physical Examination to Medical Students on Inpatient Medicine Teams: A Prospective, Mixed-Methods Descriptive Study. (PubMed)

Teaching Physical Examination to Medical Students on Inpatient Medicine Teams: A Prospective, Mixed-Methods Descriptive Study. Physical examination (PE) is a core clinical competency, and the internal medicine clerkship is a premiere venue for students to develop PE skills. However, clinical rotations often lack opportunities for real-time instruction. We sought to measure the frequency, content, and factors affecting PE instruction during the internal medicine clerkship. We conducted (...) to affect PE instruction. In brief, we found that residents and attending physicians who are part of internal medicine teaching services do not routinely emphasize PE instruction.© 2018 Society of Hospital Medicine.

2018 Journal of Hospital Medicine

11. Physical activity assessment and counseling in Quebec family medicine groups (PubMed)

Physical activity assessment and counseling in Quebec family medicine groups To determine how often primary health care providers (PHCPs) in family medicine groups (FMGs) assess physical activity (PA) levels, provide PA counseling (PAC), and refer patients to exercise professionals; to describe patients' PA levels, physical fitness, and satisfaction regarding their PA management in FMGs; to describe available PA materials in FMGs and PHCPs' PAC self-efficacy and PA knowledge; and to identify (...) experience, lower patient annual family income, more nurse encounters, and a higher patient physical component summary of quality of life.The rates of assessment of PA and provision of PAC in Quebec FMGs were low, even though most of the patients were inactive. Initiatives to support PHCPs and more resources to assess PA levels and provide PAC should be implemented.Copyright© the College of Family Physicians of Canada.

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2018 Canadian Family Physician

12. Survey of medical students’ attitude and knowledge toward physical medicine and rehabilitation in Isfahan University of Medical Sciences (PubMed)

Survey of medical students’ attitude and knowledge toward physical medicine and rehabilitation in Isfahan University of Medical Sciences Physical medicine and rehabilitation (PMR) is a specialized clinical field of musculoskeletal diseases and physical impairment that is unknown for most of the medical students.This study aimed to assess medical students' attitude and knowledge toward PMR and its role in the diagnosis and treatment of musculoskeletal diseases.This cross-sectional study

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2018 Journal of education and health promotion

13. Physical activity counseling in primary care and family medicine residency training: a systematic review (PubMed)

Physical activity counseling in primary care and family medicine residency training: a systematic review Physical inactivity is a global public health challenge. Physical activity (PA) promotion in healthcare delivery systems is effective to reduce physical inactivity. A primary care setting provides an appropriate environment for PA counseling since it is a primary contact with primary care or family physicians encounter the majority of the population. Lack of knowledge and inadequate training

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2018 BMC medical education

14. Non-Ionizing Radiation for Cardiac Human Amniotic Mesenchymal Stromal Cell Commitment: A Physical Strategy in Regenerative Medicine (PubMed)

Non-Ionizing Radiation for Cardiac Human Amniotic Mesenchymal Stromal Cell Commitment: A Physical Strategy in Regenerative Medicine Cell therapy is an innovative strategy for tissue repair, since adult stem cells could have limited regenerative ability as in the case of myocardial damage. This leads to a local contractile dysfunction due to scar formation. For these reasons, refining strategy approaches for "in vitro" stem cell commitment, preparatory to the "in vivo" stem cell differentiation (...) , is imperative. In this work, we isolated and characterized at molecular and cellular level, human Amniotic Mesenchymal Stromal Cells (hAMSCs) and exposed them to a physical Extremely Low Frequency Electromagnetic Field (ELF-EMF) stimulus and to a chemical Nitric Oxide treatment. Physically exposed cells showed a decrease of cell proliferation and no change in metabolic activity, cell vitality and apoptotic rate. An increase in the mRNA expression of cardiac and angiogenic differentiation markers, confirmed

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2018 International journal of molecular sciences

15. Corrigendum to “Impact of new rapid transit on physical activity: A meta-analysis” Preventive Medicine Reports 10 (2018) 184–190 (PubMed)

Corrigendum to “Impact of new rapid transit on physical activity: A meta-analysis” Preventive Medicine Reports 10 (2018) 184–190 [This corrects the article DOI: 10.1016/j.pmedr.2018.03.008.].

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2018 Preventive medicine reports

16. Sustainability of physical exam skills in a resident-led curriculum in a large internal medicine program with competency based medical education (PubMed)

Sustainability of physical exam skills in a resident-led curriculum in a large internal medicine program with competency based medical education Competency Based Medical Education (CBME) designates physical examination competency as an Entrustable Professional Activity (EPA). Considerable concern persists regarding the increased time burden CBME may place on educators. We developed a novel physical examination curriculum that shifted the burden of physical examination case preparation (...) and performance assessment from faculty to residents. Our first objective was to determine if participation led to sustainable improvements in physical examination skills. The second objective was to determine if resident peer assessment was comparable to faculty assessment.We selected physical exam case topics based on the Objectives of Training in the Specialty of Internal Medicine as prescribed by the Royal College of Physicians and Surgeons of Canada. Internal Medicine residents compiled evidence-based

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2018 Canadian medical education journal

17. Physical activity promotion for patients transitioning to dialysis using the "Exercise is Medicine" framework: a multi-center randomized pragmatic trial (EIM-CKD trial) protocol. (PubMed)

Physical activity promotion for patients transitioning to dialysis using the "Exercise is Medicine" framework: a multi-center randomized pragmatic trial (EIM-CKD trial) protocol. Patients on dialysis are physically inactive, with most reporting activity levels below the fifth percentile of healthy age-matched groups. Several small studies have reported efficacy of diverse exercise interventions among persons with CKD and those on dialysis. However, no single intervention has been widely adopted (...) in real-world practice, despite a clear need in this vulnerable population with high rates of mortality, frailty, and skilled nursing hospitalizations.We describe a pragmatic clinical trial for an exercise intervention among patients transitioning to dialysis. We will use an existing framework - Exercise is Medicine (EIM) - developed by the American College of Sports Medicine. After undertaking formative qualitative research to tailor the EIM framework to the advanced CKD population (eGFR < 30 ml/min

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2018 BMC Nephrology Controlled trial quality: uncertain

18. The Comparison of Genetic Factors Influences on Physical Activity and Health between Classical Medicine and Iranian Traditional Medicine (PubMed)

The Comparison of Genetic Factors Influences on Physical Activity and Health between Classical Medicine and Iranian Traditional Medicine Different factors, especially genetic, effect individual attitude to regular physical activity in Iranian traditional medicine. It was believed that individual physical activity attitude is affected by Mizaj too. Our aim was to conduct a comparative revision and evaluation of the effect of genetic factors on physical activity in classic medicine and Iranian (...) traditional medicine.In this study, we reviewed Persian resources in the research center of traditional medicine at Shiraz University of Medical Sciences. We also evaluated the texts on physical activity and genetics in PubMed and Google Scholar.The results of classical medicine revision showed the effect of especial genes on obesity and sedentary behavior. It is also derived from Iranian traditional medicine resources that physical activity and sedentary behavior is affected by individual Mizaj.The

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2016 Iranian journal of medical sciences

19. Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes

Medicines optimisation: the safe and effective use of medicines to enable the best possible outcomes Medicines optimisation: the safe and Medicines optimisation: the safe and effectiv effective use of medicines to enable the e use of medicines to enable the best possible outcomes best possible outcomes NICE guideline Published: 4 March 2015 nice.org.uk/guidance/ng5 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y (...) unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Medicines optimisation: the safe and effective use of medicines

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

20. Classification and Visualization of Physical and Chemical Properties of Falsified Medicines with Handheld Raman Spectroscopy and X-Ray Computed Tomography. (PubMed)

Classification and Visualization of Physical and Chemical Properties of Falsified Medicines with Handheld Raman Spectroscopy and X-Ray Computed Tomography. Analytical methods for the detection of substandard and falsified medical products (SFs) are important for public health and patient safety. Research to understand how the physical and chemical properties of SFs can be most effectively applied to distinguish the SFs from authentic products has not yet been investigated enough. Here, we (...) elements. Generic products that purported to contain equivalent amounts of API to the authentic products were discriminated from the authentic products by the handheld Raman and the different physical structure on X-ray CT. Approach to investigate both the chemical and physical properties with handheld Raman and X-ray CT, respectively, promise the accurate discrimination of the SFs, even if their visual appearance is similar with authentic products. We present a decision tree for investigating

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2017 American Journal of Tropical Medicine & Hygiene

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