Commercial Driver Safety Risk Factors (CDSRF)
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The Relationship Between Alcohol Drinking Patterns and Sleep Duration Among Black and White Men and Women in the United States
International Journal of Environmental Research and Public Health Article The Relationship between Alcohol Drinking Patterns and Sleep Duration among Black and White Men and Women in the United States Chandra L. Jackson 1,*, Symielle A. Gaston 1 ID , Rui Liu 2, Kenneth Mukamal 3,4 and Eric B. Rimm 4,5,6 1 Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Department of Health and Human Services, 111 TW Alexander Drive, Research Triangle Park, NC 27709, USA; [email protected] 2 Social & Scientific Systems, Inc., Research Triangle Park, NC 27703, USA; [email protected] 3 Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA; [email protected] 4 Nutrition Department, Harvard T.H. Chan School of Public Health, Boston, MA 02215, USA; [email protected] 5 Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02215, USA 6 Channing Division of Network Medicine, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA 02215, USA * Correspondence: [email protected]; Tel.: +1-984-287-3701; Fax: +1-301-480-3290 Received: 22 January 2018; Accepted: 2 March 2018; Published: 20 March 2018 Abstract: In the United States, racial minorities generally experience poorer cardiovascular health compared to whites, and differences in alcohol consumption and sleep could contribute to these disparities. With a nationally representative sample of 187,950 adults in the National Health Interview Survey from 2004 to 2015, we examined the relationship between alcohol-drinking patterns and sleep duration/quality by race and sex. -
Prevalence of Diastasis of the Rectus Abdominis Muscles Immediately Postpartum: Comparison Between Primiparae and Multiparae
ISSN 1413-3555 Rev Bras Fisioter, São Carlos, v. 13, n. 4, p. 275-80, jul./ago. 2009 ARTIGO ORIGIN A L ©Revista Brasileira de Fisioterapia Prevalência de diástase dos músculos retoabdominais no puerpério imediato: comparação entre primíparas e multíparas Prevalence of diastasis of the rectus abdominis muscles immediately postpartum: comparison between primiparae and multiparae Rett MT1,2, Braga MD2, Bernardes NO1,2, Andrade SC2 Resumo Objetivos: Verificar a prevalência da diástase dos músculos retoabdominais (DMRA) em primíparas e multíparas no pós-parto vaginal imediato, comparar a DMRA supraumbilical e infraumbilical e correlacioná-las com a idade materna, o índice de massa corporal (IMC), a idade gestacional (IG) e o tempo de trabalho de parto (TTP). Métodos: Foi realizado um estudo transversal, sendo registradas informações pessoais, antecedentes obstétricos e a DMRA supra e infraumbilical. Os pontos de medida foram 4,5 cm acima e abaixo da cicatriz umbilical, sendo graduada pelo número de dedos entre as bordas mediais dessa musculatura. Para cada dedo, foi estimado 1,5 cm. A DMRA foi considerada presente e relevante quando houvesse um afastamento >2 cm na região supra e/ou infraumbilical. Resultados: Foram analisadas 467 fichas de dados, sendo a prevalência da DMRA supraumbilical >2 cm de 68% e infraumbilical de 32%. A prevalência supraumbilical entre as primíparas e multíparas foi idêntica (68%) e infraumbilical maior nas multíparas (19,8% e 29,2%). As médias da DMRA foram 2,8 (±1,2) cm supraumbilical e 1,5 (±1,1) cm infraumbilical, apresentando diferença significativa (p=0,0001) e fraca correlação (r=0,461). A média da DMRA infraumbilical foi significativamente maior nas multíparas (p<0,018). -
The Hours of Service (HOS) Rule for Commercial Truck Drivers and the Electronic Logging Device (ELD) Mandate
The Hours of Service (HOS) Rule for Commercial Truck Drivers and the Electronic Logging Device (ELD) Mandate March 18, 2020 Congressional Research Service https://crsreports.congress.gov R46276 SUMMARY R46276 The Hours of Service (HOS) Rule March 18, 2020 for Commercial Truck Drivers and the David Randall Peterman Analyst in Transportation Electronic Logging Device (ELD) Mandate Policy In response to the COVID-19 outbreak, on March 13, 2020, the Department of Transportation (DOT) issued a national emergency declaration to exempt from the Hours of Service (HOS) rule through April 12, 2020, commercial drivers providing direct assistance in support of relief efforts related to the virus. This includes transport of certain supplies and equipment, as well as personnel. Drivers are still required to have at least 10 consecutive hours off duty (eight hours if transporting passengers) before returning to duty. It has been estimated that up to 20% of bus and large truck crashes in the United States involve fatigued drivers. In order to promote safety by reducing the incidence of fatigue among commercial drivers, federal law limits the number of hours a driver can drive through the HOS rule. Currently the HOS rule allows truck drivers to work up to 14 hours a day, during which time they can drive up to 11 hours, followed by at least 10 hours off duty before coming on duty again; also, within the first 8 hours on duty drivers must take a 30-minute break in order to continue driving beyond 8 hours. Bus drivers transporting passengers have slightly different limits. Approximately 3 million drivers are subject to the federal HOS rule. -
Physical Therapy Assessment
Physical Therapy Assessment Patient Name __________________________________________ Sex M F Date _________________ First MI Last MM / DD / YYYY DOB______________ What are your goals? _____________________________________________________ MM / DD / YYYY Medical History Have you been admitted to the Emergency Room in the past year? Yes No When? __________________________________________________________________________________ Have you been admitted to the Hospital in the past year?Yes No When? __________________________________________________________________________________ History or broken bones, fractures?Yes No When and Where?________________________________________________________________________ Do you experience Headaches?Yes No How long do they last? ____________________ How often do you have them? ____________________ What makes them worse? __________________________ What helps? __________________________ Have you had any surgical procedure(s) performed? Yes No When? __________________________________________________________________________________ Describe the surgery: _____________________________________________________________________ Have you experienced head trauma including concussion, traumatic brain injury, whiplash? Yes No When? __________________________________________________________________________________ Describe what happened: _________________________________________________________________ Have you ever been in a car accident? Yes No When? __________________________________________________________________________________ -
Abdominoplasty Sur716.002 ______Coverage
ABDOMINOPLASTY SUR716.002 ______________________________________________________________________ COVERAGE: Abdominoplasty and/or removal of the overhanging lower abdominal panniculus are considered cosmetic procedures. Abdominoplasty is sometimes described as a wide internal oblique transverse abdominous plication (a wide rectus plication). No coverage is available for these procedures or for repair of a diastasis recti in the absence of a true midline hernia (ventral or umbilical). On rare occasions, abdominoplasty may be considered for coverage with determination of medical necessity for indications such as the following: · in an older individual who has such a significantly large panniculus as to interfere with the ability to walk normally or in a patient with documented pressure sores, rash, or intertriginous maceration that has not responded to all manners of conservative treatment, or · in an individual who has had multiple operations with spreading of the scar associated with diastasis recti and a true incisional hernia defect. NOTE: The presence of back pain alone without one of the preceding indications will not constitute medical necessity for abdominoplasty. ______________________________________________________________________ DESCRIPTION: Abdominoplasty is a plastic repair of the anterolateral abdominal wall, which is largely muscular and aponeurotic (a white flattened or ribbon-like tendonous expansion serving mainly to connect a muscle with the parts that it moves), with overlying subcutaneous tissue and skin. Abdominal wall pathophysiology concerns weakness or laxity of the abdominal wall musculature. This prevents maximum force generation with contraction and weakens the support of the lumber dorsal fascia with resultant back pain. An excess of ten pounds of adipose tissue in the abdominal wall adds 100 pounds of strain on the discs of the lower back by exaggeration of the normal S curve of the spine. -
Cognitive Mechanisms Underlying the Link Between Anxiety, Health Behaviors, and Illness Outcomes: Commentary on a Special Issue
Cognitive Therapy and Research (2019) 43:131–138 https://doi.org/10.1007/s10608-019-09999-6 ORIGINAL ARTICLE Cognitive Mechanisms Underlying the Link Between Anxiety, Health Behaviors, and Illness Outcomes: Commentary on a Special Issue Aliza T. Stein1 · Slaton Z. Freeman1 · Jasper A. J. Smits1 Published online: 28 January 2019 © Springer Science+Business Media, LLC, part of Springer Nature 2019 Abstract This commentary synthesizes research examining cognitive mechanisms underlying the links between anxiety, health behav- iors, and illness outcomes. We provide a brief summary of contributions to this special issue and review common themes and methodological limitations. Notably, a number of related constructs emerged as amplification factors, increasing vulnerability to psychopathology and maladaptive health behaviors. These include anxiety sensitivity, distress and discomfort intolerance, emotion regulation, health literacy, and repetitive negative thinking. Finally, we discuss clinical implications, and conclude with suggestions for further research in this area. Keywords Anxiety · Health behaviors · Transdiagnostic Introduction (Yamaoka and Tango 2005). Despite these advances, there are still large knowledge gaps and extensive unmet needs Many of the most common and serious medical conditions where effective and targeted behavioral interventions could affecting people in developed countries have strong behavio- enhance health outcomes. In order to maximize the impact ral determinants (Prather et al. 2017; Schroeder 2007). These of behavioral interventions, a better understanding of the include disorders such as heart disease, stroke, cancer, and underlying, yet malleable, processes that contribute to risk diabetes, many of which share common behavioral risk fac- and maintenance of these problems is needed. In particular, tors, such as smoking, alcohol use, poor diet, sedentary life- a greater understanding of targets that cut across physical style, and obesity. -
Sleeping Problems in Chinese Illicit Drug Dependent Subjects
Tang et al. BMC Psychiatry (2015) 15:28 DOI 10.1186/s12888-015-0409-x RESEARCH ARTICLE Open Access Sleeping problems in Chinese illicit drug dependent subjects Jinsong Tang1, Yanhui Liao1*, Haoyu He1, Qijian Deng1, Guanbai Zhang1,2, Chang Qi1, Hangtao Cui1,3, Bin Jiao1,4, Mei Yang1,5, Zhijuan Feng1, Xiaogang Chen1, Wei Hao1 and Tieqiao Liu1,6,7* Abstract Background: Illicit drug use/dependence has been recognized as a major problem. Clinical studies demonstrate that poor sleep quality is associated with increased frequency of drug use and relapse. However, few studies have addressed the issue of sleep quality among illicit drug dependent subjects. Methods: This cross-sectional study explored sleep quality in drug dependent subjects in China. We studied 2178 illicit drug dependent subjects from drug rehabilitation centres in Changsha and 2236 non-drug-using subjects, all of whom completed the self-report Pittsburgh Sleep Quality Index (PSQI). Results: We found that the prevalence of sleep disturbance was much higher in drug users (68.5%, PSQI >5; specifically, 80.24% in heroin users, 54.16% in methamphetamine users and 81.98% in ketamine users with PSQI >5) than non-users (26.4%, PSQI >5). Drug users had approximately twice the sleep latency than nondrug users (37.7 minutes V.S 18.4 minutes). Although drug users and non-users reported similar sleep duration (about 7.4 hours), drug users showed poorer subjective sleep quality and habitual sleep efficiency. They reported more sleep disturbance and need for sleep medications, more daytime dysfunction and poorer subjective sleep quality compared with nondrug users. -
F110 Genetics Physical Exam, Part II
Bench to Bassinet Pediatric Cardiac Genomics Consortium: CHD GENES Form 110: Genetics Physical Exam - Part II Version: C - 06/22/2011 SECTION A: ADMINISTRATIVE INFORMATION F1 Skin A1. Study Identification Number: F2 Chest F3 Inter A2. Study Visit: Proband Subject Baseline Visit F4 Nippl A3. Date Form Completed: MM/DD/YYYY F5 Chest F6 Abdo SECTION F: SKIN, CHEST, ABDOMEN, AND BACK F7 Back Normal Abnormal Unknown Source G1 Genit Pending H1 Hand F1. Skin: I1 Feet a. Ashleaf spots J1 Neuro b. Café-au-lait spots c. Cutis marmata d. Hemangioma e. Hyperkeratosis f. Hyperpigmented lesions g. Hypopigmented lesions h. Lipoma i. Port wine spots j. Skin tag k. Telangiectasia l. Other i. If Other, specify: F2. Chest circumference: cm F3. Inter-Nipple Distance (IND): cm Normal Wide Closely Unknown Source Spaced Spaced Pending Nipples Nipples F4. Nipples: Normal Abnormal Unknown Source Pending F5. Chest: a. Barrel b. Absent/ hypoplastic clavicles c. Narrow d. Supernumerary Nipples e. Absent pectoralis muscle f. Pectus Carinatum g. Pectus Excavatum h. Absent Ribs i. Supernumerary Ribs j. Short k. Other i. If Other, specify: Normal Abnormal Unknown Source Pending F6. Abdomen: a. Abdominal Mass b. Diastasis recti c. Gastroschisis d. Inguinal Hernia e. Umbilical Hernia f. Left-sided Liver g. Midline Liver h. Omphalocele i. Splenomegaly j. Other i. If Other, specify: Normal Abnormal Unknown Source Pending F7. Back: a. Kyphosis b. Meningomyelocele c. Sacral Dimple d. Scoliosis e. Winged Scapula Unilateral Bilateral No f. Other i. If Other, specify: SECTION G: GENITOURINARY (HISTORY OF OR PRESENT) Normal Abnormal Unknown Source Pending G1. -
Diastasis Recti
In This Chapter Benefits and Risks of Exercise During Pregnancy Maternal Fitness Gestational Diabetes Preeclampsia Maternal Obesity Maternal Exercise and the Fetal Response Contraindications and Risk Factors Physiological Changes During Pregnancy Musculoskeletal System Cardiovascular System Respiratory System Thermoregulatory System Programming Guidelines and Considerations for Prenatal Exercise Biomechanical Considerations for the Pregnant Mother Low-back and Posterior Pelvic Pain Pubic Pain Carpal Tunnel Syndrome Diastasis Recti About The Author Stress Urinary Incontinence Sabrena Merrill, M.S., has been actively involved in the fitness Nutritional Considerations industry since 1987. An ACE-certified Group Fitness Instructor Psychological Considerations and Personal Trainer, Merrill teaches group exercise, owns and Benefits and Risks of Exercise Following Pregnancy operates her own personal training business, has managed Physiological Changes Following fitness departments in commercial facilities, and lectured to Pregnancy university students and established fitness professionals. She Programming Guidelines and Considerations for Postnatal has a bachelor’s degree in exercise science as well as a master’s Exercise degree in physical education from the University of Kansas, and Biomechanical Considerations for the Lactating Mother has numerous certifications in exercise instruction. Merrill acts Case Study as a spokesperson for the American Council on Exercise (ACE) Summary and is involved in curriculum development for ACE continuing education programs. Additionally, Merrill presents lectures and workshops to fitness professionals nationwide. CHAPTER 23 Pre- and Postnatal Exercise Sabrena Merrill n increasing amount of research on exercise in pregnancy has led to a waning debate over the maternal and fetal risks of regular physical activity during pregnancy. There is a growing trend of women entering pregnancy with regu- Alar aerobic and strength-conditioning activities as a part of their daily routines. -
Sarah Balaam Thesis
ALCOHOL USE AND ASSOCIATED HEALTH BEHAVIOURS OF WOMEN WHO HAVE BEEN TREATED FOR BREAST CANCER Sarah Balaam BHthSc(Nut&Diet)(Hons1), APD Submitted in fulfilment of the requirements for the degree of Doctor of Philosophy School of Nursing Faculty of Health Institute of Health and Biomedical Innovation (IHBI) Queensland University of Technology 2019 Alcohol use and associated health behaviours of women who have been treated for breast cancer i Keywords Alcohol consumption, breast cancer, health behaviours, health promotion, precede-proceed model, predisposing, reinforcing, enabling, survivorship. ii Alcohol use and associated health behaviours of women who have been treated for breast cancer Abstract Background Breast cancer is the most commonly diagnosed cancer in Australian women (Australian Institute of Health and Welfare & Australasian Association of Cancer Registries, 2017). Fortunately, advances in screening, early detection, and diagnosis, together with more effective treatments, are associated with recently-improved survival rates for these women, despite increased incidence (Potter, Collins, Brown, & Hure, 2014; Rock et al., 2012; World Cancer Research Fund/American Institute for Cancer Research, 2007). Better survival is clearly a positive outcome for this growing population; however, survival is also associated with negative outcomes, such as an increased risk of secondary primary cancers (Pollard, Eakin, Vardy, & Hawkes, 2009), co-morbidities (Eakin et al., 2007; Eakin et al., 2006; Pollard et al., 2009; Rock, Byers, et al., 2013), -
Sleep and Alcohol Use in Women
FOCUS ON Alcohol Res. 2020;40(2):13 • https://doi.org/10.35946/arcr.v40.2.13 Published: 16 July 2020 SLEEP AND ALCOHOL USE IN WOMEN Sarah M. Inkelis,1 Brant P. Hasler,2 and Fiona C. Baker3 1Joint Doctoral Program in Clinical Psychology, San Diego State University and University of California San Diego, San Diego, California 2Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania 3Center for Health Sciences, SRI International, Menlo Park, California; School of Physiology, University of the Witwatersrand, Johannesburg, South Africa Sleep disturbance is common among individuals with alcohol use disorder (AUD). Insomnia not only is a pathway toward alcohol consumption but also is related to increased risk of relapse, psychosocial impairment, decreased quality of life, and suicidal ideation in individuals with AUD. Few studies examining sleep disturbance and alcohol use have explored how this relationship differs between men and women. Historically, studies of AUD have included few, if any, women in their samples. However, women are increasingly consuming alcohol at an earlier age and at higher rates, and the effect of alcohol on women’s mental and physical health is expected to rise. This narrative review consolidates findings from studies that have reported the effects of acute and chronic alcohol use on sleep among women. Additional research is needed to investigate sex differences in this area. Such research should consider the modifying effects of age, lifetime alcohol use, and psychiatric co-occurrence, -
Diseases of the Digestive System (KOO-K93)
CHAPTER XI Diseases of the digestive system (KOO-K93) Diseases of oral cavity, salivary glands and jaws (KOO-K14) lijell Diseases of pulp and periapical tissues 1m Dentofacial anomalies [including malocclusion] Excludes: hemifacial atrophy or hypertrophy (Q67.4) K07 .0 Major anomalies of jaw size Hyperplasia, hypoplasia: • mandibular • maxillary Macrognathism (mandibular)(maxillary) Micrognathism (mandibular)( maxillary) Excludes: acromegaly (E22.0) Robin's syndrome (087.07) K07 .1 Anomalies of jaw-cranial base relationship Asymmetry of jaw Prognathism (mandibular)( maxillary) Retrognathism (mandibular)(maxillary) K07.2 Anomalies of dental arch relationship Cross bite (anterior)(posterior) Dis to-occlusion Mesio-occlusion Midline deviation of dental arch Openbite (anterior )(posterior) Overbite (excessive): • deep • horizontal • vertical Overjet Posterior lingual occlusion of mandibular teeth 289 ICO-N A K07.3 Anomalies of tooth position Crowding Diastema Displacement of tooth or teeth Rotation Spacing, abnormal Transposition Impacted or embedded teeth with abnormal position of such teeth or adjacent teeth K07.4 Malocclusion, unspecified K07.5 Dentofacial functional abnormalities Abnormal jaw closure Malocclusion due to: • abnormal swallowing • mouth breathing • tongue, lip or finger habits K07.6 Temporomandibular joint disorders Costen's complex or syndrome Derangement of temporomandibular joint Snapping jaw Temporomandibular joint-pain-dysfunction syndrome Excludes: current temporomandibular joint: • dislocation (S03.0) • strain (S03.4) K07.8 Other dentofacial anomalies K07.9 Dentofacial anomaly, unspecified 1m Stomatitis and related lesions K12.0 Recurrent oral aphthae Aphthous stomatitis (major)(minor) Bednar's aphthae Periadenitis mucosa necrotica recurrens Recurrent aphthous ulcer Stomatitis herpetiformis 290 DISEASES OF THE DIGESTIVE SYSTEM Diseases of oesophagus, stomach and duodenum (K20-K31) Ill Oesophagitis Abscess of oesophagus Oesophagitis: • NOS • chemical • peptic Use additional external cause code (Chapter XX), if desired, to identify cause.