1,540 research outputs found

    The importance of dietary factors in knee osteoarthritis:an evidence-based approach

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    Mobilizing Public Will For Social Change

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    Examines the theory and strategies of "public will" campaigns and offers tangible criteria for their evaluation. It provides a rich inventory of strategies for use in mobilizing the public will through an integration of models of agenda building, social problem construction, issues management, social movements, media advocacy, and social capital. In addition, the paper provides cases and examples of public will campaigns directed at various social problems, along with criteria for evaluating these campaigns at various stages of a social problem's life cycle

    Is Phytalgic® a goldmine for osteoarthritis patients or is there something fishy about this nutraceutical? A summary of findings and risk-of-bias assessment

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    A food supplement containing fish oils, urtica dioica, zinc, and vitamin E (Phytalgic®) for osteoarthritis (OA) has now been tested in a placebo-controlled trial for 3 months and according to the authors has a very large clinical effect, considerably larger than that of any other known product. Even experts endorsing nutraceuticals for OA symptoms would probably agree that a nutraceutical with an effect size above 0.5 is rarely seen. Despite our concerns about the fact that trial registration took place after the study was completed and the likelihood that patients would note the taste of fish, a circumstance that would lead to detection bias, we consider these data promising though with a high risk of bias

    Four Questions For Analyzing The Right-Versus-Right Dilemmas Of Managers

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    Ethics dilemmas are different than moral temptations. The former involve right-versus-right problems. The latter are right-versus-wrong problems. Although both problems are found in business, ethics dilemmas can be defining moments in the lives of managers, where professional responsibilities collide with personal values. In this case study, students use four questions developed by Badaracco (1992) as a framework for analyzing and resolving real ethical dilemmas. &nbsp

    Applicability of trials in rheumatoid arthritis and osteoarthritis: A systematic review and meta-analysis of trial populations showing adequate proportion of women, but underrepresentation of elderly people

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    Objectives: To evaluate whether elderly people and women are adequately represented in randomized controlled trials (RCT) in rheumatoid arthritis (RA) and osteoarthritis (OA). Methods: Four systematic searches in MEDLINE yielded RCT in RA and OA on any intervention published in 2016 and 2017 and population-based studies (PBS) in RA and OA published between 2013 and 2017. Random effects meta-analyses estimated the pooled proportion of elderly people (defined as being ≥ 65 years old), the mean age, its standard deviation (SD), and the proportion of women stratified by disease (RA and OA) and study type (RCT and PBS). Stratified estimates were subsequently compared. Results: 265 RCT comprising 51,240 participants and 53 PBS comprising 523,630 participants were included. In both RA and OA, RCT included lower proportions of elderly people than PBS: RA –0.18 (95% confidence interval –0.22 to –0.13); OA –0.20 (–0.30 to –0.09); had lower mean ages: RA –5.2 years (–6.8 to –3.5); OA –4.7 years (–7.5 to –2.0); and smaller SD: RA –1.9 years (–2.6 to –1.3); OA –2.7 years (–4.2 to –1.2); (all comparisons: p ≤ 0.001). Proportions of women were comparable in RCT compared to PBS in both RA and OA. Conclusions: While women are adequately represented in RA and OA trials, the elderly are underrepresented, probably limiting applicability of current evidence to this growing subgroup. It is urgent to improve the inclusion of elderly people in clinical trials and study age as a determinant for outcome

    Teacher Candidate Book Introductions

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    The purpose of this descriptive multi-case study was to explore teacher candidates\u27 book introductions during their field-based studies in elementary classrooms. The participants were 11 undergraduate students (also teacher candidates) enrolled in a field-based reading course at a South Texas regional university. The lessons occurred in the teacher candidates\u27 cooperating teachers\u27 elementary classrooms. Five sources of data were analyzed using both a priori and open coding to determine themes. The book introductions included information related to the meaning of the text and helping students make connections to text; however, little to no syntactical or visual cue information was included. The findings have implications for reading course instructors to ensure that teacher candidates have many opportunities to see and practice the delivery of book introductions during guided reading instruction

    The Ursinus Weekly, October 2, 1961

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    Retirements, sabbaticals open six faculty posts: Many new faces in old places here; Library cataloguer also appointed • Miss Pennsylvania plans active year: U.C. beauty Lynne Maloney enters Atlantic City pageant • Fall Y-retreat to feature music talk; Informal fun main weekend motif • Albrightians hear U.C.\u27s Dean Pettit; Speech on radio • Daily bulletin to relieve dining room confusion • Young Republican attends Minnesota convention • Campus welcomes freshmen with customs and classes • ISC defines strict rushing procedure • Art films offered in Philadelphia for eleventh year • Editorial: A not quite traditional welcome; A plain welcome • Letters to the editor • Chapel commentary • Ursinus in the past • Field hockey crew should show well • Whatley hopeful; But injuries haunt Grizzly team • Booters rebuild; Backfield strong • Bear gridders show promise despite Crusader thrashing • DiEugenio on defense: A study in aggression • Varsity club organizes, prints football program • Ursinus soccer team to play eleven games • Tests scheduled in near future for civil service, Fulbright grants • Campus Illustrated being sold here • Weekly adds three to editorial staff • Initial pre-med meeting to discuss pediatrics; Local doctor to speak • A fundamentalist looks at his collegehttps://digitalcommons.ursinus.edu/weekly/1299/thumbnail.jp

    The risk associated with spinal manipulation:an overview of reviews

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    BACKGROUND: Spinal manipulative therapy (SMT) is a widely used manual treatment, but many reviews exist with conflicting conclusions about the safety of SMT. We performed an overview of reviews to elucidate and quantify the risk of serious adverse events (SAEs) associated with SMT. METHODS: We searched five electronic databases from inception to December 8, 2015. We included reviews on any type of studies, patients, and SMT technique. Our primary outcome was SAEs. Quality of the included reviews was assessed using a measurement tool to assess systematic reviews (AMSTAR). Since there were insufficient data for calculating incidence rates of SAEs, we used an alternative approach; the conclusions regarding safety of SMT were extracted for each review, and the communicated opinion were judged by two reviewers independently as safe, harmful, or neutral/unclear. Risk ratios (RRs) of a review communicating that SMT is safe and meeting the requirements for each AMSTAR item, were calculated. RESULTS: We identified 283 eligible reviews, but only 118 provided data for synthesis. The most frequently described adverse events (AEs) were stroke, headache, and vertebral artery dissection. Fifty-four reviews (46%) expressed that SMT is safe, 15 (13%) expressed that SMT is harmful, and 49 reviews (42%) were neutral or unclear. Thirteen reviews reported incidence estimates for SAEs, roughly ranging from 1 in 20,000 to 1 in 250,000,000 manipulations. Low methodological quality was present, with a median of 4 of 11 AMSTAR items met (interquartile range, 3 to 6). Reviews meeting the requirements for each of the AMSTAR items (i.e. good internal validity) had a higher chance of expressing that SMT is safe. CONCLUSIONS: It is currently not possible to provide an overall conclusion about the safety of SMT; however, the types of SAEs reported can indeed be significant, sustaining that some risk is present. High quality research and consistent reporting of AEs and SAEs are needed. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42015030068. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13643-017-0458-y) contains supplementary material, which is available to authorized users
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