Knowledge towards Physical Medicine and Rehabilitation among Training Doctors and Medical Students at the Mohammed VI University Hospital of Marrakech

The aim of our study is to evaluate the knowledge regarding physical medicine and rehabilitation among physicians in training and medical students at the Mohammed VI University Hospital in Marrakech, to approach the knowledge, attitudes, and practices of doctors regarding physical medicine and rehabilitation and evaluate the knowledge in theoretical training related to PRM among the students. We conducted a monocentric cross-sectional analytical study, using a web-based anonymous survey, carried out among 558 undergraduate student and training doctors, randomly selected in the form of a survey on the knowledge towards Physical Medicine and rehabilitation. We received 558 survey duly completed by students of the Faculty of Medicine and Pharmacy of Marrakech (62.4%) and training doctors (37.6%). The mean age of the participants was 24.53 ± 3.9 years, with extremes ranging from 17 to 39 years. 52.7% of the participants were from the former educational reform, The predominance of participation was remarkable among pediatricians 23%, The population who knew PRM was the majority (79.3%), 40.7% of the participants were unaware of the availability of a PRM department at Mohamed VI University Hospital, 0.5% of all training doctors and medical students questioned strongly agreed with the sufficiency of their training in disability management were belonging to the new reform, 84.1% of participants had never attended or referred a patient to the PRM department. 23.2% of training doctors affirmed the referral of patients to PRM for further management. Despite the essential role of PRM in the management of diseases, it remains little known by training doctors and medical students. This lack of knowledge of PRM reflects the lack of the undergraduate and postgraduate of the medical education in the field of rehabilitation.

Physical and psychological condition of senior people in a residential care facility. The effects of an aerobic training

The present study is aimed at investigating the changes between pre-test and post-test, after having introduced an aerobic programme of physical activity (one session, each of 45’ per week for 15 weeks, over a span of roughly four months, delivered by specially trained instructor), in the psychological situation (perception of general health, feelings of geriatric depression) and physical condition (activities of daily living, physical performance in terms of balance and gait, weight, and body mass index–BMI) of a group of senior citizens slightly compromised at Mini Mental State Examination (MMSE: median 23) and living in a residential care facility in northern Italy. The 36-Item Short Form Health Survey Questionnaire (SF-36), the Geriatric Depression Scale (GDS), the Italian short version of Barthel's Index of Activities of Daily Living (BADL), the Tinetti Assessment Tool were administered to 18 old men and women (median age 85.50 years). The findings (we used non- parametric statistical techniques) showed that: 1) general health perception, feelings of depression, and activities of daily were stable;2) general physical performance, and particularly the balance, increased between pre-test and post-test, while weight, BMI and waist circumference decreased. These results underline the importance, especially in the case of women, of participating at an aerobic training delivered by experienced instructors for the physical condition of senior citizens, also when they are slightly cognitively compromised.

Impact of a 12-wk physical conditioning program on the aerobic capacity of aviation cadets

BACKGROUND Flight cadets need to have good physical fitness to cope with the challenges of flying missions.The continuous development of science and technology has led to the constant upgrading of fighter jets and the improvement of their performance,which has resulted in new and higher requirements for the physical fitness of flight personnel.The traditional physical training mode,method,and assessment have been used for many years and do not meet current fitness needs.AIM To investigate the impact of a 12-wk comprehensive anti-G fitness training program on the aerobic capacity of aviation cadets and to evaluate its effectiveness.METHODS Fifty-five cadets were randomly assigned to control and experimental groups using a randomized,single-blind design.The control group maintained their existing training regimen,while the experimental group participated in a 12-wk comprehensive training intervention.The training program comprised strength training twice per week,high-intensity interval training three times per week,and supplemental nutritional and psychological support.Maximal oxygen uptake(VO2max),lower limb strength,and hemoglobin levels were measured at baseline,at 6 wk and 12 wk post-intervention.RESULTS Repeated measures analysis of variance revealed significant differences of both VO2max and relative VO2 in both groups across time points(P<0.05).However,no significant time-group interaction was observed(P>0.05).Paired t-tests comparing baseline and 12-wk results showed that VO2max and relative VO2 were significantly higher in the experimental group than the control group(P<0.05).This suggests that the training program effectively enhanced the aerobic capacity of the experimental group.Key indicators of aerobic capacity,bilateral lower limb strength and hemoglobin levels,were also significantly different over time and between groups(P<0.05).No significant differences were noted in heart-rate metrics(P>0.05).CONCLUSION A 12-wk comprehensive anti-G fitness training program significantly improved the aerobic capacity of aviation cadets,thereby enhancing their overall capacity and laying a physiological foundation for enduring high-G flights.

The Effectiveness of Partnership in Talent Training Between Industry and Higher Vocational Colleges in China

This paper is based on the partnership between China’s higher vocational colleges and industry, and obtains a large number of data on industry-college partnerships through case analysis, interviews and questionnaires. This paper analyzes the main factors that affect industry-college partnerships and the current problems and challenges, then puts forward the solutions.

Utility of “loco-check,” self-checklist for “locomotive syndrome” as a tool for estimating the physical dysfunction of elderly people

Aim: A new concept of locomotive syndrome has been proposed by the Japanese Orthopaedic Association. The aim of this study is to clarify the utility of its self-checklist, “loco-check,” as a tool for estimating the physical dysfunction of elderly people. Methods: Subjects were 1124 community-dwelling Japanese people, 557 men and 567 women, aged 40-89 years. Information about the seven “loco-check” items was obtained from present inquiry sheets. Physical functions were examined by grip strength, knee extension strength, walking speed and one-leg standing time with open eyes. The averages of these test values, controlled for age and BMI, were compared between the “loco-check” (+) group and the “loco-check” (-) group. Also we examined about the trend of decline of physical function, together with SF36 physical function subscale score, as the number of the items chosen increased. Results: Adjusted average values of all four physical function examinations in the “lococheck” (+) group were significantly lower than those of the “loco-check” (-) group (all, p . Also the adjusted average values of the majority of four tests were significantly lower in those who checked each of the “loco-check” items than those who did not, for most of the items. It was also revealed that the more items subjects checked, the lower the adjusted average values were, except for one-leg standing time. It was also the case with SF36 physical function subscale score. Conclusion: We showed the utility of “loco-check” as a simple tool not only for noticing the physical dysfunction of elderly people, but also for estimating the extent of it, except for balancing ability, particularly by counting the number of checked items.

The effects of plyometric jump training on physical fitness attributes in basketball players:A meta-analysis`

Background:There is a growing body of experimental evidence examining the effects of plyometric jump training(PJT)on physical fitness attributes in basketball players;however,this evidence has not yet been comprehensively and systematically aggregated.Therefore,our objective was to meta-analyze the effects of PJT on physical fitness attributes in basketball players,in comparison to a control condition.Methods:A systematic literature search was conducted in the databases PubMed,Web of Science,and Scopus,up to July 2020.Peer-reviewed controlled trials with baseline and follow-up measurements investigating the effects of PJT on physical fitness attributes(muscle power,i.e.,jumping performance,linear sprint speed,change-of-direction speed,balance,and muscle strength)in basketball players,with no restrictions on their playing level,sex,or age.Hedge’s g effect sizes(ES)were calculated for physical fitness variables.Using a random-effects model,potential sources of heterogeneity were selected,including subgroup analyses(age,sex,body mass,and height)and single training factor analysis(program duration,training frequency,and total number of training sessions).Computation of metaregression was also performed.Results:Thirty-two studies were included,involving 818 total basketball players.Significant(p<0.05)small-to-large effects of PJT were evident on vertical jump power(ES=0.45),countermovement jump height with(ES=1.24)and without arm swing(ES=0.88),squat jump height(ES=0.80),drop jump height(ES=0.53),horizontal jump distance(ES=0.65),linear sprint time across distances≤10 m(ES=1.67)and>10 m(ES=0.92),change-of-direction performance time across distances≤40 m(ES=1.15)and>40 m(ES=1.02),dynamic(ES=1.16)and static balance(ES=1.48),and maximal strength(ES=0.57).The meta-regression revealed that training duration,training frequency,and total number of sessions completed did not predict the effects of PJT on physical fitness attributes.Subgroup analysis indicated greater improvements in older compared to younger players in horizontal jump distance(>17.15 years,ES=2.11;≤17.15 years,ES=0.10;p<0.001),linear sprint time>10 m(>16.3 years,ES=1.83;≤16.3 years,ES=0.36;p=0.010),and change-of-direction performance time≤40 m(>16.3 years,ES=1.65;≤16.3 years,ES=0.75;p=0.005).Greater increases in horizontal jump distance were apparent with>2 compared with≤2 weekly PJT sessions(ES=2.12 and ES=0.39,respectively;p<0.001).Conclusion:Data from 32 studies(28 of which demonstrate moderate-to-high methodological quality)indicate PJT improves muscle power,linear sprint speed,change-of-direction speed,balance,and muscle strength in basketball players independent of sex,age,or PJT program variables.However,the beneficial effects of PJT as measured by horizontal jump distance,linear sprint time>10 m,and change-of-direction performance time≤40 m,appear to be more evident among older basketball players.

A longitudinal analysis of the U.S. Air Force Reserve Officers’ Training Corps physical fitness assessment

Background:The U.S.Air Force physical fitness assessment(PFA)is used to determine the overall fitness of their personnel.It is currently unknown to what extent the PFA scores of Reserve Officers’Training Corps(ROTC)cadets are affected by mandatory physical training.The purpose of this investigation was to longitudinally examine the PFAs of ROTC cadets over a four-year period,evaluate the results across class ranks,and evaluate the sensitivity of the classification of the tests.Methods:Air Force ROTC cadets performed the PFAs(abdominal circumference,1-min pushups,1-min sit-ups,and a 1.5-mile run)in both the spring(n=26)and fall(n=22)semesters.PFAs were compiled over a four-year period(Spring 2014–Fall 2017)and were performed in accordance with Air Force Instruction 36–2905.A oneway repeated measures ANOVA was performed separately for the fall and spring groups for each dependent variable across the 4 years.Additionally,a one-way between groups ANOVA was performed for each dependent variable during the time point(fall 2015;n=46)with the most recorded cadets for each class rank.Results:Longitudinal assessments revealed a main effect of time(P=0.010)on abdominal circumference;cadets had a smaller abdominal circumference in their freshman year than in their senior year.A main effect of time(P=0.006)was also observed on sit-up quantity;cadets performed more sit-ups in their junior year than in their freshman year.Examining between class ranks during the same year(between-subjects ANOVA)revealed a main effect of class rank on sit-up quantity(P=0.003);the freshmen completed fewer repetitions than the sophomores(P=0.018)and the juniors did(P=0.001).Conclusions:The results indicated that only the sit-up component showed differences between class ranks.These findings suggest that the Air Force PFA may not be sensitive enough to detect changes in physical fitness or distinguish between class ranks regarding physical performance,even after years of training.This limitation may be in part due to the limited duration of training incorporated by the ROTC program(2 h per week),which provided a maintenance effect rather than improvement in physical performance.We recommend that more attention be directed to the efficacy of physical training,the sensitivity of measures included in the PFA,or both.

Muscle capacity and physical function in older women:What are the impacts of resistance training?

The number of older adults （individuals ≥65 years）, particularly women, in our society is increasing and understanding the impact of exercise on muscle capacity （e.g., strength and power） and subsequently physical function is of utmost importance to prevent disability and maintain independence. Muscle capacity declines with age and this change negatively impacts physical function in older women. Exercise, specifically resistance training, is recommended to counteract these declines; however, the synergistic relationships between exercise, muscle capacity, and physical function are poorly understood. This review will summarize the literature regarding age-related changes in the aforementioned variables and review the research on the impact of resistance training interventions on muscle capacity and physical function in older women. Recommendations for future research in this area will be discussed.

The Impact of a Pet, in This Case a Dog, on Physical Activity, Independence, Social Contacts, Health and Quality of Life of Elderly People

In a rural area near Munich, 52 persons aged 65 years and older were interviewed in person about health and social life circumstances. Findings: Dog owners take significantly longer walks than people who do not own dogs, averaging more than 120 minutes daily (p < 0.0001). On average, people who do not own a dog walked 38 minutes, cat owners 17 minutes. 94% of the dog owners were active daily compared to 14% of those who do not own a dog. Dog owners go to the doctor on average 5.3 times per year, people who do not own a dog 7.8 times. There was no difference between the two groups in regard to the use of medication. 80% would not move to a residential home for the elderly because of the dog, and 87% would want to take the dog along. 50% of the dog owners and 41% of those who do not own a dog had on average more than 3 contacts with other people, 6% of the dog owners and 23% of those who do not own a dog had less than one contact per day. 19% of the dog owners and 36% of those who do not own a dog would describe themselves as reserved in dealings with people. 71% stated that the dog had been very useful to help them overcome the loss of a person close to them. The W-5 [Wellbeing Five score] for dog owners was an average value of 75%, for those who did not own a dog 71%. Depression was uniformly distributed in both groups. The BMIs in both groups were similar. There was no correlation to the length of the daily walk.

Research on the effect of comprehensive physical fitness training on physical education

This paper mainly focuses on the point of view of physical fitness and physical training system structure respectively from the dynamic and static perspective to analyze that frame structure system including physical fitness, body shape, physical function and mental intelligence, and operation structure of the physical training system is the main special physical training and comprehensive training of basic physical fitness training,. In order to have a new understanding of the structure of the system of physical fitness and physical training, so as to provide some reference for scientific physical training. The guiding ideology of school physical education in our country has obtained quality education, student centered, lifelong sports and health first coexistence situation, these 4 guidelines each focal point： quality education is the school sports reform background, student oriented is the value orientation, lifelong physical education is the ultimate goal of health first and work principle but, for solving the problem of student fitness deterioration is tantamount to asking for the impossible. On the basis of theoretical analysis and historical textual research, the author believes that the idea of physical education is of definite aim to improve the students＇ physique. However, the idea of physical education should also keep pace with the times and learn from each other＇ s weaknesses.

The Significance and Practical Path of Outward Bound Training in College Physical Education Teaching

Quality development training is a new type of experiential education mode implemented under the background of quality education. Strengthening the integration of quality development training and university sports requires not only the sports reform of Chinese universities and colleges in the new era, but also the development of modern society. High quality application skills. Quality development training has important practical significance for university sports. This paper analyzes the relationship between quality development training and physics education in Chinese universities, and proposes two specific ways to combine the new era.

In the concept of functional training of basketball movement physical ability training

Basketball, as against the competition activities for colleges and universities is very important, one can improve the athletes’ body function, on the other hand can cultivate the team cooperation consciousness and competitive consciousness of athletes. As the basis of basketball, good physical ＇ tness can to a certain extent, improve the athlete basketball skills and avoid injury, with abundant physical ＇ tness for basketball game winning advantage. So we must fully implement the function training concept, through a variety of ways to strengthen the basketball ＇ tness training of athletes, enhance physical ability quality.

The anti-inflammatory effects of exercise on autoimmune diseases:A 20-year systematic review

Background:The anti-inflammatory effect of exercise may be an underlying factor in improving several autoimmune diseases.The aim of this systematic review was to examine the evidence on the role of exercise training in mitigating inflammation in adolescents and adults with autoimmune disease.Methods:PubMed,Web of Science,and Embase databases were systematically reviewed for related studies published between January 1,2003,and August 31,2023.All randomized and non-randomized controlled trials of exercise interventions with autoimmune disease study participants that evaluated inflammation-related biomarkers were included.The quality of evidence was assessed using the Tool for the assEssment of Study qualiTy and reporting in EXercise scale and Cochrane bias risk tool.Results:A total of 14,565 records were identified.After screening the titles,abstracts,and full texts,87 were eligible for the systematic review.These studies were conducted in 25 different countries and included a total of 2779 participants(patients with autoimmune disease,in exercise or control groups).Overall,the evidence suggests that inflammation-related markers such as C-reactive protein,interleukin 6,and tumor necrosis factor a were reduced by regular exercise interventions.Regular exercise interventions combined with multiple exercise modes were associated with greater benefits.Conclusion:Regular exercise training by patients with autoimmune disease exerts an anti-inflammatory influence.This systematic review provides support for the promotion and development of clinical exercise intervention programs for patients with autoimmune disease.Most patients with autoimmune disease can safely adopt moderate exercise training protocols,but changes in inflammation biomarkers will be modest at best.Acute exercise interventions are ineffective or even modestly but transiently pro-inflammatory.

Importance of physical capacity and the effects of exercise in heart transplant recipients

One of the most important prognostic factors in heart failure patients is physical capacity. Patients with very poor physical performance and otherwise eligible, may be listed as candidates for heart transplantation(HTx). After such surgery, life-long immunosuppression therapy is needed to prevent rejection of the new heart. The dark side of immunosuppression is the increased risk of infections, kidney failure, cancer and advanced atherosclerosis(cardiac allograft vasculopathy), with the two latter conditions as the main causes of later mortality. In a worldwide perspective, 50% of the HTx patients survive past 10 years. Poor aerobic capacity prior to graft deterioration is not only limited to the failing heart, but also caused by peripheral factors, such as limited function in the skeletal muscles and in the blood vessels walls. Exercise rehabilitation after HTx is of major importance in order to improve physical capacity and prognosis. Effects of high-intensity interval training(HIT) in HTx recipients is a growing field of research attracting worldwide focus and interest. Accumulating evidence has shown that HIT is safe and efficient in maintenance HTx recipients; with superior effects on physical capacity compared to conventional moderate exercise. This article generates further evidence to the field by summarizing results from a decade of research performed at our center supported by a broad, but not strict formal, literature review. In short, this article demonstrates a strong association between physical capacity measured after HTx and long-term survival. It describes the possible "HITeffect" with increased levels of inflammatory mediators of angiogenesis. It also describes long-term effects of HIT; showing a positive effect in development of anxiety symptoms despite that the improved physical capacity was not sustained, due to downregulation ofexercise and intensity. Finally, our results are linked to the ongoing HITTS study, which investigates safety and efficiency of HIT in de novo HTx recipients. Together with previous results, this study may have the potential to change existing guidelines and contribute to a better prognosis for the HTx population as a whole.

Ethical Dilemma Factor in Regarding Physical Restraints to Elderly of Female Nurses with the Living Together Experience

Purpose: The aim of this study was to illuminate the connotation of “dilemma” regarding the use of physical restraint on elderly patients as represented by female nurses working in general wards at community hospitals who also live with elderly adults at home. Method: The study used the questionnaire method with an independently prepared questionnaire. Participants: The objective of the study was explained to the persons in charge of nursing in the selected 17 hospitals, and 1929. Finally, this study of participants were 524 female nurses working in general 54 wards (excluding the emergency wards of psychiatry, pediatrics, obstetrics, outpatients, operating rooms, and intensive care units) at community hospitals who also live with elderly adults at home. Results and conclusions: Cronbach’s overall coefficient for the 20 items of dilemma was high (0.78) and the factor analysis extracted four dilemma factors as having a characteristic value of 1 (Kaiser-Meyer-Olkin measure value = 0.81) with a cumulative contribution ratio of 64.5%. The high Cronbach’s for these items (0.86, 0.88, 0.87 and 0.81) confirmed the internal consistencies. With respect to the dilemma where nurses working in general wards at community hospitals who also live with elderly adults at home are faced with the physical restraint of elderly persons, four factors in the clarification of the dilemma were extracted: accomplishment of medical-treatment and accident prevention, characteristic features in nursing for elderly patients with dementia, healthcare professional relationship in nursing for elderly patients with dementia, and priorities on the accident prevention for elderly patients with dementia. Therefore, the construction of four systems to cope with these dilemmas is suggested. These systems would enable practising nurses to: (i) institution of policies to encourage discussion between nurses and other medical staff to reach consensus on treatment;(ii) allocating elderly care specialists to wards to promote alternatives to restraints;(iii) establishment of safety standards to define nurses’ responsibilities;and (iv) institution of continuous ethical education for nurses.

The Effect of Brain Gym on Global Cognitive Function of Institutionalized Older People

Cognitive function of older adults is influenced by several factors such as age,sex,education,and physical activity so that it can impact the decrease in progressive cognitive function.It is necessary to implement cognitive training in old people’s care to prevent or delay the onset of age-related cognitive decline.Brain gym is a series of simple motion exercises and is an alternative therapy that stimulates the brain.This study aims to evaluate the effect of brain gym as a cognitive training intervention on global cognitive functioning of institutionalized older population.The study is a non-randomized quasi-experimental one using pre-and post-test control group design.The participants of the study were 65 years old or older who had been part of gerontological centers from a local community.They were divided into two groups:control and intervention,each one with 15 people.Mini-Mental State Examination was applied to the sample before and after the cognitive training.The brain gym training consists of bi-weekly group meeting for 12 weeks,lasting 50 min each.The treated group had a significantly better global cognitive function.Recalling(memory),orientation and language skills were the domains with the most significant changes(p<0.05).On the other hand,no significant changes were found in the participants of control groups during post test.Our results suggest that cognitive training based in brain gym improves global cognitive function of institutionalized older people lease type your abstract here.Abstract of a research paper is typically 200 to 400 words in length,and 150 to 300 words for a review paper.Abstract shall be running continuously(not structured)and shall not include reference citations.Abbreviations that appear only once in the abstract should be defined in full.If abbreviations appear more than once,the full definitions should be provided first before they can be used elsewhere.

The Influence of Physical Exercises on Psychic Disorders

It is known that exercise has positive therapeutic effects on mental illness,but the mechanisms of action are still little studied.Based on the correlation of literature data,this work shows that progressive strength training exercises result in increased blood somatotropic concentration,which may lead to an improvement in the well-psychosocial state,and a combination of running,calisthenic exercises and recreational activities induces the increase in plasma testosterone,with positive effects on depression,schizophrenia,anxiety,bipolar affective disorder.Increasing testosterone in elderly men as a result of high-intensity interval training could result in preventing or treating cognitive decline.

Effect of sinew-regulating and bone-setting manipulating combined with exercise training in the treatment of joint injury of distal radio-ulnar

Objective: To observe the effect of the joint injury of the distal radio-ulnar joint. Methods: 60 patients with Distal Radioulnar Joint (DRUJ) injury were divided into observation group and control group according to random number method. 30 cases were included in each of the two groups.Before and after treatment in patients with Visual Analogue Scale (Visual Analogue Scale, VAS) score, forearm pronation and supination electromyographic activity, methods of electric integral value (integral electromyogram, iEMG) and Wrist in patients with self assessment Scale (Patient - Rated Wrist Evaluation, PRWE) score evaluation, comparison, and the clinical observation on diagnosis of disease and curative effect of traditional Chinese medicine standard (assessment process by blind method).Results: compared with the two groups before and after treatment, VAS score decreased, forearm pronation and postpronation activity increased, iEMG value increased, and PRWE scale score decreased (all P < 0.05), and the curative effect of the treatment group was better than that of the control group (P < 0.05). The total effective rate of the treatment group [93.3% (28/30)] was higher than that of the control group [50%(15/30), P < 0.05].Conclusion: the combined exercise training of muscle and bone setting technique can effectively alleviate the pain of patients with radial ulnar joint injury, improve the rotation of the forearm, increase the recruitment of the anterior rotatory muscle, and improve the wrist function of patients, and the effect is better than if combined with forearm support fixation.

Ideological and Political Elements Exploration in the Course of “Physical Geography”

“Physical Geography” is a course to study human beings and the environment, revealing the basic characteristics, formation mechanism and development laws of various physical geography elements, with rich ideological and political elements and high moral value, and is an important course to cultivate geographical professional interests and enhance national pride. By fully sorting out the ideological and political resources contained in the curriculum, deeply excavating the ideological and political elements, and reasonably designing the integration, this paper analyzed the dimensions of ideological and political education in the physical geography curriculum. Taking professional knowledge as the main line, the educational elements in five aspects were refined, namely, philosophical thinking, power of a big country, patriotism, strict science, and aesthetic education. This paper established the ideological and political element system of the curriculum, and achieved the moral education of the professional curriculum moisturizing and silent effect.

Discussion on the Cultivation of the Core Quality of Middle School Students’ Physical Education in Primary School Physical Education Teaching

In the context of quality education,a wider exploration of physical education has been carried out,but at the same time higher requirements have been put forward for school sports courses.It is essential to pay attention to the teaching and training of physical knowledge and skills in physical education training as well as cultivate the core physical literacy of primary school students.The core quality of physical education is the main part of the basic quality of primary and middle school students,which is of great significance to their learning and development.This article will explore the training methods of primary and middle school students’basic quality in school physical education courses for reference.