A 29-year-old previously healthy woman, a doctor, was diagnosed with remitting relapsing multiple sclerosis after fulfilling McDonald's criteria for the diagnosis of definite multiple sclerosis. Despite 22 months of immunomodulatory treatment, the feasibility of continuing to train in a stressful specialty of medicine became an ethical and practical dilemma. Fitness for practice and career adva...

Physical activity is one of the key factors of ageing healthy and at the same time one of the key motivational challenges for the elderly. Supporting healthy ageing through physical fitness requires interventions that promote healthy levels of physical activity as part of the daily routine. Although wearable devices, such as activity trackers or smart wristbands, have been used by younger adopt...

QUESTIONS What proportion of people after total knee arthroplasty adheres to the physical activity regimen recommended for maintenance of health (moderate intensity physical activity for at least 30min on 5 days/week)? What proportion adheres to the activity regimen recommended to improve fitness (vigorous intensity physical activity for at least 20min on 3 days/week)? What factors are associat...

The majority of health problems encountered in association with travel stem from preexisting, perhaps latent, illness in the individual which may be exacerbated by the rigours and hazards of travel. It is essential that the advising physician understands the hazards that are likely to be encountered during travel in order that they may develop informed decisions regarding fitness for travel and...

INTRODUCTION The seafaring industry remains a hazardous occupation that requires sophisticated systems of risk and fitness assessment. This study aims to investigate the extent of agreement between Approved Doctors (ADs) and Medical Referees (MRs) when they assess a seafarer's fitness. MATERIAL AND METHODS Between 2003 and 2009 a total of 232,878 seafarer medical examinations were carried out...

OBJECTIVE To quantify the relation of fitness to mortality among men with diabetes, adjusted for BMI and within levels of BMI. RESEARCH DESIGN AND METHODS In this observational cohort study, we calculated all-cause death rates in men with diabetes across quartiles of fitness and BMI categories. Study participants were 2,196 men with diabetes (average age 49.3 years, SD 9.5) who underwent a me...

introduction: the concept of organizational culture usually is considered as a moderating factor in using information technology (it). the present study aimed to review the association between harrison cultural typology and the acceptance of hospital information system (his) by its users in non-university hospitals of iran university of medical sciences (tehran, iran). methods: this research wa...

BACKGROUND Hypertension often coexists with dyslipidemia, accentuating cardiovascular risk. Statins are often prescribed in hypertensive individuals to lower cardiovascular risk. Higher fitness is associated with lower mortality, but exercise capacity may be attenuated in hypertension. The combined effects of fitness and statin therapy in hypertensive individuals have not been assessed. Thus, w...

Background Previous literature suggests the beneficial effects of fitness on abdominal obesity may be attenuated in obesity and abolished in severe obesity. It is unclear whether the beneficial association between fitness and health is similarly present in those with mild and severe obesity. Methods Patients from the Wharton Medical Clinic (n = 853) completed a clinical examination and maxima...

In this study, we address the problem of medical diagnosis by applying Fuzzy Cognitive Map (FCM). A distinctive feature of the FCM is its ability to simulate the development of the disease in time. By this simulation, it is possible to predict the severity of the disease by having future knowledge on current medical investigations. For the first time in this paper, we construct an FCM-based cla...