The Underutilization of Lifestyle Modifications in Primary Care Medicine

Jean-Marc Lucas(Jean-Marc Lucas ),Karl F. Kozlowski(Karl F. Kozlowski ) 사피엔시아 2019 Exercise Medicine Vol.3 No.-

Chronic disease accounts for the majority of deaths in the United States and is often attributed to obesity. A sedentary lifestyle and poor nutrition are primary contributing factors to the development of obesity and thus chronic disease. Primary care providers are optimally positioned to prescribe exercise and nutrition (lifestyle medicine) as a treatment for chronic disease. Unfortunately, this opportunity seems to be regularly lost. Primary care providers often rely too heavily on weight loss pharmaceuticals and bariatric surgeries to treat obesity. This treatment approach however also does little to prevent and treat the accumulation of chronic diseases. The purpose of this review was to evaluate the efficacy of conventional medical weight loss treatments and determine why primary care providers may not prescribe exercise and nutrition more frequently. Our findings suggest that some primary care providers may be uncomfortable prescribing lifestyle medicine as they receive little formal education in this field. In conclusion, prescription of exercise and nutrition by primary care providers may elicit greater long-term weight loss than current medical weight management practices. Medical management is most likely effective when combined with lifestyle medicine. We propose that primary care providers be better trained in lifestyle medicine through their formal and clinical education. Rates of chronic disease accumulation may potentially decrease if providers prescribe lifestyle medical treatments more frequently.

Best Practices for Blended Learning, by Pete Sharma and Barney Barrett, Pavilion Publishing and Media Ltd, 2018, 254 pp., £28.95 (GDP), ISBN 978-1-911028-84-0

Lucas Kohnke 아시아영어교육학회 2018 The Journal of Asia TEFL Vol.15 No.2

Dental students’ ability to detect maxillary sinus abnormalities: A comparison between panoramic radiography and cone-beam computed tomography

Lucas de Paula Lopes Rosado,Izabele Sales Barbosa,Sibele Nascimento de Aquino,Rafael Binato Junqueira,Francielle Silvestre Verner 대한영상치의학회 2019 Imaging Science in Dentistry Vol.49 No.3

Purpose: To compare the diagnostic ability of undergraduate dental students to detect maxillary sinus abnormalities in panoramic radiographs (PR) and cone-beam computed tomography (CBCT). Materials and Methods: This was a retrospective study based on the evaluation of PR and CBCT images. A pilot study was conducted to determine the number of students eligible to participate in the study. The images were evaluated by 2 students, and 280 maxillary sinuses were assessed using the following categories: normal, mucosal thickening, sinus polyp, antral pseudocyst, nonspecific opacification, periostitis, antrolith, and antrolith associated with mucosal thickening. The reference standard was established by the consensus of 2 oral radiologists based on the CBCT images. The kappa test, receiver operating characteristic curves, and 1-way analysis of variance with the Tukey-Kramer post-hoc test were employed. Results: Intraobserver and interobserver reliability showed agreement ranging from substantial (0.809) to almost perfect (0.922). The agreement between the students’ evaluations and the reference standard was reasonable (0.258) for PR and substantial (0.692) for CBCT. Comparisons of values of sensitivity, specificity, and accuracy showed that CBCT was significantly better (P<0.05). Conclusion: CBCT was better than PR for the detection of maxillary sinus abnormalities by dental students. However, CBCT should only be requested after a careful analysis of PR by students and more experienced professionals.

Fractal dimension analysis as an easy computational approach to improve breast cancer histopathological diagnosis

Lucas Glaucio da Silva,Waleska Rayanne Sizinia da Silva Monteiro,Tiago Medeiros de Aguiar Moreira,Maria Aparecida Esteves Rabelo,Emílio Augusto Campos Pereira de Assis,de Souza Gustavo Torres 한국현미경학회 2021 Applied microscopy Vol.51 No.1

Histopathology is a well-established standard diagnosis employed for the majority of malignancies, including breast cancer. Nevertheless, despite training and standardization, it is considered operator-dependent and errors are still a concern. Fractal dimension analysis is a computational image processing technique that allows assessing the degree of complexity in patterns. We aimed here at providing a robust and easily attainable method for introducing computer-assisted techniques to histopathology laboratories. Slides from two databases were used: A) Breast Cancer Histopathological; and B) Grand Challenge on Breast Cancer Histology. Set A contained 2480 images from 24 patients with benign alterations, and 5429 images from 58 patients with breast cancer. Set B comprised 100 images of each type: normal tissue, benign alterations, in situ carcinoma, and invasive carcinoma. All images were analyzed with the FracLac algorithm in the ImageJ computational environment to yield the box count fractal dimension (Db) results. Images on set A on 40x magnification were statistically different ( p = 0.0003), whereas images on 400x did not present differences in their means. On set B, the mean Db values presented promissing statistical differences when comparing. Normal and/or benign images to in situ and/or invasive carcinoma (all p < 0.0001). Interestingly, there was no difference when comparing normal tissue to benign alterations. These data corroborate with previous work in which fractal analysis allowed differentiating malignancies. Computer-aided diagnosis algorithms may beneficiate from using Db data; specific Db cut-off values may yield ~ 99% specificity in diagnosing breast cancer. Furthermore, the fact that it allows assessing tissue complexity, this tool may be used to understand the progression of the histological alterations in cancer.

BERTRAND CURVES IN NON-FLAT 3-DIMENSIONAL (RIEMANNIAN OR LORENTZIAN) SPACE FORMS

Lucas, Pascual,Ortega-Yagues, Jose Antonio Korean Mathematical Society 2013 대한수학회보 Vol.50 No.4

Let $\mathbb{M}^3_q(c)$ denote the 3-dimensional space form of index $q=0,1$, and constant curvature $c{\neq}0$. A curve ${\alpha}$ immersed in $\mathbb{M}^3_q(c)$ is said to be a Bertrand curve if there exists another curve ${\beta}$ and a one-to-one correspondence between ${\alpha}$ and ${\beta}$ such that both curves have common principal normal geodesics at corresponding points. We obtain characterizations for both the cases of non-null curves and null curves. For non-null curves our theorem formally agrees with the classical one: non-null Bertrand curves in $\mathbb{M}^3_q(c)$ correspond with curves for which there exist two constants ${\lambda}{\neq}0$ and ${\mu}$ such that ${\lambda}{\kappa}+{\mu}{\tau}=1$, where ${\kappa}$ and ${\tau}$ stand for the curvature and torsion of the curve. As a consequence, non-null helices in $\mathbb{M}^3_q(c)$ are the only twisted curves in $\mathbb{M}^3_q(c)$ having infinite non-null Bertrand conjugate curves. In the case of null curves in the 3-dimensional Lorentzian space forms, we show that a null curve is a Bertrand curve if and only if it has non-zero constant second Frenet curvature. In the particular case where null curves are parametrized by the pseudo-arc length parameter, null helices are the only null Bertrand curves.

Using Mobile Vocabulary Learning Apps as Aids to Knowledge Retention: Business Vocabulary Acquisition

Lucas Kohnke,Ruofei Zhang,Di Zou 아시아테플 2019 The Journal of Asia TEFL Vol.16 No.2

Different organic components on silica hybrid matrices modulate the lipase inhibition by the glycerol formed in continuous transesterification reactions

Lucas S. Martin,Annie Ceron,Pedro C. Oliveira,Gisella M. Zanin,Heizir F. de Castro 한국공업화학회 2018 Journal of Industrial and Engineering Chemistry Vol.62 No.-

Silica hybrid materials, functionalized via incorporation of three organic components: β-cyclodextrin (βCD), carboxymethyl-cellulose (CMC) and hydroxyethyl-cellulose (HEC) were synthesized by the sol–gel technique and results were compared to a well-defined matrix (silica–polyvinyl alcohol–SiO2–PVA) with respect to immobilizing Burkholderia cepacia lipase. The main objective was set to select organic components that can replace the PVA to obtain a hybrid composite with greater hydrophobic character, without compromising the remarkable features of SiO2–PVA. All the three selected compounds allowed obtaining matrices that presented similar textural and morphological properties and gave high activity (1451–1661 U g−1) and thermal stability (t1/2 > 70 h) upon immobilization. Regarding glycerol affinity, all matrices had lower ability than SiO2–PVA to adsorb glycerol, with the SiO2–βCD matrix showing the lowest affinity due to the cyclic structure of the βCD. Transesterification reactions of palm kernel oil with ethanol mediated by B. cepacia immobilized on SiO2–βCD performed in a packed bed reactor under continuous flow confirmed the efficiency of the SiO2–βCD matrix in increasing the operational stability of system, revealing a half-life (t1/2 = 1040 h), 2.5 times greater than that achieved in the same system using lipase immobilized on SiO2–PVA (t1/2 = 430 h).

Nutritional and productive parameters of Holstein/Zebu cows fed diets containing cactus pear

Lucas Daniel Alcantara Borges,Vicente Ribeiro Rocha Junior,Flavio Pinto Moncao,Camila Soares,Jose Reinaldo Mendes Ruas,Fredson Vieira e Silva,Joao Paulo Sampaio Rigueira,Natanael Mendes Costa,Laura Lu 아세아·태평양축산학회 2019 Animal Bioscience Vol.32 No.9

Objective: This study ascertained effects of cactus pear in association with different roughage in the diet of F1 Holstein/Zebu cows on intake, nutrient digestibility, nitrogen balance, ingestive behavior and performance. Methods: Eight cows with 72±11 days of lactation were used. The experimental design was simultaneous in two 4×4 Latin squares. Four experimental diets were used: Diet 1, sorghum silage as exclusive roughage; Diet 2, sorghum silage associated with cactus pear in a proportion of 50% of the roughage (dry matter basis); Diet 3, elephant grass (Pennisetum purpureum cv. Roxo) as exclusive roughage; Diet 4, elephant grass associated with cactus pear in a proportion of 50% of the roughage. The roughage:concentrate ratio was 75:25. Results: Dry matter intake (p = 0.01) was higher with sorghum silage. There were differences in dry matter intake (p = 0.01), crude protein (p<0.01), ether extract (p = 0.01), non-fibrous carbohydrates (p<0.01) and total digestible nutrients (p = 0.01) among the diets. Cactus pear in the diet reduced water intake by 44.52% (p<0.01). The nitrogen balance was 59.71% and 27.49% lower in animals treated with exclusive sorghum silage and sorghum silage associated with cactus pear in relation to diets with elephant grass and elephant grass associated with cactus pear, respectively (p<0.01). The diets did not influence the milk production (p = 0.70), 3.5% fat corrected milk production (p = 0.72) or feed efficiency (p = 0.61). Conclusion: The association of cactus pear with sorghum or elephant grass silage does not alter milk production, reduces the intake of dry matter and water and improves the digestibility of nutrients.

Exploring the Potential of Push Notification in ESL : A Qualitative Inquiry

Lucas Kohnke,Di Zou,Eric Ho,Eric Ho 아시아영어교육학회 2021 The Journal of Asia TEFL Vol.18 No.3

Building Relatedness Through Hashtags: Social Influence and Motivation Within Social Media-Based Online Discussion Forums

( Lucas John Jensen ) 한국교육공학회 2016 한국교육공학회 학술대회발표자료집 Vol.2016 No.1

In the last two decades, the mainstream growth of the Internet has led to transformative change in education, particularly higher education, as the Internet has provided new opportunities for learning online and at a distance (Allen & Seaman, 2010, Shea & Bidjerano, 2010). Commensurate with this has been a rise in the sphere of online activity known as social media - networks of users tied together via Web 2.0-based applications that offer users an opportunity to generate and share content of their own (Kaplan & Haenlein, 2010). A recent development in the world of social media is the introduction of so-called "hashtags," represented symbolically by the "#" or "pound sign" symbol, joining use together, even if they don``t know each other (Ebner, Beham, Costa, & Reinhardt, 2009, Page, 2012). Easy to create, hashtags have become a unique way to experience global events, have political debates, or meet people with similar interests. For some time, online discussion forums have been a preferred pedagogical method of generating and facilitating discussion in online education and classrooms with online components (Mazzolini & Maddison, 2003, Rossman, 1999). Online discussion forums are typically administered through the built-in tools of a Learning Management System (LMS). Although LMSs offer basic tools for class instruction and management, there is debate as to the limits of their pedagogical value (Hong, 2008, Martindale & Wiley, 2004). The pedagogical concept of Personal Learning Environments (PLEs) challenges the dominance of LMS usage in online courses, bringing a student-centered and bottom-up perspective to online education. The thinking behind PLEs is that instruction should be situated in an environment more congruent with the learners`` typical technology usage for their personal lives, such as social media (Attwell, 2007). The purpose of this presentation is to share the research results of a study investigating the motivation of student``s participation in an online discussion forum when moved from an LMS to a class Twitter hashtag group. Twitter activity was analyzed, and respondents were surveyed on their intrinsic motivation in online discussions, social influences on their social media choice, and if their previous experience with social media affected motivation.