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  1. Article ; Online: Suicide rates in the UK Armed Forces, compared with the general workforce and merchant shipping during peacetime years since 1900.

    Roberts, Stephen E / John, A / Carter, T / G Williams, J

    BMJ military health

    2024  

    Abstract: Introduction: The main objective was to compare suicide rates and their trends across the three UK Armed forces (Royal Navy, Army and Royal Air Force) from 1900 to 2020. Further objectives were to compare suicide rates with those in the corresponding ... ...

    Abstract Introduction: The main objective was to compare suicide rates and their trends across the three UK Armed forces (Royal Navy, Army and Royal Air Force) from 1900 to 2020. Further objectives were to compare suicide rates with those in the corresponding general population and in UK merchant shipping and to discuss preventative measures.
    Methods: Examination of annual mortality reports and returns, death inquiry files and official statistics. The main outcome measure was the suicide rate per 100 000 population employed.
    Results: Since 1990, there have been significant reductions in suicide rates in each of the Armed Forces, although a non-significant increase in the Army since 2010. Compared with the corresponding general population, during the most recent decade from 2010 up to 2020, suicide rates were 73% lower in the Royal Air Force, 56% lower in the Royal Navy and 43% lower in the Army. Suicide rates have been significantly decreased in the Royal Air Force since the 1950s, in the Royal Navy since the 1970s and in the Army since the 1980s (comparisons for the Royal Navy and the Army were not available from the late 1940s to the 1960s).During the earliest decades from 1900 to the 1930s, suicide rates in the Armed Forces were mostly quite similar or moderately increased compared with the general population, but far lower than in merchant shipping. Following legislative changes in the last 30 years, suicide rates through poisoning by gases and through firearms or explosives have fallen sharply.
    Conclusions: The study shows that suicide rates in the Armed Forces have been lower than in the general population over many decades. The sharp reductions in suicide rates over the last 30 years suggest the effectiveness of recent preventative measures, including reductions in access to a method of suicide and well-being initiatives.
    Language English
    Publishing date 2024-02-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 3011686-7
    ISSN 2633-3775 ; 2633-3767
    ISSN (online) 2633-3775
    ISSN 2633-3767
    DOI 10.1136/military-2022-002309
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Why obesity and psychological stress matter in recovery of post-acute sequelae of SARS-CoV-2.

    Carter, Stephen J / Baranauskas, Marissa N

    Obesity (Silver Spring, Md.)

    2022  Volume 30, Issue 6, Page(s) 1136–1138

    Abstract: Numerous elements of the COVID-19 pandemic have proven challenging to overcome. We now recognize a perplexing characteristic of SARS-CoV-2 features mixed, unresolving symptoms that can last 4 weeks or longer after initial diagnosis, termed post-acute ... ...

    Abstract Numerous elements of the COVID-19 pandemic have proven challenging to overcome. We now recognize a perplexing characteristic of SARS-CoV-2 features mixed, unresolving symptoms that can last 4 weeks or longer after initial diagnosis, termed post-acute sequelae of SARS-CoV-2 (PASC). Full recovery can thus become a protracted ordeal as conservative estimates indicate 20% of SARS-CoV-2 cases will develop PASC, with women at increased risk. Emerging evidence suggests latent virus reactivation including cytomegalovirus, Epstein-Barr virus, and/or varicella zoster virus may perpetuate the burden of PASC. This is problematic because immune dysfunction is linked to obesity and psychological stress, both of which disproportionately affect socioeconomically disadvantaged people and racial/ethnic minorities. Applying a patient-centered approach in which the principal factors guiding decision-making are based on the needs and abilities of the individual is essential. Still, the independent and combined influence of obesity and psychological stress on immune function necessitates due consideration in the context of PASC recovery.
    MeSH term(s) COVID-19 ; Epstein-Barr Virus Infections ; Female ; Herpesvirus 4, Human ; Humans ; Obesity/complications ; Pandemics ; SARS-CoV-2 ; Stress, Psychological
    Language English
    Publishing date 2022-05-09
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2230457-5
    ISSN 1930-739X ; 1071-7323 ; 1930-7381
    ISSN (online) 1930-739X
    ISSN 1071-7323 ; 1930-7381
    DOI 10.1002/oby.23442
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Obesity, exercise training, and BCAA supplementation: All that glitters (may not be) gold.

    Carter, Stephen J / Long, Emily B / Perry, Cydne A

    Obesity (Silver Spring, Md.)

    2022  Volume 30, Issue 6, Page(s) 1139–1140

    MeSH term(s) Amino Acids, Branched-Chain/metabolism ; Dietary Supplements ; Exercise ; Humans ; Muscle, Skeletal ; Obesity/therapy
    Chemical Substances Amino Acids, Branched-Chain
    Language English
    Publishing date 2022-04-26
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Comment
    ZDB-ID 2230457-5
    ISSN 1930-739X ; 1071-7323 ; 1930-7381
    ISSN (online) 1930-739X
    ISSN 1071-7323 ; 1930-7381
    DOI 10.1002/oby.23433
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Transactional Competence, Reliability, and Trustworthiness: Essential Attributes of the Successful Program Director.

    Caniano, Donna A / Bernstein, Carol A / Carter, Wallace / Mitchell, Stephen Ray / Nasca, Thomas J

    Journal of graduate medical education

    2023  Volume 15, Issue 1, Page(s) 134–139

    MeSH term(s) Humans ; Reproducibility of Results ; Internship and Residency
    Language English
    Publishing date 2023-01-31
    Publishing country United States
    Document type News
    ZDB-ID 2578612-X
    ISSN 1949-8357 ; 1949-8357
    ISSN (online) 1949-8357
    ISSN 1949-8357
    DOI 10.4300/JGME-D-22-00950.1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Unrecognized neuromuscular choristoma with recurrent desmoid-type fibromatosis and Marjolin ulcer: expanding the spectrum of neuromuscular choristoma sequelae within the nerve territory? Illustrative case.

    Maldonado, Andres A / Broski, Stephen M / Carter, Jodi M / Spinner, Robert J

    Journal of neurosurgery. Case lessons

    2023  Volume 5, Issue 6

    Abstract: Background: Neuromuscular choristoma (NMC) is a rare congenital lesion in which muscle tissue is admixed with nerve fascicles within a peripheral nerve. Patients commonly present in early childhood with neuropathy, plexopathy, or chronic undergrowth in ... ...

    Abstract Background: Neuromuscular choristoma (NMC) is a rare congenital lesion in which muscle tissue is admixed with nerve fascicles within a peripheral nerve. Patients commonly present in early childhood with neuropathy, plexopathy, or chronic undergrowth in the distribution of the affected nerve.
    Observations: The authors present the case of a 35-year-old man with unrecognized neuromuscular NMC of the sciatic nerve, which resulted in recurrent, multicentric NMC-associated desmoid-type fibromatosis (NMC-DTF) within the nerve territory in association with a Marjolin ulcer, a cutaneous malignancy.
    Lessons: Based on anatomical and pathophysiological findings described in this case report, the authors support the association between NMC-DTF and Marjolin ulcer.
    Language English
    Publishing date 2023-02-06
    Publishing country United States
    Document type Journal Article
    ISSN 2694-1902
    ISSN (online) 2694-1902
    DOI 10.3171/CASE22554
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Evidence for impaired chronotropic responses to and recovery from 6-minute walk test in women with post-acute COVID-19 syndrome.

    Baranauskas, Marissa N / Carter, Stephen J

    Experimental physiology

    2021  Volume 107, Issue 7, Page(s) 722–732

    Abstract: New findings: What is the central question of this study? Are chronotropic responses to a 6-minute walk test different in women with post-acute coronavirus disease 2019 (COVID-19) syndrome compared with control subjects? What is the main finding and its ...

    Abstract New findings: What is the central question of this study? Are chronotropic responses to a 6-minute walk test different in women with post-acute coronavirus disease 2019 (COVID-19) syndrome compared with control subjects? What is the main finding and its importance? Compared with control subjects, the increase in heart rate was attenuated and recovery delayed after a 6-minute walk test in participants after infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Women reporting specific symptoms at time of testing had greater impairments compared with control subjects and SARS-CoV-2 participants not actively experiencing these symptoms. Such alterations have potential to constrain not only exercise tolerance but also participation in free-living physical activity in women during post-acute recovery from COVID-19.
    Abstract: The short-term cardiopulmonary manifestations of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are well defined. However, the implications of cardiopulmonary sequelae, persisting beyond acute illness, on physical function are largely unknown. Herein, we characterized heart rate responses to and recovery from a 6-minute walk test (6MWT) in women ∼3 months after mild-to-moderate SARS-CoV-2 infection compared with non-infected control subjects. Forty-five women (n = 29 SARS-CoV-2; n = 16 controls; age = 56 ± 11 years; body mass index = 25.8 ± 6.0 kg/m
    MeSH term(s) Aged ; COVID-19/complications ; Exercise Tolerance/physiology ; Female ; Humans ; Middle Aged ; SARS-CoV-2 ; Walk Test
    Language English
    Publishing date 2021-11-17
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1016295-1
    ISSN 1469-445X ; 0958-0670
    ISSN (online) 1469-445X
    ISSN 0958-0670
    DOI 10.1113/EP089965
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Walking net

    Carter, Stephen J / Singh, Harshvardhan / Long, Emily B / Martins, Catia / McCarthy, John P / Bickel, C Scott / Bryan, David R / Hunter, Gary R

    European journal of applied physiology

    2024  

    Abstract: Purpose: Walking net : Methods: Secondary analyses were performed on 35 older (65 ± 3 years) women who completed a battery of physical assessments including fixed-speed, non-graded and graded (+ 2.5%) treadmill walking with indirect calorimetry to ... ...

    Abstract Purpose: Walking net
    Methods: Secondary analyses were performed on 35 older (65 ± 3 years) women who completed a battery of physical assessments including fixed-speed, non-graded and graded (+ 2.5%) treadmill walking with indirect calorimetry to determine net
    Results: Bivariate correlations showed non-graded (r = 0.403, p = 0.017) and graded (r = 0.413, p = 0.014) net
    Conclusion: These data support the premise that, in older women, walking net
    Language English
    Publishing date 2024-04-05
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 124793-1
    ISSN 1439-6327 ; 1432-1025 ; 0301-5548 ; 1439-6319
    ISSN (online) 1439-6327 ; 1432-1025
    ISSN 0301-5548 ; 1439-6319
    DOI 10.1007/s00421-024-05465-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Optimal objective measurement of physical function and its predictive capacity for mortality among community-dwelling older women.

    Luo, Juhua / Su, Le / Carter, Stephen J / Ndeke, Jonas M / Hendryx, Michael

    Geriatrics & gerontology international

    2023  Volume 23, Issue 10, Page(s) 715–721

    Abstract: Aim: Objective measurements of physcial function, including gait speed, handgrip strength, and the chair stand test, have been shown to have predictive capacity for negative health-related outcomes. The aim of this study was to examine campariatively ... ...

    Abstract Aim: Objective measurements of physcial function, including gait speed, handgrip strength, and the chair stand test, have been shown to have predictive capacity for negative health-related outcomes. The aim of this study was to examine campariatively which of these common assessments may be optimal in terms of their predictive capacity for mortality.
    Methods: A total of 9834 community-dwelling older women aged 65-89 years from the Study of Osteoporotic Fractures (SOF) were followed for 20 years. Gait speed, handgrip strength, and the chair stand test were measured every 2-4 years on up to 9 visits. All deaths were adjudicated.
    Results: All three measurements of physical function were significantly associated with overall, cardiovascular disease and other mortality. Gait speed had the greatest magnitude of hazard ratios (HRs) for all outcomes of interest. A one-unit standard deviation increase in gait speed was associated with a 33% (HR = 0.67, 95% confidence interval [95% CI]: 0.64-0.70) lower risk for overall mortality, a 31% (HR = 0.69, 95% CI: 0.64-0.73) lower risk for cardiovascular disease mortality, a 15% (HR = 0.85, 95% CI: 0.78-0.92) lower risk for cancer mortality and a 42% (HR = 0.58, 95% CI: 0.55-0.62) lower risk for other mortality. Further examination of gait speed identified two cut-points (0.9 and 0.7 m/s) that were strongly indicative of increased mortality risk.
    Conclusion: Our large prospective study indicates that gait speed possesses a better prediction of mortality among older women compared with handgrip strength or the chair stand test. Using cut-points of 0.9 and 0.7 m/s can help identify older women at higher mortality risk, who may benefit from physical function improvement interventions. Geriatr Gerontol Int 2023; 23: 715-721.
    Language English
    Publishing date 2023-08-31
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2113849-7
    ISSN 1447-0594 ; 1444-1586
    ISSN (online) 1447-0594
    ISSN 1444-1586
    DOI 10.1111/ggi.14654
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Trajectories of objectively measured physical function among older breast cancer survivors in comparison with cancer-free controls.

    Luo, Juhua / Carter, Stephen J / Feliciano, Elizabeth M Cespedes / Hendryx, Michael

    Breast cancer research and treatment

    2022  Volume 193, Issue 2, Page(s) 467–476

    Abstract: Purpose: Aging associated with progressive declines in physical function is well-known; however, it is unclear how breast cancer diagnosis affects the trajectories of physical function over a long period of time. The current study examined the ... ...

    Abstract Purpose: Aging associated with progressive declines in physical function is well-known; however, it is unclear how breast cancer diagnosis affects the trajectories of physical function over a long period of time. The current study examined the trajectories in objective measures of physical function over 20 years for women with breast cancer and matched controls.
    Methods: 2712 community-dwelling women (452 breast cancer cases and 1:5 matched cancer-free controls) aged 65 years or older at baseline (1986-1988) within the Study of Osteoporotic Fractures were followed for 20 years. Objective physical function was assessed up to 9 times, including hand grip strength, timed chair stand, gait speed and quadriceps strength. Linear mixed models were used to model physical function changes in terms of secular time trend, group (cases or controls), period (pre-and post-diagnosis status), and their interaction terms.
    Results: We observed all measures of physical function declined over time. While no differences in trends between cases and controls during the pre-diagnosis period were observed, after cancer diagnosis, grip strength and gait speed declined significantly faster in cases than controls. Quadriceps strength significantly decreased ~ 7 pounds shortly after breast cancer diagnosis, and then improved over time.
    Conclusion: Our study revealed that older breast cancer survivors relative to older women without cancer had significantly worse declines in grip strength and gait speed. Breast cancer survivors also had a sharp, short-term drop followed by gradual improvement over time in quadriceps strength. These findings suggest exercise training targeting muscle strength and mobility would be beneficial among older breast cancer survivors.
    MeSH term(s) Aged ; Breast Neoplasms ; Cancer Survivors ; Female ; Hand Strength/physiology ; Humans ; Muscle Strength/physiology ; Walking Speed/physiology
    Language English
    Publishing date 2022-03-26
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 604563-7
    ISSN 1573-7217 ; 0167-6806
    ISSN (online) 1573-7217
    ISSN 0167-6806
    DOI 10.1007/s10549-022-06568-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Functional Status, Mood State, and Physical Activity Among Women With Post-Acute COVID-19 Syndrome.

    Carter, Stephen J / Baranauskas, Marissa N / Raglin, John S / Pescosolido, Bernice A / Perry, Brea L

    International journal of public health

    2022  Volume 67, Page(s) 1604589

    Abstract: Objectives: ...

    Abstract Objectives:
    MeSH term(s) Adult ; Aged ; COVID-19/complications ; COVID-19/epidemiology ; Exercise ; Female ; Functional Status ; Humans ; Middle Aged ; SARS-CoV-2
    Language English
    Publishing date 2022-06-09
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2274130-6
    ISSN 1661-8564 ; 1661-8556
    ISSN (online) 1661-8564
    ISSN 1661-8556
    DOI 10.3389/ijph.2022.1604589
    Database MEDical Literature Analysis and Retrieval System OnLINE

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