In this cross-sectional observational study, anonymous selfadministered questionnaires were distributed to students at junior high schools in rural areas of northern Japan and an urban area in Tokyo. The questionnaire included the items from the World Health Organization Well-Being Index (WHO-5) and items pertaining to lifestyle. Responses were collected from 891 people. We conducted a multivariate logistic regression analysis which included the variables that produced significant differences according to the descriptive analyses. This study was approved by the Ethics Committee.
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Pleural involvement in Non-Hodgkin Lymphoma (NHL) is well documented, but primary pleural lymphomas are extremely rare, occurring mostly in immunosuppressed patients or associated with chronic pleural inflammation. Nevertheless, the pathogenesis and therapeutic approaches to counteract primary pleural lymphomas are still matter of debate. The authors present the clinical case of an 81-year-old female with respiratory and constitutional symptoms. A valvular heart disease and bilateral pleural effusion were known. The study carried out showed a large right pleural effusion; the fluid analysis was compatible with Diffuse Large B-cell Lymphoma (DLBCL), and two lymphomatous masses with pleural origin were found at the ipsilateral hemithorax. Primary pleural lymphoma was considered and chemotherapy was initiated with a good response and evolution. The authors report this remarkable clinical case because of its rarity, its excellent clinical evolution and the absence of an immunodeficiency context.
Forestier disease is a condition characterized by calcification and
ossification of ligaments and entheses. It’s prevalence is expected to
rise as air is related to older age and metabolic syndrome. The clinical
relevance is beyond unstable spinal fractures to involvement of the
cardiovascular, respiratory and gastrointestinal systems.
Purpose -The number of food products containing nutritional or health claims, such as added calcium for stronger bones, has been increasing. Accordingly, we aimed to understand consumers' perceptions towards products that are considered to be healthier and to know how these perceptions affect their purchase intentions.Theoretical framework -Based on consumer perception theory and how consumers process and interpret information, we sought to better understand consumer behavior in relation to the use of nutrition claims in marketing communication.Design/methodology/approach -A survey was conducted via an online questionnaire and responses were obtained from 477 Portuguese consumers.Findings -The results show that the most relevant characteristics when purchasing food are price and taste. However, the addition of a claim can increase purchase intentions.
Tuberculous pericarditis is a rare extra-pulmonary manifestation of tuberculosis observed mainly in developed countries. It usually presents with concomitant tuberculous infection at a different site and, due to the lack of clinical specificity, diagnosis can be difficult. Thus, a diagnostic delay is frequent, entailing increased morbidity and mortality. The authors present a case of disseminated tuberculosis with predominantly cardiac symptoms with multiple negative samples for Mycobacterium tuberculosis, which evolved to constrictive pericarditis. With this case report, the authors emphasize the demand for a high index of suspicion for achieving a diagnosis and the importance of a multidisciplinary approach.
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