Volume 86, Number 10 www.aafp.org/afp American Family Physician 953 A 72-year-old woman presented with a painful erythematous rash on her right upper back that had developed seven days earlier. The rash spread over the next two days into her right axilla and breast (Figures 1 and 2). The lesions started as red, swollen, tender patches with clear vesicles and bullae, and then became hemorrhagic ...

How should the customer specify usability requirements in a tender situation? This is particularly difficult if the product is a standard system with enhancements, since the customer cannot prescribe a specific user interface. Furthermore it must be possible to verify the usability requirements with a reasonable effort, and the requirements must not discourage serious proposers. This paper disc...

In this paper we test whether the determinant of a block trade and tender offer probabilities differ and whether the relative magnitude of the security and private benefits can explain the choice of transfer mode. We investigate the Swedish market for corporate control and use the wedge between cash flow rights and voting rights as a proxy for the incentives to extract private benefits. Our res...

Objective. We evaluated fibromyalgic RA to determine its clinical impact, identification using core clinical assessments and influence identifying active disease using disease activity scores (DAS-28). Methods. We examined the impact and identification using core clinical assessments (tender minus swollen joint counts) of fibromyalgic RA (511 tender points) in initial (105 patients) and replica...

Changes in pain sensitivity throughout the menstrual cycle were assessed in 36 normally menstruating women and 30 users of oral contraceptives. Pain sensitivity was measured with palpation of rheumatological tender points and with pressure dolorimetry. The number of tender points identified by palpation was greater in the follicular (postmenstrual) phase of the cycle as compared to the luteal (...

Subacute thyroiditis is generally felt to have a viral etiology, and the diagnosis is usually obvious when the patient presents with a diffusely enlarged and very tender thyroid gland associated with elevated free T4 levels, elevated sedimentation rate, low radioiodine uptake and/or nonvisualization on scan and often some systemic symptoms. Subacute thyroiditis can be unilateral or focal (1,2)....

BACKGROUND Acupuncture is used to reduce inflammation and decrease pain in delayed onset muscle soreness (DOMS). This study investigates the efficacy of acupuncture on the symptoms of DOMS. METHODS Thirty subjects were assigned randomly to there groups, namely the control, non-tender point and tender point groups. Measurement of pain with full elbow flexion was used as indices of efficacy. Me...

Parenting is linked to conduct disorders (CD) and substance related disorders (SRD) in adolescents, but with differences according to cultural context. A questionnaire with two versions (parenting questionnaire TXP-A for adolescents and TXP-C  for primary caregivers) was designed using the Delphi method to evaluate parenting practices related to CD and SRD in a Spanish population. It was v...

Big Huggin‘ is an alternative interface game designed to critique the way we play. It is offered as part of the ongoing Critical Gameplay project. Instead of firing toy guns or gesturing abstractly, players must hug a large stuffed animal to win the game. The game has been played by more than 2000 people at 8 venues in North America, South America and Europe.