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better time for training

Katarina Cheng, Ribal Bassil, Raphael Carandang, Wiley Hall, Susanne Muehlschlegel
The Glasgow Coma Scale (GCS) has limited utility in intubated patients due to the inability to assign verbal sub-scores. The verbal sub-score can be derived from the eye and motor sub-scores using a mathematical model, but the advantage of this method and its use in outcome prognostication in traumatic brain injury (TBI) patients remains unknown. We compared the validated "Core+CT"-IMPACT-model performance in 251 intubated TBI patients prospectively enrolled in the longitudinal OPTIMISM-study between November 2009 and May 2015 when substituting the original motor GCS with the total estimated GCS (teGCS; with estimated verbal sub-score)...
October 22, 2016: Journal of Neurotrauma
Jacob Louie, Amer Shalaby, Khandker Nurul Habib
Most investigations of incident-related delay duration in the transportation context are restricted to highway traffic, with little attention given to delays due to transit service disruptions. Studies of transit-based delay duration are also considerably less comprehensive than their highway counterparts with respect to examining the effects of non-causal variables on the delay duration. However, delays due to incidents in public transit service can have serious consequences on the overall urban transportation system due to the pivotal and vital role of public transit...
October 19, 2016: Accident; Analysis and Prevention
Yu Jiang, Changying Li, Fumiomi Takeda
Currently, blueberry bruising is evaluated by either human visual/tactile inspection or firmness measurement instruments. These methods are destructive, time-consuming, and subjective. The goal of this paper was to develop a non-destructive approach for blueberry bruising detection and quantification. Experiments were conducted on 300 samples of southern highbush blueberry (Camellia, Rebel, and Star) and on 1500 samples of northern highbush blueberry (Bluecrop, Jersey, and Liberty) for hyperspectral imaging analysis, firmness measurement, and human evaluation...
October 21, 2016: Scientific Reports
Gerrit I van Schalkwyk, Rachel B Katz, Joseph Resignato, Susan C van Schalkwyk, Robert M Rohrbaugh
OBJECTIVE: Challenges in pursuing research during residency may contribute to the shortage of clinician-scientists. Although the importance of mentorship in facilitating academic research careers has been described, little is understood about early career research mentorship for residents. The aim of this study was to better understand the mentorship process in the context of psychiatry residency. METHOD: Semi-structured interviews were conducted with experienced faculty mentors in a psychiatry department at a large academic medical center...
October 20, 2016: Academic Psychiatry
Erin A Bampton, Steven T Johnson, Jeff K Vallance
OBJECTIVE: The prevalence of resistance training among older adults in Alberta, Canada, has never been measured. Hence, there is no clear understanding of the demographic and health-related factors associated with resistance training, or older adults' resistance training programming preferences. The purpose of this study was to gain a better understanding of resistance training behaviours among older adults in Alberta. METHODS: Older adults (>55 years) from across Alberta were invited to participate in this study...
October 20, 2016: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
Kimberly Barsamian Kahn, Joel S Steele, Jean M McMahon, Greg Stewart
Although studies often find racial disparities in policing outcomes, less is known about how suspect race biases police interactions as they unfold. This study examines what is differentially occurring during police-suspect interactions for White, Black, and Latino suspects across time. It is hypothesized that racial bias may be more evident earlier in interactions, when less information about the situation is available. One hundred thirty-nine (62 White, 42 Black, and 35 Latino) use-of-force case files and associated written narratives from a medium to large size urban police department in the United States were analyzed...
October 20, 2016: Law and Human Behavior
Sarah Schott, Johannes Lermann, Sabine Eismann, Johannes Neimann, Julia Knabl
BACKGROUND: Combining family and career is increasingly taken for granted in many fields. However, the medical profession in Germany has inadequately developed structures. Little is known regarding the satisfaction of physicians working part-time (PT). METHODS: This Germany-wide on-line survey collected information on the working situation of PT employees (PTE) in gynecology. An anonymous questionnaire with 95 items, nine of which concerned PT work, was sent to 2770 residents and physicians undergoing further specialist training...
October 19, 2016: Archives of Gynecology and Obstetrics
Noortje H Rijken, Remko Soer, Ewold de Maar, Hilco Prins, Wouter B Teeuw, Jan Peuscher, Frits G J Oosterveld
The aim of this pilot study was to investigate the effects of an intervention consisting of mental coaching combined with either electro encephalogram (EEG) alpha power feedback or heart rate variability (HRV) feedback on HRV, EEG outcomes and self-reported factors related to stress, performance, recovery and sleep quality in elite athletes. A prospective pilot study was performed with two distinct cohorts. Soccer players were provided with four sessions of mental coaching combined with daily HRV biofeedback (Group A); track and field athletes were provided with four sessions of mental coaching in combination with daily neurofeedback (Group B)...
October 19, 2016: Applied Psychophysiology and Biofeedback
Arnaldina Sampaio, Elisa A Marques, Jorge Mota, Joana Carvalho
This study examined the effect of a Multicomponent Training (MT) intervention on cognitive function, functional fitness and anthropometric variables in institutionalized patients with Alzheimer's disease (AD). Thirty-seven institutionalized elders (84.05 ± 5.58 years) clinically diagnosed with AD (mild and moderate stages) were divided into two groups: Experimental Group (EG, n = 19) and Control Group (CG, n = 18). The EG participated in a six-month supervised MT program (aerobic, muscular resistance, flexibility and postural exercises) of 45-55 minutes/session, twice/week...
October 18, 2016: Dementia
Debbie Selby, Dori Seccaraccia, Jim Huth, Kristin Kurrpa, Margaret Fitch
OBJECTIVE: The goal of this study was to explore healthcare professionals' (HCPs') perception of their role in provision of spiritual care, in addition to attempting to identify a simple question(s) to help identify spiritual distress. BACKGROUND: Spirituality is well recognized as important to whole-person care, particularly in those with terminal illnesses. Understanding the role of front-line providers in the identification and management of spiritual distress, however, remains challenging...
October 18, 2016: Journal of Palliative Medicine
Markus Wirz, Orpheus Mach, Doris Maier, John Benito-Penalva, Julian Taylor, Ana Esclarin, Volker Dietz
The aim of this study was to evaluate if the effect of longer training times (50 instead of 25 minutes per day) using a robotic device results in a better outcome of walking ability of subjects with a sub-acute motor complete (AIS B) and incomplete (AIS C) spinal cord injury (SCI). Twenty-one patients were enrolled in the study whereof, 18 completed on average 34 trainings in eight weeks. Longer training times resulted in better locomotor function. The second important result of the study is that a beneficial effect can be achieved by the application of a robotic device for prolonged training sessions without requiring more personal resources...
October 18, 2016: Journal of Neurotrauma
Katharina Zinke, Ines Wilhelm, Müge Bayramoglu, Susanne Klein, Jan Born
Sleep is considered to support the formation of skill memory. In juvenile but not adult song birds learning a tutor's song, a stronger initial deterioration of song performance over night-sleep predicts better song performance in the long run. This and similar observations have stimulated the view of sleep supporting skill formation during development in an unsupervised off-line learning process that, in the absence of external feedback, can initially also enhance inaccuracies in skill performance. Here we explored whether in children learning a motor sequence task, as in song-learning juvenile birds, changes across sleep after initial practice predict performance levels achieved in the long run...
October 16, 2016: Developmental Science
Shikha Jain Goodwin, Derek Dziobek
Ever since video games were available to the general public, they have intrigued brain researchers for many reasons. There is an enormous amount of diversity in the video game research, ranging from types of video games used, the amount of time spent playing video games, the definition of video gamer versus non-gamer to the results obtained after playing video games. In this paper, our goal is to provide a critical discussion of these issues, along with some steps towards generalization using the discussion of an article published by Clemenson and Stark (2005) as the starting point...
September 2016: Postdoc Journal: a Journal of Postdoctoral Research and Postdoctoral Affairs
Byron C Wallace, Joël Kuiper, Aakash Sharma, Mingxi Brian Zhu, Iain J Marshall
Systematic reviews underpin Evidence Based Medicine (EBM) by addressing precise clinical questions via comprehensive synthesis of all relevant published evidence. Authors of systematic reviews typically define a Population/Problem, Intervention, Comparator, and Outcome (a PICO criteria) of interest, and then retrieve, appraise and synthesize results from all reports of clinical trials that meet these criteria. Identifying PICO elements in the full-texts of trial reports is thus a critical yet time-consuming step in the systematic review process...
2016: Journal of Machine Learning Research: JMLR
P Rani, V R Hemanth Kumar, M Ravishankar, T Sivashanmugam, R Sripriya, M Trilogasundary
BACKGROUND: Fentanyl and dexmedetomidine have been tried to attenuate airway and circulatory reflexes during emergence and extubation individually but have not been compared with respect to the level of sedation to evolve a reliable technique for rapid and smooth extubation. AIM: To compare the effects of fentanyl and dexmedetomidine in attenuating airway and circulatory reflexes during emergence and extubation of the endotracheal tube. SETTING AND DESIGN: This double-blind, randomized, controlled study was done in patients undergoing surgery under general anesthesia belonging to the American Society of Anesthesiologists physical status 1 or 2...
September 2016: Anesthesia, Essays and Researches
David McWilliams, Gemma Atkins, James Hodson, Catherine Snelson
BACKGROUND: Early mobility within the ICU is associated with a number of positive outcomes including reductions in ICU and hospital length of stay and better functional recovery. The exact definition of 'early' mobility is still not defined, with the actual ability to mobilise limited by a number of perceived factors. The Sara Combilizer is a combined tilt table and stretcher chair, which allows passive transfer of patients out of bed. This study aimed to assess whether the introduction of the Sara Combilizer reduced time taken to first mobilise for patients mechanically ventilated for at least five days and at risk of ICU acquired weakness...
October 10, 2016: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
Joseph L Graves, Chris Reiber, Anna Thanukos, Magdalena Hurtado, Terry Wolpaw
Evolutionary science is indispensable for understanding biological processes. Effective medical treatment must be anchored in sound biology. However, currently the insights available from evolutionary science are not adequately incorporated in either pre-medical or medical school curricula. To illuminate how evolution may be helpful in these areas, examples in which the insights of evolutionary science are already improving medical treatment and ways in which evolutionary reasoning can be practiced in the context of medicine are provided...
October 15, 2016: Evolution, Medicine, and Public Health
Josué Gómez-Molina, Ana Ogueta-Alday, Christopher Stickley, Jesus Camara Tobalina, Jon Cabrejas-Ugartondo, Juan García-López
The aim of this study was to compare the spatio-temporal parameters of trained runners and untrained participants with the same foot strike pattern (rearfoot) during running at controlled speeds. Twenty-one participants were classified in two groups according to their training experience: Trained (n=10, amateur runners with long distance training experience) and Untrained (n=11, healthy non-trained participants). Anthropometric variables were recorded, and the participants performed both a submaximal (between 9 and 15 km·h) and a graded exercise running test (from 6 km·h until exhaustion) on a treadmill...
October 6, 2016: Journal of Strength and Conditioning Research
Katherine Spradley, Kyra E Stull, Joseph T Hefner
Research by economists suggests that recent Mexican migrants are better educated and have higher socioeconomic status (SES) than previous migrants. Because factors associated with higher SES and improved education can lead to positive secular changes in overall body form, secular changes in the craniofacial complex were analyzed within a recent migrant group from Mexico. The Mexican group represents individuals in the act of migration, not yet influenced by the American environment, and thus can serve as a starting point for future studies of secular change in this population group...
January 2016: Human Biology
Juliana Arcanjo Lino, Gabriela Carvalho Gomes, Nancy Delma Silva Vega Canjura Sousa, Andrea K Carvalho, Marcelo Emanoel Bezerra Diniz, Antonio Brazil Viana Junior, Marcelo Alcantara Holanda
BACKGROUND: Teaching mechanical ventilation at the bedside with real patients is difficult with many logistic limitations. Mechanical ventilators virtual simulators (MVVS) may have the potential to facilitate mechanical ventilation (MV) training by allowing Web-based virtual simulation. OBJECTIVE: We aimed to identify and describe the current available MVVS, to compare the usability of their interfaces as a teaching tool and to review the literature on validation studies...
June 14, 2016: JMIR Med Educ
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