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https://www.readbyqxmd.com/read/29453331/a-prospective-cohort-evaluation-of-the-cortisol-response-to-cardiac-surgery-with-occurrence-of-early-postoperative-cognitive-decline
#1
Sandro Glumac, Goran Kardum, Nenad Karanović
BACKGROUND A recent study reported that patients with higher cortisol levels on the 1st postoperative morning after cardiac surgery exhibited an increased risk of early postoperative cognitive decline (POCD). Therefore, we conducted the current study to gain further insight into the stress response to a surgical procedure as a potential risk factor for early POCD after cardiac surgery. MATERIAL AND METHODS This prospective cohort study enrolled 125 patients undergoing elective cardiac surgery with or without cardiopulmonary bypass (CPB)...
February 17, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29450875/-coexistence-of-polymyalgia-rheumatica-with-ankylosing-spondylitis-a-case-report
#2
Ali Aydeniz, Mazlum Serdar Akaltun, Ali Gür, Savaş Gürsoy
Ankylosing spondylitis is a chronic inflammatory disease that affects the spine and peripheral joints. Polymyalgia rheumatica is an inflammatory disease characterized by aching and prolonged morning stiffness mainly in the shoulder and pelvic girdles. Many other diseases may mimic polymyalgia rheumatica, and thus differential diagnosis is predominantly required. A wide variety of diseases, including spondyloarthropathies, may present polymyalgia-like symptoms, and two diseases rarely coexist. We present a case of a 54-year-old man who had been followed-up for ankylosing spondylitis and presented with pain in the shoulder and pelvic girdles, restricted movement, and morning stiffness for 2 months...
January 2018: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/29444664/the-knitting-community-based-trial-for-older-women-with-osteoarthritis-of-the-hands-design-and-rationale-of-a-randomized-controlled-trial
#3
Paulette Guitard, Lucie Brosseau, George A Wells, Nicole Paquet, Gail Paterson, Karine Toupin-April, Sabrina Cavallo, Sibel Z Aydin, Guillaume Léonard, Gino De Angelis
BACKGROUND: The prevalence of hand osteoarthritis (HOA) has been reported to be higher amongst women over 50 years old (66%) compared to men of the same age (34%). Although exercise therapy has been shown effective in reducing symptoms and disability associated with HOA, adherence to treatment programs remains low. The primary objective of this RCT is to examine the effectiveness of a 12-week knitting program for morning stiffness (primary outcome) and pain relief (secondary outcome) 2 h post-wakening in females (aged 50 to 85 years old) with mild to moderate hand osteoarthritis (HOA)...
February 14, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29443788/a-prospective-randomized-open-label-controlled-study-investigating-the-efficiency-and-safety-of-3-different-methods-of-rectus-sheath-block-analgesia-following-midline-laparotomy
#4
Martin Purdy, Mari Kinnunen, Merja Kokki, Maarit Anttila, Matti Eskelinen, Heidi Hautajärvi, Marko Lehtonen, Hannu Kokki
BACKGROUND: There is a controversy regarding the efficacy of rectus sheath block (RSB). The aim of the present study was to evaluate analgesic efficacy and safety of three different methods of RSB in postoperative pain management after midline laparotomy. METHODS: A prospective, randomized, controlled, open-label clinical trial with 4 parallel groups was conducted in a tertiary care hospital in Finland. A total of 57 patients undergoing midline laparotomy were randomized to the control group (n = 12) or to 1 of the 3 active RSB analgesia groups: single-dose (n = 16), repeated-doses (n = 12), or continuous infusion (n = 17)...
February 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29438146/the-characterization-of-plantar-skin-across-environmental-condition-and-time
#5
Deborah M Wendland, Stephen H Sprigle
OBJECTIVE: In the presence of pathologic conditions such as diabetes or neuropathy and activity-related forces, the plantar surface of the foot is a common place for skin breakdown. With this risk, foundational knowledge of typical plantar skin behavior is needed. The purpose of this study was to characterize the plantar skin properties (tangential stiffness, normal compliance, and thickness) across environmental condition and time. DESIGN AND SETTING: Nonexperimental laboratory design...
March 2018: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/29426152/determining-factors-for-levels-of-volatile-organic-compounds-measured-in-different-microenvironments-of-a-heavy-traffic-urban-area
#6
Nguyen Hong Phuc, Nguyen Thi Kim Oanh
The levels of BTEX (benzene, toluene, ethylbenzene and xylenes) in a congested urban area of Hanoi were characterized in a winter and a transitional period in 2015. Monitoring was conducted at two roads simultaneously with traffic flows and one ambient site together with meteorology. Hourly and bi-hourly BTEX samples collected using charcoal tubes were analyzed by GC-FID. BTEX levels in winter, 131 ± 71 μg/m3 in heavy traffic Truong Chinh (TC) road, 101 ± 29 μg/m3 in small residential Nguyen Ngoc Nai (NN) road, and 30 ± 15 μg/m3 in the ambient air site (AA, about 150 m from each road) were 1...
January 29, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29422395/diurnal-occurrence-of-complex-febrile-seizure-and-their-severity-in-pediatric-patients-needing-hospitalization
#7
Hiroshi Yamaguchi, Hiroaki Nagase, Yusuke Ishida, Daisaku Toyoshima, Azusa Maruyama, Kazumi Tomioka, Tsukasa Tanaka, Masahiro Nishiyama, Kyoko Fujita, Taniguchi-Ikeda Mariko, Kandai Nozu, Ichiro Morioka, Noriyuki Nishimura, Hiroshi Kurosawa, Satoshi Takada, Yoshiyuki Uetani, Kazumoto Iijima
Several studies describing the diurnal occurrence of febrile seizures have reported greater seizure frequency early or late in the evening relative to midnight or early morning. However, no articles have reported on the diurnal occurrence of complex febrile seizure. Moreover, no studies have addressed the relationship between seizure severity and diurnal occurrence. We retrospectively evaluated complex febrile seizures in 462 children needing hospitalization, and investigated the relationship between severity and diurnal occurrence according to four categorized time periods (morning, afternoon, evening, and night)...
February 5, 2018: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/29410739/retrospectively-reported-month-to-month-variation-in-sleeping-problems-of-people-naturally-exposed-to-high-amplitude-annual-variation-in-daylength-and-or-temperature
#8
Arcady A Putilov
Compared to literature on seasonal variation in mood and well-being, reports on seasonality of trouble sleeping are scarce and contradictive. To extend geography of such reports on example of people naturally exposed to high-amplitude annual variation in daylength and/or temperature. Participants were the residents of Turkmenia, West Siberia, South and North Yakutia, Chukotka, and Alaska. Health and sleep-wake adaptabilities, month-to-month variation in sleeping problems, well-being and behaviors were self-assessed...
July 2017: Sleep Science
https://www.readbyqxmd.com/read/29410195/optic-disk-contractility-in-morning-glory-disk-anomaly
#9
Sadasivan K Samyukta, Syed Mohideen Abdul Khader, Neelam Pawar, Meenakshi Ravindran, Yeramala C Venu Gopal Reddy, Rengappa Ramakrishnan
Morning glory disk anomaly is a nonhereditary, congenital optic disk dysplasia characterized by conical excavation of the posterior fundus with a central glial tuft and radial retinal vessels. We report the case of a 4-year-old girl who presented with esotropia, enophthalmos, no light perception, and afferent pupillary defect in her left eye; fundus examination revealed morning glory disk anomaly. Ultrasound B-scan showed axial length increasing in the left eye on consensual light exposure. Magnetic resonance imaging/ angiogram of the brain and orbits were within normal limits except for globe elongation posteriorly in the left eye...
January 31, 2018: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29410008/changes-in-eating-behavior-and-plasma-leptin-in-children-with-obesity-participating-in-a-family-centered-lifestyle-intervention
#10
Tamara R Cohen, Tom J Hazell, Catherine A Vanstone, Celia Rodd, Hope A Weiler
The goal of childhood obesity lifestyle interventions are to positively change body composition, however it is unknown if interventions also modulate factors that are related to energy intake. This study aimed to examine changes in eating behaviors and plasma leptin concentrations in overweight and obese children participating in a 1-year family-centered lifestyle intervention. Interventions were based on Canadian diet and physical activity (PA) guidelines. Children were randomized to 1 of 3 groups: Control (Ctrl; no intervention), Standard treatment (StnTx: 2 servings milk and alternatives/day (d), 3x/wk weight-bearing PA), or Modified treatment (ModTx: 4 servings milk and alternatives/day; daily weight-bearing PA)...
February 2, 2018: Appetite
https://www.readbyqxmd.com/read/29406303/yoga-intervention-for-an-adolescent-with-juvenile-idiopathic-arthritis-a-case-study
#11
Amanda B Feinstein, Lindsey L Cohen, Akihiko Masuda, Anya T Griffin, Kaitlyn L Gamwell, Mukunda T Stiles, Sheila T Angeles-Han, Sampath Prahalad
Juvenile idiopathic arthritis (JIA) is a chronic rheumatic disease associated with pain, stiffness, and psychosocial difficulties. The purpose of this case study was to investigate the impact of a yoga intervention on pain and morning stiffness in an adolescent female with JIA. A secondary aim was to assess the impact of this intervention on self-efficacy, mindfulness, health-related quality of life, and disease activity. A 17-y-old female with JIA participated in 3 yoga groups and home yoga practice with a digital video disc...
January 2018: Advances in Mind-body Medicine
https://www.readbyqxmd.com/read/29405504/sleep-and-dream-habits-in-a-sample-of-french-college-students-who-report-no-sleep-disorders
#12
Raphael Vallat, Mickael Eskinazi, Alain Nicolas, Perrine Ruby
There is a lack of up-to-date data on sleep and dream habits of college students. To fill in this gap, we used an online questionnaire sent to the student mailing lists of two major universities of Lyon (Lyon 1 and Lyon 2) for the recruitment of an functional magnetic resonance imaging study with sleep disorders as exclusion criteria. In the sample (1,137 French college students, 411 males, mean age = 22.2 ± 2.4 years, body mass index = 22.0 ± 3.2 kg m-2 ), on average, the participants reported spending about 8 hr in bed during weekdays, 9 hr during the weekends, and 90...
February 6, 2018: Journal of Sleep Research
https://www.readbyqxmd.com/read/29402981/clinical-features-and-therapeutic-perspectives-on-hypertension-in-diabetics
#13
REVIEW
Shigehiro Katayama, Masako Hatano, Masashi Issiki
Over 50% of patients with diabetes mellitus, either type 1 or 2, ultimately develop hypertension as a complication. In diabetics, this further increases the incidence of cardiovascular disease (CVD) by 2- to 3-fold and accelerates the progression of diabetic nephropathy. Arteriosclerosis, a clinical feature of hypertension in diabetics, develops and advances from a young age. Therefore, in providing treatment, it is necessary to evaluate the degree of arteriosclerosis. Diabetic patients are encouraged to strictly control their blood glucose levels...
February 5, 2018: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/29402402/effects-of-strategic-early-morning-caffeine-gum-administration-on-association-between-salivary-alpha-amylase-and-neurobehavioural-performance-during-50%C3%A2-h-of-sleep-deprivation
#14
Maja Pajcin, Jason M White, Siobhan Banks, Jill Dorrian, Gemma M Paech, Crystal L Grant, Kayla Johnson, Katie Tooley, Eugene Aidman, Justin Fidock, Gary H Kamimori, Chris B Della Vedova
Self-assessment is the most common method for monitoring performance and safety in the workplace. However, discrepancies between subjective and objective measures have increased interest in physiological assessment of performance. In a double-blind placebo-controlled study, 23 healthy adults were randomly assigned to either a placebo (n = 11; 5 F, 6 M) or caffeine condition (n = 12; 4 F, 8 M) while undergoing 50 h (i.e. two days) of total sleep deprivation. In previous work, higher salivary alpha-amylase (sAA) levels were associated with improved psychomotor vigilance and simulated driving performance in the placebo condition...
February 2, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29402170/residual-limb-fluid-volume-change-and-volume-accommodation-relationships-to-activity-and-self-report-outcomes-in-people-with-trans-tibial-amputation
#15
Joan E Sanders, Robert T Youngblood, Brian J Hafner, Marcia A Ciol, Katheryn J Allyn, David Gardner, John C Cagle, Christian B Redd, Colin R Dietrich
BACKGROUND: Fluctuations in limb volume degrade prosthesis fit and require users to accommodate changes using management strategies, such as donning and doffing prosthetic socks. OBJECTIVES: To examine how activities and self-report outcomes relate to daily changes in residual limb fluid volume and volume accommodation. STUDY DESIGN: Standardized, two-part laboratory protocol with an interim observational period. METHODS: Participants were classified as "accommodators" or "non-accommodators," based on self-report prosthetic sock use...
February 1, 2018: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/29394480/interprofessional-huddle-one-children%C3%A2-s-hospital%C3%A2-s-approach-to-improving-patient-flow
#16
Cheryl L McBeth, Blythe Durbin-Johnson, Elena O Siegel
Admitting pediatric patients promptly to the appropriate unit where they can receive specialty care is of critical importance to safe, quality care. A daily morning huddle was implemented at one children’s hospital as a quality improvement project. The aim of this project was to improve patient flow throughout the children’s hospital by improving interprofessional and interdepartmental communication and collaboration. This article reports on changes in patient flow before and after implementation of the daily huddle, as measured by pediatric emergency department (ED) boarding times...
March 2017: Pediatric Nursing
https://www.readbyqxmd.com/read/29392572/the-influence-of-gender-on-symptoms-associated-with-obstructive-sleep-apnea
#17
Carlos Alberto Nigro, Eduardo Dibur, Eduardo Borsini, Silvana Malnis, Glenda Ernst, Ignacio Bledel, Sergio González, Anabella Arce, Facundo Nogueira
BACKGROUND: It has been reported that the clinical expression of obstructive sleep apnea (OSA) may differ in women and men. OBJECTIVE: The objective of this study was to evaluate the influence of gender on reported OSA-related symptoms in a large clinical population of patients. METHODS: The database from the sleep laboratory of a tertiary care center was examined. Adult patients who had undergone a diagnostic polysomnography and completed the Berlin questionnaire, a sleep questionnaire, and the Epworth sleepiness scale were selected...
February 1, 2018: Sleep & Breathing, Schlaf & Atmung
https://www.readbyqxmd.com/read/29391341/objectively-measured-baseline-physical-activity-patterns-in-women-in-the-mped-trial-cluster-analysis
#18
Yoshimi Fukuoka, Mo Zhou, Eric Vittinghoff, William Haskell, Ken Goldberg, Anil Aswani
BACKGROUND: Determining patterns of physical activity throughout the day could assist in developing more personalized interventions or physical activity guidelines in general and, in particular, for women who are less likely to be physically active than men. OBJECTIVE: The aims of this report are to identify clusters of women based on accelerometer-measured baseline raw metabolic equivalent of task (MET) values and a normalized version of the METs ≥3 data, and to compare sociodemographic and cardiometabolic risks among these identified clusters...
February 1, 2018: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/29390551/xanthomatosis-in-bilateral-hands-mimicking-rheumatoid-arthritis-a-case-report
#19
Dan Li, Longfei You, Songqing Fan, Lihua Tan
RATIONALE: Xanthomatosis often accompanies familial hypercholesterolemia. This disease usually occurs in tendons, most commonly located in the Achilles tendon; occasionally it can also be seen in other systems. Although there are previous reports for bilateral hand extensor tendon involvement, to our knowledge there is no report in English literature regarding bilateral hands with small joint synovium presenting as rheumatoid arthritis. Therefore, the case that is presented in this report is unique...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29390437/chronic-primary-adrenal-insufficiency-after-unilateral-adrenonephrectomy-a-case-report
#20
Satoshi Yoshiji, Kimitaka Shibue, Toshihito Fujii, Takeshi Usui, Keisho Hirota, Daisuke Taura, Mayumi Inoue, Masakatsu Sone, Akihiro Yasoda, Nobuya Inagaki
RATIONALE: Unilateral adrenalectomy as part of surgical resection of renal cell carcinoma (RCC) is not thought to increase the risk of chronic adrenal insufficiency, as the contralateral adrenal gland is assumed to be capable of compensating for the lost function of the resected gland. However, recent studies have indicated that adrenalectomy might cause irreversible impairment of the adrenocortical reserve. We describe a case of chronic primary adrenal insufficiency in a 68-year-old man who previously underwent unilateral adrenonephrectomy, which was complicated by severe postoperative adrenal stress that involved cardiopulmonary disturbance and systemic infection...
December 2017: Medicine (Baltimore)
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