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"Rapid recovery"

Laura Bar-David, Eytan Z Blumenthal
Glaucoma is a chronic neurodegenerative optic nerve disease. Treatment is intended to prevent the development and progression of optic nerve damage by lowering intraocular pressure (IOP). Current therapy options include topical/systemic drugs that increase aqueous humor outflow or decrease its production, laser therapy that targets the trabecular meshwork and ciliary body, and incisional surgery. Trabeculectomy as well as glaucoma drainage devices are often performed, given their high efficacy in lowering IOP...
July 30, 2018: Rambam Maimonides Medical Journal
John M Yanik, Nicholas A Bedard, Jessica M Hanley, Jesse E Otero, John J Callaghan, John L Marsh
BACKGROUND: Institutional pathways in total joint arthroplasty (TJA) have been shown to reduce costs and improve patient care, but questions remain regarding their efficacy in certain populations. We sought to evaluate the comprehensive effect of a rapid recovery perioperative TJA protocol in the Veterans Health Administration (VA) setting. METHODS: In a VA hospital, a rapid recovery protocol was implemented for all patients undergoing primary total hip or knee arthroplasty...
July 11, 2018: Journal of Arthroplasty
Yunes Panahi, Hamid Sadeghi Dehcheshmeh, Mojtaba Mojtahedzadeh, Nosratollah Joneidi-Jafari, Thomas P Johnston, Amirhossein Sahebkar
Pain is a common experience for most patients in the intensive care unit (ICU). In the current study, the advantages and disadvantages of analgesic and sedative drugs used in the ICU are reviewed. An ideal sedative and analgesic agent should have features such as rapid onset of action, rapid recovery after discontinuation, predictability, minimal accumulation of the agent and metabolites in the body, and lack of toxicity. None of the sedative and analgesic agents have all of these desired characteristics; nevertheless, clinicians must be familiar with these classes of drugs to optimize pharmacotherapy and ensure as few side-effects as possible for ICU patients...
August 4, 2018: Journal of Cellular Biochemistry
Patricia Ruiz, Mikel Gastaca, Francisco Javier Bustamante, Alberto Ventoso, Ibone Palomares, Mikel Prieto, Jose Ramón Fernández, Patricia Salvador, Jose Ignacio Pijuan, Andres Valdivieso
BACKGROUND: Controlled donation after circulatory death (cDCD) has been associated with a high incidence of ischemic cholangiopathy (IC) and other perioperative complications. In an attempt to avoid these complications, we implemented an active protocol of cDCD liver transplant (LT) with normothermic regional perfusion (NRP) preservation. METHODS: This is a descriptive analysis of data collected from a prospective date base of cDCD LT preserved with NRP, from January 2015 to June 2017 with a minimum follow up of 9 months...
July 30, 2018: Transplantation
I Donázar-Aramendía, J E Sánchez-Moyano, I García-Asencio, J M Miró, C Megina, J C García-Gómez
Understanding the effects of dredging in estuaries is a hard task due to the difficulty of implementing an adequate environmental diagnosis, as a consequence of the salinity gradient and anthropogenic disturbances. To assess the effects of maintenance dredging work on the Guadalquivir estuary (southwestern Spain), we used a Before-After-Control-Impact (BACI) approach to determine both direct and indirect effects in two salinity ranges. No effects were found on water and sediment physicochemical characteristics...
July 25, 2018: Marine Environmental Research
Yuangang Wu, Yi Zeng, Xianchao Bao, Huazhang Xiong, Qinsheng Hu, Mingyang Li, Bin Shen
BACKGROUND: Minimally invasive knee arthroplasty is rapidly gaining recognition with the aim of reducing the damage to the extensional mechanism of traditional medial parapatellar approach and achieving faster recovery of patients after surgery. The purpose of this meta-analysis was to compare the efficacy and safety of mini-subvastus (MSV) and medial parapatellar (MMP) approach in primary total knee arthroplasty (TKA). MATERIAL AND METHODS: PubMed, EMBASE, the Cochrane Library, Web of Science and China National Knowledge Infrastructure and Google Search Engine were systematically searched for randomized controlled trials (RCTs) comparing mini-subvastus and medial parapatellar approach in primary TKA...
July 26, 2018: International Journal of Surgery
Rania Bouneb, Manel Mellouli, Haifa Regaieg, Senda Majdoub, Imed Chouchène, Mohamed Boussarsar
Fulminant meningococcemia is a relatively rare life-threatening disease caused by Neisseria meningitidis. The clinical presentation is varied, but, when associated with myocarditis, it carries a particularly poor prognosis. We report a case of a patient with fulminant meningococcemia who subsequently developed severe myocardial dysfunction and successfully recovered within a period of 7 days of hospitalization. A 15-year-old girl presented with headache, fever, body ache for 1 day and few ecchymotic rash over her body for 3 hours...
2018: Pan African Medical Journal
Chad W MacPherson, Olivier Mathieu, Julien Tremblay, Julie Champagne, André Nantel, Stéphanie-Anne Girard, Thomas A Tompkins
Clinical effects of antimicrobials and probiotics in combination have been reported, however, little is known about their impact on gut microbiota and its resistome. In this study 16S rRNA gene amplicon, shotgun metagenomics sequencing and antibiotic resistance (ABR) microarray were used on fecal samples of 70 healthy participants, taken at four time points in probiotic (Lactobacillus rhamnosus R0011 and Lactobacillus helveticus R0052) and placebo groups to profile the gut bacterial microbiota and its resistome following administration of amoxicillin-clavulanic acid for one week...
July 25, 2018: Scientific Reports
Sarah A Vermillion, Alston James, Robert D Dorrell, Peter Brubaker, Shannon L Mihalko, Adrienne R Hill, Clancy J Clark
BACKGROUND: Gastrointestinal cancer patients are susceptible to significant postoperative morbidity. The aim of this systematic review was to examine the effects of preoperative exercise therapy (PET) on patients undergoing surgery for GI malignancies. METHODS: In accordance with PRISMA statement, all prospective clinical trials of PET for patients diagnosed with GI cancer were identified by searching MEDLINE, Embase, Cochrane Library, ProQuest, PROSPERO, and DARE (March 8, 2017)...
July 24, 2018: Systematic Reviews
Peter W Glynn, Joshua S Feingold, Andrew Baker, Stuart Banks, Iliana B Baums, Julia Cole, Mitchell W Colgan, Peggy Fong, Peter J Glynn, Inti Keith, Derek Manzello, Bernhard Riegl, Benjamin I Ruttenberg, Tyler B Smith, Mariana Vera-Zambrano
Coral populations and structural coral reefs have undergone severe reductions and losses respectively over large parts of the Galápagos Islands during and following the 1982-83 El Niño event. Coral tissue loss amounted to 95% across the Archipelago. Also at that time, all coral reefs in the central and southern islands disappeared following severe degradation and eventual collapse due primarily to intense bioerosion and low recruitment. Six sites in the southern islands have demonstrated low to moderate coral community (scattered colonies, but no carbonate framework) recovery...
August 2018: Marine Pollution Bulletin
Mahnaz Valipour, Charles T Driscoll, Chris E Johnson, John J Battles, John L Campbell, Timothy J Fahey
Understanding the impacts of clear-cutting is critical to inform sustainable forest management associated with net primary productivity and nutrient availability over the long-term. Few studies have rigorously tested model simulations against field measurements which would provide more confidence in efforts to quantify logging impacts over the long-term. The biogeochemical model, PnET-BGC has been used to simulate forest production and stream chemistry at the Hubbard Brook Experimental Forest (HBEF), New Hampshire, USA...
July 16, 2018: Science of the Total Environment
Toshihiro Nishizawa, Hidekazu Suzuki
Most gastrointestinal endoscopic procedures are now performed with sedation. Moderate sedation using benzodiazepines and opioids continues to be widely used, but propofol sedation is becoming more popular because its unique pharmacokinetic properties make endoscopy almost painless, with a very predictable and rapid recovery process. There is controversy as to whether propofol should be administered only by anesthesia professionals. According to published values, endoscopist-directed propofol has a lower mortality rate than endoscopist-delivered benzodiazepines and opioids, and a comparable rate to general anesthesia by anesthesiologists...
July 2018: United European Gastroenterology Journal
Yoh Asahi, Shohei Honda, Tadao Okada, Hisayuki Miyagi, Makoto Kaneda, Akihiro Iguchi, Kichizo Kaga, Akinobu Taketomi
Although diaphragmatic hernia (DH) may be congenital, posttraumatic, or iatrogenic, DHs after diaphragmatic surgery are rarely reported in the literature. This report describes the rare case of a 14-year-old girl complicated by iatrogenic DH following the biopsy of granulomatous lesions of the left diaphragm, when a mediastinal mixed germ cell tumor was extirpated. Plain computed tomography (CT) with swallowing of GastrografinTM was useful for the diagnosis of this disorder. The patient presented to our hospital with frequent epigastric pain and vomiting 11 months after the original surgery...
May 2018: Case Reports in Gastroenterology
Mehrdad Esmailian, Mahboubeh Koushkian Esfahani, Farhad Heydari
Introduction: Efficient treatment of asthma can play an important role in controlling asthma attacks, rapid recovery and decrease of patient mortality. Therefore, in the present study the therapeutic effect of low-dose ketamine is evaluated in patients with acute asthma attack. Methods: In the present single-blind, randomized clinical trial with placebo control, the effect of low-dose intravenous ketamine in treating 18 to 85 year-old asthmatic patients who presented to the emergency department was evaluated...
2018: Emergency (Tehran, Iran)
Kalyan Santra, Kevin D Clark, Nishith Maity, Jacob W Petrich, Jared L Anderson
Magnetic ionic liquids (MILs), which incorporate paramagnetic ions, promise to minimize manual user intervention, decrease extraction times, and facilitate rapid recovery of the analyte-enriched extraction solvent. If, however, fluorescence is employed in the downstream analysis of an analyte tagged with a fluorophore, the paramagnetic ion may quench fluorescence by introducing new nonradiative processes. Thus, it is necessary to employ a paramagnetic ion that offers a compromise between possessing a high magnetic moment and not introducing new nonradiative channels...
July 25, 2018: Journal of Physical Chemistry. B
Cristina Popescu, Anca Leuştean, Alina Elena Orfanu, Codruţa Georgiana Carp, Victoria Aramă
Introduction: Streptococcal infection can be responsible for multiple complications, such as toxic, septic or allergic disorders. Toxin-mediated complications (TMC) can appear during the acute phase of disease and can involve any organ, causing carditis, arthritis, nephritis, hepatitis etc. Case presentation: The case of a young woman without a history of recurrent streptococcal tonsillitis, admitted to "Matei Balş" National Institute for Infectious Diseases, Bucharest, Romania, presenting with fever, sore throat and exudative tonsillitis, is detailed...
October 2017: Journal of Critical Care Medicine
Kamran I Muhammad, Georgianne C Tokarchik
Transcatheter aortic valve replacement (TAVR) has emerged as a viable, minimally-invasive and widely adopted approach for the treatment of severe symptomatic aortic stenosis in patients who are intermediate-risk or greater for surgical aortic valve replacement. Numerous studies have demonstrated favorable outcomes with TAVR in this population, particularly with transfemoral access TAVR. Transfemoral TAVR has been shown to be safer and associated less morbidity, shorter lengths of hospital stay and more rapid recovery as compared with traditional thoracic alternative-access TAVR (transapical or transaortic)...
2018: Journal of Visualized Surgery
Young Sung Kim, Jae Ryung Cha, Yoon Sook Lee, Woon Young Kim, Jae Hwan Kim, Yun Hee Kim
Objective Emergence agitation (EA) has a multifactorial origin, and the effect of sugammadex on EA has not been established. We investigated the effect of sugammadex on EA incidence and severity. Methods We performed a retrospective study of children aged 1 to 13 years who underwent strabismus surgery. Patients received sugammadex or conventional neuromuscular reversal agents. The primary outcome variables were EA incidence and severity. Secondary outcome variables were postoperative fentanyl use, postoperative nausea and vomiting, time from reversal agent administration to extubation, time from the end of surgery to arrival in the post-anesthesia care unit (PACU) and time spent in the PACU...
January 1, 2018: Journal of International Medical Research
Danielle R Sullivan, Jasmeet P Hayes, Ginette Lafleche, David H Salat, Mieke Verfaellie
OBJECTIVES: Research on the cognitive sequelae of mild traumatic brain injury (mTBI) suggests that, despite generally rapid recovery, difficulties may persist in the domain of cognitive control. The goal of this study was to examine whether individuals with chronic blast-related mTBI show behavioral or neural alterations associated with cognitive control. METHODS: We collected event-related functional magnetic resonance imaging (fMRI) data during a flanker task in 17 individuals with blast-related mTBI and 16 individuals with blast-exposure without TBI (control)...
June 29, 2018: Journal of the International Neuropsychological Society: JINS
Mehdi Adjeroud, Mohsen Kayal, Claudie Iborra-Cantonnet, Julie Vercelloni, Pauline Bosserelle, Vetea Liao, Yannick Chancerelle, Joachim Claudet, Lucie Penin
Coral reefs are increasingly threatened by various types of disturbances, and their recovery is challenged by accelerating, human-induced environmental changes. Recurrent disturbances reduce the pool of mature adult colonies of reef-building corals and undermine post-disturbance recovery from newly settled recruits. Using a long-term interannual data set, we show that coral assemblages on the reef slope of Moorea, French Polynesia, have maintained a high capacity to recover despite a unique frequency of large-scale disturbances which, since the 1990s, have caused catastrophic declines in coral cover and abundance...
June 26, 2018: Scientific Reports
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