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https://www.readbyqxmd.com/read/29154892/reflection-on-the-role-of-the-spirit-in-finding-meaning-and-healing-as-clincians
#1
Carolyn Jacobs
Reflections on the Role of the Spirit in Finding Meaning and Healing as Clinicians is based on a presentation for the George Washington Spirituality and Health Summer Institute July 13, 2017. The presentation invited health care professionals to explore contemplative practices as ways to invite the Spirit into strengthening their resilience in caring for themselves and others. As clinicians there is often a longing to be grounded in a regular contemplative practice centering one's inner life and to acknowledge the creative energy of the Spirit in relationships...
November 14, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29151335/comparison-of-tidal-volume-and-deep-breath-preoxygenation-techniquesundergoing-coronary-artery-bypass-graft-surgery-effects-of-hemodynamicresponse-and-arterial-oxygenation
#2
Zafer Taş, Tülay Hoşten, Alparslan Kuş, Sevim Cesur, Neşe Türkyılmaz, Ahmet Arıkan, Zeynep Mine Solak
Background/aim: Different techniques exist for the preoxygenation of patients that will be operated on under general anesthesia. Preoxygenation with the deep breath (DB) method may affect cardiovascular stability, which is crucial for coronary artery bypass graft (CABG) patients. In this study, we aimed to compare the effects of the 3 min TVB preoxygenation technique and 1 min 8DBs technique on hemodynamic response and arterial oxygenation in patients with normal ejection fraction that were scheduled for elective CABG surgery...
November 13, 2017: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/29139223/dosimetric-effects-of-intrafractional-isocenter-variation-during-deep-inspiration-breath-hold-for-breast-cancer-patients-using-surface-guided-radiotherapy
#3
Malin Kügele, Anneli Edvardsson, Lovisa Berg, Sara Alkner, Carina Andersson Ljus, Sofie Ceberg
The aim of this study was to investigate potential dose reductions to the heart, left anterior descending coronary artery (LAD), and ipsilateral lung for left-sided breast cancer using visually guided deep inspiration breath-hold (DIBH) with the optical surface scanning system Catalyst™, and how these potential dosimetric benefits are affected by intrafractional motion in between breath holds. For both DIBH and free breathing (FB), treatment plans were created for 20 tangential and 20 locoregional left-sided breast cancer patients...
November 15, 2017: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/29128525/respiratory-rehabilitation-in-multiple-sclerosis-a-narrative-review-of-rehabilitation-techniques
#4
REVIEW
J Levy, H Prigent, D Bensmail
BACKGROUND: Respiratory disorders in multiple sclerosis (MS) are an important issue. They can occur early during the course of the disease, are associated with the neurological impairment, and can lead to pneumonia and respiratory failure, which are the main causes of death in advanced MS. Prevailing impaired expiratory muscles and cough abilities has been demonstrated in this population and might constitute a specific target for rehabilitation interventions. However, international guidelines lack recommendations regarding respiratory rehabilitation in MS...
November 8, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29125857/phantom-based-evaluation-of-dose-exposure-of-ultrafast-combined-kv-mv-cbct-towards-clinical-implementation-for-igrt-of-lung-cancer
#5
Anna Arns, Manuel Blessing, Jens Fleckenstein, Dzmitry Stsepankou, Judit Boda-Heggemann, Juergen Hesser, Frank Lohr, Frederik Wenz, Hansjoerg Wertz
PURPOSE: Combined ultrafast 90°+90° kV-MV-CBCT within single breath-hold of 15s has high clinical potential for accelerating imaging for lung cancer patients treated with deep inspiration breath-hold (DIBH). For clinical feasibility of kV-MV-CBCT, dose exposure has to be small compared to prescribed dose. In this study, kV-MV dose output is evaluated and compared to clinically-established kV-CBCT. METHODS: Accurate dose calibration was performed for kV and MV energy; beam quality was determined...
2017: PloS One
https://www.readbyqxmd.com/read/29119058/next-generation-in-vivo-optical-imaging-with-short-wave-infrared-quantum-dots
#6
Oliver T Bruns, Thomas S Bischof, Daniel K Harris, Daniel Franke, Yanxiang Shi, Lars Riedemann, Alexander Bartelt, Frank B Jaworski, Jessica A Carr, Christopher J Rowlands, Mark W B Wilson, Ou Chen, He Wei, Gyu Weon Hwang, Daniel M Montana, Igor Coropceanu, Odin B Achorn, Jonas Kloepper, Joerg Heeren, Peter T C So, Dai Fukumura, Klavs F Jensen, Rakesh K Jain, Moungi G Bawendi
For in vivo imaging, the short-wavelength infrared region (SWIR; 1000-2000 nm) provides several advantages over the visible and near-infrared regions: general lack of autofluorescence, low light absorption by blood and tissue, and reduced scattering. However, the lack of versatile and functional SWIR emitters has prevented the general adoption of SWIR imaging by the biomedical research community. Here, we introduce a class of high-quality SWIR-emissive indium-arsenide-based quantum dots (QDs) that are readily modifiable for various functional imaging applications, and that exhibit narrow and size-tunable emission and a dramatically higher emission quantum yield than previously described SWIR probes...
2017: Nature biomedical engineering
https://www.readbyqxmd.com/read/29110883/linear-and-nonlinear-parameters-of-heart-rate-variability-in-ischemic-stroke-patients
#7
V Constantinescu, D Matei, V Costache, D Cuciureanu, C Arsenescu-Georgescu
INTRODUCTION: Cardiovascular system presents cortical modulation. Post-stroke outcome can be highly influenced by autonomic nervous system disruption. Heart rate variability (HRV) analysis is a simple non-invasive method to assess sympatho-vagal balance. OBJECTIVES: The purpose of this study was to investigate cardiac autonomic activity in ischemic stroke patients and to asses HRV nonlinear parameters beside linear ones. METHODS: We analyzed HRV parameters in 15 right and 15 left middle cerebral artery ischemic stroke patients, in rest condition and during challenge (standing and deep breathing)...
October 11, 2017: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/29107740/autonomic-function-testing-compliance-and-consequences
#8
Thorsten Kamlarczyk Rasmussen, John Hansen, Phillip A Low, Paola Sandroni, Wolfgang Singer, Troels Staehelin Jensen, Astrid Juhl Terkelsen
BACKGROUND: The deep breathing test (DB) and Valsalva maneuver (VM) are used to detect autonomic dysfunction. The VM induces sympathetically mediated changes in blood pressure (phase II late, phase IV, and recovery time) and both tests induce vagally mediated heart rate changes. There is limited information on effects of key variables, compliance with testing and the effects of non-compliance This study has twin goals of evaluating compliance with standard instructions and the effects of changes in key variables...
October 18, 2017: Autonomic Neuroscience: Basic & Clinical
https://www.readbyqxmd.com/read/29103415/effectiveness-of-breathing-exercises-during-the-second-stage-of-labor-on-labor-pain-and-duration-a-randomized-controlled-trial
#9
Hilal Yuksel, Yasemin Cayir, Zahide Kosan, Kenan Tastan
BACKGROUND: Some research exists on the effect of non-pharmacological approaches for labor pain relief. However, there is limited information about effectiveness of breathing exercises in pregnant women to reduce maternal pain during labor. OBJECTIVE: To determine whether breathing exercises for pregnant women during the second stage of labor have beneficial effects on maternal pain, duration of labor, and the first-minute Appearance, Pulse, Grimace, Activity and Respiration (APGAR) scores...
November 2017: Journal of Integrative Medicine
https://www.readbyqxmd.com/read/29102898/communication-of-health-in-experimentally-sick-men-and-women-a-pilot-study
#10
Julie Lasselin, Mats Lekander, Sofie Paues-Göranson, Mats J Olsson, John Axelsson
The way people communicate their ill-health and the factors involved in ill-health communication remain poorly known. In the present study, we tested how men and women communicate their sickness and assessed whether sickness-related variables (i.e., body temperature, immune response, subjective sickness symptoms) predicted communicative behaviors. Twenty-two participants were filmed during experimentally induced sickness, triggered by lipopolysaccharide administration (2ng/kg body weight), and after placebo administration, in presence of female care providers...
November 2, 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/29100788/deep-inspiration-breath-hold-intensity-modulated-radiation-therapy-to-the-mediastinum-for-lymphoma-patients-setup-uncertainties-and-margins
#11
Michalis Aristophanous, Pai-Chun M Chi, Jeremy Kao, Ryan Williamson, Sam Tung, Therese Andraos, Sarah A Milgrom, Chelsea C Pinnix, Bouthaina S Dabaja
PURPOSE: Patient setup for treating large target volumes can be challenging. In the present study, we measured the local uncertainties in the treatment of mediastinal lymphoma and investigated the need for region-specific planning target volume (PTV) margins. METHODS AND MATERIALS: The data from 30 patients who had undergone radiation therapy for mediastinal lymphoma were retrospectively analyzed. A computed tomography (CT)-on-rails (CTOR) system in the treatment room was used for daily image guidance...
September 25, 2017: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29090250/complications-associated-with-intravenous-midazolam-and-fentanyl-sedation-in-patients-undergoing-minor-oral-surgery
#12
Krittika Saiso, Pornnarin Adnonla, Jitpisut Munsil, Benjamas Apipan, Duangdee Rummasak, Natthamet Wongsirichat
BACKGROUND: Anxiety control remains an important concern in dental practice. We evaluated the incidence, nature, and sequelae of complications during and after minor oral surgeries performed under intravenous midazolam and fentanyl sedation using the titration technique. METHODS: The medical records of patients who had undergone minor oral surgeries under moderate intravenous midazolam and fentanyl sedation at our institution between January 1, 2015 and December 31, 2015 were retrospectively evaluated...
September 2017: J Dent Anesth Pain Med
https://www.readbyqxmd.com/read/29082854/acute-myocardial-infarction-associated-with-thrombotic-microangiopathy-following-a-hump-nosed-viper-bite-a-case-report
#13
Nipun Lakshitha de Silva, Lalindra Gooneratne, Eranga Wijewickrama
BACKGROUND: Hump-nosed viper bite is the commonest cause of venomous snakebite in Sri Lanka. Despite initially being considered a moderately venomous snake more recent reports have revealed that it could cause significant systemic envenoming leading to coagulopathy and acute kidney injury. However, myocardial infarction was not reported except for a single case, which occurred immediately after the snakebite. CASE PRESENTATION: A 50-year-old previously healthy Sri Lankan woman had a hump-nosed viper bite with no evidence of systemic envenoming during initial hospital stay...
October 30, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29081004/cardiovascular-autonomic-dysfunction-in-patients-with-idiopathic-diabetes-insipidus
#14
Mattia Barbot, Filippo Ceccato, Marialuisa Zilio, Nora Albiger, Riccardo Sigon, Giuseppe Rolma, Marco Boscaro, Carla Scaroni, Franca Bilora
INTRODUCTION: Central diabetes insipidus (DI) is a rare disease characterized by the excretion of excessive volumes of dilute urine due to reduced levels of the antidiuretic hormone arginine vasopressin (AVP), caused by an acquired or genetic defect in the neurohypophysis. The aim of this study was to identify any autonomic dysfunction (AD) in patients with DI as a possible cofactor responsible for their reportedly higher mortality. METHODS: The study involved 12 patients (6 females) with central idiopathic DI and a well-controlled electrolyte balance, and 12 controls matched for age, sex and cardiovascular risk factors, who were assessed using the tilt, lying-to-standing, hand grip, deep breath, Valsalva maneuver and Stroop tests...
October 28, 2017: Pituitary
https://www.readbyqxmd.com/read/29078663/endoscopic-treatment-with-fibrin-glue-of-post-intubation-tracheal-laceration
#15
Alfonso Fiorelli, Roberto Cascone, Davide Di Natale, Matteo Pierdiluca, Rossella Mastromarino, Giovanni Natale, Emanuele De Ruberto, Gaetana Messina, Giovanni Vicidomini, Mario Santini
Post-intubation tracheal laceration (PITL) is a rare and potential life-threatening condition requiring prompt diagnosis and treatment. A conservative treatment is indicated in patients with laceration <2 cm in length while surgery is the treatment of choice for laceration >4 cm. For laceration between 2-4 cm, the best treatment is debate; some authors recommend surgery while others do not definitely exclude endoscopic treatment. Herein, we reported the endoscopic treatment with fibrin glue of PITL. The procedure is performed using a standard video-bronchoscopy in operating room; the patient is in spontaneous breathing and deep sedation...
2017: J Vis Surg
https://www.readbyqxmd.com/read/29078048/temporal-dynamics-of-localized-exciton-polaritons-in-composite-organic-plasmonic-metasurfaces
#16
Elad Eizner, Katherine Akulov, Tal Schwartz, Tal Ellenbogen
We use femtosecond transient absorption spectroscopy to study the temporal dynamics of strongly coupled exciton-plasmon polaritons in metasurfaces of aluminum nanoantennas coated with J-aggregate molecules. Compared with the thermal nonlinearities of aluminum nanoantennas, the exciton-plasmon hybridization introduces strong ultrafast nonlinearities in the composite metasurfaces. Within femtoseconds after the pump excitation, the plasmonic resonance is broadened and shifted, showcasing its high sensitivity to excited-state modification of the molecular surroundings...
November 2, 2017: Nano Letters
https://www.readbyqxmd.com/read/29075525/chest-wall-underappreciated-structure-in-sonography-part-i-examination-methodology-and-ultrasound-anatomy
#17
REVIEW
Andrzej Smereczyński, Katarzyna Kołaczyk, Elżbieta Bernatowicz
Chest wall ultrasound has been awarded little interest in the literature, with chest wall anatomy described only in limited extent. The objective of this study has been to discuss the methodology of chest wall ultrasound and the sonographic anatomy of the region to facilitate professional evaluation of this complex structure. The primarily used transducer is a 7-12 MHz linear one. A 3-5 MHz convex (curvilinear) transducer may also be helpful, especially in obese and very muscular patients. Doppler and panoramic imaging options are essential...
September 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/29066979/autonomic-dysfunction-in-wilson-s-disease-a-comprehensive-evaluation-during-a-3-year-follow-up
#18
Kai Li, Charlotte Lindauer, Rocco Haase, Heinz Rüdiger, Heinz Reichmann, Ulrike Reuner, Tjalf Ziemssen
Objectives: Wilson's disease is reported to have autonomic dysfunction, but comprehensive evaluation of autonomic function is lacking. Additionally, little is known about the change of autonomic function of Wilson's disease during continuous therapy. We assumed that patients with Wilson's disease had both sympathetic and parasympathetic autonomic impairments, and the autonomic dysfunction might be stable across a 3-year follow-up after years of optimal treatment. Methods: Twenty-six patients with Wilson's disease and twenty-six healthy controls were recruited...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/29066123/deep-inspiration-breath-hold-radiation-therapy-in-breast-cancer-a-word-of-caution-on-the-dose-to-the-axillary-lymph-node-levels
#19
Kai Joachim Borm, Markus Oechsner, Stephanie E Combs, Marciana-Nona Duma
PURPOSE: To assess the differences in unintended regional nodal irradiation between free breathing (FB) and deep inspiration breath hold (DIBH) during tangential field irradiation. METHODS AND MATERIALS: We randomly chose 32 patients from our database who underwent both DIBH and FB treatment planning. Contouring of the axillary lymph node levels (LI, LII, and LIII) was performed retrospectively according to the Radiation Therapy Oncology Group contouring atlas...
September 20, 2017: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/29060791/effects-of-respiration-depth-on-human-body-radar-cross-section-using-2-4ghz-continuous-wave-radar
#20
Alexander Lee, Xiaomeng Gao, Jia Xu, Olga Boric-Lubecke
In this study, it was tested whether deep and shallow breathing has an effect on the cardiopulmonary radar cross-section (RCS). Continuous wave radar with quadrature architecture at 2.4GHz was used to test 2 human subjects breathing deep and shallow for 30 seconds each while seated 2 meters away from the radar. A retro-reflective marker was placed on the sternum of each subject and measured by infrared motion capture cameras to accurately track displacement of the chest. The quadrature radar outputs were processed to find the radius of the arc on the IQ plot using a circle-fitting algorithm...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
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