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https://www.readbyqxmd.com/read/27863827/-assessment-of-physicians-and-nurses-knowledge-and-practices-of-aerosol-therapy
#1
N Eychenne, A Jaouadi, D Macquart de Terline, A Fratta, S Laribe-Caget, O Steichen, C Fernandez, M Antignac
INTRODUCTION: Aerosol therapy is an efficient, but complex procedure. National and international practice guidelines are regularly updated. However, only a few studies have assessed the application of guidelines by users. The aim of this study is to assess the knowledge and practices of physicians and nurses regarding these guidelines. METHODS: Two self-administered questionnaires were designed by a working team and presented to physicians and nurses of four university hospitals in Paris...
November 15, 2016: Revue des Maladies Respiratoires
https://www.readbyqxmd.com/read/27851839/diagnosis-treatment-and-clinical-management-of-pulmonary-arterial-hypertension-in-the-contemporary-era-a-review
#2
Bradley A Maron, Nazzareno Galiè
Importance: Pulmonary arterial hypertension (PAH) is characterized by severe remodeling of the distal pulmonary arteries, increased pulmonary vascular resistance, and right ventricular dysfunction that promotes heart failure. Once regarded as largely untreatable, evidence-based decision making now guides clinical management of PAH and improves outcomes. However, misconceptions regarding the approach to PAH in the modern era are common and associated with substandard clinical care. Observations: The clinical profile of PAH has changed substantially since its original description...
November 16, 2016: JAMA Cardiology
https://www.readbyqxmd.com/read/27847821/djulis-chenopodium-formosanum-koidz-water-extract-and-its-bioactive-components-ameliorate-dermal-damage-in-uvb-irradiated-skin-models
#3
Yong-Han Hong, Ya-Ling Huang, Yao-Cheng Liu, Pi-Jen Tsai
Dermal photoaging is a condition of skin suffering inappropriate ultraviolet (UV) exposure and exerts inflammation, tissue alterations, redness, swelling, and uncomfortable feelings. Djulis (Chenopodium formosanum Koidz.) is a cereal food and its antioxidant and pigment constituents may provide skin protection from photoaging, but it still lacks proved experiments. In this study, protective effects of djulis extract (CFE) on UVB-irradiated skin were explored. The results showed that HaCaT cells with 150 μg/mL CFE treatment had higher survival and less production of interleukin- (IL-) 6, matrix metalloprotease- (MMP-) 1, and reactive oxygen species (ROS) in UVB-irradiated conditions...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27796477/neutrophils-from-chronic-lymphocytic-leukemia-patients-exhibit-an-increased-capacity-to-release-extracellular-traps-nets
#4
Enrique Podaza, Florencia Sabbione, Denise Risnik, Mercedes Borge, María B Almejún, Ana Colado, Horacio Fernández-Grecco, María Cabrejo, Raimundo F Bezares, Analía Trevani, Romina Gamberale, Mirta Giordano
Chronic lymphocytic leukemia (CLL) is characterized by immune defects that contribute to a high rate of infections and autoimmune cytopenias. Neutrophils are the first line of innate immunity and respond to pathogens through multiple mechanisms, including the release of neutrophil extracellular traps (NETs). These web-like structures composed of DNA, histones, and granular proteins are also produced under sterile conditions and play important roles in thrombosis and autoimmune disorders. Here we show that neutrophils from CLL patients are more prone to release NETs compared to those from age-matched healthy donors (HD)...
October 28, 2016: Cancer Immunology, Immunotherapy: CII
https://www.readbyqxmd.com/read/27723012/poorly-designed-research-does-not-help-clarify-the-role-of-hyperbaric-oxygen-in-the-treatment-of-chronic-diabetic-foot-ulcers
#5
EDITORIAL
Mesut Mutluoglu, Gunalp Uzun, Michael Bennett, Peter Germonpré, David Smart, Daniel Mathieu
Diabetic foot ulcers (DFUs) are one of the most common indications for hyperbaric oxygen treatment (HBOT). The role of HBOT in DFUs is often debated. Recent evidence based guidelines, while recommending its use, urge further studies to identify the patient subgroups most likely to benefit from HBOT. A recent study in Diabetes Care aimed to assess the efficacy of HBOT in reducing the need for major amputation and improving wound healing in patients with chronic DFUs. In this study, patients with Wagner grade 2-4 diabetic foot lesions were randomly assigned to have HBOT (30 sessions/90 min/244 kPa) or sham treatment (30 sessions/90 min/air/125 kPa)...
September 2016: Diving and Hyperbaric Medicine: the Journal of the South Pacific Underwater Medicine Society
https://www.readbyqxmd.com/read/27576283/-acute-respiratory-distress-syndrome
#6
Elisa Estenssoro, Arnaldo Dubin
Acute respiratory distress syndrome (ARDS) is an acute respiratory failure produced by an inflammatory edema secondary to increased lung capillary permeability. This causes alveolar flooding and subsequently deep hypoxemia, with intrapulmonary shunt as its most important underlying mechanism. Characteristically, this alteration is unresponsive to high FIO2 and only reverses with end-expiratory positive pressure (PEEP). Pulmonary infiltrates on CXR and CT are the hallmark, together with decreased lung compliance...
2016: Medicina
https://www.readbyqxmd.com/read/27571187/profiling-carbonylated-proteins-in-heart-and-skeletal-muscle-mitochondria-from-trained-and-untrained-mice
#7
Andrea Carpentieri, Tania Gamberi, Alessandra Modesti, Angela Amoresano, Barbara Colombini, Marta Nocella, Maria Angela Bagni, Tania Fiaschi, Lorenzo Barolo, Massimo Gulisano, Francesca Magherini
Understanding the relationship between physical exercise, reactive oxygen species, and skeletal muscle modification is important in order to better identify the benefits or the damages that appropriate or inappropriate exercise can induce. Heart and skeletal muscles have a high density of mitochondria with robust energetic demands, and mitochondria plasticity has an important role in both the cardiovascular system and skeletal muscle responses. The aim of this study was to investigate the influence of regular physical activity on the oxidation profiles of mitochondrial proteins from heart and tibialis anterior muscles...
October 7, 2016: Journal of Proteome Research
https://www.readbyqxmd.com/read/27565684/the-role-of-barrier-function-autophagy-and-cytokines-in-maintaining-intestinal-homeostasis
#8
Dana Elshaer, Jakob Begun
Intestinal homeostasis is maintained through the interplay of the intestinal mucosa, local and systemic immune factors, and the microbial content of the gut. The cellular processes of autophagy, endoplasmic reticulum stress, the unfolded protein response and regulation of reactive oxygen species production are required to maintain a balance between pro-inflammatory responses against potential pathogens and a tolerogenic response towards commensal bacteria. Intestinally active cytokines regulate innate immune pathways and cellular pathways within the gut mucosa...
August 23, 2016: Seminars in Cell & Developmental Biology
https://www.readbyqxmd.com/read/27528685/patrolling-monocytes-promote-intravascular-neutrophil-activation-and-glomerular-injury-in-the-acutely-inflamed-glomerulus
#9
Michaela Finsterbusch, Pam Hall, Anqi Li, Sapna Devi, Clare L V Westhorpe, A Richard Kitching, Michael J Hickey
Nonclassical monocytes undergo intravascular patrolling in blood vessels, positioning them ideally to coordinate responses to inflammatory stimuli. Under some circumstances, the actions of monocytes have been shown to involve promotion of neutrophil recruitment. However, the mechanisms whereby patrolling monocytes control the actions of neutrophils in the circulation are unclear. Here, we examined the contributions of monocytes to antibody- and neutrophil-dependent inflammation in a model of in situ immune complex-mediated glomerulonephritis...
August 30, 2016: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/27503269/drosophila-glob1-is-required-for-the-maintenance-of-cytoskeletal-integrity-during-oogenesis
#10
Renu Yadav, Surajit Sarkar
BACKGROUND: Hemoglobins (Hbs) are evolutionarily conserved heme-containing metallo-proteins of the Globin protein family that harbour the characteristic "globin fold." Hemoglobins have been functionally diversified during evolution and their usual property of oxygen transport is rather a recent adaptation. Drosophila genome possesses three globin genes (glob1, glob2, and glob3), and we have reported earlier that adequate expression of glob1 is required for various aspects of development, as well as to regulate the cellular level of reactive oxygen species (ROS)...
November 2016: Developmental Dynamics: An Official Publication of the American Association of Anatomists
https://www.readbyqxmd.com/read/27464555/application-of-vacuum-assisted-closure-therapy-and-hyperbaric-oxygen-therapy-for-an-exposed-titanium-plate-after-mandible-reconstruction
#11
Taku Maeda, Yuhei Yamamoto, Soichi Tanaka, Toshihiko Hayashi
The authors report a case of an 84-year-old woman with an exposed mandibular plate after reconstruction, which finally healed with combination therapy using vacuum-assisted closure therapy and hyperbaric oxygen therapy. The woman was diagnosed with mucosal carcinoma of the right oral cavity. During reconstruction after segmental excision of the mandible, a titanium plate was selected based on several risk factors. After the operation, the plate became exposed at the center of the chin. A second surgery was deemed inappropriate because of her age, malnutrition, and recurrent aspiration pneumonia...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27426736/predictors-of-airspace-disease-on-chest-x-ray-in-emergency-department-patients-with-clinical-bronchiolitis-a-systematic-review-and-meta-analysis
#12
Jennifer H Chao, Raymond Chou-Jui Lin, Shashidhar Marneni, Shreya Pandya, Sana Alhajri, Richard Sinert
BACKGROUND: An abnormal Chest-X-ray (CXR) inconsistent with simple bronchiolitis is found in 7%-23% of cases. Despite national guidelines stating "current evidence does not support routine radiography in children with bronchiolitis"; the use of CXR in these patients remains high. Inappropriate use of CXR not only exposes children to excess radiation, but also increases medical costs. The majority of the time, CXRs are obtained to diagnose or rule-out pneumonia. We aim to provide an evidence-based approach defining the utility of CXR in bronchiolitis for the diagnosis and treatment of bacterial pneumonia...
July 18, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27405062/where-s-the-leak-in-vascular-barriers-a-review
#13
Melissa A Kottke, Thomas J Walters
Edema is typically presented as a secondary effect from injury, illness, disease, or medication, and its impact on patient wellness is nested within the underlying etiology. Therefore, it is often thought of more as an amplifier to current preexisting conditions. Edema, however, can be an independent risk factor for patient deterioration. Improper management of edema is costly not only to the patient, but also to treatment and care facilities, as mismanagement of edema results in increased lengths of hospital stay...
September 2016: Shock
https://www.readbyqxmd.com/read/27384589/turning-on-the-radio-epigenetic-inhibitors-as-potential-radiopriming-agents
#14
REVIEW
Bryan Oronsky, Jan Scicinski, Michelle M Kim, Pedro Cabrales, Michael E Salacz, Corey A Carter, Neil Oronsky, Harry Lybeck, Michelle Lybeck, Christopher Larson, Tony R Reid, Arnold Oronsky
First introduced during the late 1800s, radiation therapy is fundamental to the treatment of cancer. In developed countries, approximately 60% of all patients receive radiation therapy (also known as the sixty percenters), which makes radioresistance in cancer an important and, to date, unsolved, clinical problem. Unfortunately, the therapeutic refractoriness of solid tumors is the rule not the exception, and the ubiquity of resistance also extends to standard chemotherapy, molecularly targeted therapy and immunotherapy...
July 4, 2016: Biomolecules
https://www.readbyqxmd.com/read/27371670/regulation-of-cellular-metabolism-and-hypoxia-by-p53
#15
REVIEW
Timothy J Humpton, Karen H Vousden
The p53 protein is essential for the implementation of the cellular response to challenging environmental conditions. Reacting to stochastic nutrient stress, p53 integrates the activity of key metabolite-sensing pathways to coordinate an appropriate cell response. During starvation, p53 activity augments cell survival pathways, inhibits unnecessary growth, and promotes efficient nutrient generation, utilization, and conservation. Similarly, during oxygen stress, p53 facilitates redirection of cellular metabolism toward energy generation through nonoxidative means, the suppression of reactive oxygen species (ROS) generation, and ROS detoxification-promoting cell survival...
2016: Cold Spring Harbor Perspectives in Medicine
https://www.readbyqxmd.com/read/27347044/acute-lupus-pneumonitis-followed-by-intestinal-pseudo-obstruction-in-systemic-lupus-erythematosus-a-case-report
#16
Caihong Ji, Xing Yu, Yong Wang, Lufeng Shi
Intestinal pseudo-obstruction (IpsO) and acute lupus pneumonitis (ALP) are uncommon severe complications of systemic lupus erythematosus (SLE). The present study reports the case of a 26-year-old female who presented with abdominal pain, nausea and vomiting as initial symptoms. Computed tomography (CT) scanning revealed the jejunal wall was thickened and streaky, mimicking the presentation of intestinal obstruction. Following emergency surgery, the patient's general condition was aggravated, with evident limb erythematous rashes...
July 2016: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/27341415/reactions-of-flavonoids-with-o-quinones-interfere-with-the-spectrophotometric-assay-of-tyrosinase-activity
#17
Beata Gąsowska-Bajger, Hubert Wojtasek
Flavonoids are important food components with antioxidant properties and many of them have been described as tyrosinase inhibitors. Oxidation of quercetin, kaempferol, morin, catechin, and naringenin by mushroom tyrosinase and their influence on the oxidation of l-dopa and l-tyrosine was studied. Reaction rates measured spectrophotometrically and by oxygen consumption differed substantially. All tested flavonoids reacted with 4-tert-butyl-o-benzoquinone and/or 4-methyl-o-benzoquinone, although at different rates...
July 6, 2016: Journal of Agricultural and Food Chemistry
https://www.readbyqxmd.com/read/27322733/validating-accelerometry-as-a-measure-of-physical-activity-and-energy-expenditure-in-chronic-stroke
#18
Monica C Serra, Elizabeth Balraj, Beth L DiSanzo, Frederick M Ivey, Charlene E Hafer-Macko, Margarita S Treuth, Alice S Ryan
BACKGROUND: Accelerometers can objectively measure steps taken per day in individuals without gait deficits, but accelerometers also have the ability to estimate frequency, intensity, and duration of physical activity. However, thresholds to distinguish varying levels of activity intensity using the Actical brand accelerometer are standardized only for the general population and may underestimate intensity in stroke. OBJECTIVE: To derive Actical activity count thresholds specific to stroke disability for use in more accurately gauging time spent at differing activity levels...
January 2017: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/27177713/optimizations-on-supply-and-distribution-of-dissolved-oxygen-in-constructed-wetlands-a-review
#19
REVIEW
Huaqing Liu, Zhen Hu, Jian Zhang, Huu Hao Ngo, Wenshan Guo, Shuang Liang, Jinlin Fan, Shaoyong Lu, Haiming Wu
Dissolved oxygen (DO) is one of the most important factors that can influence pollutants removal in constructed wetlands (CWs). However, problems of insufficient oxygen supply and inappropriate oxygen distribution commonly exist in traditional CWs. Detailed analyses of DO supply and distribution characteristics in different types of CWs were introduced. It can be concluded that atmospheric reaeration (AR) served as the promising point on oxygen intensification. The paper summarized possible optimizations of DO in CWs to improve its decontamination performance...
August 2016: Bioresource Technology
https://www.readbyqxmd.com/read/27139725/expression-of-vo2peak-in-children-and-youth-with-special-reference-to-allometric-scaling
#20
REVIEW
Mark Loftin, Melinda Sothern, Takashi Abe, Marc Bonis
The aim of this review was to highlight research that has focused on examining expressions of peak oxygen uptake (VO2peak) in children and youth, with special reference to allometric scaling. VO2peak is considered the highest VO2 during an increasing workload treadmill or bicycle ergometer test until volitional termination. We have reviewed scholarly works identified from PubMed, One Search, EBSCOhost and Google Scholar that examined VO2peak in absolute units (L·min(-1)), relative units [body mass, fat-free mass (FFM)], and allometric expressions [mass, height, lean body mass (LBM) or LBM of the legs raised to a power function] through July 2015...
October 2016: Sports Medicine
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