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https://www.readbyqxmd.com/read/28749608/prone-position-ventilation-ppv-support-for-acute-exacerbation-of-interstitial-lung-disease-ild
#1
Yuanda Xu, Qingwen Sun, Yuheng Yu, Weibo Liang, Xuesong Liu, Chun Yang, Yonghao Xu, Lingbo Nong, Sibei Chen, Weiqun He, Xiaoqing Liu, Yimin Li, Nanshan Zhong
INTRODUCTION: Prone position ventilation (PPV) has been shown to improve oxygenation and decrease pulmonary vascular resistance and mortality in patients with severe acute respiratory distress syndrome (ARDS). Whether these benefits of PPV occur similarly in acute exacerbations of interstitial lung disease (ILD) is not clear. We retrospectively explored the use of PPV in acute exacerbation with ILD versus those with severe ARDS. METHODS: Retrospective study of the application of PPV in 17 patients with acute exacerbations of ILD and in 19 patients with severe ARDS...
July 27, 2017: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28748974/cranberries-improve-postprandial-glucose-excursions-in-type-2-diabetes
#2
Jace Schell, Nancy M Betts, Megan Foster, R Hal Scofield, Arpita Basu
Recent research supports a favorable role of cranberries on cardiometabolic health. Postprandial metabolism, especially hyperglycemia, has been shown to be an independent cardiovascular risk and few clinical studies have reported the role of berries in improving postprandial dysmetabolism. We investigated the postprandial effects of dried cranberries following a high-fat breakfast challenge in obese participants with type 2 diabetes (T2DM), in a randomized crossover trial. Blood draw and vascular measurements were conducted at fasting, 1, 2 and 4 hours (h), following the consumption of a fast-food style high-fat breakfast (70 g fat, 974 kcal) with or without cranberries (40 g)...
July 27, 2017: Food & Function
https://www.readbyqxmd.com/read/28747223/return-of-chloroquine-sensitivity-to-africa-surveillance-of-african-plasmodium-falciparum-chloroquine-resistance-through-malaria-imported-to-china
#3
Feng Lu, Meihua Zhang, Richard L Culleton, Sui Xu, Jianxia Tang, Huayun Zhou, Guoding Zhu, Yaping Gu, Chao Zhang, Yaobao Liu, Weiming Wang, Yuanyuan Cao, Julin Li, Xinlong He, Jun Cao, Qi Gao
BACKGROUND: Chloroquine (CQ) was the cornerstone of anti-malarial treatment in Africa for almost 50 years, but has been widely withdrawn due to the emergence and spread of resistance. Recent reports have suggested that CQ-susceptibility may return following the cessation of CQ usage. Here, we monitor CQ sensitivity and determine the prevalence of genetic polymorphisms in the CQ resistance transporter gene (pfcrt) of Plasmodium falciparum isolates recently imported from Africa to China...
July 26, 2017: Parasites & Vectors
https://www.readbyqxmd.com/read/28747201/intravenous-superoxide-dismutase-as-a-protective-agent-to-prevent-impairment-of-lung-function-induced-by-high-tidal-volume-ventilation
#4
Nan-Chun Wu, Fan-Ting Liao, Hao-Min Cheng, Shih-Hsien Sung, Yu-Chun Yang, Jiun-Jr Wang
BACKGROUND: Positive-pressure mechanical ventilation is essential in assisting patients with respiratory failure in the intensive care unit and facilitating oxygenation in the operating room. However, it was also recognized as a primary factor leading to hospital-acquired pulmonary dysfunction, in which pulmonary oxidative stress and lung inflammation had been known to play important roles. Cu/Zn superoxide dismutase (SOD) is an important antioxidant, and possesses anti-inflammatory capacity...
July 26, 2017: BMC Pulmonary Medicine
https://www.readbyqxmd.com/read/28747187/general-practitioners-views-and-preferences-about-quality-improvement-feedback-in-preventive-care-a-cross-sectional-study-in-switzerland-and-france
#5
Paul Sebo, Hubert Maisonneuve, Jean-Pascal Fournier, Nicolas Senn, Dagmar M Haller
BACKGROUND: Feedback is widely used as a strategy to improve the quality of care in primary care settings. As part of a study conducted to explore the quality of preventive care, we investigated general practitioners' (GPs) views on the usefulness of feedback and their preferences regarding how feedback is provided. METHODS: This cross-sectional study was conducted in 2015 among randomly selected community-based GPs in two regions of Switzerland and France. GPs were asked to complete an anonymous questionnaire about how often they provided 12 measures of preventive care: blood pressure, weight and height measurements, screening for dyslipidemia, at-risk drinking (and advice to reduce for at-risk drinkers), smoking (and advice to stop for smokers), colon and prostate cancer, and influenza immunization for patients >65 years and at-risk patients...
July 26, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28747037/increased-arterial-stiffness-is-an-independent-risk-factor-for-hemorrhagic-transformation-in-ischemic-stroke-undergoing-thrombolysis
#6
Maurizio Acampa, Silvia Camarri, Pietro Enea Lazzerini, Francesca Guideri, Rossana Tassi, Raffaella Valenti, Alessandra Cartocci, Giuseppe Martini
BACKGROUND: Hemorrhagic transformation (HT) is a multifactorial phenomenon and represents a possible complication of ischemic stroke, especially after thrombolytic treatment. Increased arterial stiffness has been associated with intracranial hemorrhage, but there is no evidence of association with HT after thrombolytic therapy. The aim of our study is to investigate a possible link between arterial stiffness and HT occurrence after thrombolytic therapy in patients with ischemic stroke...
September 15, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28746950/-bayes-theorem-and-base-rate-error-on-the-predictive-value-of-risk-factors-and-screening-tests
#7
Markus Antonius Wirtz
Regularly, risk assessments or decisions are based on dichotomous characteristics or measures. For instance, critical high values in screening tests may indicate an enhanced risk of having a disease. The prevalence of a risk factor (e. g. high blood pressure, depression) may indicate the need of a medical treatment or the occurrence of a negative consequence (e. g. early retirement). In such situations risk assessments are typically based on conditional event rates or conditional event probabilities: What is the risk of having a disease under the condition of having a symptom, risk factor or a critical screening indication? The valid interpretation of conditional event rates poses a considerable challenge for practitioners as well as for rehabilitation patients...
July 26, 2017: Die Rehabilitation
https://www.readbyqxmd.com/read/28746520/relationship-between-cardiometabolic-parameters-and-elevated-resting-and-effort-heart-rate-in-schoolchildren
#8
Cristiane Fernanda da Silva, Miria Suzana Burgos, Priscila Tatiana da Silva, Leandro Tibiriçá Burgos, Letícia Welser, Ana Paula Sehn, Jorge André Horta, Elza Daniel de Mello, Cézane Priscila Reuter
Background: Little has been studied on heart rate and its relationship with metabolic disorders. Objective: To identify possible association between heart rate (HR) and metabolic disorders in children and adolescents. Methods: This cross-sectional study evaluated 2.098 subjects, aged between 7 and 17 years. The variables evaluated were: HR, systolic (SBP) and diastolic blood pressure (DBP), pulse pressure (PP), double-product (DP), myocardial oxygen consumption (mVO2), lipids, glucose and uric acid levels, body mass index (BMI) and waist circumference (WC)...
July 20, 2017: Arquivos Brasileiros de Cardiologia
https://www.readbyqxmd.com/read/28746378/high-molecular-weight-adiponectin-homa-ir-ratio-as-a-biomarker-of-metabolic-syndrome-in-urban-multiethnic-brazilian-subjects
#9
Virgínia Genelhu de Abreu, Cyro José de Moraes Martins, Patricia Aguiar Cardoso de Oliveira, Emilio Antonio Francischetti
Metabolic syndrome (MetS) has an important epidemiological relevance due to its increasing prevalence and association with type 2 diabetes and cardiovascular disease. Insulin resistance is a core feature of the MetS. HOMA-IR is a robust clinical and epidemiological marker of MetS. Adiponectin is an adipokine with insulin-sensitizing and anti-inflammatory functions; its levels decrease as number of components of MetS increases. High-molecular weight adiponectin (HMWA) is the multimer responsible for the relationship of adiponectin with insulin sensitivity...
2017: PloS One
https://www.readbyqxmd.com/read/28745836/effects-of-vesical-and-perfusion-pressure-on-perfusate-flow-and-flow-on-vesical-pressure-in-the-isolated-perfused-working-pig-bladder-reveal-a-potential-mechanism-for-the-regulation-of-detrusor-compliance
#10
Randy Vince, Andrew Tracey, Nicholas A Deebel, Robert W Barbee, John E Speich, Adam P Klausner, Paul H Ratz
AIMS: Although there is evidence that deficits in bladder blood flow negatively impact bladder function, the effects of vesical, and perfusion pressures on bladder perfusion (perfusate flow), and of perfusate flow on vesical pressure, remain poorly understood. The present study used the isolated perfused working pig bladder model to examine the relationships between blood flow, and vesical and perfusion pressures. METHODS: Vesical arteries of pig bladders obtained from a local slaughterhouse were cannulated and perfused with Krebs-Henseleit solution at different pressures, and with carbachol to cause bladder contraction...
July 26, 2017: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/28745786/impacts-of-serum-p-selectin-on-blood-pressure-control-after-pci-in-patients-with-coronary-heart-disease-complicated-with-hypertension
#11
F-F Yang, F Peng, Y-B Xing, M Yuan, X-C Ma, G Li, H-Y Guo
OBJECTIVE: We analyzed the impact of potent anti-hypertension or anti-thrombotic therapy after PCI in patients with coronary heart disease complicated with hypertension, whilst to reflect the prognosis by testing P-selectin. PATIENTS AND METHODS: A total of 177 patients with coronary heart disease (CHD) complicated with hypertension was continuously enrolled in this study and randomly divided into traditional anti-hypertension group (group A: 130/80 mm Hg ≤ BP ≤ 140/90 mm Hg; anti-hypertensive drugs: β blockers and angiotensin converting enzyme inhibitor, n=84) and potent anti-hypertension group (group B: BP <130/80 mm Hg; dosage and frequency in group B > group A, n=93)...
July 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28745785/analysis-on-the-relationship-and-mechanism-of-high-blood-pressure-and-vascular-aging-on-the-condition-that-the-gender-and-age-matches
#12
L-J Yan, H-T Yang, H-Y Duan, J-T Wu, X-W Fan, S-L Wang, C-G Qiu
OBJECTIVE: The relationship between hypertension and the mechanism of the expression of T-lymphocyte Kv1.3 channels in vascular aging has been analyzed in this study based on the gender and age matches' principle. PATIENTS AND METHODS: Thirty patients have been consecutively chosen with vascular aging caused by hypertension (group A), while 30 cases of high blood pressure not merged with vascular aging (group B) were chosen, and 30 cases of healthy volunteers (group C), conforming to gender and age 1:1 and the closest matching principle, were studied...
July 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28745782/effects-of-heparin-catheter-sealing-solution-for-implantable-venous-access-ports-on-d-dimer-levels-in-older-cancer-patients
#13
X-M Gao, R He, J-F Guan, L Tian
OBJECTIVE: To investigate the effects of different concentrations of heparin catheter-sealing solution for implantable venous access ports (VAPs) on D-dimers (D-D) in older cancer patients. PATIENTS AND METHODS: A total of 208 older cancer patients who received intravenous chemotherapy for the first time were randomly divided into four groups: the normal saline group, the low concentration heparin group (25 U/ml), the medium concentration heparin group (50 U/ml), and the high concentration heparin group (75 U/ml), with 52 patients in each group...
July 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28745698/-telmisartan-in-the-treatment-of-hypertensive-patients
#14
REVIEW
V I Podzolkov, A I Tarzimanova
The paper highlights the use of telmisartan, one of the currently available angiotensin receptor blockers, for the treatment of patients with hypertension, metabolic syndrome, and those at high cardiovascular risk. Telmisartan treatment allows blood pressure control, provides organ protection at different stages of the cardiovascular continuum, and reduces the risk of cardiovascular diseases and death. The additional properties and pleiotropic activity of the drug determines its wide range of applications in cardiology...
2017: Terapevticheskiĭ Arkhiv
https://www.readbyqxmd.com/read/28745333/breakfast-quality-and-cardiometabolic-risk-profiles-in-an-upper-middle-aged-german-population
#15
K Iqbal, L Schwingshackl, M Gottschald, S Knüppel, M Stelmach-Mardas, K Aleksandrova, H Boeing
BACKGROUND/OBJECTIVES: Little is known about relation of overall breakfast quality with cardiometabolic risk factors. Therefore, this study aimed to explore sex-specific associations between breakfast quality and cardiometabolic risk profiles in a sample of an upper middle-aged German population. SUBJECTS/METHODS: Cardiometabolic profiles of 339 men and 329 women were cross-sectionally assessed using an overall biomarker score (BScore), glycated hemoglobin (HbA1c), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), blood pressure, body mass index (BMI) and waist circumference (WC)...
July 26, 2017: European Journal of Clinical Nutrition
https://www.readbyqxmd.com/read/28744840/organ-dynamics-and-fluid-dynamics-of-the-hh25-chick-embryonic-cardiac-ventricle-as-revealed-by-a-novel-4d-high-frequency-ultrasound-imaging-technique-and-computational-flow-simulations
#16
Sheldon Ho, Germaine Xin Yi Tan, Toon Jin Foo, Nhan Phan-Thien, Choon Hwai Yap
Past literature has provided evidence that a normal mechanical force environment of blood flow may guide normal development while an abnormal environment can lead to congenital malformations, thus warranting further studies on embryonic cardiovascular flow dynamics. In the current study, we developed a non-invasive 4D high-frequency ultrasound technique, and use it to analyze cardiovascular organ dynamics and flow dynamics. Three chick embryos at stage HH25 were scanned with high frequency ultrasound in cine-B-mode at multiple planes spaced at 0...
July 25, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/28743802/enhancing-natriuretic-peptide-signaling-in-adipose-tissue-but-not-in-muscle-protects-against-diet-induced-obesity-and-insulin-resistance
#17
Wei Wu, Fubiao Shi, Dianxin Liu, Ryan P Ceddia, Robert Gaffin, Wan Wei, Huafeng Fang, E Douglas Lewandowski, Sheila Collins
In addition to controlling blood pressure, cardiac natriuretic peptides (NPs) can stimulate lipolysis in adipocytes and promote the "browning" of white adipose tissue. NPs may also increase the oxidative capacity of skeletal muscle. To unravel the contribution of NP-stimulated metabolism in adipose tissue compared to that in muscle in vivo, we generated mice with tissue-specific deletion of the NP clearance receptor, NPRC, in adipose tissue (Nprc(AKO) ) or in skeletal muscle (Nprc(MKO) ). We showed that, similar to Nprc null mice, Nprc(AKO) mice, but not Nprc(MKO) mice, were resistant to obesity induced by a high-fat diet...
July 25, 2017: Science Signaling
https://www.readbyqxmd.com/read/28743432/high-levels-of-eukaryotic-initiation-factor-6-eif6-are-required-for-immune-system-homeostasis-and-for-steering-the-glycolytic-flux-of-tcr-stimulated-cd4-t-cells-in-both-mice-and-humans
#18
Nicola Manfrini, Sara Ricciardi, Annarita Miluzio, Maya Fedeli, Alessandra Scagliola, Simone Gallo, Daniela Brina, Thure Adler, Dirk H Busch, Valerie Gailus-Durner, Helmut Fuchs, Martin Hrabě de Angelis, Stefano Biffo
Eukaryotic Initiation Factor 6 (eIF6) is required for 60S ribosomal subunit biogenesis and efficient initiation of translation. Intriguingly, in both mice and humans, endogenous levels of eIF6 are detrimental, as they act as tumor and obesity facilitators, raising the question on the evolutionary pressure that maintains high eIF6 levels. Here we show that in mice and humans, high levels of eIF6 are required for proper immune functions. First, eIF6 heterozygous (het) mice show an increased mortality during viral infection and a reduction of peripheral blood CD4(+) Effector Memory T cells...
July 22, 2017: Developmental and Comparative Immunology
https://www.readbyqxmd.com/read/28743403/obesity-hypoventilation-syndrome-and-associated-factors
#19
Ana Espínola Rodríguez, Luis Lores Obradors, Neus Parellada Esquius, Felisa Rubio Muñoz, Neus Espinosa Gonzalez, Elisabet Arellano Marcuello
BACKGROUND AND OBJECTIVES: Obesity causes important alterations in the respiratory physiology like sleep obstructive apnoea (SOA) and obesity-hypoventilation syndrome (OHS), both associated with high morbidity and mortality. Also, these entities are clearly infradiagnosed and in the case of OHS the prevalence is unknown in the general obese population. To determine the prevalence of OHS in the population of patients with morbid obesity and to know the comorbidity related with OHS, the associated respiratory symptoms and the pulse oximetry alterations...
July 22, 2017: Medicina Clínica
https://www.readbyqxmd.com/read/28743399/educational-intervention-on-cardiovascular-parameters-in-perimenopausal-women-with-a-cardiovascular-risk-factor-randomised-clinical-trial
#20
Anxela Soto Rodríguez, José Luís García Soidán, María Jesús Arias Gómez, Alberto Del Álamo Alonso, Raquel Leirós Rodríguez, María Reyes Pérez Fernández
BACKGROUND AND OBJECTIVE: Randomised clinical trial performed in two urban health centres in Spain. To evaluate if educational intervention in women of perimenopausal age with hypertension, diabetes mellitus and/or dyslipidaemia could achieve significant changes in the reduction of biochemical and haemodynamic risk parameters. PATIENTS AND METHODS: The study included 320 women aged between 45 and 60 years old who were diagnosed with hypertension, diabetes mellitus and/or dyslipidaemia...
July 22, 2017: Medicina Clínica
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