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https://www.readbyqxmd.com/read/28927285/impact-of-a-basal-bolus-insulin-regimen-on-metabolic-control-and-risk-of-hypoglycemia-in-patients-with-diabetes-undergoing-peritoneal-dialysis
#1
Ana María Gómez, Santiago Vallejo, Freddy Ardila, Oscar M Muñoz, Álvaro J Ruiz, Mauricio Sanabria, Alfonso Bunch, Elly Morros, Laura Kattah, Maira García-Jaramillo, Fabián León-Vargas
INTRODUCTION: Clinical interventional studies in diabetes mellitus usually exclude patients undergoing peritoneal dialysis (PD). This study evaluates the impact of an educational program and a basal-bolus insulin regimen on the blood glucose level control and risk of hypoglycemia in this population. METHODS: A before-and-after study was conducted in type 1 and type 2 DM patients undergoing PD at the Renal Therapy Services (RTS) clinic network, Bogota, Colombia. An intervention was instituted consisting of a three-month educational program and a basal-bolus detemir (Levemir, NovoNordisk) and aspart (Novorapid, NovoNordisk) insulin regimen...
September 1, 2017: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/28926320/event-related-desynchronization-of-mu-rhythms-during-concentric-and-eccentric-contractions
#2
Joo-Hee Park, Heon-Seock Cynn, Kwang Su Cha, Kyung Hwan Kim, Hye-Seon Jeon
The purpose of this study was to compare the electroencephalographic (EEG) patterns and reaction times (RTs) of muscle activation between concentric and eccentric biceps brachii contractions under the RT paradigm and to evaluate how the EEG patterns and RTs changed with practice. Sixteen subjects performed 3 sets of 30 repetitions of submaximal voluntary concentric and eccentric biceps contractions. RT, event-related desynchronization (ERD) patterns of mu rhythm onset, and ERD amplitudes were selectively analyzed...
September 19, 2017: Journal of Motor Behavior
https://www.readbyqxmd.com/read/28918506/young-athletes-after-acl-reconstruction-with-quadriceps-strength-asymmetry-at-the-time-of-return-to-sport-demonstrate-decreased-knee-function-1%C3%A2-year-later
#3
Matthew P Ithurburn, Alex R Altenburger, Staci Thomas, Timothy E Hewett, Mark V Paterno, Laura C Schmitt
PURPOSE: Quadriceps femoris (QF) strength deficits at return-to-sport (RTS) after ACL reconstruction (ACLR) contribute to decreased knee function at the same time point. However, the impact of QF strength at RTS on longitudinal function has not been examined. The purpose of this study was to test the hypothesis that young athletes after ACLR with QF strength asymmetry at RTS would demonstrate decreased knee-related function and lower proportions of functional recovery at 1 year post-RTS compared to young athletes following ACLR with nearly symmetric QF strength at RTS...
September 16, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28914554/when-cooperation-goes-wrong-brain-and-behavioral-correlates-of-ineffective-joint-strategies-in-dyads
#4
Michela Balconi, Laura Gatti, Maria Elide Vanutelli
Human life is connoted by sophisticated interactions that involve not only single individuals, but larger social groups composed by members interacting each other. Cooperation secures a benefit to all the people engaged as well as important behaviors like helping, sharing, and acting prosocially. But what happens when the joint actions are not effective? In the present study we asked 24 participants paired in 12 dyads to cooperate during an attentional task in a way to synchronize their responses and obtain better outcomes...
September 15, 2017: International Journal of Neuroscience
https://www.readbyqxmd.com/read/28912697/brains-in-competition-improved-cognitive-performance-and-inter-brain-coupling-by-hyperscanning-paradigm-with-functional-near-infrared-spectroscopy
#5
Michela Balconi, Maria E Vanutelli
Hyperscanning brain paradigm was applied to competitive task for couples of subjects. Functional Near-Infrared Spectroscopy (fNIRS) and cognitive performance were considered to test inter-brain and cognitive strategy similarities between subjects (14 couples) during a joint-action. We supposed increased brain-to-brain coupling and improved cognitive outcomes due to joint-action and the competition. As supposed, the direct interaction between the subjects and the observed external feedback of their performance (an experimentally induced fictitious feedback) affected the cognitive performance with decreased Error Rates (ERs), and Response Times (RTs)...
2017: Frontiers in Behavioral Neuroscience
https://www.readbyqxmd.com/read/28910853/impacts-of-streambed-heterogeneity-and-anisotropy-on-residence-time-of-hyporheic-zone
#6
Suning Liu, Ting Fong May Chui
The hyporheic zone (HZ), which is the region beneath or alongside a streambed, plays an important role in the stream's ecology. The duration that a water molecule or a solute remains within the HZ, or residence time (RT), is one of the most common metrics used to evaluate the function of the HZ. The RT is greatly influenced by the streambed's hydraulic conductivity (K), which is intrinsically difficult to characterize due to its heterogeneity and anisotropy. Many laboratory and numerical studies of the HZ have simplified the streambed K to a constant, thus producing RT values that may differ from those gathered from the field...
September 14, 2017: Ground Water
https://www.readbyqxmd.com/read/28895040/clinical-utility-of-ultra-low-dose-pre-test-exposure-to-avoid-unnecessary-patient-exposure-due-to-positioning-errors-a-simulation-study
#7
Hideo Nose, Junji Shiraishi
The use of digital radiographic systems has decreased the frequency of image retakes due to over/underexposure in general radiography. However, image retakes owing to patient positioning errors are likely to increase because of the convenience of a real-time image check on a console table. The purpose of the present study is to propose a novel radiographic examination procedure with an ultra-low-dose pre-test exposure that may be utilized to check patient positioning prior to taking an actual image, thereby reducing unnecessary patient exposure owing to image retakes...
September 11, 2017: Radiological Physics and Technology
https://www.readbyqxmd.com/read/28878775/rts-s-as01e-malaria-vaccine-induces-memory-and-polyfunctional-t-cell-responses-in-a-pediatric-african-phase-iii-trial
#8
Gemma Moncunill, Stephen C De Rosa, Aintzane Ayestaran, Augusto J Nhabomba, Maximillian Mpina, Kristen W Cohen, Chenjerai Jairoce, Tobias Rutishauser, Joseph J Campo, Jaroslaw Harezlak, Héctor Sanz, Núria Díez-Padrisa, Nana Aba Williams, Daryl Morris, John J Aponte, Clarissa Valim, Claudia Daubenberger, Carlota Dobaño, M Juliana McElrath
Comprehensive assessment of cellular responses to the RTS,S/AS01E vaccine is needed to understand potential correlates and ultimately mechanisms of protection against malaria disease. Cellular responses recognizing the RTS,S/AS01E-containing circumsporozoite protein (CSP) and Hepatitis B surface antigen (HBsAg) were assessed before and 1 month after primary vaccination by intracellular cytokine staining and 16-color flow cytometry in 105 RTS,S/AS01-vaccinated and 74 rabies-vaccinated participants (controls) in a pediatric phase III trial in Africa...
2017: Frontiers in Immunology
https://www.readbyqxmd.com/read/28876638/hepatobiliary-factors-influencing-morbidity-rates-after-pancreatic-stab-wounds
#9
H L Bookholane, J E J Krige, E Jonas, U Kotze, M Bernon, S Burmeister, P Navsaria, A Nicol
BACKGROUND: Penetrating injuries of the pancreas may result in serious complications. METHOD: A retrospective univariate cohort analysis was done of all pancreatic stab wounds documented in a prospective dedicated departmental pancreatic injury database of 475 patients treated between 1982 and 2016. RESULTS: Eighty-seven (80 men) patients, median age 26 years (range 16-62) had stab wounds of the pancreas. Median RTS was 7.8 (range 2.0-7.8)...
June 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28874610/the-2017-global-initiative-for-chronic-obstructive-lung-disease-report-and-practice-implications-for-the-respiratory-therapist
#10
Michael W Hess
Since 1998, the Global Initiative for Obstructive Lung Disease (GOLD) has worked with health care professionals, medical researchers, and public health officials around the world to optimize the prevention, treatment, and management of COPD. GOLD has continually worked to ensure COPD management strategy recommendations are aligned with current published research. The 2017 GOLD report represents a major revision to GOLD strategy guidelines, the first such major revision in the last 5 years. As such, the 2017 report has significant implications for the diagnosis of COPD, the management of stable disease, and the treatment of exacerbations...
September 5, 2017: Respiratory Care
https://www.readbyqxmd.com/read/28872185/cognitive-diagnosis-modelling-incorporating-item-response-times
#11
Peida Zhan, Hong Jiao, Dandan Liao
To provide more refined diagnostic feedback with collateral information in item response times (RTs), this study proposed joint modelling of attributes and response speed using item responses and RTs simultaneously for cognitive diagnosis. For illustration, an extended deterministic input, noisy 'and' gate (DINA) model was proposed for joint modelling of responses and RTs. Model parameter estimation was explored using the Bayesian Markov chain Monte Carlo (MCMC) method. The PISA 2012 computer-based mathematics data were analysed first...
September 5, 2017: British Journal of Mathematical and Statistical Psychology
https://www.readbyqxmd.com/read/28869473/neurocognitive-and-behavioral-indexes-for-identifying-the-amnestic-subtypes-of-mild-cognitive-impairment
#12
Susana Cid-Fernández, Mónica Lindín, Fernando Díaz
Early identification of amnestic mild cognitive impairment (aMCI) subtypes is important for early diagnosis and prognosis of Alzheimer's disease. Healthy, single-domain (sdaMCI) and multiple-domain aMCI (mdaMCI) participants performed an auditory-visual distraction-attention task. Event-related brain potentials (ERPs) were recorded while the participants performed the task to evaluate Go/NoGo N2 and P3 ERP components. The results showed the expected behavioral and cognitive decline in mdaMCI participants relative to controls (fewer hits, longer reaction times [RTs], slightly smaller Go-N2 and NoGo-N2 amplitudes), while sdaMCI participants showed some decline (slightly longer RTs, smaller Go- and NoGo-N2 amplitudes) along with some unexpected results (a late positive slow wave, PSW) and good levels of execution...
September 1, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28868591/early-ct-scanning-in-the-emergency-department-in-patients-with-penetrating-injuries-does-it-affect-outcome
#13
W J van den Hout, G M van der Wilden, F Boot, F J Idenburg, S J Rhemrev, R Hoencamp
BACKGROUND: To be a level I trauma center in the Netherlands a computed tomography (CT) scanner in the emergency department (ED) is considered desirable, as it is presumed that this optimizes the diagnostic process and that therapy can be directed based on these findings. Aim of this study was to assess the effects of implementing a CT scanner in the ED on outcomes in patients with penetrating injuries. METHODS: In this retrospective descriptive study, patients with penetrating injuries (shot and/or stab wounds), presented between 2000 and 2014 were analysed using the hospital's electronic database, and data from the West Netherlands trauma registry and the financial department...
September 4, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://www.readbyqxmd.com/read/28865992/looking-forward-to-safer-hgvs-the-impact-of-mirrors-on-driver-reaction-times
#14
Callum David Mole, Richard McGilchrist Wilkie
Heavy Goods Vehicle (HGV) collisions are responsible for a disproportionate number of urban vulnerable road user casualties (VRU - cyclists and pedestrians). Blind-spots to the front and side of HGVs can make it difficult (sometimes impossible) to detect close proximity VRUs and may be the cause of some collisions. The current solution to this problem is to provide additional mirrors that can allow the driver to see into the blind-spots. However, keeping track of many mirrors requires frequent off-road glances which can be difficult to execute during demanding driving situations...
August 31, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/28861379/the-current-status-of-robotic-transaxillary-thyroidectomy-in-the-united-states-an-experience-from-two-centers
#15
Nisar Zaidi, Despoina Daskalaki, Pablo Quadri, Alexis Okoh, Pier Cristoforo Giulianotti, Eren Berber
BACKGROUND: Few studies exist regarding the state of robotic transaxillary thyroidectomy (RT) and its outcomes at high-volume institutions. METHODS: Eighty-nine patients underwent RT between January 2009 and September 2015 at two tertiary centers. Data were collected from prospectively-maintained IRB-approved databases. Patient demographic and clinical data, and trends were evaluated. RESULTS: Indications for RT included biopsy-proven or suspicion for malignancy in 20...
August 2017: Gland Surgery
https://www.readbyqxmd.com/read/28861022/inhibitory-control-in-speech-comprehension-among-dai-han-bilingual-children
#16
Yun Tao, Zhi Liu, Tobias Tempel, Rui Chen, Xie Ma, Xiaoxi Wang, Yan Liu, Yongxia Qu
We aimed to investigate differences in inhibitory control ability between proficient and non-proficient Dai-Han bilinguals. Two experiments used a combined stimulus-stimulus and stimulus-response compatibility paradigm for this purpose. Participants were Dai-Han bilingual primary-school students selected from a Dai-speaking town in Yunnan province, China. In Dai language interference condition, participants were asked to complete a picture category task. Results showed that the effect of attentional control for non-proficient bilinguals (NPBs) was significantly greater than that for proficient bilinguals (PBs), while the effect of response inhibition was not...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28860620/mind-wandering-simultaneously-prolongs-reactions-and-promotes-creative-incubation
#17
Marcin Leszczynski, Leila Chaieb, Thomas P Reber, Marlene Derner, Nikolai Axmacher, Juergen Fell
Mind wandering (MW) refers to the disengagement of attention from the external environment and the generation of thoughts unrelated to the task at hand. It is a ubiquitous cognitive process resulting in lapses of attention. MW imposes a negative impact on attention-based task performance, but also has been associated with enhanced creativity and future planning. In three experiments we show that MW relates simultaneously to both behavioral costs but also benefits. Behavioral costs were measured by prolonged reaction times (RT) in sustained attention to response tasks (SART), whereas the benefits were observed as improved performance in the creative problem solving and daily routine planning tasks performed after the SART...
August 31, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28856434/the-impact-of-free-order-and-sequential-order-instructions-on-task-order-regulation-in-dual-tasks
#18
Sebastian Kübler, Christina B Reimer, Tilo Strobach, Torsten Schubert
Dual tasks (DTs) are characterized by the requirement for additional mechanisms that coordinate the processing order of two temporally overlapping tasks. These mechanisms are indicated by two types of costs that occur when comparing DT blocks with fixed and random orders of the component tasks. On a block level, task-order control costs are reflected in increased reaction times (RTs) in random-order compared to fixed-order blocks, indicating global, monitoring-based, coordination mechanisms. On a trial level, within random-order blocks, order-switch costs are indicated by increased RTs on order switch compared to order repetition trials, reflecting memory-based mechanisms that guide task-order in DTs...
August 30, 2017: Psychological Research
https://www.readbyqxmd.com/read/28854570/involving-mosques-in-health-promotion-programmes-a-qualitative-exploration-of-the-mclass-intervention-on-smoking-in-the-home
#19
R King, S Warsi, A Amos, S Shah, G Mir, A Sheikh, K Siddiqi
Second-hand smoke (SHS) exposure is high among UK Bangladeshi and Pakistani populations, reflecting higher male smoking prevalence and fewer home smoking restrictions than the general population. The Muslim Communities Learning About Second-hand Smoke (MCLASS) study explored the feasibility and acceptability of implementing SHS education in 14 UK mosques. Religious teachers (RTs) in seven intervention mosques were trained and provided with a culturally appropriate educational package. After the intervention, mosque leaders, RTs and congregants' experiences and perceptions of the intervention were explored through interviews and focus group discussions...
August 1, 2017: Health Education Research
https://www.readbyqxmd.com/read/28840146/performance-and-return-to-sport-after-clavicle-open-reduction-and-internal-fixation-in-national-football-league-players
#20
Robert A Jack, Kyle R Sochacki, Sergio M Navarro, Patrick C McCulloch, David M Lintner, Joshua D Harris
BACKGROUND: Clavicle fractures are common injuries in professional football. Surgical fixation of these injuries may lead to decreased nonunion rates, improved shoulder strength, and decreased residual functional impairment. PURPOSE: To determine (1) return-to-sport (RTS) rate in National Football League (NFL) players after clavicle fracture open reduction and internal fixation (ORIF), (2) postoperative career length and games per season, (3) pre- and postoperative performance, and (4) postoperative performance compared with control players matched by position, age, years of experience, and performance...
August 2017: Orthopaedic Journal of Sports Medicine
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