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critical incident stress management

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https://www.readbyqxmd.com/read/28986259/inhibition-of-constitutive-nf-%C3%AE%C2%BAb-activity-induces-platelet-apoptosis-via-er-stress
#1
Manoj Paul, Kempaiah Kemparaju, Kesturu S Girish
Platelets are anucleate cells, known for their pivotal roles in hemostasis, inflammation, immunity, and disease progression. Being anuclear, platelets are known to express several transcriptional factors which exert nongenomic functions, including the positive and negative regulation of platelet activation. NF-κB is one such transcriptional factor involved in the regulation of genes for survival, proliferation, inflammation and immunity. Although, the role NF-κB in platelet activation and aggregation is partially known, its function in management of platelet survival and apoptosis remain unexplored...
October 4, 2017: Biochemical and Biophysical Research Communications
https://www.readbyqxmd.com/read/28816059/atherothrombosis-and-oxidative-stress-mechanisms-and-management-in-elderly
#2
Francesco Violi, Lorenzo Loffredo, Roberto Carnevale, Pasquale Pignatelli, Daniele Pastori
SIGNIFICANCE: The incidence of cardiovascular events (CVEs) increases with age, representing the main cause of death in an elderly population. Aging is associated with overproduction of reactive oxygen species (ROS), which may affect clotting and platelet activation, and impair endothelial function, thus predisposing elderly patients to thrombotic complications. Recent Advances: There is increasing evidence to suggest that aging is associated with an imbalance between oxidative stress and antioxidant status...
November 10, 2017: Antioxidants & Redox Signaling
https://www.readbyqxmd.com/read/28738687/critical-incident-stress-debriefing-after-adverse-patient-safety-events
#3
Reema Harrison, Albert Wu
Adverse events (AEs) are common, estimated to occur in around 10% internationally. Although preventable harm can be minimized, when AEs occur it is important that they be managed appropriately. AEs can be traumatic not only for patients, their friends, and relatives, but also for the involved clinicians, who have been referred to as "second victims" in a growing body of international research. Despite the frequency with which AEs occur, organizational mechanisms for supporting staff in these circumstances are not routinely embedded in healthcare settings...
May 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28657999/radiographic-misdiagnoses-after-periurethral-bulking-agents
#4
Natalie Gaines, Priyanka Gupta, Ayad S Khourdaji, Michael Ehlert, Keval Parikh, Harjivan Kohli, Larry T Sirls
OBJECTIVES: Injectable urethral bulking agents are commonly used to manage stress urinary incontinence. Urologic or other symptoms may prompt pelvic imaging at a later date, when bulking agents may be visualized and incorrectly interpreted. Our goal was to evaluate the incidence of misdiagnosis and which pathologies were the most common misinterpretations and their frequency. METHODS: All records were reviewed for patients who underwent periurethral injection for stress urinary incontinence for pelvic imaging after treatment from 2005 to 2015...
June 27, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28279415/proteasome-inhibitors-as-a-potential-cause-of-heart-failure
#5
REVIEW
Georgios Koulaouzidis, Alexander R Lyon
Proteasome inhibitors have become an important drug class in the treatment of multiple myeloma. In addition to its role in myeloma cells, the proteasome plays a critical role in the myocardium, particularly in the context of cardiac stress. The growing awareness of the cardiovascular toxicity of proteasome inhibitors is emerging following the phase 3 trials and the transition into real-world practice. This article reviews the background to this problem and the incidence of the problem in phase 3 trials and subsequent phase 2 trials in new patient cohorts and discusses the strategy to detect and manage this emerging problem...
April 2017: Heart Failure Clinics
https://www.readbyqxmd.com/read/28074555/paediatric-stress-from-neuroendocrinology-to-contemporary-disorders
#6
REVIEW
Stavroula Stavrou, Nicolas C Nicolaides, Elena Critselis, Christina Darviri, Evangelia Charmandari, George P Chrousos
BACKGROUND: Stress is defined as a state of threatened or perceived as threatened homeostasis. A broad spectrum of extrinsic or intrinsic, real or perceived stressful stimuli, called 'stressors', activates a highly conserved system, the 'stress system', which adjusts homeostasis through central and peripheral neuroendocrine responses. Inadequate, excessive or prolonged adaptive responses to stress may underlie the pathogenesis of several disease states prevalent in modern societies. The development and severity of these conditions primarily depend on the genetic vulnerability of the individual, the exposure to adverse environmental factors and the timing of the stressful event(s), given that prenatal life, infancy, childhood and adolescence are critical periods characterized by increased vulnerability to stressors...
March 2017: European Journal of Clinical Investigation
https://www.readbyqxmd.com/read/27965857/culturally-adapted-family-intervention-cafi-for-african-caribbeans-diagnosed-with-schizophrenia-and-their-families-a-feasibility-study-protocol-of-implementation-and-acceptability
#7
Dawn Edge, Amy Degnan, Sarah Cotterill, Katherine Berry, Richard Drake, John Baker, Christine Barrowclough, Adwoa Hughes-Morley, Paul Grey, Dinesh Bhugra, Patrick Cahoon, Nicholas Tarrier, Shôn Lewis, Kathryn Abel
BACKGROUND: African-Caribbeans in the UK have the highest schizophrenia incidence and greatest inequity in access to mental health services of all ethnic groups. The National Institute for Health and Care Excellence (NICE) highlights this crisis in care and urgent need to improve evidence-based mental healthcare, experiences of services and outcomes for this group. Family intervention (FI) is clinically and cost-effective for the management of schizophrenia but it is rarely offered. Evidence for FI with minority ethnic groups generally, and African-Caribbeans in particular, is lacking...
2016: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/27871566/known-difficult-airway-in-a-patient-with-pheochromocytoma-a-case-report
#8
Laura Alonso Guardo, Carlos Cano Gala, Antonio Rodriguez Calvo, Adriana M Buritica Aguirre, Nadia A Dávila Arango, Elena García Fernández, Carmen Ruiz Chirosa, David Sánchez Poveda, Agustín Díaz Álvarez
The manipulation of an airway is always a critical moment in the anesthetic management of patients with pheochromocytoma due to the high incidence of undesirable hemodynamic events in relation with the stimulus represented by the laryngoscopy. A known difficult airway in which it is necessary to carry out an orotracheal intubation while preserving spontaneous ventilation subjects the patient to a stressful situation. The objective is to obtain an acceptable level of comfort and sedation avoiding respiratory depression (Anesthesiol Clin 2015;33:233-40)...
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27753866/poa-01-2-direct-vs-indirect-link-between-sodium-intake-and-vascular-disease
#9
Yuhei Kawano
The relationship between salt and hypertension is well established, and salt restriction is widely recommended in the management of hypertension. However, people living in northeast Asia have consumed large amount of salt, and the prevalence of hypertension and the incidence of stroke have been high in that area. Mechanisms of salt-induced hypertension may be complex, but volume expansion in the presence of impaired natriuretic capacity of the kidney and action on the central nervous system and neurohormoral pathways seem to be important...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27721639/role-of-urodynamics-in-stress-urinary-incontinence-a-critical-appraisal
#10
Shirish Dattatraya Yande, Omkar Vinay Joglekar, Maya Joshi
INTRODUCTION: Role of urodynamics prior to surgery of stress urinary incontinence (SUI) is under constant debate. Demonstration of the presence of detrusor overactivity is the only aspect that has been emphasized in the literature so far. We believe that there are number of other factors which may influence the evaluation and in turn the choice of surgical management and prediction of outcome of treatment. They are as follows: (1) Presence of voiding inefficiency, (2) asymptomatic detrusor overactivity, (3) and severity of SUI...
July 2016: Journal of Mid-life Health
https://www.readbyqxmd.com/read/27665426/managing-stress-in-prehospital-care-strategies-used-by-ambulance-nurses
#11
Dan Bohström, Eric Carlström, Nils Sjöström
BACKGROUND: Ambulance nurses display stress symptoms, resulting from their work with patients in an emergency service. Certain individuals seem, however, to handle longstanding stress better than others and remain in exposed occupations such as ambulance services for many years. This paper examines stress inducing and stress defusing factors among ambulance nurses. METHODS: A qualitative descriptive design using critical incident technique was used. A total of 123 critical incidents were identified, and a total of 61 strategies dealing with stress were confirmed...
May 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/27643103/poa-01-2-direct-vs-indirect-link-between-sodium-intake-and-vascular-disease
#12
Yuhei Kawano
The relationship between salt and hypertension is well established, and salt restriction is widely recommended in the management of hypertension. However, people living in northeast Asia have consumed large amount of salt, and the prevalence of hypertension and the incidence of stroke have been high in that area. Mechanisms of salt-induced hypertension may be complex, but volume expansion in the presence of impaired natriuretic capacity of the kidney and action on the central nervous system and neurohormoral pathways seem to be important...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27236821/implementing-an-ed-critical-incident-stress-management-team
#13
Julia Wuthnow, Sean Elwell, Joann McDaniels Quillen, Nicole Ciancaglione
No abstract text is available yet for this article.
November 2016: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/27179569/neonatal-brain-injury-as-a-consequence-of-insufficient-cerebral-oxygenation
#14
Katerina Placha, Dominika Luptakova, Ladislav Baciak, Eduard Ujhazy, Ivo Juranek
Neonatal brain hypoxic-ischemic injury represents a serious health care and socio-economical problem since it is one of the most common causes of mortality and morbidity of newborns. Neonatal hypoxic-ischemic encephalopathy is often associated with signs of perinatal asphyxia, with an incidence of about 2-4 per 1,000 live births and mortality rate up to 20%. In about one half of survivors, cerebral hypoxic-ischemic insult may result in more or less pronounced neuro-psychological sequelae of immediate or delayed nature, such as seizures, cerebral palsy or behavioural and learning disabilities, including attention-deficit hyperactivity disorder...
2016: Neuro Endocrinology Letters
https://www.readbyqxmd.com/read/26880258/the-use-of-avoidance-adjustment-interaction-and-acceptance-strategies-to-handle-participation-restrictions-among-swedish-men-with-early-rheumatoid-arthritis
#15
Gunnel Östlund, Ingrid Thyberg, Eva Valtersson, Mathilda Björk, Sverker Annette
OBJECTIVES: Living with a chronic disease means learning to live under new circumstances and involves a continuous adaptation to new ways of living. There is increasing knowledge about how people cope with stressful life events and adapt to new life situations. Approximately a third of patients diagnosed with rheumatoid arthritis (RA) are men; however, few studies have described the needs and experiences of men living with RA. The aim of the present study was to explore men's strategies for handling challenges related to participation in everyday life...
December 2016: Musculoskeletal Care
https://www.readbyqxmd.com/read/26567843/depression-as-a-modifying-factor-in-sport-related-concussion-a-critical-review-of-the-literature
#16
REVIEW
Gary S Solomon, Andrew W Kuhn, Scott L Zuckerman
Since its third iteration in 2008, the international Concussion in Sport Group (CISG) has delineated several 'modifying factors' that have the potential to influence the management of sport-related concussions (SRC). One of these factors is co- and pre-morbidities, which includes migraines, mental health disorders, attention-deficit hyperactive disorder (ADHD), learning disability, and sleep disorders. Mental health disorders, and in particular, depression, have received some attention in the management of SRC and in this review we summarize the empirical evidence for its inclusion as a modifying factor...
2016: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/26552531/effects-of-soil-texture-and-drought-stress-on-the-uptake-of-antibiotics-and-the-internalization-of-salmonella-in-lettuce-following-wastewater-irrigation
#17
Yuping Zhang, J Brett Sallach, Laurie Hodges, Daniel D Snow, Shannon L Bartelt-Hunt, Kent M Eskridge, Xu Li
Treated wastewater is expected to be increasingly used as an alternative source of irrigation water in areas facing fresh water scarcity. Understanding the behaviors of contaminants from wastewater in soil and plants following irrigation is critical to assess and manage the risks associated with wastewater irrigation. The objective of this study was to evaluate the effects of soil texture and drought stress on the uptake of antibiotics and the internalization of human pathogens into lettuce through root uptake following wastewater irrigation...
January 2016: Environmental Pollution
https://www.readbyqxmd.com/read/26488930/-the-emotional-labor-of-nursing-critical-incidents-and-coping-strategies
#18
Adriano Zamperini, Cristina Paoloni, Ines Testoni
INTRODUCTION: Despite the suggestion to adopt a balanced approach between detachment and involvement, the nurse-patient relationship is always embedded with emotional conflicts. AIMS: To collect data on how nurses manage the emotional support to patients. METHOD: The study adopted the theoretical perspective of the emotional work. Fifty-three nurses completed a questionnaire investigating everyday "emotional accidents." The data were analyzed considering the strategies employed to address and resolve them...
July 2015: Assistenza Infermieristica e Ricerca: AIR
https://www.readbyqxmd.com/read/26324392/predictors-of-posttraumatic-stress-and-preferred-sources-of-social-support-among-canadian-paramedics
#19
Elizabeth A Donnelly, Paul Bradford, Matthew Davis, Cathie Hedges, Michelle Klingel
OBJECTIVE: Emergency medical service (EMS) providers are exposed to a variety of stressors endemic to the profession. These exposures may contribute to stress reactions, including posttraumatic stress. The objective of this study was to evaluate the relationship between work-related stressors and posttraumatic stress. The secondary objective was to determine paramedics' preferred sources of support for managing work-related stress. METHODS: 269 paramedics in a county-based EMS service were invited to complete an online survey...
May 2016: CJEM
https://www.readbyqxmd.com/read/26307629/-errors-in-medicine-causes-impact-and-improvement-measures-to-improve-patient-safety
#20
REVIEW
R M Waeschle, M Bauer, C E Schmidt
The guarantee of quality of care and patient safety is of major importance in hospitals even though increased economic pressure and work intensification are ubiquitously present. Nevertheless, adverse events still occur in 3-4 % of hospital stays and of these 25-50 % are estimated to be avoidable. The identification of possible causes of error and the development of measures for the prevention of medical errors are essential for patient safety. The implementation and continuous development of a constructive culture of error tolerance are fundamental...
September 2015: Der Anaesthesist
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