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https://www.readbyqxmd.com/read/29324429/a-pilot-clinical-study-of-a-safe-and-efficient-stool-management-system-in-patients-with-fecal-incontinence
#1
Ashlee Garcia, Sally Fung, Karen Lou Kennedy-Evans
INTRODUCTION: According to the Wound Ostomy Continence Nursing Society's Continence Committee, the incidence of fecal incontinence (FI) can occur from 18% to 37% in an acute care setting. A stool management system has been designed to manage FI in bedridden patients and has proven to be efficacious in wound management and prevention and infection control, provide safer patient outcomes, and enhance ease of nursing. OBJECTIVE: This study aims to evaluate the safety and efficacy of an intrarectal device intended to manage fecal incontinence in hospitalized bedridden patients through nonclinical and clinical testings...
December 2017: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/29323991/accuracy-of-non-invasive-blood-pressure-measurements-in-obese-patients
#2
Abigail Arnold, Amanda McNaughton
This article describes an evidence-based literature review, comparing upper arm and forearm blood pressure measurements using non-invasive devices on obese patients. The focus on blood pressure monitoring was in response to regularly witnessing inappropriately applied blood pressure cuffs on obese patient's upper arms in practice. An inaccurately obtained blood pressure measurement can result in the misdiagnosis and treatment of hypertension. As the prevalence of obesity grows worldwide, healthcare settings need to ensure they have the necessary equipment and trained staff to accurately measure obese patients' blood pressure...
January 11, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29321992/alterations-of-haemodynamic-parameters-in-spontaneously-hypertensive-rats-by-aristolochia-ringens-vahl-aristolochiaceae
#3
Flora Ruth Aigbe, Abdul Sattar Zubaid Munavvar, Hassan Rathore, Olorunfemi Eseyin, Yen Pei Pei, Safia Akhtar, Ashfaq Chohan, Hui Jin, Jooli Khoo, Samual Tan, Mohammed Lazhari, Sheryar Afzar, Fiaz Ahmed, Olufunmilayo Olaide Adeyemi, Edward Johns
Aristolochia ringens Vahl. (Aristolochiaceae (AR); mǎ dōu líng) is used traditionally in Nigeria for the management of various disorders including oedema. Preliminary investigation revealed its modulatory effect on the cardiovascular system. This study was aimed at investigating the effect of the aqueous root extract of A. ringens (AR) on haemodynamic parameters of spontaneously hypertensive rats (SHRs). The effect of oral subacute (21 days) and intravenous acute exposure of SHRs to the extract were assessed using tail cuff and carotid artery canulation methods respectively...
January 2018: Journal of Traditional and Complementary Medicine
https://www.readbyqxmd.com/read/29313883/simple-method-of-screening-for-frailty-in-older-adults-using-a-chronometer-and-tape-measure-in-clinic
#4
Hee-Won Jung, Min-Gu Kang, Jung-Yeon Choi, Sol-Ji Yoon, Sun-Wook Kim, Kwang-Il Kim, Cheol-Ho Kim
OBJECTIVES: Detecting frailty in older adults scheduled for surgery is important to predict the occurrence of adverse outcomes, but because of its complexity, frailty screening is not commonly performed. The objective of the current study was to assess whether frailty can be screened for using automatically measured usual gait speed (UGS) and mid-arm circumference (MAC) in the outpatient clinic. DESIGN: Prospective, cross-sectional study. SETTING: Geriatric center of a tertiary hospital...
January 4, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29284875/efficacy-and-safety-of-using-air-versus-alkalinized-2-lignocaine-for-inflating-endotracheal-tube-cuff-and-its-pressure-effects-on-incidence-of-postoperative-coughing-and-sore-throat
#5
Pallavi Gaur, Pravin Ubale, Prashant Khadanga
Background and Objective: We wished to compare the endotracheal tube (ETT) cuff pressure inflated with air or alkalinized lignocaine during anesthesia and evaluate clinical symptoms such as coughing and sore throat (postoperative sore throat [POST]) following tracheal extubation. Materials and Methods: This was a prospective randomized controlled study conducted in a tertiary care set up over a period of 1 year. We included 100 patients in age group of 18-65 years posted for elective surgeries of duration more than 90 min under general anesthesia with N2O-O2 mixture...
October 2017: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/29284700/an-ngo-implemented-community-clinic-health-worker-approach-to-providing-long-term-care-for-hypertension-in-a-remote-region-of-southern-india
#6
Sujatha Sankaran, Prema S Ravi, Yichen Ethel Wu, Sharan Shanabogue, Sangeetha Ashok, Kaylan Agnew, Margaret C Fang, Raman A Khanna, Madhavi Dandu, James D Harrison
Poor blood pressure control results in tremendous morbidity and mortality in India where the leading cause of death among adults is from coronary heart disease. Despite having little formal education, community health workers (CHWs) are integral to successful public health interventions in India and other low- and middle-income countries that have a shortage of trained health professionals. Training CHWs to screen for and manage chronic hypertension, with support from trained clinicians, offers an excellent opportunity for effecting systemwide change in hypertension-related burden of disease...
December 28, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29281178/a-novel-anti-hypertensive-peptide-identified-in-thermolysin-digested-rice-bran
#7
Naohisa Shobako, Yutaro Ogawa, Atsushi Ishikado, Kayo Harada, Etsuko Kobayashi, Hirohisa Suido, Takeshi Kusakari, Mariko Maeda, Makoto Suwa, Motonobu Matsumoto, Ryuhei Kanamoto, Kousaku Ohinata
SCOPE: Hypertension is a risk factor for arteriosclerosis. In this study, we investigated the anti-hypertensive effect of protease-digested rice bran in a spontaneously hypertension rat (SHR) model. We also purified a novel anti-hypertensive peptide from the digest. METHODS AND RESULTS: Thermolysin-digested rice bran (TRB) was administered to SHRs for 4 weeks, and systolic blood pressure (SBP) was measured weekly using the tail-cuff method. TRB showed an anti-hypertensive effect in a dose-dependent manner...
December 27, 2017: Molecular Nutrition & Food Research
https://www.readbyqxmd.com/read/29277037/environmental-pollutant-hexachlorobenzene-induces-hypertension-in-a-rat-model
#8
Rocío Castilla, Agustín Asuaje, Stéphanie Rivière, Caimi Giselle Romero, Pedro Martín, Gabriel Cao, Diana Kleiman de Pisarev, Verónica Milesi, Laura Alvarez
Hexachlorobenzene (HCB) is a dioxin-like environmental pollutant, widely distributed in the environment. New research links exposure to high levels of persistent organic environmental toxicants to cardiovascular disease, however little is known about the effect of HCB on vascular function and on blood pressure. The purpose of the present study was to evaluate biochemical and cardiovascular changes resulting from subchronic HCB exposure. Adult female Sprague-Dawley rats were treated with vehicle or HCB (5 or 500 mg/kg b...
November 22, 2017: Chemosphere
https://www.readbyqxmd.com/read/29246712/selection-of-appropriate-endotracheal-tube-size-using-thoracic-radiography-in-beagle-dogs
#9
Chi Won Shin, Won-Gyun Son, Min Jang, Hyunseok Kim, Hyungjoo Han, Jeesoo Cha, Inhyung Lee
OBJECTIVE: To determine the optimal endotracheal tube size in Beagle dogs using thoracic radiography. STUDY DESIGN: Prospective, randomized, crossover experimental study. ANIMALS: A total of eight healthy adult Beagle dogs. METHODS: Lateral thoracic radiographs were used to measure the internal tracheal diameter at the thoracic inlet. This measurement was multiplied by 60, 70 and 80% to determine the outer diameter of the endotracheal tube for each dog...
November 7, 2017: Veterinary Anaesthesia and Analgesia
https://www.readbyqxmd.com/read/29239866/validation-of-the-professional-device-for-blood-pressure-measurement-microlife-watchbp-office-in-adults-and-children-according-to-the-american-national-standards-institute-association-for-the-advancement-of-medical-instrumentation-international-organization
#10
Anastasios Kollias, Angeliki Ntineri, Konstantinos G Kyriakoulis, Emelina Stambolliu, Styliani Lagou, Nadia Boubouchairopoulou, George S Stergiou
OBJECTIVE: To assess the accuracy of the professional oscillometric blood pressure (BP) monitor Microlife WatchBP Office in adults and children according to the American National Standards Institute/Association for the Advancement of Medical Instrumentation/International Organization for Standardization (ANSI/AAMI/ISO) 81060-2:2013 standard. METHODS: Adults and children (aged 3-12 years) were recruited to fulfil the age, sex, BP and cuff distribution criteria of the ANSI/AAMI/ISO standard using the same-arm sequential BP measurement method...
December 12, 2017: Blood Pressure Monitoring
https://www.readbyqxmd.com/read/29238818/multiscale-poroviscoelastic-compressive-properties-of-mouse-supraspinatus-tendons-are-altered-in-young-and-aged-mice
#11
Brianne Connizzo, Alan Grodzinsky
Rotator cuff disorders are one of the most common causes of shoulder pain and disability in the aging population but, unfortunately, the etiology is still unknown. One factor thought to contribute to the progression of disease is the external compression of the rotator cuff tendons, which can be significantly increased by age-related changes such as muscle weakness and poor posture. The objective of this study was to investigate the baseline compressive response of tendon and determine how this response is altered during maturation and aging...
December 13, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/29231781/dynamic-autoregulation-of-cerebral-blood-flow-measured-non-invasively-with-fast-diffuse-correlation-spectroscopy
#12
Ashwin B Parthasarathy, Kimberly P Gannon, Wesley B Baker, Christopher G Favilla, Ramani Balu, Scott E Kasner, Arjun G Yodh, John A Detre, Michael T Mullen
Cerebral autoregulation (CA) maintains cerebral blood flow (CBF) in the presence of systemic blood pressure changes. Brain injury can cause loss of CA and resulting dysregulation of CBF, and the degree of CA impairment is a functional indicator of cerebral tissue health. Here, we demonstrate a new approach to noninvasively estimate cerebral autoregulation in healthy adult volunteers. The approach employs pulsatile CBF measurements obtained using high-speed diffuse correlation spectroscopy (DCS). Rapid thigh-cuff deflation initiates a chain of responses that permits estimation of rates of dynamic autoregulation in the cerebral microvasculature...
January 1, 2017: Journal of Cerebral Blood Flow and Metabolism
https://www.readbyqxmd.com/read/29225914/status-of-hypertension-screening-in-the-korea-national-general-health-screening-program-a-questionnaire-survey-on-210-screening-centers-in-two-metropolitan-areas
#13
Seung Won Lee, Hae-Young Lee, Sang Hyun Ihm, Sung Ha Park, Tae Hyun Kim, Hyeon Chang Kim
Background: The purpose of this survey was to evaluate the performance of hypertension screening in medical institutions conducting the national general health screening program of the Republic of Korea. Methods: We contacted 700 medical institutions of Seoul and Incheon areas which performed the national general health screening program in 2016, and 210 of them completed telephone survey. The questions asked in the survey include equipment, environment, personnel and quality control procedures for blood pressure (BP) measurement, and interpretation of the measurements...
2017: Clinical Hypertension
https://www.readbyqxmd.com/read/29217348/urethral-pressure-controlled-balloon-refilling-or-balloon-change-for-artificial-sphincter-secondary-procedure
#14
B Maximilien, A Aublea, A Gillibert, C Delcourt, P Grise, J-N Cornu
OBJECTIVES: To report our experience of inflating or changing pressure balloon to treat recurrent urinary incontinence after AMS800® implantation instead of changing all the devices. PATIENTS AND METHODS: A retrospective study was conducted in a tertiary reference center between 2005 and 2015. All patients, treated by AMS800® implantation for post-prostatectomy urinary incontinence and whom balloon was subsequently changed or inflated, were included. Main clinical end point was the need for another surgery...
December 4, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/29206767/prevention-of-ventilator-associated-and-early-postoperative-pneumonia-through-tapered-endotracheal-tube-cuffs-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#15
Bert Maertens, Koen Blot, Stijn Blot
OBJECTIVE: Microaspiration of subglottic secretions is considered a major pathogenic mechanism of hospital-acquired pneumonia, either early postoperative or ventilator-associated pneumonia. Tapered endotracheal tube cuffs have been proposed to provide a better seal of the extraluminal airway, thereby preventing microaspiration and possibly hospital-acquired pneumonia. We performed a systematic review and meta-analysis to assess the value of endotracheal tubes with tapered cuffs in the prevention of hospital-acquired pneumonia...
December 4, 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/29205214/biomechanics-of-the-shoulder-girdle-a-case-study-on-the-effects-of-union-rugby-tackles
#16
Luís Faria, Bárbara Campos, Renato Natal Jorge
PURPOSE: The shoulder girdle is a complex system, comprised by a kinematic chain and stabilizers. Due to the delicate equilibrium and synchronism between mobility and stability, high external loads may compromise its physiology, increasing the risk of injuries. Thus, this study intends to fully characterize the effects of a rugby tackle on the shoulder's anatomy and physiology. METHODS: For the experimental procedures, a matrix of pressure sensors was used, based on the Teckscan® pressure in-soles, force plates, an isokinetic dynamometer and sEMG (surface electromyography)...
2017: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29204425/continuous-non-invasive-arterial-pressure-assessment-during-surgery-to-improve-outcome
#17
REVIEW
Alena Stenglova, Jan Benes
Blood pressure (BP) is one of the most important variables evaluated during almost every medical examination. Most national anesthesiology societies recommend BP monitoring at least once every 5 min in anesthetized subjects undergoing surgical procedures. In most cases, BP is monitored non-invasively using oscillometric cuffs. Although the risk of arterial cannulation is not very high, the invasive BP monitoring is usually indicated only in the case of high-risk patients or in complex surgical procedures...
2017: Frontiers in Medicine
https://www.readbyqxmd.com/read/29201202/ginsenoside-rg3-induces-ginsenoside-rb1-comparable-cardioprotective-effects-independent-of-reducing-blood-pressure-in-spontaneously-hypertensive-rats
#18
Yichuan Jiang, Min Li, Zeyuan Lu, Yuchen Wang, Xiaofeng Yu, Dayun Sui, Li Fu
Ginsenoside Rg3 (Rg3) is a rare type of ginsenoside used as an anti-tumor medicine in China. Ginsenoside Rb1 (Rb1), which exhibits protective effects on the cardiovascular system, is similar to Rg3 in chemical structure. In the present study, Rb1 and Rg3 were administered for 6 weeks to spontaneously hypertensive rats (SHR) and their cardioprotective effects were assessed. According to echocardiography and histopathological examinations, the decrease in cardiac function and ventricular remodeling that occurred in SHR rats were attenuated by Rb1 and Rg3...
November 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29197999/remote-ischemic-preconditioning-upregulates-microrna-21-to-protect-the-kidney-in-children-with-congenital-heart-disease-undergoing-cardiopulmonary-bypass
#19
Zhijuan Kang, Zhihui Li, Peng Huang, Jinwen Luo, Pingbo Liu, Ying Wang, Tuanhong Xia, Yuhang Zhou
BACKGROUND: Acute kidney injury (AKI) is one of the most common emergencies and severe diseases in the clinic. We sought to verify whether remote ischemic preconditioning (RIPC) has a protective effect on the kidney of child with congenital heart disease undergoing cardiopulmonary bypass (CPB) surgery. We hypothesized it may be related to the up-regulation of microRNA-21 (miR-21). METHODS: We performed a prospective randomized clinical study among children with congenital heart disease undergoing CPB surgery between January and December 2016...
December 2, 2017: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/29197874/cuff-based-oscillometric-central-and-brachial-blood-pressures-obtained-through-abpm-are-similarly-associated-with-renal-organ-damage-in-arterial-hypertension
#20
Patricia Fernández-Llama, Júlia Pareja, Sergi Yun, Susana Vázquez, Anna Oliveras, Pedro Armario, Pedro Blanch, Francesca Calero, Cristina Sierra, Alejandro de la Sierra
BACKGROUND/AIMS: Central blood pressure (BP) has been suggested to be a better estimator of hypertension-associated risks. We aimed to evaluate the association of 24-hour central BP, in comparison with 24-hour peripheral BP, with the presence of renal organ damage in hypertensive patients. METHODS: Brachial and central (calculated by an oscillometric system through brachial pulse wave analysis) office BP and ambulatory BP monitoring (ABPM) data and aortic pulse wave velocity (PWV) were measured in 208 hypertensive patients...
December 4, 2017: Kidney & Blood Pressure Research
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