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https://www.readbyqxmd.com/read/28723835/a-modified-supine-position-facilitates-bladder-function-in-patients-undergoing-percutaneous-coronary-intervention-a-randomized-controlled-clinical-trial
#1
Yisi Liu, Ying Zhang, Ying Wu, Malcolm Elliott
BACKGROUND: Percutaneous coronary intervention (PCI) is currently the most common intervention for cardiovascular disease. Standard care after PCI typically involves a period of bed rest in the supine position, but this position creates voiding difficulties. OBJECTIVE: This study aimed to determine whether a modified supine position could facilitate bladder emptying after PCI. METHOD: A randomized controlled trial involving 300 patients was conducted...
July 18, 2017: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28722214/impairment-due-to-combined-sleep-restriction-and-alcohol-is-not-mitigated-by-decaying-breath-alcohol-concentration-or-rest-breaks
#2
Jessica E Manousakis, Clare Anderson
OBJECTIVE: Epidemiological and laboratory-based driving simulator studies have shown the detrimental impact of moderate, legal levels of alcohol consumption on driving performance in sleepy drivers. As less is known about the time course of decaying alcohol alongside performance impairment, our study examined impairment and recovery of performance alongside decaying levels of alcohol, with and without sleep restriction. METHODS: Sixteen healthy young males (18-27 years) underwent 4 counterbalanced conditions: Baseline, Alcohol (breath alcohol concentration [BrAC] < 0...
July 18, 2017: Human Psychopharmacology
https://www.readbyqxmd.com/read/28720985/conservative-management-of-odontoid-peg-fractures-long-term-follow-up
#3
REVIEW
Aheed Osman, Nabil A Alageli, D J Short, W S El Masri
OBJECTIVE: The aim of the study was to look at the long-term effects of conservative management of odontoid peg fractures. METHODS: We reviewed 48 consecutive patients with type II (32) and 16 type III, odontoid peg fractures. The clinical & radiological outcomes were assessed over an average period of follow up of 8 years. Union rate was determined and we discussed several factors that may affect it. Patients were treated conservatively with an average period of bed rest of 4 weeks followed by bracing for an average of 9 weeks...
April 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28717991/prolonged-bed-rest-impairs-rapid-cpi-17-phosphorylation-and-contraction-in-rat-mesenteric-resistance-arteries-to-cause-orthostatic-hypotension
#4
Toshio Kitazawa, Kazuyo Kitazawa
Prolonged bed rest (PBR) causes orthostatic hypotension (OH). Rapid constriction of splanchnic resistance arteries in response to a sudden increase in sympathetic tone contributes to the recovery of orthostatic arterial pressure upon standing. However, the molecular mechanism of PBR-induced dysfunction in arterial constriction is not fully understood. Previously, we showed that CPI-17, a regulatory protein for myosin phosphatase, mediates α1A-adrenergic receptor-induced rapid contraction of small mesenteric arteries...
July 17, 2017: Pflügers Archiv: European Journal of Physiology
https://www.readbyqxmd.com/read/28716087/explaining-variation-in-adult-anopheles-indoor-resting-abundance-the-relative-effects-of-larval-habitat-proximity-and-insecticide-treated-bed-net-use
#5
Robert S McCann, Joseph P Messina, David W MacFarlane, M Nabie Bayoh, John E Gimnig, Emanuele Giorgi, Edward D Walker
BACKGROUND: Spatial determinants of malaria risk within communities are associated with heterogeneity of exposure to vector mosquitoes. The abundance of adult malaria vectors inside people's houses, where most transmission takes place, should be associated with several factors: proximity of houses to larval habitats, structural characteristics of houses, indoor use of vector control tools containing insecticides, and human behavioural and environmental factors in and near houses. While most previous studies have assessed the association of larval habitat proximity in landscapes with relatively low densities of larval habitats, in this study these relationships were analysed in a region of rural, lowland western Kenya with high larval habitat density...
July 17, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28705999/the-effects-of-strict-prolonged-bedrest-on-cardio-respiratory-fitness-systematic-review-and-meta-analysis
#6
Mathias Ried-Larsen, Hugo Aarts, Michael J Joyner
The aim of this systematic review and meta-analysis (PROSPERO: CRD42017055619) was to assess the effects of strict prolonged bedrest (without counter measures) on V̇O2max and to explore sources of variation herein. Since 1949, 80 studies with a total of 949 participants (>90% males) have been published with data on strict bedrest and V̇O2max. The studies were conducted mainly in young participants (median age (interquartile range)) 24.5 (22.4 to 34.0) years. The duration of bedrest ranged from 1-90 days...
July 13, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28705993/effects-of-%C3%AE-hydroxy-%C3%AE-methylbutyrate-hmb-on-skeletal-muscle-mitochondrial-content-and-dynamics-and-lipids-after-10-days-of-bed-rest-in-older-adults
#7
Robert A Standley, Giovanna Distefano, Suzette L Pereira, Min Tian, Owen J Kelly, Paul M Coen, Nicolaas E P Deutz, Robert R Wolfe, Bret H Goodpaster
Loss of muscle mass during periods of disuse likely has negative health consequences for older adults. We have previously shown that β-hydroxy-β-methylbutyrate (HMB) supplementation during 10 days of strict bed rest (BR) attenuates the loss of lean mass in older adults. To elucidate potential molecular mechanisms of HMB effects on muscle during bed rest and resistance training rehabilitation (RT), we examined mediators of skeletal muscle mitochondrial dynamics, autophagy and atrophy, and intramyocellular lipids...
July 13, 2017: Journal of Applied Physiology
https://www.readbyqxmd.com/read/28705613/aging-related-effects-of-bed-rest-followed-by-eccentric-exercise-rehabilitation-on-skeletal-muscle-macrophages-and-insulin-sensitivity
#8
Paul T Reidy, Catherine C Lindsay, Alec I McKenzie, Christopher S Fry, Mark A Supiano, Robin L Marcus, Paul C LaStayo, Micah J Drummond
The pro- and anti-inflammatory macrophages are associated with insulin sensitivity and skeletal muscle regeneration. Infiltrating macrophages in skeletal muscle during a period of physical inactivity and subsequent reloading/rehabilitation in older adults is unknown, but may provide insight into mechanisms related to the development of metabolic disease and changes in muscle cell size. The purpose of this study was to determine if skeletal muscle macrophage infiltration is modulated differently between young and older adults after bed rest and exercise rehabilitation and if these responses are related to muscle and insulin sensitivity changes...
July 10, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28704008/-can-mobilization-preserve-the-elderly-hospitalized-from-functional-decline
#9
Marie Méan, Christophe Bula, Gérard Waeber
Up to 65% of older adults who walk independently will lose this capacity during a hospital stay. In older adults, loss of walking independence increases the length of hospital stay, the need for rehabilitation services and for institutionalization, as well as the risk of falls (during hospital stay and after discharge) and the risk of death. Bed rest or limited walking during a hospital stay causes deconditioning and is one of the primary risk factors for loss of independence and adverse outcome in hospitalized older adults...
January 25, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28701848/metatarsal-fracture-leading-to-massive-pulmonary-embolism
#10
Vikas Rajpurohit, Prateek Tejvir, Neelam Meena, Kailash Mittal
Immobilization and bed rest after fracture and orthopedic surgery are routinely advised protocol. Period of bed rest usually depends on the type of injury and orthopedic procedure, ranging from few days to weeks. The trauma, surgery, and immobilization with other contributing factors can lead to deep vein thrombosis and pulmonary embolism (PE) in these patients. Although there is high incidence of PE in such patients, it is difficult to diagnose, primarily because of the variety of nonspecific signs and symptoms...
June 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28695880/hand-assisted-laparoscopic-restorative-proctocolectomy-with-ileal-pouch-anal-anastomosis-for-ulcerative-colitis
#11
Pengcheng Zhu, Chungen Xing
INTRODUCTION: In this study, we aimed to evaluate the feasibility and safety of undergoing restorative proctocolectomy through ileal pouch-anal anastomosis (RPC-IPAA) with hand-assisted laparoscopic (HALS) in patients with ulcerative colitis (UC). PATIENTS AND METHODS: We reviewed 40 consecutive patients who underwent RPC-IPAA with HALS or open technique for treatment of UC between 2010 and 2013. Moreover, the intra-/post-operative outcomes were compared. RESULTS: We found the median operative time was significantly longer in the HALS group while the blood loss was significantly less in patients with HALS than with open surgery...
July 7, 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/28690076/patient-non-adherence-to-guideline-recommended-care-in-acute-low-back-pain
#12
Jasper D Bier, Steven J Kamper, Arianne P Verhagen, Christopher G Maher, Christopher M Williams
OBJECTIVE: To describe the magnitude of patient reported non-adherence with guideline-recommended care for acute low back pain. DESIGN: Secondary analysis of data from participants enrolled in the PACE trial, a randomised controlled trial evaluating the effectiveness of paracetamol for acute low back pain. PARTICIPANTS: Data from 1643 participants with acute low back pain. INTERVENTIONS: Guideline recommendend care including; reassurance, simple analgesia, and the advice to stay active and avoid bed rest...
July 6, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28680006/vertebral-fracture-at-the-caudal-end-of-a-surgical-fusion-for-thoracic-vertebral-fracture-in-a-patient-with-diffuse-idiopathic-skeletal-hyperostosis-dish
#13
Hiroshi Kobayashi, Koji Otani, Kazuyuki Watanabe, Kinshi Kato, Takuya Nikaido, Shoji Yabuki, Shin-Ichi Kikuchi, Shin-Ichi Konno
The patient was an 86-year-old woman with back pain after a fall. She had no neurological findings at the initial visit. Plain radiographs and magnetic resonance imaging (MRI) showed diffuse idiopathic skeletal hyperostosis (DISH) and a Th10 fracture. Two weeks later, she started gait exercise with immobilization by a rigid orthosis. Twenty-five days later, she presented with paralysis and numbness of her legs. Computed tomography (CT) showed anterior expansion in the vertebral body of Th10. MRI showed an intramedullary high-intensity area on T2-weighted images at the same level...
July 5, 2017: Fukushima Journal of Medical Science
https://www.readbyqxmd.com/read/28676764/bed-rest-and-hypoxic-exposure-affect-sleep-architecture-and-breathing-stability
#14
Shawnda A Morrison, Dani Mirnik, Spela Korsic, Ola Eiken, Igor B Mekjavic, Leja Dolenc-Groselj
Objective: Despite over 50 years of research on the physiological effects of sustained bed rest, data characterizing its effects on sleep macrostructure and breathing stability in humans are scarce. This study was conducted to determine the effects of continuous exposure to hypoxia and sustained best rest, both individually and combined, on nocturnal sleep and breathing stability. Methods: Eleven participants completed three randomized, counter-balanced, 21-days trials of: (1) normoxic bed rest (NBR, PIO2 = 133...
2017: Frontiers in Physiology
https://www.readbyqxmd.com/read/28676092/host-seeking-activity-of-a-tanzanian-population-of-anopheles-arabiensis-at-an-insecticide-treated-bed-net
#15
Josephine E A Parker, Natalia C Angarita Jaimes, Katherine Gleave, Fabian Mashauri, Mayumi Abe, Jackline Martine, Catherine E Towers, David Towers, Philip J McCall
BACKGROUND: Understanding how mosquitoes respond to long lasting insecticide treated nets (LLINs) is fundamental to sustaining the effectiveness of this essential control tool. We report on studies with a tracking system to investigate behaviour of wild anophelines at an LLIN, in an experimental hut at a rural site in Mwanza, Tanzania. METHODS: Groups of adult female mosquitoes (n = 10 per replicate) reared from larvae of a local population, identified as predominantly (95%) Anopheles arabiensis, were released in the hut...
July 4, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28664811/how-can-i-help-older-people-in-hospital-get-home-sooner-and-prevent-deconditioning
#16
Jo Jennings
Concerns about the complications of prolonged bed rest were raised as far back as 1947 ( Asher 1947 ). Hospital stays are associated with iatrogenic infections, medication errors, increased risk of delirium and side effects of prolonged bed rest ( Inouye and Charpentier 1996 , Covinsky et al 2011 ).
June 30, 2017: Nursing Older People
https://www.readbyqxmd.com/read/28658165/changes-in-skeletal-muscle-mass-after-endoscopic-treatment-in-patients-with-esophageal-varices
#17
RANDOMIZED CONTROLLED TRIAL
Yoshiyuki Sakai, Hiroki Nishikawa, Hirayuki Enomoto, Kazunori Yoh, Akio Ishii, Yoshinori Iwata, Yuho Miyamoto, Noriko Ishii, Yukihisa Yuri, Kunihiro Hasegawa, Chikage Nakano, Takashi Nishimura, Nobuhiro Aizawa, Naoto Ikeda, Tomoyuki Takashima, Ryo Takata, Hiroko Iijima, Shuhei Nishiguchi
To the best of our knowledge, no available data with regard to changes in skeletal muscle mass for liver cirrhosis (LC) patients with esophageal varices (EVs) undergoing endoscopic therapy as a primary prophylaxis could exist. As endoscopic therapies, such as endoscopic injection sclerotherapy or endoscopic band ligation for EVs, accompany invasive procedure and patients with EVs receiving endoscopic therapies mostly rest in bed during hospitalization, clarifying these issues are clinically of importance. The purposes of this study were therefore to examine changes in skeletal muscle mass for LC patients with EVs undergoing endoscopic therapy as a primary prophylaxis and to identify pretreatment predictors which are associated with the amelioration in skeletal muscle mass...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28656534/relationship-between-subjective-and-actigraphy-measured-sleep-in-237-patients-with-metastatic-colorectal-cancer
#18
Oxana Palesh, Karyn Haitz, Francis Lévi, Georg A Bjarnason, Carl Deguzman, Igbal Alizeh, Ayhan Ulusakarya, Mary Melissa Packer, Pasquale F Innominato
OBJECTIVE: Patients with cancers frequently experience sleep and circadian dysfunction. To date, only a few studies have used both a questionnaire and actigraphy for concomitant evaluation of sleep and circadian function in patients with cancer. We sought to evaluate objective sleep and circadian parameters in metastatic colon cancer (MCC) patients and their associations with symptoms and quality of life (QOL). METHODS: Patients reported subjective sleep problems on the EORTC QLQ-C30...
June 27, 2017: Quality of Life Research
https://www.readbyqxmd.com/read/28655901/chronic-sleep-restriction-increases-negative-implicit-attitudes-toward-arab-muslims
#19
Anna Alkozei, William D S Killgore, Ryan Smith, Natalie S Dailey, Sahil Bajaj, Monika Haack
Chronic sleep restriction is a common experience; and while it has negative physiological effects, little is known about how it affects human behavior. To date, no study has investigated whether chronic sleep restriction can influence implicit attitudes (e.g., towards a race). Here, in a randomized, counterbalanced crossover design, we subjected participants to 3 weeks of chronic sleep restriction in the lab (i.e., 3 weekly cycles of 5 nights of 4 hours of sleep per night followed by 2 nights of 8 hours of sleep) and found evidence for an increased negative implicit bias towards Arab Muslims...
June 27, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28652634/-a-pilot-study-on-pain-assessment-among-elderly-with-severe-dementia-br-in-residential-aged-care-facilities-of-reggio-emilia-district
#20
Annalisa Bargellini, Stefano Mastrangelo, Monica Cervi, Michele Bagnasco, Jlenia Reghizzi, Sandra Coriani
. A pilot study on pain assessment among elderly with severe dementia in residential aged care facilities of Reggio Emilia district. INTRODUCTION: Despite the availability of pain assessment tools and best practice recommendations for the assessment and management of pain in people with severe dementia, pain in residential aged care facilities is still undetected or misinterpreted. OBJECTIVE: To assess pain prevalence and analgesic load medication in people with severe cognitive impairment admitted to residential aged care facilities of Reggio Emilia (Italy) province...
April 2017: Assistenza Infermieristica e Ricerca: AIR
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