56,314 research outputs found
Search strategies for RECOVER: REsilience and mental welling of frontline COVid-19 workers – a series of Evidence Reviews
No full textThese searches were designed constructed between April and May 2020 to support a series of evidence reviews designed to retrieve all potential references for interventions or management strategies to support the resilience and mental health of frontline health and social care staff during a global health crisis and following de-escalation.
This series of evidence reviews aim to answer the following questions:
1. What research evidence is there relating to the resilience and mental health of health and social care professionals during, and after, a disease outbreak, epidemic or pandemic? (Stage 1. Scoping review);
2. What are the most effective interventions to support the resilience and mental health of these health and social care professionals, during, and after, a disease outbreak, epidemic or pandemic? (Stage 2a. Cochrane systematic review of evidence of effectiveness); and
3. What are the barriers and facilitators that may impact on the implementation of effective interventions to support the resilience and mental health of these health and social care professionals, during, and after, a disease outbreak, epidemic or pandemic? (Stage 2b. Systematic review of factors affecting implementation).
The protocol search strategy was designed for MEDLINE Ovid, and adapted for use in the Cochrane Database of Systematic Reviews (CDSR) and Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library, Embase Ovid, Web of Science Indexes, PsycINFO Ovid, CINAHL EBSCO (Cumulative Index to Nursing and Allied Health Literature), Global Index Medicus databases, the WHO Library Database (WHO IRIS) (Institutional Repository for Information Sharing), US National Institutes of Health Ongoing Trials Register ClinicalTrials.gov, the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP), and Google Scholar using the 2dSearch interface.
Each search strategy contains separate search lines and incorporates a combination of uncontrolled vocabulary/keywords and controlled vocabulary terms for (a) resilience and mental health interventions, (b) health and social care personnel, and (c) pandemics, epidemics and health outbreaks. Boolean operators and proximity operators were used to maximise sensitivity and recall where available. Publication date were restricted to publication from 2002 onwards using date limiter functions.Text file (UTF-8 coding) containing 11 separate search strategies
Modeling of Cheyne-Stokes respiration <i>via</i> amplitude modulation.
No full textThe modulated signal in (c) shows a normal respiration for the first two minutes, then an early stage of Cheyne-Stokes Respiration (h = 0.5) and a severe form of Cheyne-Stokes respiration (h = 1.5) at t = 660 s = 9 min.</p
Measurement of the ratio of prompt χ c to J / ψ production in pp collisions at √s = 7 TeV
No full textThe prompt production of charmonium χ c and J / ψ states is studied in proton-proton collisions at a centre-of-mass energy of √s = 7 TeV at the Large Hadron Collider. The χ c and J / ψ mesons are identified through their decays χ c → J / ψ γ and J / ψ → μ + μ - using 36 pb - 1 of data collected by the LHCb detector in 2010. The ratio of the prompt production cross-sections for χ c and J / ψ, σ (χ c → J / ψ γ) / σ (J / ψ), is determined as a function of the J / ψ transverse momentum in the range 2 < p T J / ψ < 15 GeV / c. The results are in excellent agreement with next-to-leading order non-relativistic expectations and show a significant discrepancy compared with the colour singlet model prediction at leading order, especially in the low p T J / ψ region
Cheyne-Stokes respiration and supine dependency
No full textThe influence of position during sleep on central apnoeas during Cheyne-Stokes respiration has not previously been studied systematically. The current authors aimed to study the effect of body position and sleep stages on central sleep apnoeas during Cheyne-Stokes respiration. A total of 20 consecutive patients with cardiovascular diseases and central sleep apnoea during Cheyne-Stokes respiration were investigated using nocturnal polysomnography, including a body position sensor mounted on the patient's sternum. The mean central apnoea-hypopnoea index was significantly higher in the supine position than in nonsupine positions (41±13 versus 26±12). The central apnoea-hypopnoea index was highest in sleep stages 1 and 2, and lowest in slow-wave sleep and rapid eye movement sleep. In every sleep stage, central apnoeas and hypopnoeas were more prevalent in the supine position compared with nonsupine positions. In conclusion, sleep in the supine body position increases the frequency of apnoeas and hypopnoeas in patients with Cheyne-Stokes respiration. Copyright©ERS Journals Ltd 2005.</p
Upright Cheyne-Stokes Respiration in Patients With Heart Failure
No full textBackground: Cheyne-Stokes respiration (CSR) is believed to only occur in supine and sleeping conditions, and thus, CSR treatment is applied to those specific states. Although CSR has also been described in patients with heart failure (HF) during wakefulness, its persistence in an upright position is still unknown. Objectives: The purpose of this study was to assess the predictors, clinical correlates, and prognostic value of diurnal CSR in upright position. Methods: Outpatients with systolic HF underwent a comprehensive evaluation, including short-term respiratory monitoring with a head-up tilt test to investigate the presence of upright CSR, assessment of chemoreflex response to hypoxia and hypercapnia, and 24-h cardiorespiratory recording. At follow-up, cardiac death was considered as the endpoint. Results: Of 574 consecutive patients (left ventricular ejection fraction 32 ± 9%; age 65 ± 13 years; 80% men), 195 (34%) presented supine CSR only, 82 (14%) presented supine and upright CSR, and 297 patients (52%) had normal breathing. Patients with upright CSR had the greatest apnea-hypopnea and central apnea index (at daytime and nighttime), the worst hemodynamic profile and exercise performance, increased plasma norepinephrine and N-terminal pro–B-type natriuretic peptide, and chemosensitivity to hypercapnia, which was the only independent predictor of upright CSR (odds ratio: 3.96; 95% confidence interval [CI]: 1.45 to 10.76; p = 0.007 vs. normal breathing; odds ratio: 4.01; 95% CI: 1.54 to 10.46; p = 0.004 vs. supine CSR). At 8-year follow-up, patients with upright CSR had the worst outcome (log-rank = 14.05; p = 0.001) and the presence of upright CSR independently predicted 8-year cardiac death (hazard ratio: 2.39; 95% CI: 1.08 to 5.29; p = 0.032). Conclusions: Upright CSR in HF patients is predicted by increased chemosensitivity to hypercapnia and is associated with worse clinical conditions and with a greater risk of cardiac death
Synthesis and characterisation of biologically compatible TiO2 nanoparticles
No full textPeer reviewe
Cheyne-Stokes Respiration and Prognosis in Modern-Treated Congestive Heart Failure
No full textIn patients with congestive heart failure (CHF), a high prevalence of sleep-disordered breathing has been described. Cheyne-Stokes respiration (CSR) is present in up to 40% of patients with CHF. During the last decade, the medical treatment has been substantially improved. This study was designed to analyze the prognosis of CSR in modern-treated patients with CHF. For this purposes, in 57 patients with CHF who received modern treatment, a 5-year follow-up after initial full night polysomnography was performed. The mean follow-up period was 38 +/- A 18 months. Mean age was 62 +/- A 13 years and the mean ejection fraction was 25 +/- A 7 percent. Respiratory polygraphy revealed CSR with a respiratory disturbance index > 5 per hour of sleep in 39 of 57 patients. Twelve patients died. CSR was only characterized by a tendency of worsening (log-rank test, p = 0.25). However, there was a significant difference toward positive outcome for patients who received cardiac resynchronization therapy (log-rank test, p = 0.036). Using Multivariate Cox's proportional hazard regression with the factors resynchronization and CSR, the effect of resynchronization was almost significant (p = 0.08). In conclusion, no significant change of Cheyne-Stokes prevalence can be found in our small group of modern-treated patients with CHF. Cardiac resynchronization therapy was associated with improved patient outcome
Contribution of the lung to the genesis of cheyne-stokes respiration in heart failure: Plant gain beyond chemoreflex gain and circulation time
No full textBackground-The contribution of the lung or the plant gain (PG; ie, change in blood gases per unit change in ventilation) to Cheyne-Stokes respiration (CSR) in heart failure has only been hypothesized by mathematical models, but never been directly evaluated.Methods and Results-Twenty patients with systolic heart failure (age, 72.4 +/- 6.4 years; left ventricular ejection fraction, 31.5 +/- 5.8%), 10 with relevant CSR (24-hour apnea-hypopnea index [AHI] >= 10 events/h) and 10 without (AHI <10 events/h) at 24-hour cardiorespiratory monitoring underwent evaluation of chemoreflex gain (CG) to hypoxia (CG(O2)) and hypercapnia (CG(CO2)) by rebreathing technique, lung-to-finger circulation time, and PG assessment through a visual system. PG test was feasible and reproducible (intraclass correlation coefficient, 0.98; 95% CI, 0.91-0.99); the best-fitting curve to express the PG was a hyperbola (R-2 >= 0.98). Patients with CSR showed increased PG, CG(CO2) (but not CG(O2)), and lung-to-finger circulation time, compared with patients without CSR (all P<0.05). PG was the only predictor of the daytime AHI (R=0.56, P=0.01) and together with the CG(CO2) also predicted the nighttime AHI (R=0.81, P=0.0003) and the 24-hour AHI (R=0.71, P=0.001). Lung-to-finger circulation time was the only predictor of CSR cycle length (R=0.82, P=0.00006).Conclusions-PG is a powerful contributor of CSR and should be evaluated together with the CG and circulation time to individualize treatments aimed at stabilizing breathing in heart failure
Mitomycin C in highly myopic eyes - Author reply
No full textOphthalmology. 2005 Feb;112(2):208-18; discussion 219.
Mitomycin C modulation of corneal wound healing after photorefractive keratectomy in highly myopic eyes.
Gambato C, Ghirlando A, Moretto E, Busato F, Midena E.
SourceRefractive Surgery Service and Antimetabolite Therapy Research Unit, Department of Ophthalmology, University of Padova, Padova, Italy.
Abstract
PURPOSE: To evaluate the role of topical mitomycin C in corneal wound healing (CWH) after photorefractive keratectomy (PRK) in highly myopic eyes.
DESIGN: Prospective, double-masked, randomized clinical trial.
PARTICIPANTS: Seventy-two eyes of 36 patients affected by high (>7 diopters) myopia.
METHODS: In each patient, one eye was randomly assigned to PRK with intraoperative topical 0.02% mitomycin C application, and the fellow eye was treated with a placebo. Postoperatively, mitomycin C-treated eyes received artificial tears (3 times daily, tapered in 3 months), whereas the fellow eye was treated with fluorometholone sodium 2% and artificial tears (3 times daily, tapered in 3 months).
MAIN OUTCOME MEASURES: Uncorrected visual acuity (UCVA) and best-corrected visual acuity (BCVA), contrast sensitivity, manifest refraction, and biomicroscopy. Contrast sensitivity was determined using the Pelli-Robson chart. Corneal confocal microscopy documented CWH.
RESULTS: Mean follow-up was 18 months (range, 12-36). No side effects or toxic effects were documented. At 12-month follow-up examination, UCVAs (logarithm of the minimum angle of resolution) were 0.4+/-0.48 and 0.5+/-0.53 (P = .03) in mitomycin C-treated eyes and corticosteroid-treated eyes, respectively. At 1 year, corneal haze developed in 20% of corticosteroid-treated eyes, versus 0% of mitomycin C-treated eyes. At 12, 24, and 36 months, corneal confocal microscopy showed activated keratocytes and extracellular matrix significantly more evident in untreated eyes (Ps = 0.004, 0.024, and 0.046, respectively).
CONCLUSION: Topical intraoperative application of 0.02% mitomycin C can reduce haze formation in highly myopic eyes undergoing PRK.
Comment in
Ophthalmology. 2006 Feb;113(2):357; author reply 357-8
Convective–reactive nucleosynthesis of K, Sc, Cl and p-process isotopes in O–C shell mergers
No full text© 2017 The Author(s). Published by Oxford University Press on behalf of the Royal Astronomical Society. We address the deficiency of odd-Z elements P, Cl, K and Sc in Galactic chemical evolution models through an investigation of the nucleosynthesis of interacting convective O and C shells in massive stars. 3D hydrodynamic simulations of O-shell convection with moderate C-ingestion rates show no dramatic deviation from spherical symmetry. We derive a spherically averaged diffusion coefficient for 1D nucleosynthesis simulations, which show that such convective-reactive ingestion events can be a production site for P, Cl, K and Sc. An entrainment rate of 10-3M⊙s-1features overproduction factors OPs≈ 7. Full O-C shell mergers in our 1D stellar evolution massive star models have overproduction factors OPm> 1 dex but for such cases 3D hydrodynamic simulations suggest deviations from spherical symmetry. γ - process species can be produced with overproduction factors of OPm> 1 dex, for example, for130, 132Ba. Using the uncertain prediction of the 15M⊙, Z = 0.02 massive star model (OPm≈ 15) as representative for merger or entrainment convective-reactive events involving O- and C-burning shells, and assume that such events occur in more than 50 per cent of all stars, our chemical evolution models reproduce the observed Galactic trends of the odd-Z elements
- …
