399 research outputs found
Leslie Behm interviews science fiction writer Diane Carey
No full textAuthor Diane Carey talks about how she came to write science fiction books for the "Star Trek" series, about the business of freelance writing, being a dependable writer, and being fortunate to have found a genre which she enjoys and is in demand. Carey is interviewed by Leslie Behm for the Michigan State University Libraries' Michigan Science Fiction Writers Series
Leslie Behm interviews essayist and fantasy writer Jacqueline Carey
No full textEssayist and fantasy writer Jacqueline Carey talks about the meaning of the title of her Kushiel Trilogy, how she became an author, her work in progress. She also gives advice to aspiring authors. Carey is interviewed by Michigan State University librarian Leslie Behm. Part of the MSU Libraries' Michigan Writers Series. Held in the MSU Main Library
Science fiction writer Diane Carey talks about science fiction at the Michigan Writers Series
No full textIn a program at the Michigan State University Main Library, Author Diane Carey describes writing for the Star Trek book series, explains science fiction and how it differs from fantasy, and provides numerous examples of the differences between fiction and fantasy, invoking "The Lord of the Rings", "Star Wars", and H. G. Wells. Carey's husband Greg Broder joins the conversation and they respond to questions from the audience. Part of the Michigan State University Libraries' Michigan Science Fiction Writers Series. Program Introduction by Leslie Behm
The antifungal antibiotic clotrimazole alters calcium homeostasis of leukemic lymphoblasts and induces apoptosis
No full textMinimally invasive ileal pouch-anal anastomosis for patients with obesity: a propensity score-matched analysis
No full textBackground: Obesity is a risk factor for failure of pouch surgery completion. However, little is known about the impact of obesity on short-term outcomes after minimally invasive (MIS) ileal pouch-anal anastomosis (IPAA). This study aimed to assess short-term postoperative outcomes in patients undergoing MIS total proctocolectomy (TPC) with IPAA in patients with and without obesity. Materials and methods: All adult patients (≥ 18 years old) who underwent MIS IPAA as reported in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) Participant User Files 2007 to 2018 were included. Patients were divided according to their body mass index (BMI) into two groups (BMI ≥ 30 kg/m2 vs. BMI < 30 kg/m2). Baseline demographics, preoperative risk factors including comorbidities, American Society of Anesthesiologists Class, smoking, different preoperative laboratory parameters, and operation time were compared between the two groups. Propensity score matching (1:1) based on logistic regression with a caliber distance of 0.2 of the standard deviation of the logit of the propensity score was used to overcome biases due to different distributions of the covariates. Thirty-day postoperative complications including overall surgical and medical complications, surgical site infection (SSI), organ space infection, systemic sepsis, 30-day mortality, and length of stay were compared between both groups. Results: Initially, a total of 2158 patients (402 (18.6%) obese and 1756 (81.4%) nonobese patients) were identified. After 1:1 matching, 402 patients remained in each group. Patients with obesity had a higher risk of postoperative organ/space infection (12.9%; vs. 6.5%; p-value 0.002) compared to nonobese patients. There was no difference between the groups regarding the risk of postoperative sepsis, septic shock, need for blood transfusion, wound disruption, superficial SSI, deep SSI, respiratory, renal, major adverse cardiovascular events (myocardial infarction, stroke, cardiac arrest requiring cardiopulmonary resuscitation), venous thromboembolism, 30-day mortality, and length of stay. Conclusion: MIS IPAA can be safely performed in patients with obesity. However, patients with obesity have a 2-fold risk of organ space infection compared to patients without obesity. Loss of weight before MIS IPAA is recommended not only to allow for pouch creation but also to decrease organ space infections
Oral Antibiotics Bowel Preparation Without Mechanical Preparation for Minimally Invasive Colorectal Surgeries: Current Practice and Future Prospects
No full textBACKGROUND: The efficacy of preoperative oral antibiotics alone compared with mechanical and oral antibiotic bowel preparation in minimally invasive surgery is still a matter of debate. OBJECTIVE: This study aimed to assess the trend of surgical site infection rates in parallel to the utilization of bowel preparation modality over time for minimally invasive colorectal surgeries in the United States. DESIGN: This study is a retrospective analysis. SETTINGS: The American College of Surgeons National Surgical Quality Improvement Program database was the source of data for this study. PATIENTS: Adult patients who underwent elective colorectal surgery and reported bowel preparation modality were included. MAIN OUTCOME MEASURES: The primary outcomes measured were the trends and the comparison of surgical site infection rates for mutually exclusive groups according to the underlying disease (colorectal cancer, IBD, and diverticular disease) who underwent bowel preparation using oral antibiotics or combined mechanical and oral antibiotic bowel preparation. Patients who underwent rectal surgery were analyzed separately. RESULTS: A total of 30,939 patients were included. Of them, 12,417 (40%) had rectal resections. Over the 7-year study period, mechanical and oral antibiotic bowel preparation utilization increased from 29.3% in 2012 to 64.0% in 2018; p < 0.0001 at the expense of no preparation and mechanical bowel preparation alone. Similarly, oral antibiotics utilization increased from 2.3% in 2012 to 5.5% in 2018; p < 0.0001. For patients with colon cancer, patients who had oral antibiotics alone had higher superficial surgical site infection rates than patients who had combined mechanical and oral antibiotic bowel preparation (1.9% vs 1.1%; p = 0.043). Superficial, deep, and organ space surgical site infection rates were similar for all other comparative colon surgery groups (cancer, IBD, and diverticular disease). Patients with rectal cancer who had oral antibiotics had higher rates of deep surgical site infection (0.9% vs 0.1%; p = 0.004). However, superficial, deep, and organ space surgical site infection rates were similar for all other comparative rectal surgery groups. LIMITATIONS: This study was limited by the retrospective nature of the analysis. CONCLUSION: This study revealed widespread adoption of mechanical and oral antibiotic bowel preparation and increased adoption of oral antibiotics over the study period. Surgical site infection rates are similar from a clinical relevance standpoint among most comparative groups, questioning the systematic preoperative addition of mechanical bowel preparation to oral antibiotics alone in all patients for minimally invasive colorectal surgery. See Video Abstract at http://links.lww.com/DCR/B828
The role of instability with resistance training
No full textThere are many instances in daily life and sport in which force must be exerted when an individual performing the task is in an unstable condition. Instability can decrease the externally-measured force output of a muscle while maintaining high muscle activation. The high muscle activation of limbs and trunk when unstable can be attributed to the increased stabilization functions. The increased stress associated with instability has been postulated to promote greater neuromuscular adaptations, such as decreased co-contractions, improved coordination, and confidence in performing a skill. In addition, high muscle activation with less stress on joints and muscles could also be beneficial for general musculoskeletal health and rehabilitation. However, the lower force output may be detrimental to absolute strength gains when resistance training. Furthermore, other studies have reported increased co-contractions with unstable training. The positive effects of instability resistance training on sports performance have yet to be quantified. The examination of the literature suggests that when implementing a resistance training program for musculoskeletal health or rehabilitation, both stable and unstable exercises should be included to ensure an emphasis on both higher force (stable) and balance (unstable) stressors to the neuromuscular system.Peer reviewedFinal article publishedtrunk musclescocontractionsmuscle activationstrengthbalanc
Maintenance of EMG activity and loss of force output with instability
No full textSwiss Balls used as a platform for training provide an unstable environment for force production. The objective of this study was to measure differences in force output and electromyographic (EMG) activity of the pectoralis major, anterior deltoid, triceps, latissimus dorsi, and rectus abdominus for isometric and dynamic contractions under stable and unstable conditions. Ten healthy male subjects performed a chest press while supported on a bench or a ball. Unstable isometric maximum force output was 59.6% less than under stable conditions. However, there were no significant differences in overall EMG activity between the stable and unstable protocols. Greater EMG activity was detected with concentric vs. eccentric or isometric contractions. The decreased balance associated with resistance training on an unstable surface may force limb musculature to play a greater role in joint stability. The diminished force output suggests that the overload stresses required for strength training necessitate the inclusion of resistance training on stable surfaces. ABSTRACT FROM AUTHORPeer reviewedFinal article publishedmuscle activationSwiss ballresistance trainingdynamicisometri
Trunk muscle activity increases with unstable squat movements
No full textThe objective of this study was to determine differences in electromyographic (EMG) activity of the soleus (SOL), vastus lateralis (VL), biceps femoris (BF), abdominal stabilizers (AS), upper lumbar erector spinae (ULES), and lumbo-sacral erector spinae (LSES) muscles while performing squats of varied stability and resistance. Stability was altered by doing the squat movement on a Smith machine, a free squat, and while standing on two balance discs. Fourteen male subjects performed the movements. Activities of the SOL, AS, ULES, and LSES were highest during the unstable squat and lowest with the Smith machine protocol (p < 0.05). Increased EMG activity of these muscles may be attributed to their postural and stabilization role. Furthermore, EMG activity was higher during concentric contractions compared to eccentric contractions. Performing squats on unstable surfaces may permit a training adaptation of the trunk muscles responsible for supporting the spinal column (i.e., erector spinae) as well as the muscles most responsible for maintaining posture (i.e., SOL). ABSTRACT FROM AUTHORPeer reviewedFinal article publishedelectromyographystabilizersresistance trainingeccentricconcentri
The impact of instability resistance training on balance and stability
No full textThe most predominant literature regarding balance has emphasised the physiological mechanisms controlling stability. Topics range from extrinsic factors (environment) to intrinsic factors (i.e. muscle coordination, vestibular response). Balance is achieved through an interaction of central anticipatory and reflexive actions as well as the active and passive restraints imposed by the muscular system. However, less research has attempted to document the effects of balance on performance measures (i.e. force, power). Furthermore, short- and long-term adaptations to unstable environments need more substantial research. While force and other performance measures can be adversely affected by a lack of balance, the transferability of instability training to activities of daily living and sport is not precisely known. The applicability of instability and resistance training using unstable platforms or implements may have strong relevance in a rehabilitative or athletic setting. Therefore, a comprehensive review of the literature in this area may possibly be of benefit to practitioners who deal with the general population, athletes or persons debilitated by balance and/or stability disabilities.Peer reviewedFinal article publishedResistance TrainingMaximal Voluntary ContractionRectus FemorisRectus AbdominusBalance Trainin
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