2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Filiz İzci, Evrim Göde Öğüten.
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Δευτέρα 25 Ιουλίου 2016
Methylphenidate Induced Increase In Intraocular Pressure
A Case of Steroid-Responsive Encephalopathy Associated With Autoimmune Thyroiditis (Hashimoto's Encephalopathy)
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Mustafa Tatlı.
Hashimoto's Encephalopathy (HE) is a syndrome which represents itself with diverse neuropsychiatric symptoms and high titers of anti-thyroid antibodies, the syndrome has no specific radiological or EEG findings and it can be dramatically resolved with corticosteroid treatment. HE can show different clinical findings such as, confusion, stupor, coma, stroke like episodes, epileptic seizures, myoclonus, behavioral changes, hallucinations and delusions. The cause of HE has been proposed to be autoimmune because of it's association with other immunologic disorders, female predominance, inflammatory findings in cerebrospinal fluid and response to treatment with streoids. Because the disease has a wide range of symptom scala and has no specific radiological findings and also has no proven pathogenetic mechanism that can explain the occurence of the disease it is thought that the diagnosis of the syndrome can be delayed or the disease can be mis-diagnosed. This knowledge is thought to be crucial as we know that corticosteroid treatment can show quick and dramatic response to the disease when the syndrome is early diagnosed. In this case report , a patient who is diagnosed as Hashimoto's Encephalopathy with findings of cognitive and psychotic disturbances is presented.
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Acute psychotic episode under isoniazid treatment: A Case Report
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Gökhan Umut, Bahar Dernek, İlker Küçükparlak, Tuğba Aydın, Nesrin Karamustafalıoğlu, Fatma Nur Kesiktaş.
Each year, nearly 9 million new tuberculosis mycobacterium infection is being detected worlwide. It is mostly recommended to use isoniazid (isonicotinic acid hydrazide [INH]) in the treatment and prophylaxis of this infection by the World Health Organization. As INH is taken overdose synthesis of pyridoxal -5- phosphate and GABA are decreased and this causes cerebral excitability and seizures. In some rare cases, it is believed that isoniazid causes mania, depression, obsessive compulsive disorder and psychosis by MAO inhibitor activity or pyridoxine reduction. In this case report, a 28-year-old man with acute psychotic attack precipitated by cannabis use under INH treatment, is presented.
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Capgras Syndrome After Use of Synthetic Cannabinoid: an Adolescent Case
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ürün Özer, Veysi Çeri, Cüneyt Evren.
Aim Anxiety, agitation, irritability, confusion, hallucinations and delusions are among common psychotropic effects of synthetic cannabinoids, which referred as Bonzai and Jamaika in Turkey. Cases of psychotic disorder induced by synthetic cannabinoid use are becoming increasingly more reported. Capgras syndrome is a psychotic disorder characterized by a delusion that a specific person or object has been replaced by an identical one. It has been reported to occur rarely in pure form, but generally accompanying schizophrenia or organic psychosis. Herein we aim to report an adolescent case presenting with Capgras syndrome developed after use of synthetic cannabinoids and to draw attention to psychotic symptoms and to this uncommon psychotic syndrome which may occur after synthetic cannabinoid use. Case Seventeen years old male was brought to the emergency room by his family. In psychiatric examination auditory hallucinations, persecutory delusions and Capgras syndrome, defined with delusion that his mother and father have been changed and replaced by others, have been detected. He reported using bonzai for about 10 days via inhalation and trying volatile substances few times in the past. He had complaints for 4 days and no psychiatric admission before. Rutine laboratory and neuroimaging tests were unremarkable. Urinanalysis was negative for psychoactive substance metabolytes. Psychotic symptoms improved with Olanzapine 10 mg/day and did not recur in the follow-up period of 3 months with no use of bonzai. Conclusion In adolescents who admit with psychotic symptoms, synthetic cannabinoid use should be considered and detailed history should be taken, even laboratory tests were negative. Adolescents, as a vulnerable population, should be informed about negative effects of synthetic cannabinoids which are easily accessible and marketed as herbal, natural and legal, as well as their parents and institutions such as schools which may guide them. Thus, it might be possible to prevent psychotic disorders which will be induced by this substances.
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A Case of Psychogenic Movement Disorder Mimicking Acute Cerebellar Syndrome
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Yıldız Değirmenci, Ayhan Öztürk.
Psychogenic movement disorders (PMDs) are involuntary movements of various kinds without any underlying organic etiology. They can occur as tremor, spasm, dystonia, parkinsonism or myoclonus. A detailed history and neurological examination is essential to differentiate these disorders from organic neurological etiologies. Since PMDs are challenging entities in clinical practice, we presented this case of psychogenic tremor and gait disorder mimicking acute cerebellar syndrome in order to emphasize the importance of diagnostic clinical clues of PMDs in the differentiation of organic diseases, and to give accurate treatment.
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Frequency Of Domestıc Vıolence In Psychıatrıc Patıents And Related Factors
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Sevda Korkmaz, Tuba Korucu, Sevler Yıldız, Şüheda Kaya, Filiz İzci, Murad Atmaca.
Objective: Objective of the present study is to determine the prevalence of domestic violence among married female patients that applied to psychiatric polyclinic and to investigate the relationship between exposure to violence and levels of anxiety and depression. Methods: 100 consecutive married female patients were included into the study. Beck Depression Scale (BDS), Beck Anxiety Scale (BAS), and a sociodemographic and clinical data form designed by the authors were applied to each case. Furthermore, all participants were asked to complete a questionnaire that included questions such as whether there was violence (economic, physical, sexual and psychological) at home, if positive its frequency and duration, and whether the partners were subjected to violence as children. Findings: It was found that 76% of the patients were subjected to at least one type of violence during marriage, 68% were exposed to verbal, 45% to physical, 39% to economic, and 11% were subjected to sexual violence. As the level of education increased, the rate of being the victim of physical violence increased proportionally. 40% of the females that were the victims of physical violence (n:18) reported that they inflicted violence to their children, and 15 of these patients (33%) said that they have attempted suicide while they were married. Result: In the present study, it was determined that domestic violence was correlated with the increase in anxiety and depression scores. Independent of the type of violence, it was determined that domestic violence caused an increase in the number of suicidal attempts.
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The Effectiveness of EMDR theraphy in the treatment of the Phantom Limp Pain
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Ebru Sinici.
Objective: The aim of this study was to determine the effectiveness of Eye Movements of Desensitization and Reprocessing (EMDR) therapy in the treatment of the Phantom Limp Pain. Materials and Methods: Participants of this study consist of 14 patients who was amputation applied and are observed in the Orthopaedics and Traumatology Department of Gülhane Military Hospital as either inpatients or outpatients. Amputation was applied to four patients with diabetic foot and ten patients with trauma. Five patients had three sessions , eight patients had five sessions and two patients had six sessions of EMDR applıcatıons. Ending of the treatment was provided by patients describe that they were not in pain. McGill Melzack Pain Questionnaire, State Anxiety Inventory (State and Trait Anxiety Inventory-STAI-I), the Beck Depression Inventory and Symptom Checklist (Symptom Distress Checklist SCL-90-R) were applied after and before EMDR applıcatıons who had amputate. These tests were given to the patients were invited to control again after one month and three months. The Symptom Checklist was applied again in the third month control. Results: It was seen that phantom pain decrease before the treatment, among shortly after, one month and 3 months later controls. Conclusion: In this study, EMDR therapy has been found to provide a significant improvement over the phantom pain. Based on the findings of EMDR therapy has been shown effective with early application on phantom pain.
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The Relationship Between Obsessive Compulsive Disorder And Mental Contamination (Mc): Psychometric Properties Of Vancouver Obsessive Compulsive Inventory-Mc Scale And Thought-Action Fusion-Contamination Scale
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Müjgan İnözü, İlgün Bilekli, Fulya Özcanlı Ulukut.
Objective: Mental contamination has been conceptualized as the feelings of internal dirtiness in the absence of the actual contact with a dirty physical object or a person. Mental contamination is considered to play an important role in the maintenance and persistence of the obsessive compulsive disorder (OCD). This study aimed to examine the psychometric properties of the Turkish version of two objective measures of mental contamination. These are Vancouver Obsessive Compulsive Inventory-Mental Contamination Scale (VOCI-MC) and Thought-Action Fusion-Contamination Scale (TAF-CS). Method: The participants were 255 university students (183 female and 70 male) with an age range of 18-28. The participants were asked to fill out the questionnaire set consisted of VOCI-MC, TAF-CS, Thought-Action Fusion Scale (TAFS), Disgust Scale-Revised, Trait Anger Expression Inventory and Obsessive Compulsive Inventory-Revised (OCI-R). Results: Reliability analyses indicated that the internal consistency of VOCI-MC and TAF-CS was .93 and .92, and test-retest reliabilities were .79 and .6, respectively. Consistent with the original study, the results of the explanatory and confirmatory factor analysis indicated that both scales have one factor structure. Convergent and divergent validity analyses revealed that both scales were positively correlated with OCI-R total scores and its subscales as well as TAF total score and its subscales; and while this relationship was significantly less strong for Trait Anger and Disgust Sensitivity. While VOCI-MC significantly predicts OCD symptomatology, TAF-CS is observed to have no predictive power in this regard. Conclusions: The results support that the psychometric properties of the Turkish versions of the scales meet the acceptable standards for validity and reliability and therefore can be used among Turkish population.
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The Assessment of the Relationship Between Problematic Internet Use and Parent-Adolescent Relationship Quality, Loneliness, Anger, and Problem Solving Skills
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Gülen Say, Ayşegül Durak Batıgün.
Objective: The main purpose of this study was to investigate the relationships between problematic internet use, and parent-adolescent relationship quality, loneliness, anger, and problem solving skills. Another aim of the current study was to find out differences related to sociodemographic variables, such as gender and socioeconomic status, in problematic internet use. Method: 402 university students (243 females, and 159 males) participated to the study. Online Cognition Scale, Quality of Parent-Adolescent Relationship Scale, UCLA Loneliness Scale, Problem Solving Inventory and Multidimensional Anger Inventory were used. Results: The results revealed that 16.4% of the participants scored high on problematic internet use and spent 2.7 hours (S=1.23) a day on the internet on average. The mediating roles of anger, problem solving skills, and loneliness on the relationship between parent-adolescent relationship quality and problematic internet use were analyzed and all of these variables were found to mediate negative parent-adolescent relationship quality and problematic internet use. Discussion: These results provide helpful tips that can be used in the prevention and intervention programs related to problematic internet use. Psychological counseling and psychotherapy practices might include the strengthening of the relationship between adolescents with problematic internet use and their parents. Moreover, following the assessment of their loneliness, and anger levels, and problem solving skills, interventions related to communications skills, anger management, and problem solving approaches might decrease their problematic internet use.
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Psychotherapy Perspective of Physicians and Psychiatric Patients
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Memduha Aydin, Hulya Ertekin, Tahsin Etli, Hatice Yardim Ozayhan, Ibrahim Eren.
Objective: In this study, we aimed to investigate the role of psychotherapy in healing and protecting the mental health in contemporary psychiatry and general medicine practice. Method: This study is a cross-sectional study that was conducted in Konya Training and Research Hospital between May 2013 and July 2013. In the study, to collect data, 5-item questionnaires were created separately for the patients, doctors from internal and surgical disciplines and questionnaires were administered to participants who agreed to fill in those. Results: The sample of our study was consisted of 173 patients who admitted to psychiatric outpatient clinic, 28 doctors from surgical disciplines, 89 doctors from internal medicine disciplines. It was found that patients who admitted to psychiatric outpatient clinic think that psychotherapy is an effective method for the treatment of psychiatric disorders (83,3%, n=144), know that psychiatrists can apply psychotherapy (77,5%, n=134), but think that sufficient time for psychotherapy can not be allowed at the outpatient clinics (76,8%, n=133). It was found that there is no difference between the doctors from internal and surgical disciplines in tendency to ask support from psychiatrists for treatment of their patients (78.6%, n=22; 91.0%, n=81; χ2=4.318, p=0.115), doctors from internal disciplines have a higher proportion of the idea of psychotherapy to be as effective as medication treatments (75%, n=21; 92.1%, n=82; χ2=6.519, p=0.038). It was determined that there is no difference between the doctors from internal and surgical disciplines in idea of psychiatrists to be able to provide psychotherapy service (71,4%, n=20; 76,4%, n=68; χ2= 0,546, p=0,761), belief of applicability of psychotherapy in the outpatient clinic conditions is higher among doctors from internal disciplines than doctors from surgical disciplines (17.9%, n=5; 43.8%, n=39; χ2=6.527, p=0.038). Conclusion: This study enabled to assess the attitudes towards psychotherapy among patients, doctors from internal and surgical disciplines.
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Psychiatric Symptoms, Perceived Social Support, Coping Styles, and Dyadic Adjustment in Pregnant Women with Hyperemesis Gravidarum
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Nalan Kara, Muberra Namli Kalem, Hatice Balci, Ziya Kalem, Ebru Yuce, Zehra Candan Iltemir Duvan.
ABSTRACT Psychiatric Symptoms, Perceived Social Support, Coping Styles, and Dyadic Adjustment in Pregnant Women with Hyperemesis Gravidarum Objective: Hyperemesis gravidarum (HG) is a condition with severe nausea and vomiting, which is seen in 0.3- to 2 % of pregnancies. In addition to biological factors, psychosocial factors were also reported to play a role in the development of HG. However, the impact of psychosocial factors in HG has yet to be elucidated. In this research, we aimed to investigate psychiatric symptoms in patients with HG and their relationships with perceived social support, coping styles, and dyadic adjustment. Methods: Forty-eight women with HG hospitalized in the Obstetrics and Gynecology Inpatient Unit of Turgut Ozal University and 48 healthy pregnant women consulted to the Obstetric Outpatient Unit for their routine obstetric control were recruited for the study. The subjects were evaluated with sociodemographic form, Symptom Check List (Scl-90-R), Multidimensional Scale of Perceived Social Support (MSPSS), Ways of Coping Scale (WCS), and Dyadic Adjustment Scale (DAS). Results: All sociodemographic variables except nausea and vomiting history in previous pregnancies were similar in both groups. All subscales and global symptom index scores of Scl-90-R were higher; optimistic and submissive subscale scores of WCS were lower, satisfaction, consensus and total scores of DAS were higher in HG group (p
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Prevalence And Factors Associated With Mild Cognitive Impairment On Screening In Older Malaysians
2016-07-25T17-20-02Z
Source: Düşünen Adam: The Journal of Psychiatry and Neurological Sciences
Khairiah Kamarolzaman, Ching SiewMooi, Tengku Aizan Tengku Abdul Hamid.
Objective: This study aimed to determine the prevalence and predictors of mild cognitive impairment in Malaysia. Method: This is a cross-sectional community-based study among elderly aged 60 and above in the four states of Malaysia - Perak, Kelantan, Selangor and Johor. A Multi-stage stratified random sampling method was used for the data collection. Mini Mental State Examination ≥22 was used to diagnosed MCI and analysed by using multivariate logistic regression. Result: A total of 2112 participants were recruited into this study. Mean age of the participants was 69.2±18.8 years and 51.4% were female. The ethnics distribution were 63.4% Malay, 31.4% Chinese, 5% Indians and 0.2% other ethnics. The overall prevalence of mild cognitive impairment was 68% (N=1436/2112). In multivariate logistic regression analysis, those being older (OR 1.02, 95% CI 1.00-1.04), not receiving formal education (OR 6.85, 95% CI 4.58-10.25), having primary education level (OR 2.35 95%CI 1.84-3.00), loneliness (OR 1.18 95%CI 1.05-1.32) and low level of life satisfaction (OR 1.68 95%CI 1.02-2.67) had significant positive association with mild cognitive impairment. Conclusion: Mild cognitive impairment was present in seven out of ten elderly Malaysians. Aging population, presence of low education level, loneliness and dissatisfaction towards life were more likely to develop mild cognitive impairment.
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Editorial Board
Source:Journal of Human Evolution, Volume 97
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Frontal-posterior coherence and cognitive function in older adults
Source:International Journal of Psychophysiology
Author(s): Jessica I. Fleck, Julia Kuti, Jessica Brown, Jessica R. Mahon, Christine Gayda-Chelder
The reliable measurement of brain health and cognitive function is essential in mitigating the negative effects associated with cognitive decline through early and accurate diagnosis of change. The present research explored the relationship between EEG coherence for electrodes within frontal and posterior regions, as well as coherence between frontal and posterior electrodes and performance on standard neuropsychological measures of memory and executive function. EEG coherence for eyes-closed resting-state EEG activity was calculated for delta, theta, alpha, beta, and gamma frequency bands. Participants (N=66; mean age=67.15years) had their resting-state EEGs recorded and completed a neuropsychological battery that assessed memory and executive function, two cognitive domains that are significantly affected during aging. A positive relationship was observed between coherence within the frontal region and performance on measures of memory and executive function for delta and beta frequency bands. In addition, an inverse relationship was observed for coherence between frontal and posterior electrode pairs, particularly within the theta frequency band, and performance on Digit Span Sequencing, a measure of working memory. The present research supports a more substantial link between EEG coherence, rather than spectral power, and cognitive function. Continued study in this area may enable EEG to be applied broadly as a diagnostic measure of cognitive ability.
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Ind. firefighter-EMT wins $50,000 for UFC knockout
CHICAGO — Eddie Wineland, a full-time firefighter-EMT for LaPorte Fire Department, beat opponent Frankie Saenz by third-round TKO in the UFC on FOX 20 event this Saturday. In the process, he won a $50,000 bonus check for one of two "Performance of the Night" awards.
IT'S ALL OVER! Eddie Wineland uses those bricks he calls fists to TKO Frankie Saenz! #UFCChicago https://t.co/dYRG8ZHgnw
— FOX Sports: UFC (@UFCONFOX) July 23, 2016
Making his last appearance in 2014, Wineland wasn't sure he could continue fighting after suffering a broken jaw in competition.
"I broke the jaw and I wasn't sure I wanted to come back," Wineland told MMAjunkie. "The only reason I wanted to keep fighting was for my 2-year-old son, just to prove a point to him that if you get knocked down, you get up and you keep moving forward."
Following his win in Chicago, Wineland's record improves to 22 wins, 11 defeats, and one no-contest.
He reported to work at 7 a.m. the next day.
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Caffeine Does Not Affect Improvements in Cognition During Prolonged High-Intensity Exercise in Alert Well-Trained Individuals
Journal of Caffeine Research , Vol. 0, No. 0.
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Innovation Zone - Blackfire Gloves
Visit www.Black-Fire.com for more information.
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A study of lactate accumulation and changes in vital data during exercise on a bicycle ergometer
2016-07-25T12-11-01Z
Source: National Journal of Physiology, Pharmacy and Pharmacology
Sumangali Penumalla, Padmavathi Katragadda, Y. E. Subash.
Background: It is common to use blood lactate for the determination of performance as well as for the development of training exercises in athletes. Aims and Objectives: The purpose of this study was to gain better understanding of blood lactate concentration which is increased almost 3-4 folds, after the subject complained of subjective feeling of fatigue while exercising on a bicycle ergometer. Materials and Methods: The study was conducted on 50 adolescent participants of the age group of 16-19 years with body mass index 18-25. Before testing, the participants height and weight were measured. Blood pressure (BP), respiratory rate (RR), and heart rate (HR) were recorded in the supine posture, and 2 cc of blood was collected for measurement of blood lactate level. After cycling for some time when the participant complained of feeling of fatigue then the time was recorded and asked to stop exercising then the subject was advised to lie down supine on the bed and one blood sample collected after recording BP, HR, and RR. Data were recorded in the case record form. Paired t-test was used to compare the mean values of parameters before and after test. Results: Blood lactate levels before exercise with a mean value of 10.1604 mg/dl and blood lactate after exercise with mean value of 33.809 mg/dl. Paired t-test on the computed mean difference between two blood samples at rest and post exercise revealed that they were statistically significant with a probability of P
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Chromatin: Chromatin variation underLINEd
Nature Reviews Genetics. doi:10.1038/nrg.2016.101
Author: Denise Waldron
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High-sensitive C-reactive protein levels in diabetes associated with dyslipidemia
2016-07-25T12-11-01Z
Source: National Journal of Physiology, Pharmacy and Pharmacology
Yousef Rezaei Chianeh, Krishnananda Prabhu, Vinutha R. Bhat, Padmanabha Udupa, Azadeh Bagheri, Shivananda Baliga, Ravi Teja Chelikani.
Background: There is compelling evidence that inflammation is an important risk factor in cardiovascular disease (CVD) and diabetes mellitus. High-sensitive C-reactive protein (hs-CRP) is a predictive marker of inflammation as well as metabolic syndrome. Aims and Objectives: The purpose of this study was to correlate the significance of hs-CRP with cholesterol, triglyceride (TG), high density lipoprotein cholesterol (HDL-C), and low density lipoprotein (LDL) in patients with long-term hyperglycemia and healthy control group. Materials and Methods: This study involved 311 subjects (150 patients, 161 control group; between 40 and 65 years of age, mean age of patients and control group were 51.4 ± 9.6, 45.96 ± 3, respectively). Serum concentration of aforementioned analytes was measured among the patients and controls. Results: The concentration of parameters among case and control group were total cholesterol (227.84 ± 28.3, 167.45 ± 21.63 mg/dl), LDL cholesterol (158.43 ± 25.65, 117.30 ± 31.27 mg/dl), HDL-C (27.67 ± 11.11, 51.74 ± 12.61 mg/dl), TG (211.34 ± 36.42, 98.13 ± 67.40 mg/dl), and hs-CRP (29.49 ± 5.90, 2.18 ± 1.10 mg/L) were measured by Cobas 6000 autoanalyzer. A statistically significant (P
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Caffeine Does Not Affect Improvements in Cognition During Prolonged High-Intensity Exercise in Alert Well-Trained Individuals
Journal of Caffeine Research , Vol. 0, No. 0.
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Plant genomics: 1001 genomes and epigenomes
Nature Reviews Genetics. doi:10.1038/nrg.2016.99
Author: Linda Koch
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Presentation: Preparing for sentinel EMS news events
Local news media is interested in EMS when it is at its best — saving lives — or at its worst. The attention an EMS agency and its paramedics receives from the news media is a reflection of intentional pre-planning and relationship building, as well as inadequate preparation for sentinel events, such as collisions, thefts, billing fraud, LODDs and at-work arrests.
These slides, from my presentation at the 2016 Pinnacle EMS Leadership Forum, explore the best practices of several agencies who excel at media relations and the regular news coverage that expose opportunities for policy change and training improvement.
Read quick takes from other sessions presented by experts and leaders at the 2016 Pinnacle EMS Leadership Forum.
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3 ultrasound-guided vascular access techniques for paramedics
3 ultrasound-guided vascular access techniques for prehospital use are demonstrated in this video by ultrasound educator Chris Eddy
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Presentation: Preparing for sentinel EMS news events
Local news media is interested in EMS when it is at its best — saving lives — or at its worst. The attention an EMS agency and its paramedics receives from the news media is a reflection of intentional pre-planning and relationship building, as well as inadequate preparation for sentinel events, such as collisions, thefts, billing fraud, LODDs and at-work arrests.
These slides, from my presentation at the 2016 Pinnacle EMS Leadership Forum, explore the best practices of several agencies who excel at media relations and the regular news coverage that expose opportunities for policy change and training improvement.
Read quick takes from other sessions presented by experts and leaders at the 2016 Pinnacle EMS Leadership Forum.
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3 ultrasound-guided vascular access techniques for paramedics
3 ultrasound-guided vascular access techniques for prehospital use are demonstrated in this video by ultrasound educator Chris Eddy
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Firefighter/EMT Engineer - Sanford Fire Department
SANFORD FIRE DEPARTMENT 1303 William Clark Avenue SANFORD, FLORIDA 32771 Updated: July 22, 2016 Job Classification: Firefighter/EMT/Engineer The Sanford Fire Department is currently hiring for Firefighter/EMT/Engineer. This position requires CPAT and FireTEAM testing through National Testing Network (NTN). All testing must be completed by August 4, 2016. Job Description: Under direction, performs highly ...
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3 ultrasound-guided vascular access techniques for paramedics
3 ultrasound-guided vascular access techniques for prehospital use are demonstrated in this video by ultrasound educator Chris Eddy
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3 ultrasound-guided vascular access techniques for paramedics
3 ultrasound-guided vascular access techniques for prehospital use are demonstrated in this video by ultrasound educator Chris Eddy
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Is your paramedic career worth more than a Facebook post?
Social media comments made in haste and frustration are causing public safety personnel to lose their jobs and the community's trust
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Is your paramedic career worth more than a Facebook post?
The recent spate of highly-publicized officer-involved shootings involving African-American men continues to polarize this country. The most recent fallout includes the termination of multiple EMS and fire personnel over social media remarks directed toward the protests being waged in the streets of many U.S. cities.
The remarks that were made in haste and frustration, while of a personal opinion, were not appropriate for public safety personnel who are held in the public trust and charged with protecting the community's health and safety. The comments were unprofessional and frankly, crass.
Folks, let's be abundantly clear: you risk losing your job and your livelihood if you aren't able to separate your personal life from your professional one. It is certainly your right to express your opinion, to criticize, object or debate. Discourse is a founding principle of our country.
Ethically and morally it's not your right to threaten and discriminate against those who disagree with your point of view. It doesn't matter if you are in person or using a medium that somehow has managed to erase civility and kindness from the national dialogue in a few short years.
Once upon a time, one had to carefully think before speaking at a community meeting, a public forum or in a letter to a newspaper. Words were chosen with consideration. Opinions could be checked and normalized when feedback was immediate and discourse happened in real time.
Now we can fire off a fusillade of insults and ill-conceived thoughts with a few strokes of a keyboard. Sending our missives into seemingly vast space where we imagine our emotional comments do no harm.
Nothing could be further from the truth.
Consider how quickly we have moved to the extremes of our society, simply because of the simplicity of saying things in the extreme. But I digress.
The bottom line is, many people are getting fired over what they say in social media, including law enforcement officers, prosecutors, journalists and hospital staff. Ask yourself the question: Is it really worth it?
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A study on diet and nutritional status among adolescent girls in Lucknow district, India
2016-07-25T06-35-07Z
Source: International Journal of Community Medicine and Public Health
Shivani Sinha, Raj Bahadur Singh.
Background: Adolescent constitute about one fifth of the worlds population. In India they account for 21% (approximately 230 million) of the total population. The world health organization (WHO) has defined adolescence as the age group of 10-19 years. The objective of the study was to study the nutritional status of adolescent girls and factors affecting the health and nutritional status in adolescent girls. Methods: A school based cross-sectional study was carried out in Lucknow district from October 2013 to September 2014. A total of 640 adolescent girls were included in the study. Data was collected, compiled and tabulated using Microsoft Excel and analysed using SPSS 17.0 version for calculation of percentages. Results: Mean weight of adolescent girls in all age groups in both urban and rural schools was better than ICMR standards and showed significant difference with the ICMR mean weight for respective ages except in ages 16, 17 ,18 and 19 years in urban school girls and in ages 17, 18 and 19 years in rural school girls. The mean height of adolescent girls in both urban and rural schools was better than ICMR standards except in age 13, 14, 15, 16, 17, 18 and 19 years in both urban and rural schools and it showed a significant difference with the ICMR mean height for respective ages except in ages 12 and 13 years in urban schools and in ages 13, 18 and 19 years in rural schools. Conclusions: In urban girls the prevalence of thinness was present about 5.58%, where as in rural girls none of the girls were thin. In urban girls the prevalence of overweight was also more, 6.25% than in rural girls, 5.72%.
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Association Between Maternal Smoking During Gestation and Offspring Objectively-Measured Physical Activity Behavior During Adolescence
2016-07-25T06-20-15Z
Source: Journal of Molecular Pathophysiology
Paul D. Loprinzi, Meghan K. Edwards.
Background: Although inconclusive, previous work demonstrates an association between maternal smoking and off-spring cardiovascular-related biomarkers. Whether maternal smoking is associated with off-spring cardiovascular-related behaviors (e.g., physical activity) has yet to be examined, which was this studys purpose. Methods: Data from the 2003-2006 National Health and Nutrition Examination Survey were employed. Adolescent participants (N=1,033; 12-15 yrs) completed a survey assessing their biological mothers smoking behavior during gestation and also wore an accelerometer for up to 7 days. Three mutually exclusive groups were created, including Group 1) mother did not smoke during participants pregnancy; Group 2) mother smoked during entire pregnancy; and Group 3) mother quit smoking during pregnancy. Results: After adjustments, moderate-to-vigorous physical activity was not different in adolescents who belonged to Group 2 vs. 1 (RR = 1.12; 95% CI: 0.94-1.34; P=0.18) or Group 3 vs. 1 (RR = 0.96; 95% CI: 0.75-1.22; P=0.74). Conclusions: Maternal smoking was not associated with their off-springs physical activity during adolescence.
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Treatment efficacy and safety of low-dose azathioprine in chronic active ulcerative colitis patients: A meta-analysis and systemic review
Journal of Digestive Diseases
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Large-scale functional brain connectivity during emotional engagement as revealed by beta-series correlation analysis
Abstract
It has been hypothesized that the medial prefrontal cortex (mPFC) is a hub in the network that mediates appetitive responses whereas the amygdala is thought to mediate both aversive and appetitive processing. Both structures may facilitate adaptive responses to emotional challenge by linking perception, attention, memory, and motor circuits. We provide an initial exploration of these hypotheses by recording simultaneous EEG-fMRI in eleven participants viewing affective pictures. MPFC- and amygdala-seeded functional connectivity maps were generated by applying the beta-series correlation method. The mPFC-seeded correlation map encompassed visual regions, sensorimotor areas, prefrontal cortex, and medial temporal lobe structures, exclusively for pleasant content. For the amygdala-seeded correlation map, a similar set of distributed brain areas appeared in the unpleasant-neutral contrast, with the addition of structures such as the insula and thalamus. A substantially sparser network was recruited for the pleasant-neutral contrast. Using the late positive potential (LPP) to index the intensity of emotional engagement, functional connectivity was found to be stronger in trials with larger LPP. These results demonstrate that mPFC-mediated functional interactions are engaged specifically during appetitive processing, whereas the amygdala is coupled to distinct sets of brain regions during both aversive and appetitive processing. The strength of these interactions varies as a function of the intensity of emotional engagement.
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Comparative analysis of biologic versus synthetic mesh outcomes in contaminated hernia repairs
Surgery
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Useful condition of chromoendoscopy with indigo carmine and acetic acid for identifying a demarcation line prior to endoscopic submucosal dissection for early gastric cancer
BMC Gastroenterology
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UVM clinical trials lead to first FDA approved cholera vaccine in U.S.
University of Vermont Health & Medicine News
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Preoperative FOLFIRINOX for borderline resectable pancreatic cancer: Is radiation necessary in the modern era of chemotherapy?
Journal of Surgical Oncology
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The current status of emergent laparoscopic colectomy: A population-based study of clinical and financial outcomes
Surgical Endoscopy
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Long-term follow-up results of endoscopic treatment of gastroesophageal reflux disease with the MUSE endoscopic stapling device
Surgical Endoscopy
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Routine extra-hepatic bile duct resection in gallbladder cancer patients without bile duct infiltration: A systematic review
The Surgeon
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Hepatic encephalopathy in patients with non-cirrhotic portal hypertension: Description, prevalence and risk factors
Digestive and Liver Diseases
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Adjuvant chemotherapy in early-stage colon cancer may improve survival
University of Illinois at Chicago Health News
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Changes in metabolic hormones after bariatric surgery and their predictive impact on weight loss
Clinical Endocrinology
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CNIO researchers describe inflammatory mechanisms linked to liver cancer
Centro Nacional de Investigaciones Oncologicas News
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OPN-a induces muscle inflammation by increasing recruitment and activation of pro-inflammatory macrophages
While OPN is an important mediator of muscle remodeling in health and disease, functional differences in human spliced OPN variants in the muscle microenvironment have not been characterized. We thus sought to define the pro-inflammatory activities of human OPN isoforms (OPN-a, OPN-b, and OPN-c) on cells present in regenerating muscle. OPN transcripts were quantified in normal and dystrophic human and dog muscle. Human macrophages and myoblasts were stimulated with recombinant human OPN protein isoforms and cytokine mRNA and protein induction was assayed. OPN isoforms were greatly increased in dystrophic human (OPN-a> OPN-b> OPN-c) and dog muscle (OPN-a = OPN-c). In healthy human muscle, mechanical loading also upregulated OPN-a expression (8-fold; P < 0.01), but did not significantly upregulate OPN-c expression (2-fold; P > 0.05). In vitro, OPN-a displayed the most pronounced pro-inflammatory activity among isoforms, acting on both macrophages and myoblasts. In vitro and in vivo data revealed OPN-a upregulated tenascin-c (TNC), a known TLR4 agonist. Inhibition of TLR4 signaling attenuated OPN-mediated macrophage cytokine production. In summary, OPN-a is the most abundant and functionally active human spliced isoform the skeletal muscle microenvironment. Here, OPN-a promotes pro-inflammatory signaling in both macrophages and myoblasts possibly through induction of TNC-TLR4 signaling. Together, our findings suggest that specific targeting of OPN-a and/or TNC signaling in the damaged muscle microenvironment may be of therapeutic relevance.
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