THE ONE EXCESSIVE EXERCISE CAUSED PULMONARY EMBOLISM!

CHEST Journal ◽  
2021 ◽  
Vol 160 (4) ◽  
pp. A2227
Author(s):  
Joshuam Ruiz Vega ◽  
Amtul Shafi ◽  
Sarah Nuzzo
2018 ◽  
Vol 1 (1) ◽  
pp. 01-04
Author(s):  
Adikari AMNT

Malnutrition is common among hospitalized bed ridden patients. Nutritional management of hospitalized patients is a necessity in order to improve their nutritional status and disease conditions. The objectives of nutritional management of malnourished bedridden patient diagnosed with deep vein thrombosis and pulmonary embolism were to improve nutritional status of the patient through gradual provision of calorie and protein intake, to improve body protein status and control muscle wasting. Nutritional status was assessed by anthropometric, biochemical, clinical and dietary information. SGA was used to assess the malnutrition status of the patient. Since the patient was severely malnourished, she was fed with NG feeds followed by PEG feeds by gradually increasing calorie and protein up to the target level mainly through nutritional supplements for the one and half months of hospital stay. Patient’s serum protein, albumin levels and muscle mass were improved. According to the SGA, the patient was at normal/ well-nourished condition after nutrition management. Dietary management incorporating nutrition supplements indicated improvement of nutritional status of severely malnourished bedridden patient.


2019 ◽  
pp. 80-85
Author(s):  
S. A. Berns ◽  
E. A. Schmidt ◽  
A. G. Neeshpapa ◽  
A. A. Potapenko ◽  
K. V. Smirnov ◽  
...  

Purpose: to identify the factors associated with the development of death events during the year follow-up after hospitalization for pulmonary embolism (PE). Materials and methods: 93 patients with PE discharged to the outpatient stage of observation were studied. 45 (61,6%) patients were female with an average age of 66 years. The examination of patients at the stage of inclusion in the study consisted of standard methods of examination for this pathology. The diagnosis was confirmed by multislice computed tomography. Follow-up was 12 months. Statistical analysis was performed using the MedCalc Version 16.2.1. Results: during the one-year follow-up period 62 (66,7%) patients with PE were alive but 11 patients (11,8%) died, and no information was obtained about 20 patients. The causes of death were as follows: the development of recurrent PE – 4 (36,4%) patients, cancer – 3 patients (27,3%), stroke – 2 (18,1%), one patient (9,1%) died due to severe heart failure and one – myocardial infarction. A comparative analysis in the groups of alive patients (n = 62) and patients with a fatal events (n = 11) showed that the dead patients were older (78 (68; 81) vs. 65 (49; 75) years; p = 0,003), had a higher PESI score (119,0 (99,7; 137,2) vs. 88,0 (68,0; 108,0); p = 0,016) and were less compliant to prolonged anticoagulant therapy during the one year of observation (45,5% of patients (n = 5) vs. 82,3% ( = 51); p = 0,015). The ROC curve determined that a high risk of death during the one year after PE is associated with age over 70 years (p = 0,0001) and more than 95 points by PESI in the hospital period (p = 0,0001). Conclusion: The death events were developed in 11,8% of cases in patients with pulmonary embolism during the first year of follow-up. The death outcomes were significantly associated with elderly age, intermediate and high risk by PESI in the hospital period and low compliance to anticoagulant therapy extended during the year after pulmonary embolism.


2020 ◽  
Author(s):  
Jiawei Xin ◽  
Jialun Chen ◽  
Xuanyu Huang ◽  
Xiaodong Pan ◽  
Tengyue Zou

BACKGROUND Knee injury is always a trouble for people in daily life. It not only threatens the career of an athlete but also affects a normal engineer through morning running. The injury of the knee joint is found to be directly related to the fatigue caused by excessive exercise. OBJECTIVE The aim of the study was to explore the use of wearable embedded devices to monitor and predict the fatigue degree of the knee joint during exercise, so as to prevent the knee joint from being injured. METHODS An economical embedded system with a designed acceleration-weighted curve fitting method was developed to estimate and predict the knee fatigue state. Then the warning message and recommended lasting time were sent to users to avoid excessive exercise. 24 healthy volunteers were involved in the experiments to verify the effectiveness of the system compared to human perception. RESULTS Only using human perception to prevent knee joint fatigue had a risk of failure while the designed wearable system could protect knee successfully. It was also found that the knee of female was more likely to be injured than the one of male in intense exercises and a high BMI value could influence the risk of knee injuries during sports. However, a short break in sports could significantly extend the healthy time for knee. CONCLUSIONS Early warning from the specially designed embedded system can successfully help people avoid knee joint fatigue and injuries during exercises, such as running, badminton, table tennis and basketball.


2020 ◽  
Author(s):  
Jiawei Xin ◽  
Jialun Chen ◽  
Xuanyu Huang ◽  
Xiaodong Pan ◽  
Tengyue Zou

Abstract Background Knee injury is always a trouble for people in daily life. It not only threatens the career of an athlete but also affects a normal engineer through morning running. The injury of the knee joint is found to be directly related to the fatigue caused by excessive exercise. Methods An economical embedded system with a designed acceleration-weighted curve fitting method was developed to estimate and predict the knee fatigue state. Then the warning message and recommended lasting time were sent to users to avoid excessive exercise. 24 healthy volunteers were involved in the experiments to verify the effectiveness of the system compared to human perception. Results Only using human perception to prevent knee joint fatigue had a risk of failure while the designed wearable system could protect knee successfully. It was also found that the knee of female was more likely to be injured than the one of male in intense exercises and a high BMI value could influence the risk of knee injuries during sports. However, a short break in sports could significantly extend the healthy time for knee. Conclusions Early warning from the specially designed embedded system can successfully help people avoid knee joint fatigue and injuries during exercises, such as running, badminton, table tennis and basketball.


2020 ◽  
Vol 66 (12) ◽  
pp. 1645-1650
Author(s):  
Caglar Ozmen ◽  
Onur Sinan Deveci ◽  
Muhammet Bugra Karaaslan ◽  
Oya Baydar ◽  
Anil Akray ◽  
...  

SUMMARY OBJECTIVE: Early diagnosis and risk stratification may provide a better prognosis in pulmonary embolism (PE). Copeptin has emerged as a valuable predictive biomarker in various cardiovascular diseases. The aim of this study was to determine the levels of copeptin in patients with acute PE and to evaluate its relationship with disease severity and PE-related death. METHODS: Fifty-four patients and 60 healthy individuals were included in this study. Copeptin concentrations and right ventricular dysfunction were analyzed. The correlation between copeptin levels and hemodynamic and echocardiographic parameters was examined. After these first measurements, patients were evaluated with PE-related mortality at the one-year follow-up. RESULTS: The copeptin levels were higher in PE patients than in the control group (8.3 ng/mL vs 3.8 ng/mL, p<0.001). Copeptin levels were found to be significantly higher in patients with PE-related death and right ventricular dysfunction (10.2 vs 7.5 ng/ml, p=0.001; 10.5 vs 7.5 ng/ml, p=0.002, respectively). When the cut-off value of copeptin was ≥5.85, its sensitivity and specificity for predicting PE were 71.9% and 85.0%, respectively (AUC=0.762, 95% CI=0.635-0.889, p<0.001). CONCLUSIONS: The copeptin measurement had moderate sensitivity and specificity in predicting the diagnosis of PE, and the copeptin level was significantly higher in patients with PE-related death at the one-year follow-up. Copeptin may be a useful new biomarker in predicting diagnosis, risk stratification, and prognosis of PE.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Bennidor Raviv ◽  
Shlomo H. Israelit

Objectives.To evaluate the viability of the possibility to use a higher D-dimer value than the one used today in the clinical algorithms evaluating patients suspected to have pulmonary embolism.Methods.A retrospective analysis of 300 serial patients for whom D-dimer values were taken during a 10 month period in the emergency room of a tertiary medical center.Results.Our analysis showed that it may be safe and cost effective to use a D-dimer value of 900 ng/ml rather than the value of 500 ng/ml accepted today, with sensitivity of 94.4%. In younger patients [under 40 years] the sensitivity reached was even higher—100%.Conclusions.Raising cutoff values of D-dimer in screening for pulmonary embolism seems a viable option. There may be a place for “tailoring” cutoff values according individual patient characteristics, such as according age groups. More studies of the subject are warranted.


2017 ◽  
Vol 41 (S1) ◽  
pp. S452-S452
Author(s):  
A.M. Romero Otalvaro ◽  
M. Munoz-Argel ◽  
C. Aguilar-Aruachan ◽  
G. Padilla-Vargas Gianina

A growing host is currently evident in young people all about sports culture where interest in body image and a strong cult of the body whose main purpose in many cases prevails is to achieve aesthetic purposes based body models of society, which may be related to an increase in risk eating behaviors and habits of excessive exercise. This research aims to examine the possible presence of three variables: eating behavior, aesthetics models and body image in male college gym users and nonusers. The variables were evaluated by applying Inventory eating disorder EDI 2, which measures the presence of symptoms associated with eating disorders. The Adonis complex Questionnaire which is used to assess the degree of concern about physical appearance and The Questionnaire Body Influences of Aesthetic Model CIMEC-40 which evaluates the internalization of cultural aesthetic ideals. The sample consists of 50 subjects, aged 18 and 24 years, students from the one University of the city of Monteria – Colombia.The results indicate that the user group show greater trend scales obsession with thinness and social insecurity than non-users, like greater influence of verbal messages regarding the cultural aesthetic models, however none of the groups expresses serious or pathological concern about body image.Disclosure of interestThe authors have not supplied their declaration of competing interest.


1975 ◽  
Vol 26 ◽  
pp. 395-407
Author(s):  
S. Henriksen

The first question to be answered, in seeking coordinate systems for geodynamics, is: what is geodynamics? The answer is, of course, that geodynamics is that part of geophysics which is concerned with movements of the Earth, as opposed to geostatics which is the physics of the stationary Earth. But as far as we know, there is no stationary Earth – epur sic monere. So geodynamics is actually coextensive with geophysics, and coordinate systems suitable for the one should be suitable for the other. At the present time, there are not many coordinate systems, if any, that can be identified with a static Earth. Certainly the only coordinate of aeronomic (atmospheric) interest is the height, and this is usually either as geodynamic height or as pressure. In oceanology, the most important coordinate is depth, and this, like heights in the atmosphere, is expressed as metric depth from mean sea level, as geodynamic depth, or as pressure. Only for the earth do we find “static” systems in use, ana even here there is real question as to whether the systems are dynamic or static. So it would seem that our answer to the question, of what kind, of coordinate systems are we seeking, must be that we are looking for the same systems as are used in geophysics, and these systems are dynamic in nature already – that is, their definition involvestime.


Author(s):  
P. R. Swann ◽  
W. R. Duff ◽  
R. M. Fisher

Recently we have investigated the phase equilibria and antiphase domain structures of Fe-Al alloys containing from 18 to 50 at.% Al by transmission electron microscopy and Mössbauer techniques. This study has revealed that none of the published phase diagrams are correct, although the one proposed by Rimlinger agrees most closely with our results to be published separately. In this paper observations by transmission electron microscopy relating to the nucleation of disorder in Fe-24% Al will be described. Figure 1 shows the structure after heating this alloy to 776.6°C and quenching. The white areas are B2 micro-domains corresponding to regions of disorder which form at the annealing temperature and re-order during the quench. By examining specimens heated in a temperature gradient of 2°C/cm it is possible to determine the effect of temperature on the disordering reaction very precisely. It was found that disorder begins at existing antiphase domain boundaries but that at a slightly higher temperature (1°C) it also occurs by homogeneous nucleation within the domains. A small (∼ .01°C) further increase in temperature caused these micro-domains to completely fill the specimen.


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