scholarly journals Delayed and altered post-fire recovery pathways of Mediterranean shrubland under 20-year drought manipulation

2022 ◽  
Vol 506 ◽  
pp. 119970
Author(s):  
Daijun Liu ◽  
Chao Zhang ◽  
Romà Ogaya ◽  
Marc Estiarte ◽  
Xiwen Zhang ◽  
...  
2017 ◽  
Vol 35 (04) ◽  
pp. 364-377 ◽  
Author(s):  
Ian Waldman ◽  
Antonio Gargiulo ◽  
Stephanie Estes

AbstractRobotic technology applied to laparoscopy augments the armamentarium of the reproductive specialist. Uterine leiomyomas, adenomyosis, endometriosis, adnexal masses, sterilization reversal, and fertility preservation techniques can all be addressed with a robotic surgery skill set. Additionally, new approaches with single site and natural orifice surgery will continue to maximize advanced opportunities for safe, effective, and cosmetically conscious (patient-centered) approaches to surgical care. Enhanced postoperative recovery pathways are fully adaptable to these robotic procedures and improve patient acceptability while controlling costs.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Shannon S. Wu ◽  
Yida Cai ◽  
Kerrin Sunshine ◽  
Samuel R. Boas ◽  
Anand R. Kumar

Author(s):  
Irina V. Vets ◽  

An adaptation of the Russian version of the questionnaire «Secondary benefit from the disease» based on the questionnaire Will Joel Friedman «The Benefits of Suffering and the Costs of Well Being: Secondary Gains and Losses» (1994) is presented in the article. Our questionnaire consists of two parts and includes 40 questions, with 4-5 statements on each scale. The first part describes how a person becomes ill, includes scales: regression, somatization triggers, conformism, simulation. The second part of the questionnaire consists of scales: recovery resources, recovery cost, recovery pathways, autonomy, and reflects the recovery process. The standardization of the questionnaire (n=392) indicates that the methodology has good psychometric indicators of the internal consistency of the scales and retest reliability. However, we cannot say that the scales are completely independent, requiring additional research. The confirmatory analysis allowed us to see a good consistency of the questionnaire items. When studying the discriminative power of points, it turned out that this technique is suitable for studying the secondary benefit of the disease for people from 18 to 60 years old. The multi-scale method allows evaluating the psychological phenomena that hinder and contribute to a speedy recovery. The article contains the text of the questionnaire with instructions and keys.


Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1758 ◽  
Author(s):  
Fabian Grass ◽  
Martin Hübner ◽  
Jenna Lovely ◽  
Jacopo Crippa ◽  
Kellie Mathis ◽  
...  

Early re-alimentation is advocated by enhanced recovery pathways (ERP). This study aimed to assess compliance to ERP-set early re-alimentation policy and to compare outcomes of early fed patients and patients in whom early feeding was withhold due to the independent decision making of the surgeon. For this purpose, demographic, surgical and outcome data of all consecutive elective colorectal surgical procedures (2011–2016) were retrieved from a prospectively maintained institutional ERP database. The primary endpoint was postoperative ileus (POI). Surgical 30-day outcome and length of stay were compared between patients undergoing the pathway-intended early re-alimentation pattern and patients in whom early re-alimentation was not compliant. Out of the 7103 patients included, 1241 (17.4%) were not compliant with ERP re-alimentation. Patients with delayed re-alimentation presented with more postoperative complications (37 vs. 21%, p < 0.001) and a prolonged length of hospital stay (8 ± 7 vs. 5 ± 4 days, p < 0.001). While male gender (odds ratio (OR) 1.24; 95% confidence interval (CI) 1.04–1.32), fluid overload (OR 1.38; 95% CI 1.16–1.65) and high American Society of Anaesthesiologists (ASA) score (OR 1.51; 95% CI 1.27–1.8) were independent risk factors for POI, laparoscopy (OR 0.51; 95% CI 0.38–0.68) and ERP compliant diet (OR 0.46; 95% CI 0.36–0.6) were both protective. Hence, this study provides further evidence of the beneficial effect of early oral feeding after colorectal surgery.


2020 ◽  
Author(s):  
Danielle Janosevic ◽  
Jered Myslinski ◽  
Thomas McCarthy ◽  
Amy Zollman ◽  
Farooq Syed ◽  
...  

AbstractClinical sepsis is a highly dynamic state that progresses at variable rates and has life-threatening consequences. Staging patients along the sepsis timeline requires a thorough knowledge of the evolution of cellular and molecular events at the tissue level. Here, we investigated the kidney, an organ central to the pathophysiology of sepsis. Single cell RNA sequencing revealed the involvement of various cell populations in injury and repair to be temporally organized and highly orchestrated. We identified key changes in gene expression that altered cellular functions and can explain features of clinical sepsis. These changes converged towards a remarkable global cell-cell communication failure and organ shutdown at a well-defined point in the sepsis timeline. Importantly, this time point was also a transition towards the emergence of recovery pathways. This rigorous spatial and temporal definition of murine sepsis will uncover precise biomarkers and targets that can help stage and treat human sepsis.


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