Postprandial hypotension: lessons from Sir Roger Bannister's textbook

2021 ◽  
Vol 11 (4) ◽  
pp. 112-114
Author(s):  
Helen Cowan
Keyword(s):  
Postprandial Hypotension ◽  
Subsequent Research ◽  
Final Article

In the fourth and final article of the Neurocardiology series, Helen Cowan looks at postprandial hypotension as described in Sir Roger Bannister's textbook and subsequent research.

Postprandial Hypotension: Lessons from Sir Roger Bannister's Textbook

2020 ◽  
Vol 15 (10) ◽  
pp. 1-4
Author(s):  
Helen Cowan
Keyword(s):  
Postprandial Hypotension ◽  
Subsequent Research

In the fourth article of the new Neurocardiology series, Helen Cowan looks at postprandial hypotension as described in Sir Roger Bannister's textbook and subsequent research.

Reply to Miller and Asher's Critique

1983 ◽  
Vol 57 (3_suppl) ◽  
pp. 1124-1126 ◽  
Author(s):  
Richard S. Prawat
Keyword(s):  
Subsequent Research

Several points made by Millet and Asher in 1983 ate addressed. For instance, the probable effects of collinearity and suppression are discussed. The authors are confident that their original conclusions will be supported by subsequent research.

Going Off Script: Effects of Awe on Memory for Script-Typical and –Irrelevant Narrative Detail

2017 ◽  
Author(s):  
Alexander Francois Danvers ◽  
Michelle N. Shiota
Keyword(s):  
Positive Affect ◽  
Short Story ◽  
Opposite Effect ◽  
American Psychological Association ◽  
American Psychological ◽  
Final Article ◽  
True False ◽  
Internal Knowledge

People often filter their experience of new events through knowledge they already have, e.g., encoding new events by relying on prototypical event “scripts” at the expense of actual details. Previous research suggests that positive affect often increases this tendency. Three studies assessed whether awe—an emotion elicited by perceived vastness, and thought to promote cognitive accommodation—has the opposite effect, reducing rather than increasing reliance on event scripts. True/false questions on details of a short story about a romantic dinner were used to determine whether awe (1) reduces the tendency to impute script-consistent but false details into memory, and/or (2) promotes memory of unexpected details. Across studies we consistently found support for the first effect; evidence for the second was less consistent. Effects were partially mediated by subjective awe, and independent of other aspects of subjective affect. Results suggest that awe reduces reliance on internal knowledge in processing new events.©American Psychological Association, 2017. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. Please do not copy or cite without author's permission. The final article is available, upon publication, at: http://dx.doi.org/10.1037/emo0000277

Symptoms as Black Boxes: Time to Look Inside the Box

2021 ◽  
pp. 216770262198972
Author(s):  
Carolyn E. Wilshire ◽  
Tony Ward ◽  
Samuel Clack
Keyword(s):  
Black Box ◽  
Classification Systems ◽  
Subsequent Research ◽  
Black Boxes ◽  
Core Questions

In our original article (this issue, p. ♦♦♦), we argued that focusing research on individual symptoms of psychopathology might provide valuable information about their underlying nature and result in better classification systems, explanations, and treatment. To this end, we formulated five core questions that were intended to guide subsequent research and symptom conceptualizations in the psychopathology domain. In this article, we respond to two commentaries on our article. We conclude that it is time to open the black box of symptoms and to take seriously their status as complex constructs.

scholarly journals Postprandial Hypotension and Spinal Cord Injury

2021 ◽  
Vol 10 (7) ◽  
pp. 1417
Author(s):  
Rikke Middelhede Hansen ◽  
Klaus Krogh ◽  
Joan Sundby ◽  
Andrei Krassioukov ◽  
Ellen Merete Hagen
Keyword(s):  
Blood Pressure ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cardiovascular Mortality ◽  
Blood Pressure Measurement ◽  
Ambulatory Blood Pressure Measurement ◽  
Postprandial Hypotension ◽  
Cord Injury ◽  
Time Since Injury ◽  
Median Change

Postprandial hypotension (PPH) is defined as a fall of ≥20 mmHg in systolic blood pressure (SBP) or a SBP of <90 mmHg after having been >100 mmHg before the meal within two hours after a meal. The prevalence of PPH among persons with spinal cord injury (SCI) is unknown. Ambulatory blood pressure measurement was performed in 158 persons with SCI, 109 men, median age was 59.1 years (min.:13.2; max.: 86.2). In total, 78 persons (49.4%) had PPH after 114 out of 449 meals (25.4%). The median change in SBP during PPH was −28 mmHg (min.: −87; max.: −15 mmHg) and 96% of the PPH episodes were asymptomatic. The occurrence of PPH was correlated to older age (p = 0.001), level of injury (p = 0.023), and complete SCI (p = 0.000), but not, gender or time since injury. Further studies are needed to elucidate if PPH contributes to the increased cardiovascular mortality in the SCI population.

The need for increased education and training of pharmacy learners in the care of older, critically ill, and end-of-life patients

2021 ◽  
Author(s):  
Marianne F Ivey ◽  
Tyler A Vest ◽  
David A Zilz
Keyword(s):  
End Of Life ◽  
Critically Ill ◽  
Education And Training ◽  
Final Version ◽  
Final Article ◽  
And Training

Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time.

scholarly journals Iodine allergy: Common misperceptions

2021 ◽  
Author(s):  
Nicole R Wulf ◽  
John Schmitz ◽  
Amy Choi
Keyword(s):  
Literature Review ◽  
Adverse Reactions ◽  
Povidone Iodine ◽  
Cross Reactivity ◽  
Current Evidence ◽  
Allergic Reactions ◽  
Iodinated Contrast Media ◽  
Inclusion Criteria ◽  
Iodinated Contrast ◽  
Final Article

Abstract Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose The current evidence regarding iodine-containing compounds and iodine allergy cross-reactivity is reviewed. Summary Iodine is an essential human nutrient found in the thyroid gland. It is used in the synthesis of the thyroid hormones thyroxine and triiodothyroxine. Patients who report having adverse reactions to iodine-containing substances are often labelled as having an “iodine allergy,” which can result in delays in care or patients being denied essential ICM or other iodine-containing drugs. A literature review was conducted to evaluate the evidence regarding iodine allergy and iodine-containing drugs. Of 435 articles considered potentially appropriate for full review (plus 12 additional articles included on the basis of references from the eligible articles), 113 could not be obtained. After exclusion of 353 articles that did not meet all inclusion criteria, the remaining 81 articles were included in the review. The results of the literature review indicated that iodine has not been shown to be the allergen responsible for allergic reactions to iodinated contrast media, amiodarone, povidone-iodine, and other iodine-containing compounds. Conclusion There is a lack of evidence to support cross-reactivity between iodine-containing compounds in so called iodine-allergic individuals.

Relationship between pre-operative anxiety and post-operative state

1980 ◽  
Vol 10 (2) ◽  
pp. 361-367 ◽  
Author(s):  
Marie Johnston ◽  
Lucy Carpenter
Keyword(s):  
Negative Affect ◽  
Linear Relationship ◽  
Emotional State ◽  
Surgical Patients ◽  
Curvilinear Relationship ◽  
High Anxiety ◽  
Subsequent Research ◽  
Poor Outcome ◽  
Poor Predictor

SYNOPSISJanis (1958) has proposed a curvilinear relationship between pre-operative anxiety and post-operative emotional state. While other hypotheses share the prediction of a poor outcome for patients with pre-operative high anxiety, Janis' theory is unique in predicting a poor outcome for those with low anxiety. Subsequent research has failed to confirm Janis' hypotheses, perhaps because the designs have been insensitive to the predictions for low anxiety patients.The current study tests the hypothesis more directly and finds some support for a linear relationship between pre-operative anxiety and post-operative negative affect, with no support for Janis' curvilinear hypothesis. On the whole, pre-operative anxiety was a poor predictor of other measures of recovery but, on one measure, patients with low anxiety showed a slower recovery than those with moderate anxiety, i.e. supporting the prediction of a poor outcome for low anxiety patients.The implications of these results for pre-operative preparation of surgical patients and the development of theories of anxiety are discussed.

scholarly journals Quality improvement primer part 2: executing a quality improvement project in the emergency department

CJEM ◽  
2017 ◽  
Vol 20 (4) ◽  
pp. 532-538 ◽  
Author(s):  
Lucas B. Chartier ◽  
Antonia S. Stang ◽  
Samuel Vaillancourt ◽  
Amy H. Y. Cheng
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Emergency Medicine ◽  
Quality Improvement ◽  
Improvement Project ◽  
Emergency Department Setting ◽  
Pdsa Cycle ◽  
Time To Antibiotics ◽  
Final Article

ABSTRACTThe topics of quality improvement (QI) and patient safety have become important themes in health care in recent years, particularly in the emergency department setting, which is a frequent point of contact with the health care system for patients. In the first of three articles in this series meant as a QI primer for emergency medicine clinicians, we introduced the strategic planning required to develop an effective QI project using a fictional case study as an example. In this second article we continue with our example of improving time to antibiotics for patients with sepsis, and introduce the Model for Improvement. We will review what makes a good aim statement, the various categories of measures that can be tracked during a QI project, and the relative merits and challenges of potential change concepts and ideas. We will also present the Model for Improvement’s rapid-cycle change methodology, the Plan-Do-Study-Act (PDSA) cycle. The final article in this series will focus on the evaluation and sustainability of QI projects.

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