Positive suggestion techniques in somatic medicine

2011 ◽  
Vol 152 (3) ◽  
pp. 96-106 ◽  
Author(s):  
Zoltán Kekecs ◽  
Katalin Varga
Keyword(s):  
Blood Pressure ◽  
Medical Practice ◽  
Medical Staff ◽  
Positive Attitude ◽  
Recent Literature ◽  
Pain Medication ◽  
Medical Professionals ◽  
Physiological Factors ◽  
Bowel Motility ◽  
The Past

There is a reoccurring question in medical practice: do positive attitude and communication of the medical staff make any difference? Aim: Our aim is to present a comprehensive image of the medically relevant effects of positive suggestions by reviewing the recent literature. Methods: We review the studies measuring the effects of suggestive communication of the past 20 years. In cases of studies presented in more details we quote from the suggestion scripts used in the study, too. Results: Most of the reviewed papers affirm that positive suggestions lead to decreased pain and use of pain medication. But physiological factors like bowel motility, blood pressure and bleeding during surgery can be positively affected, too. Conclusions: Suggestive communication – a yet poorly utilized tool – used appropriately can significantly affect healing and recovery of a patient. Thus we emphasize further, more detailed study of this technique and its integration into the education of medical professionals. Orv. Hetil., 2011, 152, 96–106.

scholarly journals FEATURES OF CIVIL LIABILITY OF MEDICAL WORKERS

2021 ◽  
Vol 7 (2(42)) ◽  
pp. 3-7
Author(s):  
Anastasia Olegovna Varava
Keyword(s):  
Medical Practice ◽  
Medical Staff ◽  
Medical Science ◽  
Civil Liability ◽  
Civil Code ◽  
Medical Services ◽  
Medical Professionals ◽  
Judicial Practice ◽  
Civil Proceedings ◽  
Coronavirus Infection

The article will discuss the features of the occurrence and application in the judicial practice of civil liability for medical professionals. This problem is particularly relevant in connection with the complications in the provision of medical services due to the spread of coronavirus infection. And this topic is also the most acute problem, because every year the number of criminal and civil proceedings involving doctors and other medical professionals increases. In addition, the resolution of «medical Affairs» there are difficulties associated with the assessment of the medical staff, as you have to consider many factors: the degree of development of medical science; the level of medical practice, etc. And most doctors are not fully aware of the norms of the civil code and bases of civil liability, the knowledge of which may help to reduce the number of such offences.

Atopic dermatitis: new horizons of therapy

2019 ◽  
Vol 1 (7) ◽  
pp. 29-32 ◽  
Author(s):  
L. S. Kruglova ◽  
E. M. Gensler
Keyword(s):  
Blood Pressure ◽  
Immune Response ◽  
Allergic Rhinitis ◽  
Atopic Dermatitis ◽  
Targeted Therapy ◽  
Inflammatory Response ◽  
Bronchial Asthma ◽  
New Horizons ◽  
The Past

Over the past decades, the first breakthrough milestone in the treatment of severe forms of atopic dermatitis (AD) has been targeted therapy aimed at inhibiting IL-4 and IL-13. This was made possible thanks to advances in the understanding of the pathogenesis of AD, the driver of which is the Th2-type immune response, which also underlies such manifestations of atopy as bronchial asthma, allergic rhinitis, and polynosis. In the case of the Th2-type immune response, cytokines IL-4 and IL-13 are secreted, which are the main promoters of the inflammatory response in AD. Inhibition of IL-4 and IL-13 leads to the prevention of inflammation and is an effective approach to therapy. The use of therapy aimed at inhibition of cytokines allows you to effectively cope with the manifestations of severe and moderately severe blood pressure.

scholarly journals Differential effects of the blood pressure state on pulse rate variability and heart rate variability in critically ill patients

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Elisa Mejía-Mejía ◽  
James M. May ◽  
Mohamed Elgendi ◽  
Panayiotis A. Kyriacou
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Pulse Rate ◽  
Pulse Transit Time ◽  
Pulse Rate Variability ◽  
Physiological Factors ◽  
Ecg Signals ◽  
Non Invasive ◽  
Electrocardiogram Ecg

AbstractHeart rate variability (HRV) utilizes the electrocardiogram (ECG) and has been widely studied as a non-invasive indicator of cardiac autonomic activity. Pulse rate variability (PRV) utilizes photoplethysmography (PPG) and recently has been used as a surrogate for HRV. Several studies have found that PRV is not entirely valid as an estimation of HRV and that several physiological factors, including the pulse transit time (PTT) and blood pressure (BP) changes, may affect PRV differently than HRV. This study aimed to assess the relationship between PRV and HRV under different BP states: hypotension, normotension, and hypertension. Using the MIMIC III database, 5 min segments of PPG and ECG signals were used to extract PRV and HRV, respectively. Several time-domain, frequency-domain, and nonlinear indices were obtained from these signals. Bland–Altman analysis, correlation analysis, and Friedman rank sum tests were used to compare HRV and PRV in each state, and PRV and HRV indices were compared among BP states using Kruskal–Wallis tests. The findings indicated that there were differences between PRV and HRV, especially in short-term and nonlinear indices, and although PRV and HRV were altered in a similar manner when there was a change in BP, PRV seemed to be more sensitive to these changes.

scholarly journals Reframing Professional Development Through Understanding Authentic Professional Learning

2009 ◽  
Vol 79 (2) ◽  
pp. 702-739 ◽  
Author(s):  
Ann Webster-Wright
Keyword(s):  
Professional Development ◽  
Educational Research ◽  
Professional Learning ◽  
Recent Literature ◽  
Development Programs ◽  
The Past ◽  
Research Findings ◽  
Alternative Conceptualization ◽  
Professional Development Programs ◽  
Evaluating Professional Development

Continuing to learn is universally accepted and expected by professionals and other stakeholders across all professions. However, despite changes in response to research findings about how professionals learn, many professional development practices still focus on delivering content rather than enhancing learning. In exploring reasons for the continuation of didactic practices in professional development, this article critiques the usual conceptualization of professional development through a review of recent literature across professions. An alternative conceptualization is proposed, based on philosophical assumptions congruent with evidence about professional learning from seminal educational research of the past two decades. An argument is presented for a shift in discourse and focus from delivering and evaluating professional development programs to understanding and supporting authentic professional learning.

scholarly journals Global nutrient transport in a world of giants

2015 ◽  
Vol 113 (4) ◽  
pp. 868-873 ◽  
Author(s):  
Christopher E. Doughty ◽  
Joe Roman ◽  
Søren Faurby ◽  
Adam Wolf ◽  
Alifa Haque ◽  
...  
Keyword(s):  
Surface Waters ◽  
Marine Mammals ◽  
Recent Literature ◽  
Late Quaternary ◽  
Nutrient Transport ◽  
Anadromous Fish ◽  
Upward Movement ◽  
The Past ◽  
Large Animals ◽  
Continental Interior

The past was a world of giants, with abundant whales in the sea and large animals roaming the land. However, that world came to an end following massive late-Quaternary megafauna extinctions on land and widespread population reductions in great whale populations over the past few centuries. These losses are likely to have had important consequences for broad-scale nutrient cycling, because recent literature suggests that large animals disproportionately drive nutrient movement. We estimate that the capacity of animals to move nutrients away from concentration patches has decreased to about 8% of the preextinction value on land and about 5% of historic values in oceans. For phosphorus (P), a key nutrient, upward movement in the ocean by marine mammals is about 23% of its former capacity (previously about 340 million kg of P per year). Movements by seabirds and anadromous fish provide important transfer of nutrients from the sea to land, totalling ∼150 million kg of P per year globally in the past, a transfer that has declined to less than 4% of this value as a result of the decimation of seabird colonies and anadromous fish populations. We propose that in the past, marine mammals, seabirds, anadromous fish, and terrestrial animals likely formed an interlinked system recycling nutrients from the ocean depths to the continental interiors, with marine mammals moving nutrients from the deep sea to surface waters, seabirds and anadromous fish moving nutrients from the ocean to land, and large animals moving nutrients away from hotspots into the continental interior.

Intramyocellular fat storage in metabolic diseases

2016 ◽  
Vol 26 (1) ◽  
Author(s):  
Claire Laurens ◽  
Cedric Moro
Keyword(s):  
Insulin Resistance ◽  
Skeletal Muscle ◽  
Metabolic Diseases ◽  
Recent Literature ◽  
Lipid Storage ◽  
Muscle Lipid ◽  
The Past ◽  
Skeletal Muscle Lipid ◽  
Ectopic Lipid Storage

AbstractOver the past decades, obesity and its metabolic co-morbidities such as type 2 diabetes (T2D) developed to reach an endemic scale. However, the mechanisms leading to the development of T2D are still poorly understood. One main predictor for T2D seems to be lipid accumulation in “non-adipose” tissues, best known as ectopic lipid storage. A growing body of data suggests that these lipids may play a role in impairing insulin action in metabolic tissues, such as liver and skeletal muscle. This review aims to discuss recent literature linking ectopic lipid storage and insulin resistance, with emphasis on lipid deposition in skeletal muscle. The link between skeletal muscle lipid content and insulin sensitivity, as well as the mechanisms of lipid-induced insulin resistance and potential therapeutic strategies to alleviate lipotoxic lipid pressure in skeletal muscle will be discussed.

scholarly journals Orthostatic Blood Pressure Recovery Measured Using a Sphygmomanometer Is Not Associated with Physical Performance or Number of Falls in Geriatric Outpatients

Gerontology ◽  
2021 ◽  
pp. 1-5
Author(s):  
Arjen Mol ◽  
Marieke Esmé Charlotte Blom ◽  
Danique Johanna van den Bosch ◽  
Richard Jack Anton Van Wezel ◽  
Carel G.M. Meskers ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Physical Performance ◽  
Clinical Relevance ◽  
Regression Analyses ◽  
Timed Up And Go ◽  
Entire Cohort ◽  
The Past ◽  
Orthostatic Blood Pressure ◽  
Standing Up ◽  
Age And Sex

<b><i>Background:</i></b> Orthostatic hypotension (OH) and impaired OH recovery derived from beat-to-beat blood pressure (BP) measurements are associated with detrimental clinical outcome, but the clinical relevance of OH recovery assessed using the widely available sphygmomanometer is still unclear. <b><i>Method:</i></b> 635 geriatric outpatients underwent comprehensive geriatric assessment, including orthostatic BP measurements using a sphygmomanometer, during supine rest and 1 and 3 min after standing up and assessment of physical performance (i.e., the timed up and go test and the Short Physical Performance Battery) and the number of falls in the past year. The association between BP recovery, defined as BP at 3 min minus BP at 1 min after standing up, with physical performance and falls was assessed using regression analyses, adjusting for age and sex, both in the entire cohort and after stratifying for the presence of OH at 1 min after standing up. <b><i>Results:</i></b> BP recovery was not associated with physical performance or number of falls, neither in the entire cohort, nor in subpopulations with or without OH. <b><i>Conclusion:</i></b> The clinical relevance of BP recovery between 1 and 3 min after standing up could not be demonstrated. The results suggest that sphygmomanometer measurements have an inadequate time resolution to record the clinically relevant dynamics of orthostatic BP recovery.

Estimation of food intake in sheep by blood assay for lithium content following ingestion of lithium labelled food

1995 ◽  
Vol 1995 ◽  
pp. 16-16
Author(s):  
J.E. Vipond ◽  
G. Horgan ◽  
D. Anderson
Keyword(s):  
Basal Diet ◽  
Lithium Content ◽  
Biological Mechanisms ◽  
Fixed Amount ◽  
Physiological Factors ◽  
The Past ◽  
Coefficients Of Variation ◽  
Supplementary Feed ◽  
Supplement Intake ◽  
Selection Of

Current rationing systems for sheep and cattle aim to balance a deficit in a basal roughage diet by giving group-fed animals a fixed amount of supplementary food. Assumptions are made that both the intake of basal diet and supplementary feed are average values. Coefficients of variation in individual intake of supplementary feeds of 16-36% have however been observed (Foot and Russel, 1973; Foot et al, 1973) and this variation may be larger (67-107%) where supplements are available as feed blocks (Kendall et al, 1983; Ducker et al, 1981).Recent work on the selection of feed ingredients by sheep (Kyriazakis and Oldham, 1993) and the effect of physiological factors such as parasitism on diet selection (Kyriazakis et al, 1994) suggest that there may be biological mechanisms behind this variation. Estimation of intake of supplements has been difficult in the past, particularly at pasture using chronic oxide and N-alkane indigestible marker systems owing to the need for complete faecal collection procedures and handling procedures that disrupt grazing. A promising new method using lithium as a marker has been developed in Australia (Nolan et al, 1994). This work was undertaken to evaluate the lithium technique for use under UK conditions to elucidate causes of variation in supplement intake of sheep.

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